Posted , 6 users are following.
Hello,
I had a cataract surgery a year ago, Tecnis 1-piece monofocal.
Over 25/20 uncorrected, however, I am suffering from Positivie Dyshpotopsia.
Is there anyone here who have already had his/her IOL exchanged?
I do consider the Sofport AO LI61AO.
0 likes, 18 replies
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mjcg ad12345
Posted
What are your actual symptoms ad12345? Have you seen your ophthalmologist? If so, what has been his/her suggestion?
soks ad12345
Posted
Hi ad12345,
even I am experiencing positive dysphotopsia. I would exchange my iol if there was a 7mm IOL. I am going to start seeing doctors who can maybe move my iol nasally rather than replacing it. How old are you? Have you tried using alphagan, pilocarpine, lumify or other miotic agents? have they helped?
My iol is Symfony so I am not sure if it is the lens type or pupil dilation that is causing it.
ad12345
Posted
I'm only 27.
@mjcg Glare, starburst, halos, streaks, whatever you want.
Yes, miotics help, but I feel more like a druggy than a normal person. And it's terribly painfull.
@soks Why not Sofport AO? I heared it's good for PD as the replacement lens.
There were some experimental 7 mm IOLs, however, I do not know whether there's anything available now. In Europe there's one, hydrophilic 7 mm XL-Optic ASPIRA-aXA, but its diameter depends on power - the lower power, the bigger the optic.
gmag21 ad12345
Posted
I'm also in my 20s considering IOL exchange to the Sofport AO lens due to Positive Dysphotopsias. My situation is a bit risky though because Ive also had the YAG laser unfortunately
soks ad12345
Posted
i think your age is causing your pupils to dilate beyond your IoL. its interesting what you say about miotics. i just told my wife yesterday that alphagan drops make me sleepy. iol exchange is still traumatic to the eye and if i can wait it out till pupil gets smaller then i would go that route. i am 43 now.
maria52867 ad12345
Edited
Do you know how small the diamter is for the aspira-axa lens when the power is +30D? (their maximal power)
Also, do you know if it is also the case for Zeiss' multifocal lens AT LISA - I mean high power = smaller optic?
I don't know what to do. I will greatly appreciate an answer.
I already had one replacement (bc. power was wrong first time, so this is my second replacement of an iol).
Sue.An2 ad12345
Posted
So sorry to hear of your situation. How did you come to have cataracts at such a young age? Did both eyes require surgery?
It is unfortunate that IOLs don't have many options for younger patients whose eyes dilate more which is biggest source of PD.
Is your doc recommending an exchange to the B&L silicone Sofport? All IOLs have their pros and cons and a trade-off. Inly thing I recall reading about silicone lenses (and maybe they've greatly improved) but they can be more prone to glistenings.
Is there anything else your surgeon can suggest without a lens exchange?
I hope you are able to find a resolution - seeing glare like that all the time must be hard. I have some at night and see multiple circles around lights but that was compromise I chose to see well at all distances.
ad12345 Sue.An2
Posted
One eye only.
He says that the Sofport is my biggest chance in terms of PD.
He suggests taking Pilocarpine everyday until death. Nice?
I thought that Acrysof IQ is the most glistening-prone IOL, but haven't heard of this feature in case of Silicon IOLs. However, the LI61AO has been on the market for the last 20 years, I think it must be possible to check it out. But..how? There're guys who have this lens for 20 years in their eyes, hello!.
soks ad12345
Posted
alphagan is better than pilocarpine. known retina detachment risk with pilocarpine.
Sue.An2 ad12345
Posted
it is possible B&L are no longer making their lenses of silicone. Just know of someone where I live that had B@L IOLs implanted about 4 years ago that has the issue of glistenings.
Not an easy choice as the exchange may or may not help PD. Guess it depends on root cause. Due to your age your pupils are dilating beyond the IOL - whether another lens helps or not the surgeon is not guaranteeing that it will. Other than PD (and do you experience that day and night) do you see well? I do know from my glare issue a lit had calmed down with time. There is a lot the brain can tune out however my eyes are not dilating beyond the rim and I know when my eyes were dilated at 6 weeks from surgery when my surgeon dilated my eyes for checkup how weird lights were. If that's what you see every day - not pleasant. You'd think IOLs would be developed to accommodate larger pupils.
If me I would seek out a surgeon who specializes in exchanges - they likely see a number of patients who want an exchange due to PD and would be able to tell you more on % of patients where PD was decreased or eliminated.
i sympathize - not an easy decision to make.
ad12345 soks
Posted
@soks I use 0,5% which is quite low to be a threat. I heard that miotic effect of Alphagan wears off after some time. Pilo doesn't.
@Sue.An2 Exactly the Sofport or another B&L lens?
I heard of Dr S.Safran who is good at exchanges, he prefers LI61AO.
ad12345 Sue.An2
Posted
@Sue.An2
Yes, I can see up to 30/20 uncorrected.
But I don't care as long as I cannot live at night.
gmag21 ad12345
Posted
Is your current IOL set for distance? If you exchange to the Sofport will you also pick a distance target? you're young like me and probably value near vision. if i do the exchange i might go for intermediate (-1.25) for computer vision. just curious on your thoughts on this... i also only have an IOL in one eye (my non-dominant LE)
Sue.An2 ad12345
Posted
yes I suspect that the younger you are night driving and night life a lot more important than someone at typical cataract age. My parents haven't yet had to have cataract surgery yet they really don't like night driving. For myself working full time and living where it is dark before 5pm 4 months of the year I have no choice. It wasn't fun at first and thankfully (although not consciously planned) I had surgeries in summer so it was light till 10pm. Glare diminished by time I needed night vision to improve. The concentric circles with symfony although odd are not as distracting.
I asked about how clear your vision was as it seems (just my opinion) a risk I wouldn't take for PD especially if trade-off was eyesight not clear.
ad12345
Posted
My IOL is also in one eye only, thus I do not need any close up vision from it. I do not see any difference now and before the surgery, I am just reading due to monovision.
Keep in mind that my current refraction is amazing, but I am probably going to exchange it anyway. I can't stand night time issues, no matter what.
gmag21 ad12345
Posted
Have you been to see Dr Safran yet? I flew up from Houston, TX to see him a few months ago. He definitely seems like one of the best surgeons for this situation... especially if you've been exposed to YAG laser capsulotomy
ad12345 gmag21
Posted
gmag21 Have you exchanged it?
soks gmag21
Posted
yea did you? i was told he is expert at fixing SYMFONY issues.