My Tecnis Problem
Posted , 8 users are following.
i am stuck with Symfony as it has been 4.5 years since surgery. the positive dysphotopsia is best as described by another poster in another thread on this forum. still another member has the same problem with Tecnis monofocal so it is not ring related and the ring related phenomena are not as bothersome. this also is specific to those with large pupils. size of tecnis edge glare is extremely large and the whole iol lights up when the light hits the edge making the entire vision distorted. extremely conflicted on whether it is worth the risk to exchange it out.
"From straight after surgery to now, I appear to have positive dyphotopsias which is disappointing. It’s a lot worse at night in a relatively dimly lit or dark room, a lot of light sources will have either a half-circular arc a fair distance above it. Some have a full thin halo, again a fair distance from the light source rather than right next to it. Some lights will also have light rays extending up to the arc like an open hand-held fan. "
0 likes, 18 replies
soks
Posted
link to the other person's post:
https://patient.info/forums/discuss/recent-cataract-surgery-my-experience-with-the-tecnis-eyhance-770036
soks
Edited
here is a picture of the edge circles.
lucy24197 soks
Posted
I have Tecnis ZCB00s, and I see that every time I get my eyes dilated. Vision is fine in the dark with light sources normally.
soks
Edited
do i see the lens edge with panoptix - yes. i see arcs in the same nasal upward direction. 9 to 1 o clock but they are very small. also every bright surface or reflection has an extra glow on tecnis and this is not because of the rings but because of the pupil and tecnis relation. this glow is absent on the panoptix.
ad12345 soks
Posted
Unfortunatelly, the truth is that entire Tecnis platform should be abandoned at all and removed from the market. These IOLs are a danger to patients.
It's a very good quality, but poor design which ruined my life as well.
When it comes to your case, if you have a direct comparision with another IOL, I'd be more than encouraged to go with exchange. However, since you have Panoptix in your second eye, I'd go with a monofocal lens. From my point it'd be much safer and more efficient for you. Obviously you do have some reduction in contrast due to Panoptix, yet inter/close-up vision. Combined with a pure monofocal would work much better than 2 Panoptix IOLs at this stage.
Not to mention that IOL exchange is unpredictable and you may not even get a single-piece during your surgery, so I won't aim any multifocal IOL at all.
ka76787 ad12345
Posted
when you cite this dysphotopsia problem with Tecnis are you also including the Eyehance iol as being problematic?
soks ka76787
Posted
yes. those quotes are from someone who got eyhance.
soks
Posted
i would be perfectly fine with a clareon monofocal. this tecnis stuff is ridiculous if you are getting same effects with a tecnis monofocal. i assumed i had no choice and would get this effect with all lenses because of my large pupil. if they give me 3 piece sofport how do i know it will not cause edge glare. the patient experience should be accounted for.
ad12345 soks
Posted
Soks, what I learned from IOL exchange topic:
soks ad12345
Posted
i think i agree that different lenses work differently for different individuals. for me tecnis PD as well as quality are a problem.
since the clareon platform is somewhat same across monofocal, vitity and panoptix, the edge profile and vision quality for me would be similar. u think thats not correct thinking?
ad12345 soks
Edited
It's not fully correct, because even though the edge profile would be the same, the quality of image (mono vs multi) would not be the same. In other words, if you switched to monofocal, you would combine best quality vision with best range of vision (Panoptix). Don't see any benefit from 2 lenses with best range Panoptix (worst quality).
If it comes to PD, it'll be an additional benefit for you, yet not guaranteed as we know.
ka76787 soks
Posted
I am very sorry that you are experiencing these PD. Is it possible that the iol is tilted or decentered in your eye?
soks ka76787
Posted
i went to multiple doctors all over the US including the famous ones and no one had an explanation. i for the symfony ezchanged for panoptix and fhat resolved the issues. before that i got panoptix in the other eye and found that i was not getting PD with it.
RonAKA soks
Posted
Have you had YAG in that eye? If yes, you might want to check to see what lenses are suitable for an exchange. It may be a short list.
soks RonAKA
Posted
not yagged. but even then the new lens doesnt stick into the capsule like first time.