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Tecnis Synergy

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el2020
el2020

Hello all - if anyone has any experience using the Tecnis Synergy IOLs, please share your views. Thanks!

7 likes, 262 replies

262 Replies

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  • el2020
    el2020

    Posted

    Hi Nivo14,

    This is very helpful, as there is no real scientific research available yet on these lenses, compared to other options. It is good to hear your computer and near vision is satisfactory, and I hope your light streak and distance vision issues are resolved soon. Thank you so much!

  • Thelionartist
    Thelionartist el2020

    Posted

    any positive thing about tecnis synergy and cataract surgery ?

  • dnat1974
    dnat1974 el2020

    Edited

    I had the Tecnis Synergy IOL implanted in both of my eyes. The procedure was performed in both eyes five days ago.

    I am a 46 years old, high myope, that had a bad cataract in my right eye (I was legally blind) and a cataract forming on my left eye that was limiting my ability to work and causing a serious deterioration in my quality of life.

    As of today I am very pleased with the outcome of the surgery. The vision in my right eye is at about 20/40 and in my left eye about 20/30. I can read fine print clearly at a distance of 30 cm. The quality of vision in my right eye is slightly worse than the left at all distances. But the improvement from where it was makes me a very happy customer.

    For the first few days I did have difficulty with near vision. This seems to be continuing to improve daily. I find when I wake up it takes me a bit of time before I can read very fine print. I do not see any blind spots or blurriness in my vision. The only things that seem to get out of focus are things less than 30 cm from my eyes. I used to have to hold books and my phone about 15 cm from my left eye to clearly read. I still sometimes pull things in that close out of habit and then move them away to a more sensible distance.

    Vision post surgery is different than it was with the natural lens. Colours have a different vibrancy. Certain colours seem to be super saturated. White light and really bright lights in general are more intense. Red and blue are very intense. I am not sure if the bright light sensitivity is related to being still in the first week post surgery or the way the lens manages the filter and flow of light.

    I do see starbursts around lights; the whiter the light the more intense the starbursts. However, I knew to expect these and they do not bother me in a significant way. I had severe distortions around lights caused by my cataracts. I had seen this image of light artifacts with the Symphony lens. This is very similar to what I see.

    https://intraocularlensexperience.files.wordpress.com/2015/07/dt-symfony-left-eye.jpg.

    If the starbursts bother me as I start to drive at night I will be sure to update this post.

  • vladimir38880
    vladimir38880 el2020

    Posted

    I did my right eye 2 months and 2 weeks ago.

    My left eye 1 month and 2 week ago.

    Extremely unhappy.

    When i wake up, things are, well, so, so... Not so bad.

    As day progress, my vision getting more blurred, doubled.

    Near vision is mostly ok, i can work on my laptop, i can read small prints, outside of mobile or computer, small prints are not so readable on the paper.

    All the letters, no matter if its computer or paper, are kind of outlined.

    Subtitles while watching movie are very outlined, and sometimes doubled.

    People who are over 5 meters far, i cant really see clearly, their face is blurred.

    I cant read license plates numbers if car is over 6-7 meters, its blurred.

    That has been almost the same a few days after surgery, so i dont see any big improvement yet.

    Doctor said it needs time, that surgery went perfect, that lens is perfect centered position and that wound fully healed.

    I had a way better vision for distance before the surgery.

    Only improvement so far is that i can read on near distance, but only till afternoon, when that drops too.

    • Chris53317
      Chris53317 vladimir38880

      Posted

      @vladimir38880 Slightly similar initial experience for me, except that my vision did not degrade as day progressed.

      • 1 month after surgery I was assessed to have dry eyes. This causes blurry vision, and I started using Systane Complete eye drops 4-6 times per day.
      • 2 months after surgery it was determined that I had PCO, commonly called secondary cataracts. This was corrected with the YAG laser procedure. I think the PCO was mild as I did not detect any significant difference after the procedure.

        Facial recognition over 7 meters is not as good as I would like even though my vision is measured at 20/20.

        It really sounds as if you are experience eye fatigue and likely dry eyes. Try the eye drops and see your optician as soon as possible,

  • alex_solo
    alex_solo el2020

    Edited

    what I know - the best lens ever from the visual acuity point of view at any distance

    • soks
      soks alex_solo

      Edited

      visual acuity of 20/20 with no facial recognition beyond 7m is not a good thing. similarly good visual acuity at near without being able to see close up video in HD quality is not a good thing.

    • Nivo14
      Nivo14 soks

      Posted

      i have re visited this page after surgery in Dec 19. The one thing that strikes me re Technis Synergy lens is that distant vision is not great and nor is close up- i still need a magnifying mirror to see close up. I am due to have lasik in 1 eye to improve slight ghosting i am experiencing and give sharper distant vision but i am not holding my breath. I am openly told by the eye doctors that halos is normal and that not to expect sharp distance and near vision-but great vision to see me through day to day activities- i only wish this was all explained at the beginning as it may have helped me make an informed decision. I would recommend taking advice from 3-4 eye doctors, having the pre assessments even if you have to pay for them - its your eyes- and then doing your own research, even if it means calling/emailing the manufacturers to get the latest results of any studies done on the type of lenses you are researching. Even if you get to a decision, your eyes are unpredictable so you may not get the results you anticipated but at least you will have the satisfaction of knowing that you made an informed decision.

      i will update after lasik...

    • soks
      soks Nivo14

      Posted

      Nivo

      thanks for the candid review and good luck with the lasik. your feedback and other posts make me think that the edof component of synergy is causing these effects. have you tries mild astigmatism glasses to help sharpen the distance and the ghosting. -0.5 or -0.75 cylinder.

      would a trifocal be a better option than synergy even with worse defocus curves? ronaka had posted a graph with the defocus curves comparison which shows superior curve for synergy than other trifocals. but all defocus curves might be looking only at visual acuity than overall visual quality. what do you guys think?

    • michael54321
      michael54321 Nivo14

      Posted

      curious how is your vision now after lasik has your vision got better with time

      thanks

    • Nivo14
      Nivo14 michael54321

      Posted

      Hi Michael after the lasik in one eye, it seems to have made a difference in my vision. i can see well both near and intermediate, but my distance vision on a day to day basis still lacks sharpness. In my last vision test performed 2 months after the lasik showed I had 20/20 vision. I have to admit that the bright light in the room where my eyes were being tested did make a difference however, when going on walks with the family, their vision is better than mine with reading number plates or road signs in the distance. Overall, I am happy with the outcome as my vision in general is far better than it has ever been wearing glasses and contact lenses virtually all my life. i owe this to the highly experienced consultant who continues to do what is needed to tweak my vision to get the best outcome for my eyes.

      Night vision is still a challenge. I have not really driven as the halos/ sparklers have made visual judgement a bit difficult. i have been prescribed eye drops for this and have been advised that after 1-2 months of use should help with the night vision. I haven't started using them as having read up on all the side effects of these particular drops, I am planning to speak with the consultant again just to get some reassurance. Will share outcome in due course.

  • Curious3123
    Curious3123 el2020

    Edited

    Has anyone else had the Synergy implanted?

    Does anyone know where I can find clinical studies/outcomes related to this lens?

    Any info would be great.

    Thanks!

    • soks
      soks Curious3123

      Posted

      results on this thread are mostly negative. is that something to be worried about.

    • Curious3123
      Curious3123 soks

      Edited

      Yeah it is certainly a concern. However the PanOptix isn't working for me so I need to investigate other options. So confusing 😦

    • xen42188
      xen42188 Curious3123

      Posted

      There is a jj sponsored presentation on vimeo that i found interesting. It features jj director of research and highly respected prof khoramnia of Heidelberg uni who shares few of his results. You can probably find it on vimeo by searching for 'unplugged webinars' . They both seem very knowledgeable.

      The surgeon that I consulted with here in Toronto last week has implanted 11 patients with synergy and said they were happy. I need a toric so I really didn't quiz her on specifics.

      I saw another video of Paul Harasymowycz of Montreal who says he implanted synergy in one of his marquee patients eyes (ceo of a large corp) with good results.

      This is all second hand info ofcourse. No one has spoken about dyphotopsias and that, along with mesopic performance is what I'd like to know. The consensus is that dysphotopsias should be similar to other MFs/tris and mesopic performance should be slightly better.

      But then Nivo14 and others havent had good experience. I have read that synergy is more sensitive to power calculations and decentration and I wonder if that contributes to the negative experiences.

      I dont know how many surgeons take dry eyes and other conditions into account before suggesting MFs. At the end, one needs an experienced surgeon who is willing to invest time/effort pre-op as well to make it a successful outcome.

      My best to you and soks. BTW, why arent you happy with PanOptix?

    • rwbil
      rwbil soks

      Posted

      "results on this thread are mostly negative. is that something to be worried about."

      I don't think so as I noticed the same thing on another thread where a few different Doctors would reply before they changed the rules. I think it is natural for people who have an issue to search and look for ideas on their particular issue, whereas someone that had good results do not.

      This is why I think it is important to pick a doctor you trust and who has done many implants with that lens and get his assessment of what his patients response has been. I talked with doctors that had done all the various premium lens and they told me their patients experience with them. One doctor had even implanted different lens in his family members and gave me the whole history run down of the different lens he implanted and his experience with them including issue like low light. It really is about finding the right doctor, as I also went to some I disliked right off the bat.

    • rwbil
      rwbil xen42188

      Posted

      Searched for "unplugged webinars vimeo" and found 3 interesting videos including ones on Eyhance.

      Can you send me a PM with a link to the video you mentioned by Paul Harasymowycz or provide some search terms to find it. Thank in advance.

    • Curious3123
      Curious3123 soks

      Posted

      poor near and intermediate. vision is blurry and not in focus.

    • Curious3123
      Curious3123 xen42188

      Posted

      poor near and intermediate. also gaps in vision. halos present but they don't affect my driving.

    • Curious3123
      Curious3123 rwbil

      Posted

      Hi,

      I just wanted the vimeo video by Dr. Chang "Tecnis Synergy IOL: The newest member of the Tecnis family..." Do you know why at the end of the video he says he plans to implant one synergy and one symphony into his dad?

      I'm curious why he is mixing the lenses.

    • rwbil
      rwbil Curious3123

      Posted

      You could email him and see what he says and let the rest of us know. My guess is he will probably implant the Tecnis Synergy and then evaluate the results and and then make a decision. That is what I do if the Tecnis Synergy was available and I had not already had an IOL already implanted in one eye.

      It was not uncommon to use a Tecnis MF with a strong add in 1 eye to obtain close vision and then if the patient had to much dysphotopsias, implant a Tencis Symfony in the other eye, so that might be the general thinking.

      There has to a be price paid to obtain the defocus curve provided by the Synergy (with amazing close vision) and I am thinking that price is increased dysphotopsias. So if the NEW Tecnis Symfony plus has less dysphotopsias than the Synergy, it might be a great mix and match IOL set and I think he was a clinical trial doctor for all those lens so he should know.

    • Curious3123
      Curious3123 rwbil

      Posted

      That's great idea - I'll send him an email.

      I just rewatched a portion of the presentation and I think a possible reasoning for the mix is it appears symphony might give better intermediate vision.

    • michael54321
      michael54321 Curious3123

      Posted

      Hello just curious did you get a reply from dr chang, I am curious as I have just had a synergy lens in my right eye near distance is great but intermediate and far not so good had it done 2 weeks ago

      thanks

    • soks
      soks michael54321

      Posted

      what do you mean that distance and intermediate is not good?

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