My mom just just had TECNIS SIMPLICITY™ DCB00 implanted

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my mom was not too interested in knowing much about cataract surgery and I took her this morning and from the card they gave her know she had this monofocal implanted. Live in Canada so no expense for the monofocal lens or the surgery.

Anyone else have this lens implanted? I will be curious to see how well she sees - eyes still dilated.

1 like, 15 replies

15 Replies

  • Edited

    The manufacturers make it difficult to tell what lens is which. I suspect this lens is the standard Tecnis 1 aspherical monofocal lens (ZCB00), but packaged in the Simplicity preloaded syringe. If so, it is -0.27 aspheric correcting spherical aberration theoretically to zero. It should give the sharpest focus compared to other choices that do not fully correct sperical abberation, but will have less depth of focus. It is UV filtering but not blue light filtering. Experience has shown this lens to be very resistant to glistenings. I had a choice in Alberta of using this lens in my first eye or the AcrySof IQ. I picked the AcrySof IQ, but they are both good lenses. Did she choose to have the power to correct fully for distance plano? I hope the recovery goes well for her.

    • Posted

      i really do not think she discussed anything with the surgeon. she's been waiting almost s year for the surgery. I have offered my help but she's not been interested and thought I did way too much research for my own surgeries 5 years ago.

      I think if nothing discussed here in Nee Brunswick they do best corrected distance - usually targeting -.25

      It's only been a matter of hours and she's very frustrated not seeing anything but her eye is still dilated. I only saw clearer next day. Telling her to be patient. She's 79 and currently dealing with my dad who is not well. Diagnosed with Lewy Body Dementia - so I will be here assisting while she recovers.

      Thanks for your well wishes.

    • Edited

      It takes time. My brother who is 68 just had his eye done. His vision was quite poor for the first week. It is now just over 2 weeks and he thinks it is up to 20/25. I recall my recovery was quite a bit quicker than that, but I suspect everyone is a bit different in how they recover from having their natural lens broken up, sucked out, and a new plastic lens shoved in through a small incision in the eye. As my surgeon told me, "The eye is not used to having sharp instruments poked into it, and it takes some time to recover."

      .

      While recovery may vary from person to person, the overall good outcome probability is very high. I think just try to help her to stay positive about it, and it will all work out.

    • Edited

      Oh gosh, a few hours after surgery is no time to judge. Give it at least 2-3 days. Eye is still dilated and she was under a microscope and everything is probably a little inflamed. You wouldn't believe some of the crazy disco lights and haze and halos and nonsense I saw on surgery day after going home. It was wild. But in the morning and especially the second day it was breathtaking.

    • Posted

      Oh I know and tried to explain to my mom. I had my cataract surgery 5 years ago. I was fortunate to see well within about 24 hours. I remember sleeping for several hours after surgery.

    • Posted

      Yes trying to keep her spirits up. Seems forever when going through it. So what is difference between a pre-loaded lens and other?

    • Edited

      Preloaded means the IOL comes already packaged in the injector ready to go. Just makes for one less step during surgery I guess? Stand-alone is just the lens and a nurse has to carefully load it into an injector. Either way it's the same lens. JnJ just gives them different model numbers to differentiate pre-loaded vs. stand-alone. Eyhance for instance is ICB00 (stand-alone) or DIB00 (pre-loaded).

    • Edited

      If you are not squeamish google this to see a YouTube video by the surgeon that did my eyes demonstrating how to load the lens manually. My first eye was done with this specific lens using this method. My second eye was with a preloaded Clareon lens which eliminates this step of the procedure. I asked him if the preloaded lens presented any complications. I was actually fishing to see how experienced he was in using that version of the lens, as it had just been released in Canada. His response was that he thought it was not necessary and kind of "mickey mouse". I suspect he is a bit miffed that the skills he had developed and teaches at the University were being made unnecessary! I think the reality is that it speeds up the procedure and reduces the risk of scratching the lens during the loading process.

      .

      YouTube How to load a single piece Alcon IOL Chris Rudnisky MD MPH FRCSC

    • Edited

      going to have a shot of something lol and boost up my courage to watch.

      I recall reading at one point the preloaded can release fast and may be harder for surgeon to center? Or maybe that's all IOLs

      Thanks for the info. My mom is still a little frustrated. She cannot see well. Likely there is swelling and she wont be one to get clear vision right away. We are off soon for the 24 hour check up with surgeon this morning.

      All this brings back memories for me.

    • Posted

      Interestingly yesterday during surgery - they were backed up waiting to get a nurse. Things are pretty desperate at our hospitals. Not enough staff. They have even had to close emergency rooms at times due to this issue. Hiring LPNs vs RN even in emergency where you really need experienced individuals.

    • Edited

      I believe there are differences between the brands of IOLs on how quickly they open up. Not sure that preloading would change that. If they come that way from the factory then they are going to be folded up for a long time compared to the ones that the surgeon folds up right before he inserts it. If anything I would expect that to increase the time for them to take their final shape...

      .

      Good luck with the 24 hour check!

    • Edited

      My vision even from a regular dilated eye exam doesn't get back to normal until the next day!

    • Posted

      Thanks Night Hawk. mom's vision getting better. Swelling must be coming down. at her 24 hour check up which I was not at, surgeon said cataract was large so there was a lot of swelling and she could put drops in every hour. Found that odd and hoping no long term effects from doing that.

  • Posted

    As Ron said I'm pretty sure its just the Tecnis 1 (aka ZCB00) but preloaded. Same lens but they assign different model numbers for stand-alone vs. pre-loaded.

  • Edited

    how is her near vision with it? if she is like you then it is j1+.

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