Just had PanOptix Trifocal IOL
Posted , 6 users are following.
I have been reading everybody’s experience and I’m very concerned. I to had PanoOprix trifocal surgery on February 5 on my right eye and again February 26 on my dominant eye. My reading vision is amazing and my mid range vision like watching TV looking out in my own room is great however, when I’m driving during the day I do see small rings around the headlights which is disturbing. But most disturbing is evening nighttime driving the glares and rings are so large they surpassed the cars and feel like they’re coming into my lane which causes me not being able to drive it at night. The only saving grace I heard from my doctor and hearing a few people out here is that you might have to wait 2 to 6 months before you notice a change and there can definitely be a change. Is there anybody out there who have had great response with this lens but it did take time and patience i would love to hear feom you! because my thought is I need to probably get them out however I spent all this money on them and I do not want to go that route if it all possible. Please give me some feedback.
0 likes, 6 replies
kevin77191 linda75676
Posted
Hi Linda, yes what are you seeing is definitely some of the side effects of having a multi-focal lens, but it takes a bit of time for the brain to adapt, and your eye is also still healing, so definitely need to wait a couple months.
linda75676 kevin77191
Posted
Thanks Kevin, have you had the surgery and that lens put in? if so did you have the saucer halo rings at night? how long did it take you to see better at night and how clear do you see now at night?
Chris53317 linda75676
Posted
Hi Linda
I has the same lens implanted six months ago with femo laser assisted surgery. The latter is supposed to help with the recovery period, and I have not seen any reports that it helps to reduce glare, but who knows. I did not experience any glare but there are small halos. Near and intermediate vision was good, like yours, but distance was blurry. Astigmatism was measured at 1.0 on both eyes 1 month post op, and settled to pre op of 0.25/0.75.
The halos are still there and have not changed much over the 6 months. They are actually similar to what I was experiencing pre op so I was already adjusted to them. I think there was more starburst when I had cataracts, but it is minimal at this point.
Fortunately, none of these conditions have cause me any concern with driving at night.
Your doctor is correct that you need to give your eyes time to heal. Hope it does improve for you as not needing glasses is wonderful, and having them exchanged has it own potential problems.
ayeaye linda75676
Posted
surgery? the exact reason I opted out of panoptix. those night time driving issues..some 20% go mad!! they cant take it..I couldnt feel comfortable to know that 20% is not a low percentage! problem.is that the panoptix only came into the usa approved this past nov 2019. only 4.5 months ago is not alot of experience. wishing you a good outcome on your night issues! I had my right eye done 4 days ago. tecnisII toric distancr..my left eye willie done in 4 days. same lens
janus381 linda75676
Edited
Linda:
You should have been informed beforehand that halos and starbursts are a possible negative. So I think one problem is that you were not informed that you might experience this, and it is a surprise for you now. But for majority (but not all) it does get better over time.
I have a fairly long post that is now back on page 1 of threads. "Cataract Surgery Just Completed -- Sharing my Experience -- PanOptix Tri-focal".
For me the halo has always been very very mild -- just two very faint halos, and they have grown fainter now (after 7 months). Starburst effect, pretty moderate, and also better over time. Also for me the vision at distance was great 24 hours after surgery, while intermediate took one week, and near took one month to get better (whereas you have good near and intermediate first). Your doctor should confirm if lens looks fine to rule out other issues.
On page 2 of the my long thread, I reference a few articles on NeuroAdaption. SHORT-TERM POST SURGERY and NEUROADAPTATION OBSERVATIONS.
One really good (but old) article Search for: **Understanding of neural adaptation may lead to better vision correction **
Here's part of the article (also note multi-focal mentioned in the article would be older generation bi-focal IOLs rather than the latest tri-focals which are better:
"In several multifocal lens studies that have been done for Food and Drug Administration approval, the patient satisfaction level is much better at the end of 1 year than it is a few weeks after the implantation, even though there has been no optical change during this period,” Dr. Holladay said. “That is, complaints of halos, glare and dysphotopsia are common in the early postop period, within a few weeks of the operation, and yet by the end of the year, 99% of patients with a multifocal IOL, which clearly reduces contrast sensitivity and provides halos and glare, are extremely happy with their vision and have adapted to the induced aberrations.”
linda75676 janus381
Posted
Janus, thank you so much for that i formation! very helpful!! although my halo and rings are huge i have hope now!! thank you so much!! i will try to be patient!!