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I'm 44 years old and just had the first of two eyes implanted with the new (I'm in the U.S.) Symfony Toric lens, which I've researched extensively and was very eager and excited to get.
Now four days since having the surgery, I'm mostly satisfied: colors are much brighter and more vibrant (and more pinkish, bluish, interestingly), my distance vision is now restored and fine, and I can see pretty well at intermediate distances, i.e. objects are clearly defined all the way in to about 23 inches away, perhaps even 21 inches away in bright light (yes, I notice some degradation in low light, more than I'd expected).
The real issue for me is my near vision, which is much worse than I was expecting. I do know that the Symfony isn't all-around perfect, that e.g. I might expect only 20/32 or so (mean uncorrected near achieved in the U.S. clinical trials). And I know that's just an average, but even the distributions left me hopeful, with 81% of trials patients achieving 20/40 or better (that's monofocally; 96% were better than 20/40 bifocally). Meanwhile, I'm struggling to make out these words as I type, pretty much anything inside of 23 inches is blurry, and in good light I can only make out the 20/80 line (if I really exert myself, I can barely make out, mostly by guessing, some of the 20/60 letters, but mostly they're entirely unrecognizable). I feel as if I could have gotten results like this simply by going with monofocals, and I'm beginning to fear this is as good as it'll get, which is depressing.
Some background facts: Pre-op, I was mildly myopic (-1.75) in this eye and mildly astigmatic (about 0.94 cylinder). Also, at 44 I'd already gotten used to presbyopia, and typically would wear +1.25 readers for near. The specific lens implanted was the ZXT150 +16.5 (1.5 D cylinder). I doubt lens alignment is off, as my distance and intermediate vision feels non-astigmatic. My other eye (right) is scheduled for another Symfony lens 10 days from now.
So, I wonder:
1) Have others had similar experiences, i.e. poorer than expected near vision?
2) Does anyone have any idea what might have caused this?
3) Can anything be done to correct it?
4) If anything can be done, should I expect my ophthalmologist to do it (without having to pay more than the significant amount I've already paid)?
Thanks for any info and advice!
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