Symfony already implanted (dominant eye), I chose to implant Synergy in the other eye.
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For those who followed my previous post "Symfony already implanted (dominant eye). Which one to choose for the other eye, Synergy or PanOptix?" and wait for an update. And also for those who might be interested in my experience...
Since 12/06/2021 I have a Symfony lens implanted in my left eye (dominant) and yesterday, 03/30/2022, a Synergy lens was implanted in my right eye (non-dominant). Both lenses were calculated for emmetropia. I got a good result with Symfony, and I hope to get a good result with Synergy too. As today is only the second day after the surgery, I will keep updating when something new happens...
Regarding the surgery, everything happened in the same way as in the first one, when Symfony was implanted. I was prepared in surgical clothes, taken to an operating room where my eye doctor, an anesthesiologist and a nurse were. I had the chance to say hello to my doctor, he asked me to lie down on the surgical bed and I did, he asked if I was comfortable and I said yes, so the anesthetist introduced himself and explained to me, in detail, everything he would do (I remember very little of what he said) and stuck a needle in my arm, then my doctor asked me to open my eye and dripped a drop saying it was the anesthetic, moments later (at least for me...), he said everything went well well in the surgery and that I could get up. The advantage of deep sedation is that I don't remember anything about the surgery itself, and the disadvantage is that I don't have much to tell.
Right after the surgery, my vision of the operated eye was very blurry, cloudy and very dark. As far as I can remember my first surgery (Symfony), I feel that my vision is a little better than it was at the first moment with Symfony, except for the dark vision which, even in a well-lit environment, seems to have half the brightness it should have. . This worried me a lot!. To give you an idea, last night in my room, with all the lights off, my Symfony eye can still see the shapes of the bed, chair, closets, the lights in the cracks in the doors and windows, in addition to the LED's indicators of electronic equipment. , etc. But closing the Symfony eye, and trying to see only with the Synergy eye, it's TOTAL DARKNESS! It's like I DON'T have my right eye anymore! A terrifying sensation!
Today, when I woke up, I noticed that it improved a little, less blurring and less turbidity, however, floaters appeared, the interesting thing is that yesterday I didn't see them, maybe they became visible due to the little improvement. But that didn't worry me, since it had also happened in the first surgery (Symfony), and after some time, they "disappeared" (or I stopped seeing them). As for dark vision, it continued to worry me. I returned to the hospital for the post-op consultation and saw my ophthalmologist. He examined me in the slit lamp and said everything is fine, the lens is well centered, but the cornea is still swollen. When I asked about the dark vision and my concern about it, he smiled for a while and said that I didn't need to worry, because it was the effect of a myoptic eye drops that he applied to my eye at the end of the surgery, exactly to promote the contraction of the pupil, and that it will be contracted for a few days, so in low light I wouldn't see well at all. He even asked me for feedback on how long this effect will last in my case. I asked if he had used these drops when he implanted Symfony and he said yes, but I'm not really sure about that. I didn't know what to think!? At the same time that I felt some relief, I was in doubt if it is normal to use this myoptic eye drops after cataract surgery, because in my first surgery I did not have this effect, in fact it was the opposite, I even had to wear sunglasses , how bright was my vision?!
I have not had the luck of some, who can see very well the day after the surgery (in none of my eyes), but I continue with the eye drops hoping to get the desired result.
Any significant changes I update.
Thanks.
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valerio01538
Edited
Just to update, I had an "extraordinary" appointment with my ophthalmologist yesterday, to talk about my suspicion that there was a mistake in choosing the power of my Synergy eye lens (he chose 19.0D but in the calculation that appears in the biometrics the best choice would be 19.5D). According to him, no mistake was made! He said that the calculations contained in the biometrics are made automatically by the biometer itself, while it makes its own calculations and uses its own “Surgeon Factor” (SF), not necessarily giving the same result. So the residual refractive errors of +0.5D I have in both eyes, he says, are normal and to be expected in cataract surgery. That said, I will have to accept and live with it, even if I'm not convinced by his argument, as, having been his first implant of this type of lens, I believe he still wouldn't have enough experience to have his own SF as he argued, and the correct one would be to have used the standard SF provided by J&J, this would have left me 0.0D (emmetropia). Finally, I know that now there is nothing else to be done and, I'm not complaining about my vision, it's not perfect, but it's great at all distances, even so, I can't help but imagine that: if the surgeon had chosen 20 .5D for the Symfony eye (with a predicted residual refractive error of -0.25D, suitable for this type of lens that has little addition) and, had I chosen 19.5D for the Synergy eye (with a predicted residual refractive error of - 0.04D, which would be the right choice) and, considering that the surgeries happened in the same way, today I would be 0.0D in both eyes and, of course, with better vision...
valerio01538
Edited
I forgot to mention something curious. When he took the test on Phoropter and asked which is better, 1 or 2? Going from 0.00D to +0.25D the vision got worse (going back to 0.00D was better, looking like 0.00D was right), but when changing to +0.50D it was better than 0.25D and even better than 0.00D. I was confused, because my thought was that with +0.25D the focus would be better and with +0.50D even better?! According to my ophthalmologist it is the effect of the various diopter rings of the IOL EDOF. The 0.00D and +0.50D powers may be closer to these rings, both giving better focus than +0.25D.