Symfony lens comparison to naked eye

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As a brief background, I have a Symfony lens implanted in my right (dominant) eye and my God given eyeball on the left side. I'm trying to decide between having another Symfony lens implanted or a standard lens implanted in the other (left) eye, or go for a complete lens exchange. It has been 4-1/2 months since my first eye was worked on.

A couple of nights ago, I was in a theater watching an animated film (Ethel & Ernest, which was great). As I was watching the movie, I would occasionally alternately cover one eye and then the other, to see if I could notice any difference in what I was seeing from one eye to the other. I was very surprised to find out that my original eye produced noticeably richer colors and more detail than the Symfony eye. In fact, some of the fine black line work could be seen with my original eye, but wasn't there at all with the Symfony eye. I found this kind of disturbing. (Also, my original eye was seeing sharper than the Symfony eye). My question is: Is the loss of richness and color a by-product of the Symfony lens or could that be what my natural eye would be seeing even if I didn't have an implant? Also, if it is a by-product of the Symfony lens ... if I went for a lens exchange (to a standard lens), could I expect to see the richness and detail come back again (or is it lost forever)? Thank you.

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  • Posted

    I have read that multi-focal lens (as well as symphony) do not have the same clarity and contrast as a mono focal lens.  Other than that, I can't comment too much more on it because I have two mono focal lens about 0.5 diopter difference (for mini-mono vision) which I'm very happy with.

    • Posted

      When I first got my multifocal iol, I could detect a very slight difference in contrast sensitivity between my two eyes and I really had to come up with pretty specific test cases to see it (such as looking at a light switch across the room at night with only over city light coming into the room).

      Once I passed the "end of the eyedrops" point I can no longer find any situation where I notice a difference at the distance focus point. This goes for sharpness as well as contrast.

      Near and intermediate focus points are a different story though and that's where the design of the lens shows its limitations.

  • Posted

    Multifocal IOLs have reduced contrast than monofocals, Symfony IOL supposedly reduces contrast a bit too but not as much as a multifocal.

    But what you describe might be more a sharpness vs contrast issue.  Is your Symfony IOL ended up at near plano (0D) refraction for best distance vision for 20/20 or better compared to your other natural lens eye?

    I have a Tecnis monofocal toric IOL in my right eye and my aged natural lens in the left eye.  My left eye can correct with eyeglasses to better sharpness than my right IOL eye, however my right eye has some optic nerve damage from glaucoma that my left eye does not have so that difference may be due to that.

    I do notice richer colors (except for blue) with the natural lens eye, but that may be due to aging yellows the natural lens that can appear to enhance some colors but the IOL eye's colors may be more accurate. The IOL eye definitely has pure whites compared to the natural lens eye.

    • Posted

      Thanks Night-Hawk  ... In my case, both of my eyes have cataracts, with the eye that was operated on being the worse of the two. The difference in color possibly being due to the yellowing in my natural eye lens has crossed my mind too. But I don’t know. 

      Unfortunately, I don’t have any info regarding plano or technical numbers (... I don’t even know what “plano” is referring to“). I can tell you that I was told that I was seeing 20/20 in the Symfony eye, but am not sure if that was specific to any particular distance or just an overall assessment.  ?

    • Posted

      Since its been over 4 months since your cataract surgery, you could go to a lower cost optometrist for a simple refraction eye exam to find out exactly where your eye with the Symfony ended up, particularly if it has any significant residual astigmatism.  If that eye ended up a little farsighted, you could have ok distance vision but that could reduce or eliminate the near and intermediate vision with the Symfony.
    • Posted

      Thank you again Night-Hawk, but I'm not sure I understand what you're getting at. (Sorry ... I can be dense at times).

    • Posted

      Nevermind my last comment Night-Hawk ... I get it. Good idea. It certainly can't hurt. Plus it might be good to hear another opinion on all that is going on with me.

  • Posted

    I have 2 Symfony lens and I would not recommend having it done to anyone especially if they are so aware of the vision change like you are. A doctor put the wrong lens in my dominant eye and it left me nearsighted (before cataract surgery my distance 20/25 and I wore reading glasses) and the doctor lasered it to "correct" the lens.  Removing a lens after laser is risky so my second surgeon does not recommend it.  My second eye I had done at a large university eye center.  The doctor there tried to put in a lens that would work with my first eye but I still struggle with depth perception and need to wear corrective glasses for my nearsighted eye.  It's life changing...I am an avid tennis player who struggles with depth perception!!!  And I still need reading glasses because the second eye does not match the close up vision of the first eye.  My first surgery was a year ago and my second was in July 2017.  I read somewhere that people who tend to be perfectionists, like myself, should not get the Symfony lens because we have higher expectations.  I have a couple of friends who have 2 Symfony lens' and are perfectly happy but they are not like me.  When I read your story of comparing the 2 eyes at the movies I related to it.  I still compare my vision even though I know the 2 eyes are not seeing the same. I expected MULTIFOCAL to mean exactly what it says... 

    • Posted

      Hi Susie - trying to understand your story.  You mention having 2 Symfony lenses.  Have you been to an optometrist (if ot’s Been 5 or 6 weeks since your surgery)?   Would you have a prescription of where your eyes are now following cataract surgery?

      I have 2 Symfony eyes and can play tennis, golf, snorkel and it has been great since my surgeries.  Both eyes were targeted for plano (0D) and I see well from 11 inches and beyond.

      I do see concentric circles around certain light sources at night but I knew that would before my surgeries that those would be the trade-off to seeing well at all distances.

      Overall I am pleased with the outcome.

  • Posted

    There are good info on "cataract recovery". Can't post the link, but here are some relevant points.

    *  Many everyday activities can be resumed soon after cataract surgery, although patients may experience blurry vision for a time.

    *  Patients who receive intraocular lenses (IOLs) may notice some color distortion at first. This should resolve itself within a few months, as the eyes adjust to the new, clear lenses of the IOLs.

    There are also information on IOL Power formulae. The problem faced by ex-Lasik recipients known to eye surgeons, and since 2015 were made aware of special methods to be used.

    I know no words can comfort those suffering, just thought this info might help.

     

  • Posted

    My husband had 2 Symfony lenses implanted 4 months ago and says color is much more vibrant now. Because of the cataracts dulling his vision I imagine. 
    • Posted

      It is the same with my hubby. He now sees clearer with better colors.

      His aging natural lenses lost flexibility, as a result his close-up vision degenerated. The Symfony lenses that replaced his compromised natural lenses improve his vision significantly ~ to the extend of correcting his myopia and astigmatism.

  • Posted

    Hi rpk

    i was writing  a long reply but accidentally hit the wrong button and gone 

    So here is the short version

    - I am still in the same boat But now i have a light in the tunnel . Finally was able to step back a bit and stop thinking about the eyes

    Went to a good optometrist and got prescription now with the glasses can see again

    for me everything was blurry after 500 mm and especially after 1 meter

    And since then my optimism returned , to remind you 2 months ago the only problem i had was that i  needed 3 or 4 pairs of glasses for near , intermediate and far i had clear lenses to get back to glasses with HALO effects is just  a terrible joke 

    Went to my exam with the Doctor and he scheduled a LASIC enhancement for the first eye he said that 2 months is enough for settling the lenses inside sometimes can be 3 to 4

    The doctor confirmed He said Focusing Error , for him astigmatism is type of focusing error

    - NOTE: The doctor said that the HALO effects are much stronger when there is focusing error the worse the error the worse the HALO especially if the eyes are adapted for near vision 

    - Optometrist said Astigmatism which probably is type of focusing error

    - Also i have been long sited for years and now  a bit short sited which helps especially the brain has not adjusted  . But my main diopter was -0.25/0 ( the -0.25 is actually intentionally done)

    Symphony has always HALOs for some people is mild  and not bothering , ( 40 %) and can not remember the medium and the real bad  percentage but you can check FDA test results . Note  Only Adaptive or mono focal lenses has a percentage with no HALO and the bothering HALO and glare is a lot smaller , but they still have people with glare and HALO reported much smaller also have other issues, like glasses. Or for the Adaptive lenses my doctor said that are very unpredictable in the focusing error around 16% quite a big error

    On the direct question My doctor confirmed that he thinks the Symphony Extended Focus are one of the best results with out glasses with least amount of error in correction . And he thinks that the adaptive will not give better final result , but sometimes LASIK corrective is needed

    With the glasses i am getting  20/20 , with out i can not read a street sign from 5 meters ithink was something like 20/50  , worse than 20/40

    With the lenses my doctor gave me to try under ideal light condition the vision was better than 20/15 he said very close to 20/10

    My Advise is:

    - stop thinking and do the right steps

    - Go to optometrist and get prescription , make a glasses with anti reflective surface and check i think there was one more surface which helps with HALO

    - go to eye specialist to check general health of the eyes ( cornea, etc ...) i think you already did that

    - Decide on the surgeon once you decide stick with him, may be your current one is not as bad .

    - See if the HALO is manageable with the glasses note that it will diminish with the real LASIK and time

    - if you can manage , then LASIK enhancement or what ever the doctor recommends 

    - If you can not handle HALO change the lens

    - Do not do LASIK if you are going to change lenses , it makes it more difficult after that .

    Note that i have read that the astigmatism happens after RLE , because the way it is measured and the reason of the astigmatism 2 types of astigmatism which normally shows as almost no astigmatism but when the natural lens is removed and they put a new lens it shows up  . Some places has a proper diagnostics for this one not many . Also if the lens shifts or rotates a bit before is settled also will create astigmatism i think that was my right eye case as the first 2 days after the operation i was seeing better than after a week

     I still think that i could have found better place and doctor which will consult better with me in my choice  of lenses or will use the lenses of my choice, but maybe had to go to USA or Australia and also UK has  a very good eye clinic

    Note: that after 6months to a year we may get a bit fogy vision , but that is easily fixable i hope that medicare or insurance will cover this , but if it is small it will not be covered

    I will let you know how it goes after the correction , unless i cancel the LASIK I am still wondering should i opt for new lenses 

    All the best and stop thinking , that helped me a bit

    • Posted

      Hi vlad ... and thank you for the help. Believe it or not, but I attempted to do pretty much the same suggestions that you give. When I called my optometrist trying to get a prescription, he told me not to rush things (which really confuses me since I'm at about 8-1/2 months now). That was about as month ago. It kind of stalled me. So I guess I'm back to square one and will probably look for another optometrist ... I'm at a loss for words. Thanks again.

  • Posted

    To add to that ... my optometrist admits that he knows pretty much nothing about Symfony lenses. So if/when I do find another optometrist, I'd like him/her to have some knowledge about Symfony lenses. In this whole adventure, it seems the hard part is finding a good doctor or surgeon (if you don't have one already).

    • Posted

      Is it possible the optometrists don’t know much about the Symfony lenses because they do t see many patients with them?   My optometrist cautioned me against multifocals as she has patients with glare issues that she has to deal with (va opthamologist who implants them and don’t deal with after care).  But I was her first patient that had EDOF lens and she took extra time with me and at the end admitted my results were very good.  She was thinking they were multifocals.  Thinking the Symfony lenses are new since Dec 2016 in Canada (where I live) and perhaps people are happy with results and don’t go see their optometrist until they have an issue.  I was t going to go myself until Night Hawk suggested I do - if only to have a baseline to compare to.   So overall pleased I went.  
    • Posted

      I don't know the answer Sue.An, but sure it's possible.

    • Posted

      Just Go to any good optometrist and let him do his job

      and get a prescription , make a glasses does not have to be most expensive  and compare

      This does not cost too much

      I was very stressed after the first 2 weeks , but After i did that my stress dropped by a magnitude

      As i am one of the 6% with focusing error , but not sphere(diopter)  which is perfect -0.25/0 only astigmatism quite high which sometimes they even can not properly measure it in advance as i mentioned before

      I have the LASIK correction on Monday which is only 2 Months after the first eye surgery . But the doctor thinks that is settled enough . i have read that probably is better after 3 to 4 Months to be done after the operation

      In my case that correction is included in the cost so no extra cost

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