Looking for Feedback on Tecnis Symfony

Posted , 59 users are following.

For those of you that have the Tecnis Symfony lens or lenses, can you read your iPhone?  If so how far away and how clearly?  I'm 32 years old and had my right lens replaced with a monofocal lens two years ago.  My left eye has a cataract that has formed and I'm looking into the Tecnis Symfony in order to still keep some of my near vision without having to use reading glasses.  Any information would be greatly appreciated.

2 likes, 189 replies

189 Replies

Prev Next
  • Posted

    Hi - providing an update for the sake of posterity in case anyone else has a similar problem.

    I'm now 17-18 weeks post cataract surgery.  I've had dozens (no exaggeration) of appointments.  Surgeon, OD's, Glaucoma Specialists, Uveitis specialists as well.  

    The primary issue(s) they were all treating was high eye pressure and repeated/recurring inflammation of the eye with no clear cause (especially this far out from surgery).

    My eye pressure was high (30+) in my surgical eye, with no other illness or mitigating factor that would have caused it except for the surgery itself. 

    Until two days ago, I was taking 3 out of the 4 most used glaucoma medications available. They helped keep the pressure down temporaily, but it would always spike back up.

    When it would spike up to where it wouldn't go down, I'd go into their offices to have it looked at.  I'd be at work, in the middle of a meeting, and suddenly it was like someone put wax paper over top of my eye.

    Right after surgery, I told my post-op OD that something wasn't right.  The symptoms I was having didn't align with what they said I should expect.  She kept blowing me off.   I get it - they do thousands of these surgerys a year.  They know the drill.  

    However, that part was the most frustrating for me - if I didn't keep pushing the issue, I would have gone blind in my right eye.   Want to know why?

    As it turns out, I had a steroid patch implanted during my cataract surgery.  It was supposed to dissolve in about 10 weeks.  It didn't.  Not only didnt it dissolve in 10 weeks, it didn't dissolve at 15 weeks either.  Once my surgeon noticed that it hadn't dissolved, we started all kinds of drops and waiting games to see how things progressed.   They didn't get any better - and actually started to get worse.

    At that point, I was officially diagnosed as a "steroid responder", and had "steroid induced glaucoma".

    The solution?  An in-house procedure to remove the steroid patch.  Terrible experience for me, but it was done in about 20 minutes.

    I'm now about 8 days after that procedure and it has made a WORLD OF DIFFERENCE.  

    At last check, the pressure in both eyes was 17.  My vision is mostly clear (still likely need an adjustment for near vision though).  I told my wife today that I've been waiting since November of last year to finally feel like my eye is "normal" again.  The difference is amazing.  Aside from some lingering ptosis/droopiness in my surgical eye, things are much much better now.

    So there you have it.  I'll continue to monitor and update, but I wanted everyone to know about my experience.  It seems like it was the steroid all along.  I'd never had that issue before and apparently, with the group that did my surgery, they don't see it that frequently either.

    They push thousands of patients through this place every year.  Virtually all are 55+.  Then, here comes this healthy 42 year old and I happen to be that one patient in hundreds that has a problem with the steroid.  One nurse who had been there for 7 years said she'd only seen 3 other people have to have the steroid patch removed - and I was one of them.  

    The first doctor kept attributing my complaints to my age because I was still young enough to know what "good vision" felt like. She told me "this is your new normal" when I complained of blurry vision and cloudiness.   Had I listened to that advice, I'd have an irreversable sight-stealing issue in my right eye.

    In the end, my advice is that if something feels off - tell someone.  I was reluctant to say anything and didn't want to come off as someone who complains.  Don't be reluctant to push them.  

    • Posted

      Horrible

      Glad at the end you are seeing well

      I am still cloudy blurred abd with headaches since July it has been a struggle

      Hoping my new surgeon will help resolve it for some reason it takes a very long time for my vision to adapt and I don't respond to steroids

  • Posted

    I had a symfony put in a week ago.  I can see my phone just fine, and I used to use the large settings but I have since changed them to normal.  

    I have some (permanent) retinal damage from my retinal detachment, but other than that I can see up close fine.

  • Posted

    Do you know anyone whois a tennis player and had the Symfony lens implant??
  • Posted

    I had cataract surgery done on my left eye.  I had a symfony toric lens put in,  Its been 12 weeks and so far I had PCO laser treatment done, after 8 weeks.  Also I had AK surgery done to relax the astigmatism.  Still I do not have the focus I thought I would have.  With my contact in my right eye I could easily read a license plate at about 100 ft.  Now with my left eye (symfony lens) I am lucky to read one at 30 ft.  Im wondering about what someone posted about neuroadaptation.  Does anyone know anything more abouy it?  I am postponing surgery on my right eye until I can figure this out.
    • Posted

      I feel when a surgeon does not have answers for you they blame your brain and tell you you need more time to neuroadaptation

      I am

      Still blurred cloudy vision and with headaches

      Have not been able to return to work and regret daily having had this surgery

    • Posted

      The most likely explanation is that the lens power is off, or that you have residual astigmatism despite the AK surgery. What is your distance prescription, your refraction for that eye? Did they say what your best corrected visual acuity is, i.e. what the 20/X or 6/X measurement would be wearing correction?  The distance vision may improve a bit with neuroadaptation, but usually the IOLs are weighted towards good distance vision enough that usually people have good distance vision at first and most of the improvement is at near (though some differ, by 8 weeks it seems you should have decent distance).  

      Distance vision with the Symfony shouldn't be much different than with a monofocal. Its possible there are other eye health issues with that eye unrelated to the lens choice that you merely didn't realize since the cataract was masking the issue before.

    • Posted

      If your situation hasn't resolved I'd suggest getting other opinions, even if you'd already gotten one. It may be there is some other eye issue going on. "blurred couldy vision" and headaches are unlikely to be due to the particular IOL choice, but due to things like the lens power being off, PCO, or other eye health issues unrelated to the surgery. Its possible that   worse case you are in the minuscule minority that should get a lens exchange, but it seems likely that won't address whatever it is,  and you need to know the cause first before considering treatments like that

      Assuming this was cataract surgery (rather than clear lens exchange), you'd have eventually gone blind without some surgery. 

    • Posted

      Walter, I too have a sympfony toric lens six weeks ago.   I can see far very well, medium pretty good, but reading is poor and I cannot see my cell phone. (6S)   I'm disappointed.  TV watching is hard in the wrong light at night  and night driving is not good at all (starbursts and shadows)    Am having second eye done next week with a Technis Multi-focal 2.75 to improve the reading issue as per the recommendation of the surgeon, a Harvard trained fellow.  I might need a slight laser touch up later he says.   

      As a real estate agent who does a lot on the Iphone, and the computer and manages, keys, and lockboxes, etc.   I am hoping to be glasses free as between glasses, car keys and house keys, I'm going to be a little nuts if this doesn't work out.   I don't have enough arms!  

    • Posted

      If he says you might need a laser touch up, I'm wondering if your eye with the Symfony toric was left a big farsighted which would be reducing your near. I can use my smartphone without problems with the usual fonts due to one eye winding up on target. However the other eye   was left +0.5D farsighted and has noticeably left near, I'd   have trouble with the phone with that eye.  If that is the issue, if you'd gotten  a monofocal you'd likely be struggling even with intermediate (the risk of the lens power being off is pretty much the same with a monofocal as with the Symfony). 

      Unfortunately they prefer to wait 2-3 months (depends on the doctor and how quickly your eye stabilizes) for your vision to stabilize before considering a laser tweak, otherwise you might have wanted to consider adjusting that eye to see how it did before deciding on the 2nd eye. The Tecnis -2.75 multifocal seems to have slightly more risk of night vision issues than the Symfony, though I hadn't seen a head to head comparison study (questions asked by a study can vary,as can patient demographics). Combining it with the Symfony to get more near is a common tactic though, and if I hadn't already had surgery, the low add Tecnis multifocal would likely be my 2nd choice after the Symfony in the US (outside the US I'd go for a trifocal, they are only in clinical trials here in the US).

       

    • Posted

      I had read some academic articles that suggested that vision therapy with gabors (they are grey shapes that help the brain to work on focusing) could help those after cataract surgery.  (not all docs believe in vision therapy, but it made a huge difference for my daughter when she was young).  So I am a believer that vision theraphy can make a difference. 

      I fould a vision therapy program for the iPhone (it may be available on other platforms) called GlassesOff. It has made a huge difference in my recovering from cataract sugery. I am sure there are other programs out there, and I know that some eye doctors specialize in vision theraphy post-cataract surgery (here in the US). 

      Best wishes for you for clear vision!

    • Posted

      Thank you for your thoughts.  On my followup visit this week, the Dr. says I have a small amount of scar tissue in the eye with the Symfony and he can address that in 60 days after the position of the lens is totally firm.   Then he is going to do an astigmatic correction on the eye with the Technis Multi-focal.     He also says the Symfony lens is not particurly designed for near vision, which was not my understanding at all when we began the process.   I think he has backed off his original statement regarding this issue.    Thank you for your information.  
  • Posted

    I had symfony lenses placed in both my eyes approximately two months ago. They are absoletly fabulous. I had a cataract in my left eye only, but I was so myopic that I had to replace both lenses. Due to my myopic vision (-6.50 and -7.25), it was a bit dicey to caluclate the correct strength for the lenses. My final vision is 20/20 in my left eye and 20/30 in my right eye. Both the surgeon and I weren't happy that the right eye wasn't at 20/20, and we considered redoing the surgery. However, a huge bennefit of the slightly over corrected right eye is that my close up vision is absolutely phenomenal. I am 46 (early for a catatract, I know), and i was losing my upclose vision, Not anymore. Using both eyes, I can see my iPhone, read labels -- everything. To read very small print (less that 8pt, for example), I need good light. Midrange vision is excellent (computers, conversation with others, etc). My distance visions is slightly compromised because of the overcorrected right-eye, but not enough to need glasses. I did get a pair of glasses for driving that makes my vision a perfect 20/20. 

    I do have two visual disturbances in my left eye that have taken tiime for my brain to adjust to. First, for some reason the edige of my pupil, at normal inside light, sits right on one of the rings of the lense. As a result, there is a shimmering that happens when light hits it just right. It drove me absolutly crazy for the first 6 weeks, but neruoadaption is happening and my brain is flitering it out - slowly. Now that i know it is going away, I'm not as freaked out as I was. Secondly, I have a starbust in my left eye at night with lights. I was horrified at first that i wasn't going to be able to drive at night, but again, my brain is adjusting. I don't really even notice the starbursts while diriving anymore, but do see them when I look at street lamps. My surgeon did give me drops that constrict my pupils, which completely ellimates the starbust. I used them for awhile, but I realized that I really don't need them.  

    I spent a lot of time on the net looking at reviews for these lenses. So many people that post are the ones that have problems, which makes it seem like everyone has problems. I wanted to add a success story. I have worn glasses since I was 5 years old and now I wake up every morning with crystal clear vision. It is strange though . .  since I reached for glasses each time I woke up for 40 years, I still try to find them in the morning! 

    • Posted

      Another success story,  yes!

      I too had the shimmer you speak of,  no problem now...  I have adjusted to all the little things that at first bothered me.

      About the dry eye... that is sometimes problematic with this surgery... there is an easy remedy... an over the counter eye drop by Bausch & Lomb called: Alaway.  It has been a real blessing as my eyes were itching and it is alergy season here. I purchase this at the Rite Aid Pharmacy in out area.  I use it once a day...  no more dry eyes,  or itching.  My surgeon reccommends it to his patients for use after the eyes have healed, and we are no longer using the drops that were prescribed. He said Alaway compares to the 100.00 bottle of perscribed meds.  Just thought I would share this.

    • Posted

      I was talking to someone last week about dry eyes and she used Systane. Said she tried Refresh but that didn't work as well for her as Systane.

    • Posted

      I would not have believed the difference,  once I started using the drops...  total relief to have moist eyes... and my eyes don't tire out like before.  I put the drops in either before bedtime or if I forget... I put them in first thing in the morning. 

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.