JUST HAD VIVITY LENS IMPLANTED 3 WEEKS

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Hi,

I had Vivity implanted in my non-dominant eye 3 weeks ago. I have good distance vision as expected, I have good mid-range vision (to type on my Mac Air) but my near vision (to see my smartphone and read a book or textbooks) is blurry. I am disappointed. I have read that my near vision could still improve with time. I would love to know if anyone has heard this as well. As far as any halos at night, I don't notice them, but my cataract was so bad with such bad halos that anything would seem like an improvement. I also have a cataract in my dominant eye, so any slight halos I see could be due to that as well. I am noticing a slight waviness in my peripheral vision, but this could just be the natural healing process. At the one month mark, I have the appt with dialation where I will see how I'm healing. I hope I haven't wasted nearly $3k.

I really don't understand how my brother had multifocals implanted 10 years ago and he can see well without glasses at both near and far distances, but I get the latest technology and am stuck in readers.

I would love to have any feedback on anyone else's experiences. I contacted the FDA to see if I could get more long-term stats but they have not responded.

3 likes, 234 replies

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  • Edited

    Hi just saw this post now and wondering how you are doing. I just had the Vivity lens done 3 days ago. I thought I would be seeing clearly by now. very disappointed but hoping for positive changes still. Did your near vision improve more? Mine is blurry and I'm worried. I also see a kind of wave in my vision.

    • Edited

      I haven't has a surgery yet but a wave (shimmer) is normal and nothing to do with the IOL. Should go away in a week or two once the lens settles in / stabalizes.

      .

      As for near vision, the Vivity is not a near vision lens. It is not a multifocal. It should give you pretty good intermediate vision and good distance without halos. That's the big selling point and revolution with Vivity… an extended range of focus (but not near) with no dysphotopsias.

      .

      The best chance at being completely glasses free would be with a multifocal like Panoptix. But you will have halos, starburst and glare from point light sources at night (dysphotopsias)

      .

      Every lens today has trade-offs since there is only so much you can do with a static piece of plastic. In the future we may have flexible shape changing lenses that mimic a real human lens but that's a ways off yet.

    • Posted

      I'm wondering how you are doing now! I am having the same problems and it us already day 10 . i started this whole thing Dec 1 with the Light adjustable Lenses they didn't work from the start. They did help my distance vision but destroyed my intermediate and near vision. Very stressful to me and i was seeing nearly double . I had to wear 3 different cheaters .it was decided these lenses weren't for me and i was told they were all of a sudden not having good outcomes . we decided Vivity was the best choice so last week I had rue done and now I feel I have a worse problem. my vision has not cleared up from surgery, is hazy and I have the rainbow around lights . I feel my vision has dimmed. I sure hope this clears up. I can't see well with cheaters either!! Right now i have one Light Adjustable Lens in the non dominant eye and Vivity in my dominant eye . I'm afraid to get the Vivity in my non dominant eye but I can't live like this. i need glasses badly but iI can't want spend anymore until I know the final outcome .

    • Edited

      Hello tammy, this is awful. I can imagine how unhappy you are. You have already suffered a lot from IOL-procedures and it's not over. In my case the trifocal experience went wrong: Bilateral implantation in Oct. 2020. I need several glasses now, have to put two glasses (far and readers) on top of each other for computer work. The trifocals came with the promise to be spectacle free. I never wore glasses since my childhood (contacts only). I'm suffering a lot from trifocal halos which means huge spiderwebs around point light sources. Night driving is a torture.

      Now I'm facing explantation to change my situation for the better. I'm supposed to receive the light adjustable lens: No halos, no rotation, adjustable monovision to achieve independence from glasses. That's what they promise with the lens. There is a youtube-video from 4th May "LAL Live Panel Discussion" where all the benefits are presented including happy patients with great outcomes.

      But you experienced the very opposite as I read here. Did you have some sort of monovision with the LAL? Did they try different combinations during the adjustments? I was told for sure that there is no use of several glasses or cheaters with the LAL because you can adjust your personal best vision during the UV light treatments. It's fully customized and the unique advantage compared to ordinary monofocals. Do you have high astigmatism? The Vivity then has to be placed in the right axis. Misalignment can cause many problems.

      How was your explantation last week? Did they save the capsular bag leaving the haptics inside or did they took out the whole lens? Have you been under local anaethesia and therefore fully conscious? The surgeon usally speaks some words with the patient and of course the stuff during the surgery and you know from this how the whole thing went. If everything went well then I think some of your current problems should solve by time and are due to the surgery. There must be a follow-up one week after the surgery. Have you already been there for this? They have to check everything - a swollen cornea for example can cause blurry vision.

      Did your original surgeon who performed the implantation of the LAL also perform the explantation and implantation of the Vivity-IOL?

      There is a way for you I'm sure out of this stressful situation. With Vivitiy in both eyes you need readers but together they should work well. But your freshly operated eye should be okay first.

      I would very much appreciate if you join in in this conversation.

      My best wishes,

      assia

    • Edited

      Thank you! Last week at my appointment, with my regular eye doctor , he said it is still healing. Well, its still the same today so I am going to go back to the surgeon on Thursday and see what the plan is going to be. My eye appears to still be dilated slightly after 2 weeks.

      image

      I originally had monovision when I had lasik in 2004. I currently have a slight astigmatism.

    • Posted

      Let us know what your surgeon said after your appointment on Thursday.

      What I don't understand: You were already used to monovision but mini-monovision with the LAL didn't work at all? No combination whatever they tried during the adjustments? Or was it the other way: You didn't like monovision after LASIK and therefore dediced to have the LAL with both eyes set plano for far vision using glasses for intermediate and near?

      Hope Thursday will bring you some answers.

    • Posted

      it wasnt the monovision with the LAL lens, the problem was I was seeing near double. i coujd say OK at a distance but it was buzzy intermediate and near. So they did the lens replacement in my right eye and I see the wave that kind of causes my vision to fade out in my eye it never went away after surgery. I go back on Monday to figure out what to do. in the mean time, I got a pair of glasses that help my intermediate and near vision but. They help a little but don't do anything for the fade out . The fade out is really bad in bright light. I think I just need regular lenses .

    • Posted

      hi there. I too has lasik and my astigmatism was corrected at the time. I just had both eyes done this last month and I'm still struggling. It was either the mono lenses or Vivity. the lasik surgery limited my options.

      Anyway, I'm hopeful things will improve in time for me and you.

  • Edited

    Hello gayle14130

    I had a Vivity implanted in my non-dominant eye 4 weeks ago. I was told that the lens will cure intermediate and near vision. According to the post op exam, my distance vision has improved, but the near vision has not. My eyes are very dry, and very uncomfortable. Working with computer is difficult and trying to read letters gives me a slight headache.

    Before the surgery, I was able to see with reading glasses. After the surgery, I cannot see with glasses and having a difficult time reading letters without glasses.

    It's been 4 weeks and I am wondering it was worth spending $3200 for it. The only good thing is that the vision got a little brighter, which I could have gotten with standard lens.

    At this point, I am disappointed. I just hope my eye is still healing and it will get better.

    • Edited

      " I was told that the lens will cure intermediate and near vision. "

      Any Opthamolgist that told you that IMHO should be sued for Malpractice!!!!! I would find another Opthamologist.

      First Vivity only provides about -.5 D of EDOF and second everyone results will vary.

      Get them to actually test your vison at distance, intermediate and close and what the intermediate and close ranges are.

      There is a defocus curve associated with a lens and as I said everyone's results vary, but in general if they miss the mark and you end up with 20/15 distance that gain comes at the expense of intermediate and close.

      Now you might be able to do micro monovision in the other eye to gain close, but first need to see how this IOL is truely functioning.

    • Posted

      Thank you so much for your reply. I was hoping to get multifocal but I was told, since I had Lasik surgery years ago, it will not be good for me I will suffer from glare.

      I got Vivity +25.0D

      I just hope my vision will improve and I will be able to read and work on computer without trouble.

    • Posted

      my doctor has me using non- preservative eye drops about 6 times a day at 2 drops per eye. She told me that dry eyes will hinder recovery. I'm still struggling with the right eye but it's just been a week.

  • Edited

    I had lasik surgery 15 years ago and was told that the multifocal would increase glare and halos. So after choosing Vivity and experiencing now halos and glare, my doctor informs me that this is the result of my lasik surgery. But he had emphasized the advantage of Vivity having no glare. Why would I have spent the money on it?? Obviously, when I went to see him after my operation 3 weeks ago, I was careful to emphasize that it had been my decision avoiding any intentional blame on his part. Doctors are very sensitive and we have to be careful as to word our questions. We, as patients, have responsibility to read up on all this info, but we still are not professionals. I mean, what does "under correct" mean and why wasn't it mentioned before my surgery.?

    I lost any near vision that I had. My far vision is not as clear as my unoperated eye and the mid-range vision is so so.

    My doctor was listed as in top 5 in my province, but as I was sitting there in his office and listening to him telling me how well my eye is doing and that my headaches have nothing to do with the surgery, I was wondering if he received anything from promoting Vivity. Go for simplest lens.

    • Posted

      Very sorry to hear about your outcome. You say "province". I'm curious if you're in Canada? I can't figure out how to private message.

    • Edited

      Sorry it took so long. As I couldn't see, I had to create a different password and then memorable word. That took me a day. The province is Quebec.

      Starting to have a headache which my doctor quickly told me had nothing to do with the surgery. Maybe not literally, but definately from the stress of it all!

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