LI61AO Sofport IOL

Posted , 11 users are following.

Hi,

I consider IOL exchange due to positive dysphotopsia.

Is there anyone who had the LI61AO Sofport implanted in his/her eye?

Could you share your experience? Is it really so nice and dysphotopsia-free as stated by some?

Thanks

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  • Posted

    I do not have the lens, but I am experiencing positive dysphotopsia in both eyes with the Alcon Acrysof SN60WF monofocal IOL. I am 2+ months and 1 month out from surgery. I know there is a chance the positive dysphotopsia could go away, but I have done a lot of research and I think the LI61A0 is the best option if not. I have an appointment scheduled with Dr. Safran in NJ the end of August.

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    • Posted

      Thank you for letting me know that about Dr. Safran. My symptoms are glare, halos, starbursts, and monocular diplopia. I am stressed because it's easiest to exchange an IOL early on and it will be a month before I can see him. I asked if I could get on a waitlist if they got a cancellation sooner and the receptionist was very nice but basically said people don't cancel. An important factor in choosing a monofocal IOL over a premium IOL was to be able to drive at night as my husband can't see well. I do not believe the problem is pupil dilation because, although faint, I can see the artifacts at times during the day when driving.

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    • Posted

      Deb03 Could you let us know about your appointment outcome with Steven please? I do consider him as my "next" surgeon, but I live in Europe, so it's quite complicated. Thanks.

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    • Posted

      Yes I will! Not sure why, but my comment to soks is waiting to be moderated, but will repeat some of it here.

      I am 57 and do not believe pupil size is a factor in my case. I have trace PCO. No yag. My left eye is definitely worse, but I do have symptoms in both eyes - glare, halos, starbursts, and monocular diplopia. How far out from surgery are you?

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    • Posted

      1 year.

      Is your positive dysphotopsia gone when you flash more light? I mean it goes away in my case when there's more light, pupil-size dependant.

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    • Posted

      No. I did try Lumify drops (.025 of brimonidine tartrate) which didn't help. I can also see it at times during the day, although it's faint. I also sat parked in front of a bright street lamp one night and it didn't go away. I am still somewhat early in the healing so it could go away. In your case, I don't expect it will without intervention. Have you had a YAG?

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    • Posted

      Try Pilocarpine 0.5%. That's what I am using. It hurts but works. No side effects so far.

      I think that the nature of Positive Dysphotopsia is that is starts from day one post op and not resolves. Actually it got worse one month out from the surgery. I mean, my night vision (beside completely dark rooms) was excellent witihin the first month, but then it started to be a nightmare. So if there're some changes, I'd assume it may only get worse.

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    • Posted

      I really don't think it's pupil dilation in my case. I think it's a combination of the acrylic, high refractive index, and higher IOL power.

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    • Posted

      I'm also considering exchanging my multifocal to LI61A0 with Safran. I saw him last year in 2018 and he said he could do it for me with "low risk". I've had my IOL for 12 years and I've also had the YAG capsulotomy. I'm dealing with similar positive dysp. issues (ghosting, monocular diplopia, fog around text, arcs of light due to internal reflections off the IOL).

      Keep us posted on what you decide to do. I'm still thinking about going forward with the exchange (possibly in late 2019)

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    • Posted

      I'm 29. I had original cataract surgery back when I was 17. I actually haven't tried the drops yet but I just got an Rx so I'll be trying them soon (although I don't have high expectations because inducing miosis with a bright light doesn't seem to help)

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    • Posted

      they should make a 7 to 8mm iol for younger patients. how have you been dealing with the issues for this long? i think you will be surprised with what the drops can do.

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    • Posted

      In my readings, the article "Newer generation IOL platforms designed for high-quality visual performance after cataract surgery" talks about a few things (including the new Tecnis Eyhance mono-focal, which potentially could dominate the mono-focal category), and the great results with Tri-focals.

      But it also mentions one company introducing a 7.0 mm optic IOL to minimise dysphotopsia and is a particularly suitable treatment option for large pupils. It's a 7.0 mm optic IOL. The IOL is the ASPIRA-aXA (by HumanOptics). HumanOptics is a German company, and the ASPIRA IOL seems to be available in Europe only.

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    • Posted

      7mm iol would be deadly. it could also have more space for additional near. eyhance would still be 6mm so would be somewhat problematic but hopefully it can get rid of the multifocal abberations.

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    • Posted

      This is what they say. Thanks for sharing the information. This will be great for younger and large pupil folks. It is monofocal only at this time.

      XL optic: pseudophakic reliabilityLarge pupils

      The ASPIRA-aXA is also an ideal treatment option for patients with large pupils. In these patients, the mesopic pupil width often exceeds the diameter of the IOL optic. Off-axis rays are scattered on the edge of the optic or pass the IOL and strike the retina as stray light. The result can be an increased incidence of dysphotopsia. With a conventional 6.0 mm optic, the patient could be affected by edge effects or other light phenomena.

      APPROX. 20%

      SCOTOPIC PUPIL

      DIAMETER ≥6 mm

      APPROX. 10%

      MESOPIC PUPIL

      DIAMETER ≥6 mm

      The ASPIRA-aXA with its XL optic is an ideal treatment option for large pupils.

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    • Posted

      Where one company goes, others are sure to follow! So hopefully this leads others to consider larger 7 mm optics for those who need them. But probably years away.

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    • Posted

      The issues were tolerable until I had the YAG laser & vitrectomy surgeries in 2013 (6 years after original cataract surgery). I think my lens could've been slightly tilted from those surgeries (and since I have a ReZoom multifocal IOL it's very important that no issues exist with tilt and centration). I've been dealing with these heightened dysphotopsia issues since 2013 and they've honestly just gotten worse & worse with time. The biggest issue for me right now is lights above my head... this problem didn't present until around 2015 or so..... lights entering my eye at a specific angle cause a terrible reflection that are in front of images (see attached photo simulation below). If I angle my head a certain way or avoid difficult lighting situations I can manage but it's very annoying to deal with (day & night). I actually turned down a job offer last year because the ceiling lights were too bright for me to manage. image

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    • Posted

      I just tried the Alphagan 0.2% drops for the first time today and wow! The reflections from lights above my head are completely gone!!! I still notice halos and fog around white text but honestly these are secondary issues compared to the reflected lights in my eye. This is definitely making me second think the IOL exchange because my current lens is 6.0mm and the Sofport AO is also 6.0mm (which means my larger pupil might also cause reflections like I experience today). I do feel a little dopey from the drops but maybe if I keep taking them I can permanently shrink my pupil? One can only hope

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    • Posted

      I will post after my visit. I did see my cataract surgeon last week for the first time since the surgeries. He diagnosed PCO - 1+ (Mild) in RE and 2+(Moderate) in LE. I am less than 3 months and 2 months post op with an IOL that is supposed to rate well with regards to PCO (Alcon SN60WF). He also diagnosed 2+(Moderate) Blepharitis in both eyes. He suggested doing a YAG for PCO and if that didn't work, then Blepharitis treatment. I said I'd prefer to work on the Blepharitis. I was amazed that he was so willing to try a YAG procedure. From my experience, and all that I've read, I don't think there is nearly enough emphasis placed on dysphotopsia. I'm 57 and want to be able to drive at night - safely. That was a good part of my reason for choosing a monofocal IOL. I am looking forward to my visit with Dr. Safran.

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    • Posted

      i feel a bit sleepy too with alphagan. one surgeon did tell me to take it twice daily for a year to permanently reduce pupil but i didnt want to do it until my other eye is done. try to get preservative free alphagan.

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    • Posted

      at 10 months i have pco at 2 in left eye. i am not going do YAG yet.

      "at 2", what does that mean? Are there units to measure how bad a PCO is? 😃

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    • Posted

      Hi @gmag21, I'm super interested in your case. Safran in NJ said you can have an exchange AFTER capsulotomy, and after 12 years? Could you tell us more about what was said?

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    • Posted

      I had an IOL exchange with Dr. Safran last month. I did not discuss post YAG with him, but while I was there he did comment how he does exchanges years down the road.

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