Symfony Toric questions
Posted , 5 users are following.
Hello everyone, I had my cataract surgery this past Thursday 10/24 with no complications. My doctor said everything went very well. I have no pain or anything. I'm on Ketorolac, Prednisolone, and Moxifloxacin drops 4 times a day currently.
I decided on the Symfony because I wanted clear intermediate vision since I'm a software engineer. I was given the option of monofocal initially, but my doctor said he could also do Panoptix or Symfony. I did a LOT of research here and on the web and decided to go with the Symfony. I have an astigmatism so I was given the toric ZXT225.
Anyway, the day off everything was clear as far as colors and brightness, yet nothing was in focus. The next day it got a little better, however things weren't still "sharp" in the intermediate to far distance that the IOL is supposed to be good at.
Today is 2 days post surgery and nothing is sharp...feels like no improvement since yesterday. I know it takes different amount of time for different people to get acclimated to their new lens so maybe I'm just being anxious for no reason, but can anyone with the Symfony toric tell me if they saw improvements early or later (weeks or months)?
I know full well that night vision would be an issue and I already see starbursts with white lights, especially LEDs. I also see spider webs with red and yellow LEDs, but honestly the night vision issues don't bother me. Even oncoming vehicles while walking my dog don't bother me.
The thing that does bother me is that nothing I look at with my left eye is sharp. My non-op eye is sharp as I could expect at 42 years old...
0 likes, 40 replies
soks naheyes
Posted
my surgery was on 10/24 two years ago when i was 42 at the time with Symfony.
naheyes soks
Posted
I actually made a typo on the date, it was Thursday 10/22. I started this thread 2 days later on 10/24.
soks naheyes
Posted
ok good. coz i am not happy with the outcome.
naheyes soks
Posted
Sorry to hear that, I'm hoping I'm not disappointed also...so is it just night vision you don't like? How about everything else?
naheyes
Posted
10/28/2020 Wednesday 6 days post op: No improvement in my vision. Things are still blurry at all distances, not extremely blurry as with my cataract, but if I look at text or anything with fine lines, there is ghosting. 1 week post op check up is tomorrow. I'm hoping that my IOL isn't shifted or rotated since I got the toric. Will post another update after the appointment.
naheyes
Posted
10/29/20: 1 week post op, told my doctor about my concerns... He checked and found that my lens has rotated about 40 degrees, basically negating the astigmatism correction. Will be having another surgery in a few weeks to correct it.
RonAKA naheyes
Posted
A quote I found:
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"A frequently cited study describes how just 1 degree of misalignment results in 3.5% of residual cylinder; 3 degrees of misalignment in 10.5% of residual cylinder; and 30 degrees of misalignment in a total loss of the toric’s astigmatic correcting effect."
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40 degrees is a brutal error. Given that you have this amount of error, and the surgeon did not do an eye exam at the 24 hour mark, I would be looking for a different surgeon if you plan to do the second eye. Although it could not account for an error this large, AcrySof lenses tend to be more "sticky" than Tecnis lenses due to the material they are made of and they rotate less after implant. But, with an error this large it has to be more than just the lens material.
soks naheyes
Posted
it should be a relief that you know the cause and can fix it.
naheyes RonAKA
Posted
I trust my eye doctor. He said I'd be his first rotation case in 2 years. I don't think he'd lie about that kind of thing. He was very concerned that I was concerned when I walked in and reassured me that he wouldn't leave me dissatisfied. While I'm not happy about having to do another procedure, I'm happy that he identified the issue and he's fully confident on getting the rotation right.
naheyes soks
Posted
Absolutely. I'm glad my doctor actually listened and was really reassuring that he wouldn't leave me with this vision.
naheyes
Posted
11/20: Had my IOL rotation procedure yesterday @ 11am. I think this time the anesthesia wore off a bit too soon as I felt pain near the end. I also moved my eyes around due to pain reaction so the doctor had to keep telling me to look straight. Unlike the initial procedure, I was more aware of time as well. My doctor had me not take off my eye dressing as it was to be done at my follow up the next day.
11/21: Had my 1 day follow up today @ 9am. Vision is 20/25 currently.
My doctor checked the orientation and it's at 101 degrees, which is what he positioned it at so it hasn't moved.
Vision is a bit blurry. I had my eyes dilated for the check up, so that's definitely contributing to the blurriness.
He had me keep on my patch the whole day yesterday, so I was anxious the whole time. I was really afraid of the lens rotating again, but gladly it didn't.
I have another follow up on 11/25. Hopefully the lens doesn't move again!
soks naheyes
Posted
thanks for the update the blurriness might be because of cornea swelling should subside.
naheyes
Posted
11/22: Woke up in the morning and everything was blurrier than the day before...I'm really worried that the lens rotated again
naheyes soks
Posted
I'm seeing more blurriness today than yesterday...really worried that it rotated overnight.
naheyes soks
Posted
I think (and hope!) that you're right about the edema. I'm noticing things improving a bit. I also notice that even when I do a pinhole test, it doesn't get sharp whereas before the rotation it did.
soks naheyes
Posted
how severe is the blurriness? if it is severe then it is swelling or reaction to drops. if its blurry like need to wear glasses then rotation is possible.
soks naheyes
Posted
then it is probably swelling. after my surgery at 9 AM the vision became very blurry till about 6PM. then it cleared up at about 8PM that day. Next day a lady who had surgery with me still had blurry vision and she said that when she did her first eye there had been no blurriness.
naheyes soks
Posted
It's cleared up quite a bit, so I'm thinking it's due to swelling in the morning, very relieved. My distance vision is quite good, as good as my right eye if not better. Intermediate, ie computer monitor distance, isn't as good as my right eye, but I'm able to read text. Hopefully this gets better as well. I'd describe what I was scared about this morning as hazy rather than an astigmatism. I didn't see 3 outlines of objects, rather things being hazy/foggy.
soks naheyes
Posted
when you correct for astigmatism, your near vision becomes a bit blurry.
RonAKA soks
Posted
I am not so sure about that. A few years ago with my presbyopia well developed and I was using progressive lens eyeglasses for a number of years I started to notice that I could actually see better close up using the bottom part of the progressive lens. For virtually my whole life with myopia, I could see the best close up with no glasses. I asked my optometrist about it. He said that the reason I could see better close up with my glasses was that I had astigmatism and it was being corrected with the eyeglass prescription, including the near vision area with the +2.5 add.
soks RonAKA
Posted
with progressive glasses they probably take into account the astigmatism for the near part of the kens and might do that for iol too. i dont really know. when i wear astigmatism glasses of -0.5 on my symfony eye the near gets worse and optometrist confirmed it was because i was correcting the astigmatism.
naheyes soks
Edited
I knew my near vision wouldn't be great with the Symfony, I just wanted intermediate and beyond to be good since I stare at a screen all day for work. Hopefully the astigmatism correction that's happening isn't making my intermediate range blurry...if that's the case, what was the point of getting an EDOF IOL? I'm sure my doctor would've told me that when I asked him if he thought I should go for the Panoptix or Symfony.
soks naheyes
Posted
what was his rationale for not recommending pan optix?
naheyes soks
Posted
I did a lot of research when he said those were the two multifocal options. I said given that I work in front of a computer all day, intermediate and beyond are most important to me. I also told him that my one and only concern with Panoptix was the possibility of glistening. That seemed to be what drove him to recommend the Symfony over the Panoptix. He didn't try to say that it isn't an issue, but rather agreed that it could be a potential issue later on. I didn't want to take a risk of that. If he would have told me that it isnt a concern, I'd have a Panoptix in my left eye right now.