PanOptix vs Synegy?

Posted , 7 users are following.

Hi.

My mom is 71 years old and doesn't know how to use computers, so I'm here for her. She and I are Brazilian and I don't speak English well. So I use Google Translate.

My mother has dry AMD, nothing serious, besides astigmatism and cataracts.

If she can, I would like her to use either PanOptix or Synergy.

However, I think there is still no Toric Synergy, a shame.

My doubt is:

  • Is it worth it to put the Toric PanOptix or wait for the Toric Synergy?

  • If I post her exams here, would you be able to tell me if she can receive such lenses?

Thank you.

0 likes, 15 replies

15 Replies

  • Edited

    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.

    • Posted

      I also heard that PanOptix is bad to read up close and that FineVision is better. I also heard that Synfony is worse than PanOptix to read up close.

      Do you know RayOne?

  • Posted

    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.

    • Posted

      Interesting.

      How far can you read?

      I heard that PanOptix allows you to read from 40 cm to 60 cm. But, and closer than 40 cm and more distant than 60 cm?

      Because I heard that Finevision allows you to read from 33 cm. It is true? Could you tell me which trifocal lens allows you to read more closely?

    • Posted

      With my PnOptix I can read from as close as 20 cm (fine print on prescription instruction) to text on my smartphone at arms length. My recent vision test was 20/20. It was not tested to see if it was better than that.

    • Posted

      the near vision is on the j scale. j1 might be 2020 and natural near is really j1+.

      did they check your near vision?

    • Posted

      It was not tested this last visit, but 6 months ago. I can read N1 at 30cm.

  • Edited

    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.

    • Edited

      Just wanted to add that it can be confusing with so many options, and we are not the experts.

      For reference, I have a very long post that's on page 3 about my experience. One thing I appreciate with the clinic I used in Toronto (and I think most here are similar) is that they decide what is the best premium lens available at the moment. So for example back in 2016, they would have used the Tecnis Symfony as the best premium lens (as trifocals had not been approved yet in Canada). When I did my cataract surgery last year, they had dropped the Symfony and were using either the PanOptix or FineVision depending on your eye measurements and unless your measurement were such that FineVision had an option that PanOptix did not provide, they were using PanOptix.

      As newer lenses get developed and approved in Canada, I'm sure they will move on from PanOptix to something else in a few years.

      If your mother can't wait who knows how long for a Toric version of Synergy, then PanOptix Toric should be a good option (Synergy isn't going to be leaps and bounds better).

  • Posted

    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.

  • Edited

    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.

    • Posted

      that is too low of an astigmatism to be corrected by an iol. synergy does not have an astigmatism correcting toric iol at this time. do not know about finevision and rayone. panoptix does have a toric.

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