Looking for younger patients IOL monofocal experiences.
Posted , 11 users are following.
Hello, I am doing research on IOL options as a young(ish) 45 yo with large pupils. I am really disappointed to learn that IOLs (in the USA) only come in 6mm options. I was even more disappointed to learn Tecnis only gives 5.2mm of focal view due to the lens design (the wide edge border does not provide vision.) Was hoping other people could weigh in on their IOL monofocal experiences and report:
Which IOL monofocal do you have?
Age?
Any glare, halos, starbursts or blurry side vision?
Also wondering how many people with Alcon have a cat eye's reflection (flashing noticeable by other people) in their lenses.
Thanks.
0 likes, 74 replies
CoffeeJmk Lunabug
Edited
I'm 47 and had the Eyehance IOL put in my right eye for mono distance vision on Thursday. It's Monday now. Although the doctor said that my vision is now "objectively terrific", we disagree on criteria. I see individual letters in a dark room as long as the individual letters are separated and you are testing my eyes at the eye doctors office. What I couldn't do was read words the next day...or the clock across the room or SEE anything within ten feet. I was in tears . Thankfully, it does appear to be getting better. I can now read billboards. I can now see objects at 6 feet or farther. I still can’t read anything within 6 feet, but I am hopeful that will improve as everything else does. Thankfully, it does appear to be getting better. I can now read billboards. I can now see objects at 6 feet or farther. I still can’t read anything within 6 feet, but I am hopeful that will improve as everything else does. I’m supposed to be able to read at 2 1/2 feet or farther. My real challenges are driving and working. I only had one eye done and you CANNOT just pop out one lens from your glasses. I tried that and got so dizzy that I almost fell over. I have been told by the doctor to give it a month and so I am trying to do that. As for the surgery itself, I think being younger results in a different experience. I broke through the Versed, so I remember the painful part of the surgery and YOWZA . It does indeed feel like someone cutting into your eye. I talked to a friend who is a nurse and she said that it is not uncommon for older patients to be more sensitive to medication than younger patients, so the fact that I remember the surgery and was in pain isn’t actually that surprising if they gave me a senior citizen dose. On the other hand, Versed has a black box warning so you dont want a lot of it. I think the expectation setting for younger patients isn’t there yet. Of course vision looks terrific if you have lived with Cataracs for 10 years and you are now 80 and your expectations are that of an 80 year old. It takes a while in my experience for things to calm down in your eye and I am used to being able to see and work, so my needs are more demanding than that of a senior citizen. Whatever you get, it won’t be perfect. Really drill your doctor on detailed expectations. How will you drive if you have to see both far away and the odometer in your car which is close? How will you work on the computer and read and see the projection in a meeting? What sort of glasses would achieve that? How long MIGHT it take for your ete to adjust? etc
RonAKA CoffeeJmk
Edited
An alternative to taking one lens out of your glasses is to get a contact lens for the non IOL eye. I found that much better than the one lens trick.
Lunabug CoffeeJmk
Posted
Please keep us posted on your progress. Do you see any halos or starbursts at night?
CoffeeJmk Lunabug
Edited
I saw the moon out of the IOL eye last night an cried. I was so relieved. I have not been patient with the time it is taking for my vision to return and prior to the surge friend who has halos (from Lasik) had shrugged and said , "It's no big deal. I just can't see the moon." I did not want to give up the moon.
After that I tested each eye on the streetlight across the way. Holy cow. Um, no, no halo with the IOL. I can see the actual lamp and the light itself is like a crisp starburst. My left (still cateract eye) sees a soft globe of light 2-3x the dimension of the lamp. I had no idea the rest of the world isn't stepping into an Impressionist painting at night. It truly is the difference between a painting and a photograph.
I do not trust driving, so I can't tell you about headlights. In the day, streetlights still have a small halo as does the overhead light where I'm sitting, but it's much greater with the cataract eye.
I can't clearly see my feet yet. That's probably 5' from my eyes, so certainly the mid-range hasn't improved to the promised 26". I'm still typing with the right eye closed.
You know what I suddenly could see? That my shower needed an intense scrub. I clean it with boiling water every week, but I don't shower with my glasses on. It was a weird and mortifying experience. I couldn't see that yesterday though, so it was a good marker of improvement.
lucy24197 CoffeeJmk
Edited
I had the same shower experience. I knew it was time for a deep clean, but it didn't look that bad. Until the first shower after surgery--I got in and just about jumped right back out!
Lunabug CoffeeJmk
Edited
Bit of a weird question but do you happen to know how long your arms are when outstretched to fingertips? Also when you say you cant see your feet yet, is it a total blur, like completely unidentifiable? i am highly myopic and essentially blind from about 3 inches out to infinity, and i am wondering if the near vision in the eyhance iols are the same level of blindness.
Glad you can see the moon. : )
CoffeeJmk Lunabug
Edited
I am 5'3.5" so I'm guessing my arms are about half that? I can definitely can tell my foot is a foot, it's just fuzzy at the edges. The first day, I couldn't see my foot vs a blanket. Now, I can.
With my -5.5 Rx, things are clear within 6-8" of my face. With the Eyehance, they are SUPER blurry within 4' but get progessively clearer father out. It's so backwards of what I am used to. It's suppossed to need a +2.5 when everything settles. We'll see.
I tested at about 6', no glasses, and my IOL eye, even though blurry, is FARRRRR less blurry than the myopic one. Where things GO blurry, it's more blurry with the IOL and then diverges: the father out, the better the IOL; the closer in, the better the myopic eye. I naturally can read a book without my glasses (and my cell phone) if it's about 5" from my face, I need my glasses if it's any farther out. I don't mind glasses, so switching from "regular" to reading glasses wasn't a big deal to me and I will DEFINITELY need them.
I accidentally tried night driving today (mis-guessed sunset) and I do not recommend it yet. Bad plan. The left eye had cataract halos. The right eye was SUPER light sensitive. Everything felt off. Defintely more healing needed.
RonAKA CoffeeJmk
Posted
The Eyhance should give you vision down to about 14" if the power used is correct. Suspect your eye is not fully stabilized yet. It takes time for the swelling to go down and the lens to settle in the correct axial location.
Lunabug CoffeeJmk
Posted
Interesting, thanks for the info. I'm wondering had they left you with a little bit of myopia in that eye whether your near vision would be a little closer. I think at plano the Eyhance is supposed to give you clear vision starting around two feet and outward. Time will tell as things stabilize. Do you feel any dizziness or disorientation from having one IOL and one regular lens? Any difference in image sizes between the two eyes? You are on the younger side like me; do you have large pupils? Is the line of demarcation between blurry and clear in the IOL a sudden drop, like a clear coffee mug at 5 feet but completely blind at 4 feet? If you hold your hand in front of your face at your old local point, would you be able to tell it is a hand? I am really nervous about the blur.
Wishing you a great outcome. Please keep posting updates!
CoffeeJmk Lunabug
Edited
Ok, so it was quite the weekend. I saw the opth on Friday morning and made a same day appointment with my opt from her parking lot after.
First to answer your questions:
It's not a sharp drop. A book is more blurry than my knees which are more blurry than my feet (and my feet are becoming clearer over time).
YES, to the dizzy if I look at stair or omg pop out a lens in my glasses to use the other one on my non-surgical eye (don't do that unless you enjoy vertigo). No, to the dizzy for ordinary things, probably because the myopic eye is so blurry that it sort of just gives up and chills. My depth perception is hilariously bad though. More than anything, that's the reason I have avoided driving.
No one has ever told me I have large pupils. I have light iris and sensitive, dry eyes but I've not heard anything about my pupils.
The doctor on Friday morning reiterated that I am allowed to drive. I don't know that she would feel that way if she saw out if my eyes right now. I SEE well enough, but it's weird and a little trippy, which is distracting.
I can tell my hand is a hand. I now can even see (blurry, but guessable) the big numbers on my car's speedometer.
So, on Friday the opth wanted to delay my second surgery until December (next opening) because I still had so many worries. She wanted me to be completely comfortable with a decision to put an IOL in the second (left) eye. I asked what tools were available to make it so I could read and work and drive until then, because I certainly can't read the laptop screen like this and I can't continue to work from home for months. She said I could try a contact for my left eye to minimize the differential.
I saw the optomitrist I've been going to forever that same day. He was great. My request made total sense to him, he'd done it before for people who had to wait between surgeries, and we agreed to mimick what I will have post-surgery. That way I can wear drug store reading glasses. The trial contact in my left eye made a WORLD of difference. It's amazing the difference proper binocular vision makes. Within an hour I was learning toward having the left eye done as originally planned this week and by the end of the weekend I had decided.
The opt, also, gave me my tentative script for post-surgery. He said that the +2.5 I kept being told was probably to set expectations and maybe that would be the case if I were 65, but I was coming up as between a +2.0 & +1.75 for books and +1.50 & +1.25 for the computer. I picked up a $6 pair of +1.50 cheaters and, with the contact in, I could read a menu and the computer as long as I did the old person adjust the distance thing. I DID need to close my eyes as I put them on and took them off or I'd get dizzy. Oh, and with the contact in, I had no trouble reading the speedometer on my car, so in theory I won't need glasses to drive.
The blur is blurry, for sure. There is no reading the computer or a book or the ingredients on packaging without glasses. For me, it's worse than without glasses pre-surgery until about 10" from my nose, but from 10" out I couldn't read without glasses anyway because things were too far away. I just closed my right eye to compare the myopic blur in my left eye when looking across the room without glasses to compare it to the far sighted blur in my right eye with my left eye closed. Far away with my natural eye is blurrier than my right eye up close with the IOL. I've got about a -5.25 in the left eye, so if your Rx is that or stronger, I would think you could expect the same: what IS blurry post-IOL is less blurry than your far vision today without glasses.
I can read a box about 5' from me right now and my IOL is doing all the work, because I don't have the left contact in.
Lunabug CoffeeJmk
Posted
Wait, have you been walking around with one IOL eye and the other eye essentially blind or with a lens from your glasses? OMG! That must be beyond strange. What prescription contact lens did the optometrist give you? I am curious how he got your set up to look like what it would be after surgery. Would you say this visual experience in the contact lens with the IOL would leave you happy if you had the other eye done? Also, do you know if they left your IOL eye a little myopic or is it bang on plano?
CoffeeJmk Lunabug
Edited
Yeah, I had been walking around with only being able to see out of one eye clearly-ish. I could either wear glasses and see out of my left eye OR I could take off the glasses and see at a distance. It was maddening.
I had my left eye done Thursday. It is already noticeable better than my right. I feel like my opth, who is by all accounts an excellent surgeon, is not understanding my complaint about the right eye. I have my one week follow-up for the left eye on Friday (5 days hence). I am going to bring a dollar store pair on non-Rx, "fashion" glasses with the right lens coated in hairspray to that appointment. "Please, put these on. That is what I see. What is going on with the right eye? I had surgery on it three weeks ago and everything at every distance still looks like that." You can pass a vision test through dirty glasses, but that vision isn't correct. I'm getting worried.
The left eye that I had surgery on Thursday (3 days ago)? Bang on. It's clear up to 3'.
My pupils are still weirdly small (clearly light sensitive), so I want to know if that's the new normal. Plus, um, they aren't always the same size. A friend who is a nurse commented on them because it's a sign of a head injury. (I did not conk my head recently.)
Lunabug CoffeeJmk
Posted
It could be PCO. Ask the surgeon to check for it. Younger patients get it more quickly. Have him verify the lens is centered too. Glad to hear the other eye is better. Was it as painful as the first eye during surgery? Your pupils might be differently sized due to the drops you're taking?
Aside from the dirty window view in one eye, which sucks, are you doing okay with your new vision overall? Is it very startling to be blurry at near and clear at distance now? Like you I am nearsighted (though much more than you at -12 in glasses) but when i wear contacts my near vision isn't noticeably blurry, unless i need to suddenly do something like read fine print or a recipe or book or whatever. Then it's like, "Damn i cant read this without stretching out my arm."
michal69453 Lunabug
Edited
46 y o.
Alcon Clareon monofocal.
I have a long reply about my experiences under the topic about Clareon lenses.
Lunabug michal69453
Edited
Thanks for the response! What is the near vision like for you? Is it super blurry like myopia? Is it startling?