PanOptix vs Synegy?

I am nearly 71 and on the COVID waiting list for my cataract surgery. I considered the PanOptix trifocal lens and decided against it. I believe the Synegy lens is an extended depth of vision lens, not a trifocal, and is similar to the Symfony lens. Most seem to consider the PanOptix to be better than the Symfony. I have a friend that has the PanOptix and she is disappointed in the near vision for reading that the PanOptix gives her. Then when I went for my preoperational visit with the surgeon he told me that he would not put those types of lenses in his own eyes, so he finds it hard to recommend them to patients. That kind of settled the decision for me. I will opt for the distance monofocal AcrySof IQ Aspheric lens in my first eye. Will use a similar lens in the second eye but may have it undercorrected to give me some ability for reading at intermediate distances.

On getting a toric lens, you will not know for sure if a toric correction is needed until after the eye topography measurements are taken. Some of the astigmatism is in the lens (and it will be taken out), and some is in the cornea. With an IOL you only have to correct for what is in the cornea, and a toric is not used for astigmatism less than 0.7 or so.

This said some report good success with both the PanOptix and Symfony. There are vision compromises with them, and some are quite willing to put up with them to be able to go glasses free most of the time.

Hope that helps some.

PanOptix is generally considered to be the better of these two as it is a trifocal lens that usually provides good vision at all three distances. It has less issues with halo/glare.

So far there are no tests or assessments that predict how the lens will perform in a particular individual. It has worked well for me and my reading and intermediate vision is excellent. Distance is good but impacted by dry eyes.

My opthamologist of 40+ years did not recommend them, but I wanted to completely eliminate the use of glasses and was willing to take the risk. On the other hand, the surgeon recommended PanOptix over Symfony, monovision, or single focus lens.

Part of the decision for your mother should be based on life style. If she has no concerns about wearing glasses the single focus with reading or progressive glasses with give her excellent vision.

Synergy combines a bifocal (two focal points) with EDOF technology to give good near, intermediate and distance.

PanOptix is a trifocal.

Synergy is newer (and thus not yet approved for use in the US). J&J marketing suggests that it is an improvement over tri-focals like the PanOptix. As more people in Europe and elsewhere try Synergy, we will see if actual experience matches the marketing or not. (new lens do generally have some incremental improvement over prior generations, so I would not be surprised if Synergy is better).

If your mother has astigmatism, then unless it is very mild (so that it can be corrected with laser), she will need a toric lens.So if she wants Synergy, she will need to wait for a Toric version to be released.

I suspect with AMD she would be advised to steer clear of (both) these types of lenses. . But I'm not a doctor - do go to someone who knows what they're talking about! Good luck.

What is the best trifocal for those who have 0.75 (direct) and 0.50 (left) astigmatism? I'm thinking about PanOptix, Finevision, Ray One, Synergy.