Has any one tried Vivity iol's yet?

Wish you luck. I have one Vivity implanted and will have my second eye done next month. So far so good. BTW, my extra cost per eye was $2500.

Driving hasn't been a problem.

Oddly enough. I see no night haloes or glare except for blue lights , like on some police cars.

My Vivity eyesight is clear at about 20 inches. Great for the Macbook. I am 70 years old so have had presbiobia for years. I did not notice a loss of contrast. I did have a flickering sensation in my peripheral vision that lasted about 1 week.

I work at a drawing board at arm's length and my 'Vivity eye' is doing well.

My optometrist counsels that my eyesight will be better when the second eye is done. I expect she is right.

The lens manufacturer's pages with images suggesting outcomes are rather ridiculous, since we are looking at all these simulations with cataract clouded lenses. I printed out eye charts on white card stock paper and marked them prior to surgery. So I was able to see that I did indeed have improvement. It is hard to actually recall what one's vision was like at another time.

If you astigmatism is large enough you are probably going to need a toric Vivity.

Realize Vivity is not going to give you great close vision; you might gain a line on both intermittent and close vision.

Not a fan of targeting the dominate eye at -0.5 d as the doctor can be off the mark and end up even more myopic. You might not be able to trial monovision but you can try the -0.5 d refractive mark setting with contacts. Get a prescription that sets your distance to -0.5D (myopic) and see what you think. My guess is it takes you from 20/20 to 20/25 or so.

I like the micro monovision in the non-dominate eye. You can certainly do -1.0d in the non-dominate eye to gain more intermittent and close vision. But again you will not get great close vision. If you did there would be no need for diffractive IOLs. So as long as you are prepared to use readers for close this is a GREAT plan.

Hmm, normal vision -12 and -9. Another long eye case. Make sure you read the other super myopic post and issues with obtaining accurate measurements.

Vivity does come with contrast sensitivity loss; that is just how it goes. There are always tradeoffs and you have to decide which one is acceptable to you. As for the $3K, think of it as $3K spent that last for many years.

There are quite a few threads here on the Vivity lens. Here is one that has quite a few responses.

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https://patient.info/forums/discuss/just-had-vivity-lens-implanted-3-weeks-750057

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I looked at this lens very seriously and in the end have pretty much decided against it. If I was in your situation and wanted to do Vivity, I would use a monofocal AcrySof IQ Aspheric, Toric in the first eye and correct for distance. With your high myopia that is not a slam dunk. So, you should do it and see what your outcome is before making a decision on the second eye. Assuming all goes well, The Vivity would be worth considering for the second eye. I would ask for -0.75 D myopia to give you some mini-monovision to improve close up reading, but again hitting it may be difficult. You may want to check to be sure that the Vivity is available in a toric.

I don't have Vivity, just plain Tecnis monfocals, but I was looking for something similar--to see around the room, glasses to drive, glasses for smaller print or long-duration reading. I hate taking glasses on and off for a task, so I wanted something where I'd only need glasses for a task that would take a while--driving or reading a book. My distance eye was targeted at ideally at -0.5, within a range of -0.5 to -1.0 (surgery just over 6 weeks ago.) The doc predicted it would probably end up closer to -0.75, but it looks like it might have hit spot-on at -0.5. I got lucky--it sounds like what a surgeon targets and what you get can easily vary by +/- 0.5 or more. A week after surgery the optometrist said it landed between -0.5 and -0.25; last week he said it was right at -0.5. I've been fighting inflammation and dry eyes, so I'm having some problem with blurriness and dimming of vision a bit, but overall I'd say the -0.5 works very well for me because I was lucky and the IOL landed on target. The distance vision is enough to make me happy and legal for driving. I wouldn't want to do night driving like this and would be more comfortable with glasses for daytime driving, but if I was stuck some place without glasses I could drive legally and safely. That's probably even more true since I got my second eye done 2 days ago. My target for the second eye was -1.75--not sure yet where it landed, and it has a lot of healing to do, but it's already giving my distance vision a nice boost and helped my near and intermediate vision a LOT. I wasn't able to trial monovision because my cataracts were too bad, but my eyes have been measured at -1.25 to -1.75 difference for years, and I never wear glasses except to drive. so I'm used to living with mini-monovision and -1.25D difference seemed safe. The first surgeon I talked to didn't want to do it since I hadn't undergone a trial; the second didn't see a problem. Plus my 2nd eye was only about 2 diopters different from my first eye after surgery, so I was kind of able to test for any adaptation issues with the little I could see through the 2nd eye.Now with both eyes, I have no problem watching tv 12 feet away with excellent clarity (although I can't read the fine print the drug manufacturers flash across the bottom of the page.) My best near vision (with both eyes) is about 18", where I have no problem reading a grocery store receipt. I'm hoping that will improve a little as the 2nd eye heals. So I can get the mail, hold it at arms length to glance over it and read what it is, and put on readers later if I want to go over things in great detail. For reading a book I need readers for now because I read fairly close to the book.

One thing I did that was really helpful was to look at defocus curves and make a bunch of charts for different surgical results. I'd look at a particular D for a lens, and make a chart for where the vision was predicted to get worse than 20/20, 20/30, and 20/40 (near and far.) Then I could look at the different powers of lenses and see what the range was for different visual acuities and where one power would start losing focus vs where the another power would pick up. If everything heals well and remains stable, I think I'll be very, very happy with the results. I wish I could have a little more near vision, but the nearer you get, the shorter depth of field that eye will have, so needing readers for novels seems like a good compromise.

Vivity is not yet made for high myopes, so you may not be eligible for them. They start at +15 I believe.

Yes, it looks like Vivity starts at +15 D for power. The Tecnis Eyhance starts at +5 D, and is available in a Toric up to 6 D cylinder. The Eyhance will not give quite the same reading ability though.

Ask me about Vivity in a week or two. I am having Vivity put in my right eye next week. The following week I will have a light adjustable lens in the left eye. My complicating factors was that I had LASIK many years ago and I recently had a vitrectomy in my left eye (which limited my lens choice). My intent is to end up not needing glasses at distance or at computer distance (that is most important -- I could live with glasses for night driving) and that I will almost certainly need readers for extended reading. I would love to not need readers at all, but that isn't realistic for me. So if I can read casual stuff without glasses and put them on when I do true reading then that is great.

The value largely depends on what is important to you and what you can afford. FWIW, I am paying more than you are and it is totally worth it to me. But, my main goal is to eliminate having to wear glasses at the computer (where I spend most of my time). I think one thing to have realistic expectations for what you are likely to get. And, think about how you will feel if you spend the money and you don't get it.