MID- COURSE CORRECTION?
Posted , 8 users are following.
I Planned to have two Symfony toric lens placed in on November 30th & December 14th, beginning with non-dominate left eye. Prescription is +3.75 in both eyes and 1.87(L) and 1.57(R) stigmatism. Cataracts measured 3 in (L) and 2.5 in (R)
?Although surgery went well, and intermediate vision is very good, I'm concerned my distance vision won't equal even what I am seeing in my right eye with progressive glasses. That's important to me as when I drive I have trouble reading signs, particularly green and white expressway exit signs. I tested 20-40 in the new lens (ZXT300) the morning after surgery. I'm seeing the glare, starbursts, and halo's but not too bothersome at this point, and no concentric circles yet.
?What I'm wondering is, if this concern on distance vision continues for a couple weeks, should I consider a toric monovision lens set at distance in my dominate eye? Would I be losing any symmetry in not having two toric symfony's? Would having only one Symfony be less glare, starbursts, and halo's than two Symfony's?
?Have appreciated previous advice I received on this site, God bless you all.
0 likes, 22 replies
msailing daniel30169
Posted
I originally planned on two toric symfony lenses but after the first one (ZXT-150) was implanted (october 27) in what was my dominant eye, I changed my mind. I was happy with the 2015 vision but very unhappy about the glare and starbursts. I think I am more sensitive to light than others but it's hard to tell. I had a toric monofocal for distance implanted 4 days ago Nov 29) in the other eye. I am having no problem with the symmetry issue. My doctor said this combination is not uncommon at all. I have 2015 in my second eye also, so far. I don't see a big difference in my vision between the two eyes, just a difference in the starbursts. The toric monofocal for distance is tempering the glare, etc from the symfony.
daniel30169 msailing
Posted
msailing daniel30169
Posted
I think my brain is adjusting to the new lenses, choosing which eye to use as is the idea with monovision- a near and a far. Today my left eye with the monofocal was focusing better on the television closed captioning than the symfony eye. That surprised me.
I expect this to change over the next few weeks- the surgery on the left was 4 days ago. My doctor told me to make sure I wasn't covering or closing one eye as I had been doing prior to the second surgery.
at201 daniel30169
Posted
The 20/40 vision in the left eye may improve a little bit in the next few weeks, but probably won't get any better than 20/32.
Did they also check your prescription at the same time as they checked your overall vision in the left eye?
Any way, with the available information, my strong recommendation at this stage is for you to get a monofocal lens for distance vision for the right eye. Even though originally unplanned, you will end up with the combination, which based on my experience, I have been recommending on this forum for some time. Unless you still have a lot of astigmatism left over in the left eye, with this combination, you should end up with good vision at near, intermediate, as well as far distance with minimal night vision issues. You will also have a lot less glare, starbursts or halos (concentric circles).
By the way, if one sees the starburst, glare etc around the lights, those overwhelm the concentric circles and thus one does not see the later.
Finally, I have had no issue due to mixing a monofocal lens and a Symfony lens, although because I had the monofocal lens 18 years back (and had set that for reading), my Symfony lens was set for far distance. My day vision is great at all distances, but have the annoying night vision vision issues such as seeing concentric circles.
soks at201
Posted
If you match Symfony with monofocal would you put monofocal in dominant or non-dominant eye?
daniel30169 at201
Posted
Always grateful for your insight and recommendation, If my vision doesn't improve beyond 20/32 I now plan to request the toric monofocal. The surgeon said they don't give a prescription until a month after both eyes have new lens.
at201 soks
Posted
msailing daniel30169
Posted
I originally planned on two toric symfony lenses but after the first one (ZXT-150) was implanted (october 27) in what was my dominant eye, I changed my mind. I was happy with the 2015 vision but very unhappy about the glare and starbursts. I think I am more sensitive to light than others but it's hard to tell. I had a toric monofocal for distance implanted 4 days ago Nov 29) in the other eye. I am having no problem with the symmetry issue. My doctor said this combination is not uncommon at all. I have 2015 in my second eye also, so far. I don't see a big difference in my vision between the two eyes, just a difference in the starbursts. The toric monofocal for distance is tempering the glare, etc from the symfony.
sunny68454 daniel30169
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daniel30169 sunny68454
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Night-Hawk daniel30169
Posted
I had a Tecnis toric monofocal implanted in my right eye almost 6 weeks ago.
Be aware some of us take longer than others for the eye to heal and to get the best distance vision.
Some get near 20/20 the next day, but I tested only about 20/40 the day after surgery.
It improved very slowly and varied a lot for the next 2 weeks when it reached 20/25 some of the time.
The most improvement I noticed didn't happen for me until nearly 4 weeks after surgery when I finally reached 20/20 and I've been between 20/15-20/25 for the last couple weeks mostly.
So my advice is to wait at least a month after surgery before you may know where they eye's distance vision will settle. I think my right eye is still healing and still may change a bit, especially the amount of residual astigmatism, over the next month or two. I got an optometrist refraction eye exam at 4 weeks after surgery and the result was PLANO power (not nearsighted or farsighted) and about 1D cylinder astigmatism, the latter I believe has reduced over the last week and a half since the exam.
Also be aware even with a toric monofocal you can still get slight night vision artifcats. I notice outside on dark nights a half circle of light above some bright light sources, but thats only with my pupil at his largest size. If I can look at say a flashlight for a second the pupil shrinks slightly and thats enough for the half circle artifacts to disappear. I think it may be caused most likely by light scattering at the incision spot only noticeable when the pupil is large enough, and perhaps that will reduce and disappear eventually as the cornea heals more.
sunny68454 Night-Hawk
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Night-Hawk sunny68454
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No I didn't say I could read fine print with my right eye. The toric monofocal is set for good distance vision. I am starting to get decent intermediate vision at 2 to 3 feet, but for nearer than that I need at least +1.25D or higher reading glasses. But it could still improve in this area over the coming months, its still early in the process.
sunny68454 Night-Hawk
Posted
Anyway, it’s still not too bad. I need -1 for distance +2.0 to read fine print with Symfony.
Sue.An sunny68454
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daniel30169 Night-Hawk
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Thanks for sharing your experience, I'm planning on postponing the 2nd eye for at least a month, even if the vision comes in at 20/20 I think I would be happier with the overall combo of Symfony/monofocal than dual Symfony.
miguel20862 sunny68454
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sunny68454 miguel20862
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