One eye mono the other eye multi
Posted , 8 users are following.
Has anyone had one eye with multifocol lens and the other eye monofocal lens?
If so do you like it?
0 likes, 10 replies
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Notes on One eye mono the other eye multi
soks lani14140
Posted
i dont have that but it would be a good idea.
RonAKA lani14140
Posted
On a theoretical basis combining the two types of lenses can make some sense. A monofocal set for distance in the dominant eye plus a MF or EDOF lens in the non dominant eye is called hybrid monovision. The hope is that the monofocal gives very good distance and night vision, while the MF or EDOF gives better near vision. I considered a monofocal set for distance combined with a Vivity in my other eye, but got cold feet due to concerns about optical side effects from the EDOF lens.
007Bond lani14140
Edited
I currently have the Panoptix in my left eye and my natural lens in my right eye. My right eye still sees reasonably well at distance but is clouding up and will need surgery soon. Overall, it's a good combination I cannot see close up with just my right eye but with both eyes open everything is clear. I think if you were trying to save some money it's a valid and functional combination. I thought about it myself many times, now that I must soon get my right eye done. Even though I could have the distance lens put in my right eye covered by insurance I still think I'm going to opt to pay the extra money for the Panoptix in the right eye. Somehow, I just feel having both eyes fully functional for the full range of vision will yield me overall better results. After all many ppl have one eye set for near and the other for far and are very happy.
RonAKA 007Bond
Edited
I don't think it is just a money saving decision. The risks of optical side effects are lower with a monofocal compared to a MF lens. Vivity is recommended by the manufacturer to be used in both eyes, when I believe it makes much more sense to use it in one eye only. Then the monofocal in the distance eye can offset some of the loss of contrast sensitivity in the Vivity (and also MF) eye. I think it is more of a money making recommendation on the part of the manufacturer. They make more money with having two Vivity lenses used.
007Bond RonAKA
Posted
The side effects are real some deal with them better then others agreed. $$$ yup manufactures want you to buy both and they will state some reason that you should. But I think a combo one MF one fixed is a real valid and solid option it should be considered. I can say for sure my right eye eliminates any and all side effects but for me I have found that they don't bother me enough to not have both eye with the Panoptix. Also from what I have seen the Dr's pay (round numbers here) $200 for a mono IOL and $500 for something like the Panoptix. So there is a lot more profit installing a Panoptix for 2-3k on top of what ins pays for vs just installing the fully covered mono IOL.
RonAKA 007Bond
Edited
This discussion reminds me of the discussions I had with the surgeon I had. When I first went to him probably 3 years ago now for my initial consult he was working out of a public hospital mainly doing fully funded public healthcare lenses. He also works as a professor at our provincial university. I suspect the public healthcare system we had at that time limited the amount of operating room time that surgeons were allocated. Doing cataract surgery was far from a full time job. In any case at the initial consult we discussed options for lenses. He said that the PanOptix lens was available, but he had a hard time recommending them to patients because he would not use them in his own eyes. I went with an AcrySof IQ monofocal for my first lens set for distance.
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But time marches on. From that time, the surgeon's father who was also an ophthalmologist passed on, and left his son the office and equipment. His business practice has significantly changed, and while he still does lenses in the public hospital he also operates out of a private clinic one day a week where he must pay to use the facilities. The clinic mainly does Lasik which he does not do.
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But, when I went for the consult for my second eye, guess what he offered? The PanOptix lens - the one he previously said he would not put in his own eye! Now he is all set up in his private office, he has all the glossy Alcon brochures and comparative descriptions of the various lenses along with the prices. I gave him a definite no, and told him I had a friend that got PanOptix in both eyes and now regrets it. But, we did talk about the Vivity, and he then discouraged it. I sensed that because I was against the PanOpix due to optical side effects he did not want to take a risk on me of being an unhappy customer with the Vivity. In the end I went for the Clareon. I did not allow price to factor into my decision. The AcrySof IQ that I got in my first eye, was free, the Clareon because it was new and not on the government approved list cost me $300, while a AcrySof Toric would have been $1100 and both the PanOptix and Vivity would have been $2,200 each, toric, or not toric.
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My conclusion was that his practice shifted from being fully patient focused to being more business focused. While he offered me a choice between the J&J Tecnis 1 and the Alcon AcrySof IQ on my first eye, his current practice has obviously shifted to "push" Alcon products... This seems typical of private clinics. They end up in the Alcon camp or J&J camp, but usually do not offer both. Perhaps that is based on logistics such as stocking the lenses, or perhaps there are some behind the scenes financial aspects....
007Bond RonAKA
Edited
Any private Dr office is a business so it needs profit to operate. Since he as I suspect makes an easy $1500 for each Panoptix offering that first will help keep the lights on and the bills paid.
The Panoptix is not for everyone for sure. At first I thought what a huge mistake I made, driving at night was crazy stuff. But I am very thick headed and was determined to have a positive outlook and somehow get this thing to work. I managed to get myself to a very happy point with IMO positive thinking. I simply refused to let all the side effects take away from my vision. I sit here now typing and if I close my right eye this type is very clear, if I move my sight away to things farther they are also clear, as I move to infinity also clear, can't ask for much more. But if I stare at the letters and try I can start to see the afterglow they are not blurry just glowing. But I only can notice if I really try now where before I noticed it all the time. So I learned to ignore the images that cause the afterglow and focus on the one single clear image and that's all I normally see now. Same goes for the halos, starburst, spiderwebs, I see them if I want to but normally now I just don't notice them any more. But this may not be possible everyone to adapt to just like I am sure there are ppl that just cannot get used to monovision even though some ppl love it and it can be done on the cheap.
But back to the topic one eye multi one eye not I think it's a great option to consider.
RebDovid RonAKA
Posted
Is offering only Alcon or J&J a Canadian feature or also common in the U.S. I ask because my Massachusetts (Greater Boston) ophthalmic surgeon's practice sent me a welcome package including brochures for both Alcon (PanOptix) and J&J (Tecnis 1 toric, IIRC) IOLs.
amy99928 lani14140
Edited
I just got Vivity for my right eye and next month I am thinking I will go with the no cost monofocal. The Vivity is giving me halos night driving.
paula29996 lani14140
Edited
Yes I have had my left eye done with a multifocal first & my right eye done with a monofocal second. I have regretted it ever since. A monofocal lens is much clearer and more contrast than a multifocal. I have ghosting, starbursts and just not as clear vision as I have with the monofocal. It is very frustrating to say the least. Although my reading vision is better my distance vision is worse. I now have anxiety while driving. If I could do it all over again, I would not have gone with a multifocal at all. But that's just me. I have an eye condition that makes it too risky to have a lens exchange so I'm really stuck with this less than desirable outcome. Doctor did prescribe glasses to help with distance but it doesn't really help the left eye a whole bunch. Will always have ghosting and starbursts which glasses will never fix. Wish I would have known about this website before making my decision. I would advise you to do lots of research before making such an important decision about your eyesight. Hope this helps.