eyhance review

Hi Luna. Before diagnosis I was myopic my whole life. Wore contacts for 42 yrs with prescription -4.75 to -5.75 and the increase was due to cataracts I didnt even know I had. Diagnosed months ago age 57 got first eye done last week. This board answered what plano is and gave me best advice that if I am myopic aim for distance with a little bit of myopia -1 so I do not lose all nearness. I did not choose multi focals i chose Eyhance based on reviews on this forum it was just approved . Absolutely no halo or glare for first time in my myopic life at night. Lifelong myopia i guess made me think halo and glare normal but its not . Monofocal user reviews seemed really satified with sight so I chose mono instead of premium. My sight within hours of surgery was sharp and i could see easily distance near and intermediate i can watch tv use computer and see in distance perfectly with the Eyhance. I still have contact in unoperated eye and Luna in comparison my new Eyhance eye vision is much better. all i wanted was to see as well as i did with contacts after surgery. i see so so much better in my Eyhance eye The colors are so bright at night in dark i can even see contrast i can see dark phone on dark table in dark room. Unoperated eye I ask for same distance Eyhance with -1 so both eyes will see same. I can see iphone without readers just a bit blurry but can def read text so i use 1.25 readers if necessary just like i did pre surgery with contacts in and its perfect vision Outdoors i can see really close up in natural light without any reader. Maybe someone else with same vision i have now in operated eye wont even use readers . Thanks to this forum I asked for Eyhance Dr said he uses zcboo which is sister to Eyhance without that added intermediate edge. Last conversation Dr said Eyhance is an excellent choice and that is what i have. Vision from day of surgery to today is a tiny tiny bit less crisp but remains beyond excellent the color the brightness wow. The forum recommend mini or micro monovision but i going for -1 both eyes and if needed contacts after healing but i doubt i will need any vision assistance just maybe those low prescription readers indoors for tiny print. What is your prescription and is it both eyes and when are you scheduled for surgery? Thanks for the support Without this forum i would have been clueless any questions you have happy to answer based on my experience

im adding this Luna after lengthy first post below. My Eyhance eye is so sharp that do not need readers at computer length.I see so sharp at computer distance and the contrast in text between black and white on screen is better than i have seen in all my years on this earth

The Dr skill level contributed too. No pain no blur no itch I felt nothing since operation and now.For all those who are apprehensive about procedure it was over in the blink of eye i remember nothing past the needle for sedation going in my arm.

and also Luna i know everyone different but for me with Eyhance i wouldnt go more than -1 . As said on this forum alot if you take from somewhere then taking away from somewhere physics stuff. So for me anymore than -1 might have resulted in less than sharp distance -1 perfect sweet spot

This is really fantastic news. I am really happy for you. I'm -10.50 in each eye with contact lenses and use 1.25-1.50 readers for small text, i phone etc. Have had halos and starbursts all my life, assume it is from high myopia. I have been hearing good things for patients getting eyhance and leaving residual myopia like you did. i only need one eye done but not sure if i would need other done due to high prescription. I am like you, all i want is to see as well as i do now in contacts after surgery. i could definitely accept -1 for my outcome so thanks for this update! Are you in the US? Curious where you had your surgery. Please keep posting if anything changes.

im there with you about how us myopics have seen halo starburst etc our whole life i thought that was just energy output from light source and normal. in my own experience one week with Eyhance i see better with less to no halo starburst etc but im not out and about at night often yet until other eye is operated on next week. If this helps i have cataract in unoperated eye and it was better than operated eye. i think cataract got bad rapidly and today blurry and from what i know now is not myopia but cataract. i have been wearing approx -5.75 in unoperated eye contact. i can function go outside shop walk around and the distance is ok i can watch tv ok and to furthur even out computer and cell i wear 1.25 readers and my vision is excellent using contact and eyhance. but both eyes together know that one eye is still cataract. so in your case one contact in good eye with monofocal in cataract eye might work. If i didnt have cataract i might have to increase contact prescription to equalize sharpness from eyhance. if i had no cataract blur in this eye i might be able get used to contact one eye and monofocal in operated eye Yes in USA Bronx which is booming now and Manhattan which is starting booming

Hi, and thanks for sharing your experience. It is helping me make a decision for myself. You mentioned that...

"Thanks to this forum I asked for Eyhance Dr said he uses zcboo which is sister to Eyhance without that added intermediate edge."

So do you know which one was implanted? The "sister ZCB00" or the "Eyhance with the intermediate edge"? Also, I'm curious if you drive at night, and if so, how is your vision (and distance vision) then? Do you notice any loss of contrast in the dark, or say when looking at the sky, etc? Thanks again..

The ZCB00 is the standard J&J Tecnis 1 monofocal lens. The Eyhance is the ICB00 lens and has the small extension of focus feature.

Yes. I just wasn't sure which one Mary went with in the end as she mentioned them both. Thanks for the feedback.

What is your ending prescription with eyhance and what do you see with NO glasses on. Thanks

Hi rwbill. Thanks for your guidance and information and help. I def now see what you meant about diopeter goal etc. I chose -1 for both eyes and second eye to be done next week. day after surgery i had small eye test 20/20. I can see how taking that -1 for nearness might have taken from some sharpness in distance etc. but the difference is barely perceptible and maybe im imagining it. with eyhance the contrast and brightness is what strikes me most. i can easily watch tv right now im typing on screen with no readers and have -5.75 in as to be corrected eye. i just sent text with no readers but im in front of window . The real test for iphone etc will be when second eye is corrected to -1 . I cant imagine my vision being any better than it is now with Eyhance will update

It is common for the surgeon to shoot for -0.25 to -0.50 so the patient does not risk becoming far-sighted. This small amount of myopia will have very little effect on one's distance vision. Of course one doing a clear lens exchange will be more picky that one with severe cataracts.

You are taking an interesting approach that I have not heard to many others talk about and that is the middle ground by going -1.0 d in both eyes with the Eyhance IOL to give a boost to close vision. This middle ground might allow one to be spectacle independent 90%+ Plus or more depending on the individual.

I don't know what refractive mark the surgeon hit, which is why I asked what your distant and close vision are. Taking a wild ass guess you might be somewhere between 20/25 and 20/32 distance, which is more than good enough to legal drive and you get more up close vision.

As I always say there is no one right answers. It is about knowing the tradeoff and making the best decision for your lifestyle.

I hope you keep posting your experience, as you provide a unique approach that is not talked about very much, but I can see that this approach might appeal to a lot of people.

Hi Rwbil the idea of even mini monovision made me feel inbalanced just thinking about it. I would rather be able to correct any unforseen loss of current crispness with contacts vs eyes getting used to monovision. I probably have been using monovision anyway wearing contacts with a small diopeter difference since i was first diagnosed with cataracts. i really hope i dont discover that seeing same out of both eyes is somehow a negative. so far i think if second eye lands the same as first eyhance both eyes set for -1 should give me even balance and sharp vision and i can just wear low prescription -1.25 readers for indoor phone and small letters. How would i find out refractive mark? I dont remember anything past the IV sedation needle in my arm and that is scary. i didnt see hear feel or remember anything even seeing the Dr, The day after surgery checkup the Dr I saw gave me the smallest eye test on a chart only one time and he said I was 20/20 then he just talked about everything else but my eyes. I really wanted some digits or numbers to report back to forum instead. I had no idea on my end that going -1 for both eyes is not the regular approach and that mono or micro or mini vision is. I just thought that tiny bit of inbalance would be one more thing to learn or fix i hope i made right choice rw bil. Right now with one Eyhance I see well near intermediate and distant i hope both eyes same will see twice as well Monday is second eye pre op and Thursday is goodbye to remaining lifetime myopic eye and I will definitely post early results and on into future to help and give back to the Forum. Without you and this forum i would have been plano in both eyes with zcboo instead

I replied to your message rwbiil and it did not post instead its being moderated. I never got that message before

the idea of mono vision makes my head spin. I hope i made right choice if both my eyes balance vision the way natural eyes do i made good choice. right now im typing with no readers and the brightness and crispness of text is unreal in eyhance eye Will post results this week after second eye surgery cant wait to say goodbye to this purgatory of waiting. dont know why previous post to you is being moderated

Is refractive vision the eye chart test? Day after surgery Dr I saw gave small eye test on chart with few lines and he said 20/20 I wanted him to talk numbers and measurements so I could report back to forum real figures but instead he made light conversation about news and world events. as i said in still moderated reply I hope I am making a good choice with -1 in both I just want balanced vision between both eyes aside from sharpness at all distances. correction with contacts is ok if needed in future and low script readers for indoor small print is ok we will see how both eyes work together this week

If he has time to talk about news and world events, he has time to test your near distance vision. I think distance is proper measured in their office, but they have never measured near distance (distance to that card they use) when I have gone, so not as accurate.

Looking at the Eyhance defocus curve, if you are getting 20/20 uncorrected distance with IOL Power level designed to hit a -1.0 d, then you are doing much better than the average. Next time ask him did you get all the letters. For example, was it 20/20 or 20/20 - 2 characters. It is also possible the final results are less than -1d myopic.

It would be nice if a doctor actual did a defocus curve with one's results, but I think they only do that if you are in a clinical trial. But you can ask him to test your close vision and try and get the distance to the card.

Even though only a sample of one, it be nice to see what the overall Visual Acuity results were for someone with Eyhance set for -1.0d

"I had no idea on my end that going -1 for both eyes is not the regular approach and that mono or micro or mini vision is."

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I would agree that going for -1.0 D in both eyes is not a regular approach to cataract surgery. Most people are not going to be happy with less than crisp vision in the distance.

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Monovision is not a regular or common approach either. I think monovision has been more popular in the past, but is becoming less so now. And the reason is probably $$'s. There is a lot more profit in EDOF or MF IOLs, so if patients express interest in being able to see close and far without glasses they are steered to an EDOF or MF instead of monovision.

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I would suggest by far and away the standard and most popular approach to cataract surgery is to target slight myopia of -0.25 D in both eyes, and hope that they both end up somewhere between -0.5 D and 0.0 D. This of course requires the use of reading glasses, but most people or cataract age are using reading glasses or progressives already, so it is not really a change. The patient they typically does not need glasses for distance although they may choose to use progressives for convenience to get the very best distance vision plus reading.

“ had no idea on my end that going -1 for both eyes is not the regular approach and that mono or micro or mini vision is.”

I too will add my 2 cents to this statement and probably be repeating a lot of what Ron stated.

I think by far the most common thing is to get 2 monofocals implanted with both set for distance somewhere between Plano and -0.5d, because that is what doctors just do and don’t even discuss the options with the patients. Not to mention insurance covers monofocals.

I think monovision was more popular in the older days, but then there were studies showing problems with Full Monovision.

When diffractive IOLs came along I think monovision fell a bit out of favor. Have no idea the percentage of folks doing monovision vs. getting a diffractive IOL. I will add the earlier diffractive IOLs like ReZoom had some serious issues.

But with the addition of the Newer Premium Monofocals, whereby you can get a bit more depth of focus with low rates of dysphotopsias, I think monovision is making a comeback, but this time they are doing micro and mini monovision.

I will also add I think the older diffractive IOLs left many doctors with a bad taste in their mouth. With the passage of time and if the newer diffractive IOLs continue to have high patient satisfaction you might see more and more doctors offering and suggesting diffractive IOLs.

Yes I do agree with you about test day after surgery check up. Got pre op for second eye earlier today and check up on first eye all is healing well and I read the smallest print on chart easily on first corrected Eyhance For all here why why why do Dr have to even mention second eye syndrome I would not have had that seed planted if nobody mentioned it. rwbill I will follow your advice as you worded and get them damn measurements. Last eye test day after 20 20 the chart had a few lines smaller to larger and I read every line and every letter perfectly same as day after surgery. I thought I was just going in today for standard covid test pre op in my area that protocol but Dr Magic thoroughly checked both eyes. I donated to Paws of War few times in thanks to Dr, Paws of War brings animals home that Service Members found overseas. Great charity amazing results. rwbill I will get you those visual acuity results for Eyhance just give me instructions on what to ask

to help with actual experience with Eyhance for those considering let me word it better

Day 1 no blur clear vision at all distance intermediate and near using contact in uncorrected eye to balance use -1.25 readers for fine print able use laptop and all print in sunlight in house

Day2 pre op check up read 20/20 no blur saw every line and letter clearly

inbetween to next eye done 14 days apart immediate visual sharpness no glare no halo good nightime contrast no blurry no pain if second eye heals same as first i will need no vision correction outdoors and indoors reader -1.25 for small print which is no biggie. My vision is beyond anything I could have imagined. in comparison my unoperated contact corrected eye is very very inferior in every way

Ron now i getting nervous rwbill said same that -1 both eyes is not regular approach. Do you think that leaving out monovision a better target for both eyes would be less than -1? Is that a more common approach? I always wanted crisp distance vision myopic whole life couldnt imagine how people see distance sharp without contacts or glasses Now I do am i going to mess up distance if both eyes set to -1?

Never heard of second eye syndrome before now--googled it and it looks like it happens pretty regularly. The nurse mentioned on the day of my second surgery that sometimes the eye can feel a little more gritty/uncomfortable after surgery on the 2nd eye. That wasn't the case, although I did have a little more discomfort with the 2nd eye than the first during the surgery. Not much, and when it happened I said something and they added more drops. It seems like I had a lot more drops for the 1st eye than the second, so it might have just been a different person applying the drops and not using as much. On the plus side, for my first eye by the end of the surgery the light was making me crazy with wanting to blink. It wasn't a problem with the second eye.

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Glad your surgery/recovery is going so well!

First, Second Eye Syndrome, very interesting. Learn something new everyday.

Second, there is nothing wrong with shooting for -1.0 (D) for each eye if that's a good fit for you.

But I am surprised how good your results are, which is why I asked what your close vision is and the distance to that card.

Just looking at the Eyhance defocus curve, I would expect with -1.0 (D) (myopic) you would see 20/32 (logMAR of 0.20) at distance and you would have 20/32 vision at 16". And your absolutely best vision 20/20 being around 40".

You are clearly beating the numbers on distance if you are seeing 20/20 or better, so curious if you are also beating the number on close vision. They are probably not going to do a complete defocus curve so we can only use the distance and close numbers to get a rough idea if you are actual -1.0 (D) myopic. IMHO you are either less than -1.0 (D) myopic or a statistical anomaly, which in your case is a GOOD thing.

About all I can say is that if it was my choice I would have chosen to be -1.0 in the non-dominant eye, and -0.25 D in the dominant eye. That should give reasonable reading plus good distance. But if you are willing to wear glasses or contacts for distance, then that works too. The bit of an issue with contacts is that if you correct the distance then you need reading glasses for close up.

i just found online Snellen chart and walked ten feet away. I can read all lines even the smallest line with only tiny bit of contrast making it less sharp if that makes sense. Definitely not that myopic blur. Sixteen inches away in room with artificial light its night out with only operated eye open I can see text without readers easily During daylight or outside I see the text even better. but i feel more comfortable with -1.25 readers maybe because im so used to wearing them to see screen better in the past with my contact lenses on. I can read the whole Snellen chart with no bluriness 16 inches away. Intermediate like TV is where eyhance shines. I hope this helps. Outside I can see well into distance no blurry at all. I can only assume that Eyhance somehow gives what seems like on paper a little advantage but when placed with correct diopeter by Dr it gives us a small advantage. Dr Magic is the Man I pray my new right eyhance eye will work in harmony with left eye will update

reading now in dimly lit room with contact in unoperated eye have to wear readers with contact but i will need -1.25 readers to read small print with Eyhance thats so OK with readers perfect small text but at same time on high contrast things like eye drop bottle i can see ok without readers still learning only 13 days since left eye

sorry Eyhance gives a large advantage.

1)Not sure you can printout out a Snellen chart and it will be accurate size. Probably need to buy it.

2)The Snellen chart needs to be placed 20 feet away, that is the top 20 part of the equation; 20/X vision.

3)Close vision is usually done with a Close Vision Chart like a Jaeger eye chart that consists of short blocks of text.

Lucy what scare me is that i wont wake up from that versed. i looked at paper in cute little discharge bag and said versed. i do say it was great just talking to anesthesiologist then waking up remembering nothing is that usual? i thought most people were relaxed but did see things

that good point. The chart I used i found online and it said home test the letters filled up the laptop screen. The test the Dr gave me was what ever distance was sitting in patient chair to the wall in that room. Good points on post op im going ask dr more about actual vision test numbers.

duh. so that 20 mean 20 feet. im still so newbie even though i had cataract surgery. i just took for granted my whole life without contacts i see nothing and with contacts in i can read more than half the chart in any given eye test. just went for regular eye test yearly to get new prescription cause in US you cannot buy contacts without a valid up to date prescription even if prescription same for 40 yrs. I found a site in Canada though that charges a little more than walgreens and less than optician for same contacts i get here. My vision plan allows for only two year checkups and free glasses or contacts which is ridiculous cause i cant buy any without a yearly prescription but paying for exam matters little when you need them

Left out Canada does not require a prescription which is a whole lot smarter than here.

There are actually printable Snellen charts that you view from 10 feet away. There may be some minor discrepancies in the text size due to printer setup, but it should give you an approximate idea of your vision. There's a ratio between viewing distance and text size, and the charts for use at 10' have the text scaled appropriately for viewing at that distance. Very helpful if you are lacking a ballroom in your house.

Yes, I printed one that was scaled for viewing at 10 feet. I think it was reasonably accurate. For close reading vision, I printed a Jaeger Eye Chart which I found at the All About Vision site. It is intended to be used at 14". I find it quite sensitive to the light level you use to view it. When you print a PDF document I recall there is an option to print actual size, which I think ensures you are not scaling it up or down.

Yes, if you measure and make sure the size is correct or calculate the distance for the letter size, it would work.

OK, curiosity killed the cat so I just tried it and I had just been recently measure in a doctor's office so I know I am 20/20-2.

I got 20/20-1 so a bit better than the doctor's office. And the one I missed was a "P" which I thought was an "F" so pretty darn close. Also the doctor's office is a much friendly environment with dark room and just light on the letters, where at home I had light coming in at angles from windows and the like.

Probably it depends on what type of anesthesia you get. I had a couple valiums--I don't even feel them, but they bring my blood pressure down, and I remember everything. When I had "twilight" anesthesia via IV for getting my wisdom teeth out, apparently I was talking and interacting with the doctor the whole time, and I don't remember a thing. They have to tell you about risks, but they really are very low. Normal to be nervous, but just think how great it will be to have both eyes working!

thanks Lucy. lol lacking ballroom i am visualizing right now

thanks Lucy. I dont remember either Dr said I was talking. Scary to know we not in control

i get that curiosity like i have to test it myself too. rw and Ron I just went supermarket this time with only Eyhance two weeks old in one eye and no contact in to be operated eye my prescription is -5 . So I had one working Eyhance iol eye. I see now how monovision works and helps with near and close up. With one Eyhance I could see distance near and far and clear text on aisle signs labels etc. but that second eye helps with over all vision. The colors the brightness the contrast with Eyhance is excellent. Maybe the sharpness itself is not what I am used to compared with contact lens sharpness if that makes sense. The colors and brightness contribute to that sharpness in a good way. Type of lighting ex night daytime artificial definitely adds different layers to type of sharpness. Right now by window I am typing one Eyhance eye no readers needed. I am curious now to see how much diopeters of myopia Dr Magic hit. I get it now I understand. But I will need readers to see close up that with one Eyhance eye lets see how other eye hits . Thanks again for your guidance Overall the intermediate Eyhance has is so amazing total clarity total sharpness and no cutoff or lag to see clearly into distance my eyes transition like natural eyes to focus from tv to outside

One Eyhance at -1.0 D and the other eye at -5.0 D is a wildly extreme amount of "monovision". I am surprised that you could tolerate it. I would wear a contact in the non operated eye for your comfort. -5.0 should work, and you could simulate the second Eyhance at -1.0 by using a contact at -4.0.

i know people value close up vision so to best give my experience I can see iphone at best distance approx 9 inches from eye to phone closer up i can see phone but becomes blurry daylight makes big difference in seeing more clear at closer distance Eyhance combined with myopic eye i see the tiniest print really close to my face. So i see why people choose small monovision I dont know if i could take the maybe inbalance in return for that superclose vision without glasses. Let see how two Eyhance eyes work together But for all those who are considering Eyhance I have nothing to compare it to but I would not choose any other iol and i would stay with -1 for tiny myopia. I am really curious now understanding this stuff what Dr Magic hit But for now I dont need reading glasses outside for all those wanting to lose them. A good question for yall is can I get reader prescription contact lens for superb close up reading without changing my overall vision? Weird question but my whole life myopic with exception of really close up contacts took total blur and made it sharp.

How are your eyes now? Is everything still good? I am thinking of getting Eyhance but have AMD and am wondering what issues there might be? Setting at -1 sounds like a good idea to get more close up vision. Is your distant vision good for driving? Do you notice the absence of blue light filtering?