IOL exchange or YAG?

I've posted this elsewhere, but given the thread hear about the vivity lens, I thought I would post here as well:

I had a Vivity lens implanted in my dominant eye in July and in my non-dominant eye in August, 2021 . I have been following threads on this site for a year and wanted to express my gratitude by sharing my experience of Vivity with you . I was 49 when I had the procedures done. Before cataracts, I wore glasses for distance, mostly for driving, though my vision was good enough to pass the driving test without them. Then, in my 40s, I started also wearing glasses for reading, if I was reading for a long period of time. Glasses were helpful but not essential. Then I got cataracts. Boo! I did a lot of research about IOLS and finally decided on the Vivity for both eyes. The negative post on here scared me but I figure that those who have positive experiences tend not to post. Thus, I am posting to share my almost-entirely positive review to help balance the scales. I live in the Bay area in California. If your interested, I highly recommend my surgeon. Reach out if you'd like his name.

I had my dominant eye set for distance. From that eye I can see from the horizon to my fingertips clearly. My vision is 20/15 in that eye. With my phone at arm's length I can read fine from that eye . Under dimmer conditions, it's harder to see near distances (fingertips to nose), but not terribly so.

My non-dominant eye was set at a -.75 , so mini-monovision. With that eye, I can see mid and near crystal clear. Distance in that eye was 20/70 after a week, if I remember correctly. I can see well enough to drive, even if I only had that eye.

Combined I have 20/25 distance and I can read fine print with ease, 10" or further from my face. That's my vision and I am very pleased. I told my surgeon that I would rather have to wear glasses for seeing distance then have to wear glasses to see my phone, computer, or book. Turns out, I don't have to wear glasses for any of it!

However, I did hope to have no starbursts or auras. That's Vivity's main sealing point over other multifocals. I have both anomalies. Plus, in darker places, if there is light on the side of me, it sends rays through the edges of the lens creating a distracting flickering light. So that all is a disappointment. However, it is in no way incapacitating, just annoying and unexpected. I can drive safely at night, no problem. If my contrast sensitivity is diminished, it is not noticeable enough for me to be bothered or limited by it.

Given that every lens is a trade off, I'm happy with my choice of Vivity in both eye with mini-monovision, and I'm happy with my outcome. I can see well at all distances without glasses. In fact I can see better than I have in 30 years! I like how I look in glasses, so I can wear glasses to slightly improve near or far without feeling too vain (but absolutely don't need to wear glasses at any distance, except for very very small print in dim light). As others have posted, if I did wear glasses to adjust for the mini monovision, my vision would probably be even clearer under dim light, which would be a bonus!

Panoptix lenses are disappointing. Alcon claims high satisfaction but I doubt it. Alcon dislikes feedback, but does have a complaint process. The FDA does also. Please use the processes.

Re Alcon Panoptix multifocals. Lenses are uncomfortable, poor toric design (corrections require surgery) flickering and huge starbursts which are seemingly universal. Yet ophthalmologists are recommending these multi focals. More income from these surgeries maybe? Alcon's satisfaction statistics are suspect. Not to be believed.

I recommend using another type of lens. Period. And if like your Panoptix, great. If not, complain.