IOL exchange experiences only - if you exchanged multifocal/premium lens to a monofocal
Posted , 8 users are following.
Please share your experiences in getting your lens exchanged - before, after vision, surgery complications or recuperation experience etc
1 like, 19 replies
ls87030 sunny68454
Posted
interested to hear responses here. I had the Technis ZLB00 placed in my left eye June 2016. That is multifocal with a +3.25 add. My results according to surgeon were good but to me poor. I can see 20/25 or 20/30 in distance depending on the day in this eye. I see all of line 20/50, then 20/30 with the effort with maybe 1 0r 2 letters on 20/25 and then most of 20/25 with pinhole and light for near with big effort. I have to use +2.50 readers for small letters unless light is bright like outside. Vision near when reading with this new lens eye is a lighter gray than black and letters have a double/graffiti effect of distortion always. Possibility of having 2 eyes in this predicament kept me from having the right eye done.
I have had 2 secondary opinions, one saying the capsule cut may have been too large. Both say the lens is perfectly centered. I was myopic prior and could read without glasses nicely distance was poor. Fear of surgical complications and being even more unhappy with monofocals kept me from the prospect of exchange.
Night driving has halos, concentric circles as expected. I did not have my right eye done, it has a small cataract and can read 20/25 with distance around 20/80. point of focus luckily is now about the same for both eyes making this doable. A small speck of cell was left in the center of the lens and am told to expect a YAG capsulotomy at some point to remove. I have held off doing this in case I need an exchange to monovision, though I think the time is past for safely proceeding. So responses here will be helpful.
Originally I wanted the Symphony lens, it was not approved in USA until 2 weeks after my surgery and was told it wasn't good for reading and what I wanted. However, from most of these postings, it looks like it may have been a better answer.
At this point my right eye is my saving grace, making night driving possible with glasses and a combined good vision for computer use when reading.
sunny68454 ls87030
Posted
Sue.An ls87030
Posted
sunny68454 Sue.An
Posted
One the problems I mentioned to my doctor was halos and glares. That’s more typical of Symfony and other multifocals due to their inherent design. So he suggested exchanging to monofocal ( but not before having me try many contact lens combinations and asking me to just wait it out). Monofocals are cheap, so that makes economic sense for him too, as I believe exchanges are responsibility of doctors, not insurance companies.
Also, if my doctor knew what went wrong with this Symfony would he try to correct it next time. He doesn’t seem to know, at least he hasn’t told me that he does. Infact, when he redid my measurements to plan for the exchange, he said it’s still coming to the same number (18D for IOL) as the Symfony.
So... I don’t know. Any suggestions?.
sunny68454 Sue.An
Posted
Sue.An sunny68454
Posted
My 2nd eye was done Aug 21 and there has been definite improvement in the starbursts and glare. That first month I was very tense driving at night and often counted on passenger to help me out! Especially ark roads with no overhead streetlights. Glare from oncoming cars then was blinding. That has completely died down and there is some glare but I can manage very well. But as the glare and starbursts diminished now I see the light concentric circles around certain lights (not every light). Even as I walk at night thought I would see the circles around Christmas lights on people’s homes but I don’t - no glare either just pretty and normal Christmas lights.
I am beginning to think the more on target the iol power is the less glare and starbursts one sees.
Have you definitely decided to do the exchange Sunny?
sunny68454 Sue.An
Posted
Not yet decided on the exchange. I have appointment with a different doctor tomorrow. Will see what he says.
No responses in this forum from those who actually had an exchange confirms that it is pretty rare and has to be a good reason for that.
Sue.An sunny68454
Posted
Lens exchanges so I would hav to find someone else if I went that route.
I do know of one person on these forums that had a successful lens exchange (one eye) and it was done by a separate specialist than the one who implanted the original IOLs. Her 2nd eye had a YAG done (which original doctor said would help with glare - and it did not help). I haven’t corresponded with her in a while so not sure what happened with 2nd eye.
Is there a way for you to see about getting your 2nd IOL to complement 1st eye and see how that works before deciding you want an exchange?
Also how well have you researched your surgeon as I am assuming you are going with same one that implanted your Symfony. Is it worth going to another expert for 2nd opinion? I cannot stress enough that it is surgeon’s skill that accounts for all the difference in the outcome. We do research on the various lenses but most of us have a blind trust that surgeons are experts and all equal. Nothing could be further from the truth.
We all work at different companies and know there are staff that know their stuff better than other fellow employees and if we needed something in our own fields we know which we’d go to.
I actually spoke to 3 separate patients of my surgeon before my surgery. 2 with monofocals and 1 with Symfony- all were pleased with their results.
I came to the conclusion that no matter which lens I chose I was going to be OK. I was still nervous- but I was confident in n my choice of surgeon.
esa77583 sunny68454
Posted
Sue.An esa77583
Posted
I think you are wise holding off on a 2nd exchange - especially since you are much happier with your vision after the first exchange. Negative or positive dysphotopsia can occur for a number of reasons - not necessarily due to type of IOL. Pupil size too can account for this. The younger you are having this surgery the more your pupil dialates and can extend beyond the IOL which is 6mm (some are smaller than that). As one ages pupils dialate less which is why negative dysphotopsia tends to diminish over time.
sunny68454 esa77583
Posted
I am in Tampa, Florida, btw.
Thanks.
sunny68454 esa77583
Posted
esa77583 sunny68454
Posted
adamadam esa77583
Posted
esa77583 adamadam
Posted
adamadam esa77583
Posted
esa77583 adamadam
Posted
Tecnis is a great lens. I did another exchange because of dysphotopsia and now I have a B&l sofport silicone lens.
adamadam esa77583
Posted
I don't get it. You say Tecins is a great lens, but it caused you dysphotopsia and you had to make another exchange. I does not make sense at all..
esa77583 adamadam
Posted