Should I wait for Zeiss LARA in the US or get Symfony?

I didnt have distance issues its was reading up close reading for me out of the left only. Funny enough my wife has had the same issues on distance, she needed thicker drops to cure dryness. I had HycoSan (Blue bottle) she got green. Took her a good month before she really stabilised. Colours are amazing something about colour frequency visibility changes for me Greens and blues are particularly nice, Christmas lights were incredible this year. Hang in there ! Beyond your eyes recovering from the trauma your brain has work to do. And thats before you get used to night lighting which is also a doddle 6 months in. All will be well just used those drops religiously.

thnx for your encouragement. As of now, near vision is almost perfect. Will keep updating.

UPDATE: near vision is good though there are some ignorable hallows around letters on mobile. Distance vision continues to be elusive meaning I cant read much from distance and although the rough objects are visible, their clarity is severely compromised. Doctor has reduced frequency of drops to 4 times a day and says distance vision should improve. Not sure if they got the distance power measurement for AT LARA wrong or my brain is just not able to pick the distance vision from the lens yet. Due to distance vision issues halos around lights are awful. I am wondering whether I should have instead gone with a simple monofocal and used specs as usual!

If it has just been a few days give it some time. I had symfony lenses which are an EDOF lens like atLARA and everything was sharp within 24 hours but I know that is not the case for everyone. Some experience cornea swelling while others are affected by the drops. prescription of the drops seems to vary too between doctors. After a week my antibiotic drops were dropped and my steriod drops went from 4x a day to 2 for 3 weeks.

What does puzzle me is that you do see near well - I would think if drops or swelling was affecting your vision it would affect it at all distances - so hoping it isn't a miscalculation of power.

Do you know what the target was for that eye? Due to design of EDOF lenses I would think plano or -.25 would be that target. certainly plano for first/dominant eye. Although my surgeon seemed to be a little different than most not putting much stock in dominant or non dominant unless with aiming for plano he meant it didn't matter.

Once you finish the drop regiment I would go see your regular optometrist for a refraction test (not just rely on surgeon's office test). Your optometrist will be best person to measure your prescription and you'll know if power was off pr if you have too much astigmatism - both of which can be corrected with glasses. Sometimes if paying for premium lenses the clinics offer enhancement package to do lasik to correct.

The big concentric circles/halos around light sources at night may become more defined (less glare) but don't go away. The brain learns to tine them out while driving but due to design of these lenses they will always be there.

hope all turns out well for you in time.

will need to find out about the target. luckily it is my non-dominant eye which has been operated and the dominant eye is plano. agree with you that if it was due to swelling or drops, it should have affected near and far vision alike. doc just says give it some more time. so lets hope for the best!

please wait if you can.

If your vision can be corrected with glasses (or contacts) i agree with Soks about waiting.

1. at 58 you are still young for cataract surgery and although everything could go well your pupils will dilate more than someone older and if beyond the IOL it causes some visual issues like arcs and edge glare.
2. not all surgeons get 100% success rate - would be cautious if that is what they are promising.

wish you all the best

Hi soks - i have lost my original profile under Sue.An. i can log in but account says deactivated. Tried contacting moderator but no response. So lost all threads and discussion links.

Are you still looking atLara for 2nd eye? Looking like rage of vision better than Symfony.

The longer you wait the better the technology both in new IOL's & surgeon skills

No I will be getting monofocal for the 2nd eye.

I did mention this and, of course, the surgeon admits that there could always be some new advancements but he believes the biggest breakthrough came 7 years ago and that not a lot more will change because we have reached the limit of what we can really do.

I might add, he wad not at all pushy. I felt quite inspired to do it as, despite glasses my vision drives me insane. I'm not taking this lightly and he is the 2nd specialist I visited. (The first rushed me and doesnt have access to AtLara.

I now feel unsure again! I know also, that I will not have the money to do this in years to come.

He has not had any complications like retinal detachment etc. ( my first thought when he said 100% was, well there's always a first time so I hope I'm not it!)

I asked about issues that I had read on forums and he believed a lot of issues stemmed from surgeons and that he would never recommend the surgery to anyone that is not a good candidate. I'm pretty good at reading people and felt he was a genuine person (not a money hungry salesman). I'm not a pushover but felt he was going to be very thorough. He's a fellow of the Moorefields eye hospital and now in Sydney - people travel from worldwide to have him. Argghh, it's hard to know what to do.

I know - decision is never easy and speaking for myself second guessed all the way to surgery.

I had to have it or lose my driver's license. It was type of lens that had me going back and forth. If vision can still be corrected with glasses in my opinion it isn't a necessary procedure for now. Often cataracts grow do slowly and it could be years before surgery necessary.

And if doing this younger even if all goes well there is always a chance pupil dilates beyond the IOL causing an issue of edge glare and arcs.

and those arcs and edge are not thin reflections. think of it that the whole iol lights up around every light source. i am not sure if the whole iol would light up in case of a monofocal. since the pupil will dilate beyond that iol too.

now that i have lived the lens my preference for myself would be a -0.75 monofocal lens in both eyes. i would be interested to see how much near/intermediate it would give me. if it have me 3 feet onwards i will be a happy camper.

i went through some pretty tough time personally in the last month and have not been focusing on the arcs or even taking the miotic drops but they are still there.

Hmm. It's so hard. This microsurgeon is telling me how good the AtLara is and glare minimal compared to Symfony. He also did not recommend monovision (I've tried that with contacts and was horrible) as he said I would also lose depth perception.

He is promising me the outcome that the other poster, Gordon, has received with AtLara except he says reading should be at 50cm and Gordon says he can read at 30 (12").

So sorry Soks. Feel for your situation - especially as you put much thought and researched well. Doesn't seem fair. Have you been back to see your surgeon for his opinion on what to do? Would an exchange for a monofocal lens work out differently? wondering if there is a lens that is better than others for eyes that dilate more. One would think surgeons would know beforehand who would have this issue of seeing arcs given they dilate eyes during pre-surgery tests.

Do you see the arcs around lights during daytime too?

i have reading at 50 cm with Symfony. i think results vary from individuals. i do not like monovision either.

daytime vision is great. so i am looking forward to the summer.

i am not focusing on the iol issues yet so havent had time to think about what to do next.