PanOptix lens - can read great -but medium/long distance is blurry. Anyone else face this?
Posted , 6 users are following.
Hello everyone. I had a PanOptix lens placed in my left eye two weeks ago. (I had a posterior subcapsular cataract in that eye - and so needed to have it removed). Following the surgery - I find reading up close or on my computer has been great! (Although I do need lots of light to read)... But - anything beyond about six feet - is blurry. I can't read a street sign unless I'm actually standing in the intersection.
I also feel a constant eye strain - as if the eye muscle is being strained. My eyebrow is even raised above that eye. Has anyone else experienced this?
My ophthalmologist wants to do the other eye now - my dominant one. But I want him to wait until he fixes this eye. Right now, my dominant eye (when I wear a contact lens) allows me to see medium and long distance. So, if he messes this eye, I won't see anything beyond 6 feet.
I've read lots of people with problems with halos and not being able to read. But I haven't seen anyone with my issue - where I can read, but can't see medium or long distance. Has anyone else experienced this?
Also has anyone else experienced eye muscle strain?
I might add - that my left eye had an astigmatism in it - but the doctor didn't use the PanOptix Toric lens. He told me he didn't think I needed it - and it might over-correct. But - since I can't see medium or long distance, I have to wonder if this might be the reason?
Any advice, feedback or suggestions would be greatly appreciated.
0 likes, 11 replies
RonAKA melodyNYC
Posted
As I responded in the other thread, it would seem the incorrect power was used, and you were left somewhat myopic. Astigmatism is not likely to be the cause as it affects vision at all distances.
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I would wait at least 3 weeks and then get your eyes tested for an eyeglass prescription. That will tell you what the residual refraction error is, and confirm whether or not you are myopic, and by how much. If it is then you have a couple of choices. One would be to leave the lens in, and get Lasik to reduce the myopia. The other would be to exchange the lens for the correct power. The surgeon should get the power correct on the second try. Wearing a contact in the operated eye would be another option, but I suspect you do not want to do that if you have gone to the trouble and cost of having a PanOptix put in.
melodyNYC RonAKA
Posted
Thank you. I go back to the doctor tomorrow, where I'm sure he's going to be pushing for me to get the second eye done. I will ask him about exchanging the lens for one with the correct power and see what he says. I'm a little worried about him doing lasik or an "adjustment" (as he calls it) because then it would preclude me from swapping out the lens if the lasik didn't work.
soks melodyNYC
Posted
how old r you? what do you mean you need lots of light for near?
melodyNYC soks
Posted
I'm 62, but I'm in top physical shape. (I work out every single day).
I've had to wear glasses or contact lens since I was in my 30s.
I was really far-sighted before the surgery - +6.0 in the left eye and +5.5 in the right eye (dominant eye). I wear multi-focal contact lens so that I can read and see distance.
After the surgery in the my left eye, I could read without glasses, which was great. But I can't see beyond 6 feet or so, without it becoming blurry in that eye. And yes, I need to be under direct (bright) light to be able to read a book or paper clearly.
rwbil melodyNYC
Edited
Wow, let me get this straight you cannot see crap after your eye surgery and your doctor wants you to do the other eye. What I would say, would get me sent to moderation. So let me just ask you, is this a doctor you would want to operate on your eyes?
Don't even consider doing the other eye until you know what went wrong. Let us start with, were you a good candidate for a diffractive IOL; did you have any eye issues and I am including long or short eyes other than cataracts? How much was your Astigmatism?
The doctor should be able to tell you if he hit the mark or if he was way off. What is he saying.
My advice is if you are not getting competent answers find a Top Opthamolgist even if you have to travel a bit. Where are you located.
melodyNYC rwbil
Posted
Yes, my doctor had his pen and paper ready to start arranging a surgery date for the second eye - when I told him "No! - I want to make sure this eye is fixed before we do the second eye." He seemed a bit annoyed and then said he'd see me in another week. I go to see him tomorrow.
This doctor is very experienced in cataract surgery, which is why I chose him. But he's also very busy - and likes to push as many patients through his office as possible each day.
As for the IOL - He told me I was a good candidate for it. He was pushing the Vivity lens more than the PanOptix one - but I told him that I wanted to be able to read without glasses. So, he said I'd need the PanOptix one then since the Vivity only gives medium and long distance. The plan was to give me an PanOptix in the left eye and the Vivity in the right (dominant) eye. (This way, I'd avoid the "halo" and "starbust" images that many people seem to get when they get PanOptix in both eyes.
I did have an astigmatism - much bigger in the left eye than the right. But he claimed that if he used the Toric lens, it would over-correct it. When I asked how large my astigmatism was (during last week's appointment), he said about 1.0, although he wasn't even looking at my chart, so I think he was guessing. (He likes to push through as many patients as possible during his day so I doubt he'd remember my numbers without looking at my chart). ..... I also didn't really trust the machines that tested my eyes as his staff had to re-do my eye more than 15 times on one machine because it kept getting errors.
I was extremely far sighted before surgery. My contact lens was +6.0 in my left eye and +5.5 in my right eye. But I used multi-focal contact lens to see at all distances. I only went in for this surgery after I suddenly lost a lot of vision in the left eye when I developed a posterior subcapsular cataract in it. (The right eye only has a small regular cataract in it).
....... Even on my surgery day - this was weird - after he used the machine to destroy the cataract, he brought me back to a room to sit and wait for the second part of the surgery. I sat there - with feelings of broken pebbles in my eyes - for over an hour while he did THREE other patients who were waiting for him to do their eyes! It was really bizarre. When I asked why he didn't wait to do the first part of the surgery until he was free to do the second part - he said "oh the machine came free so I wanted to get you in there."
Anyway, I go back to see him tomorrow.
Another issue that just started - I'm started to see a "lightning rod" flash on the far left side of my eye. It seems to happen at night. I don't think it's the regular "flickering" that some people have experienced with the PanOptix lens because it's happening at night - not when there's light coming into my peripheral vision. So, I'm not sure what that is. It's a bit scary.
I live in Manhattan. So, if you know the name of another highly-regarded cataract surgeon here, please let me know - so that I could get a second opinion on what's going on.
soks melodyNYC
Posted
lightning rod is probably fold in the capsule. i asked how old as subcapsular cataract occurs in young population and due to steroidal use. i think trifocal n monofocal mix might be a good combination. is your doctor raviv?
melodyNYC soks
Posted
Yes, my doctor thought the posterior subcapsular cataract may have developed because of a nasal spray I took for an allergy to dust. I had been using this nasal spray off and on for several years - but hadn't used it much in the last year. He couldn't think of another cause.
As for my doctor, no it isn't Raviv. Is Dr. Raviv a good ophthalmologist? Is he someone you'd recommend for me to get a second opinion?
soks melodyNYC
Posted
i went to raviv. i wont recommend him.
melodyNYC soks
Posted
Can you tell me your experience and why you wouldn't recommend him?
Did you go to anyone else for a second opinion? If so, who did you see and would you recommend them? .. I'm looking for another ophthalmologist for a second opinion.
soks melodyNYC
Posted
he was not able to resolve my dysphotopsia issues. but noone else could. safran suggested an exchange.
refraction wise he was spot on. even brought me to my senses to show me the ORA results and make a decision during surgery.