Tecnis Synergy

Posted , 73 users are following.

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

7 likes, 262 replies

262 Replies

Prev Next
  • Edited

    6 days post surgery with Synergy. I'm a 61 year old male. I did not have cataracts. I was tired of wearing glasses for reading (+3.00) and couldn't read any labels. However, my distance vision was decent. I could drive without glasses, but would usually wear a pair with a light prescription so I could read street signs better. I'm now a little worried. There was a big improvement after the first day, and now no improvement in the last 5 days. I can read extremely well, but anything more than 6 feet away is blurry. I have seen no improvement in my distance vision in the last 5 days. I'm hoping I haven't swapped reading glasses for distance glasses. I know it's still early in the healing process, but I am a bit discouraged that I'm not even seeing gradual improvement. I'd love to hear other people's experience in terms of whether you have plateaus with no improvements, and then it starts to get better. At this point, I'm wondering if I made a mistake with the surgery. I had it done at a Toronto clinic with a stellar reputation.

    • Edited

      This is why most of those on the cataract forum would never recommend this surgery to anyone looking yo rid themselves of glasses. One's natural eyes are better even if you have to wear glasses to read.

      That being said 5 days out you are still healing and using drops. It takes 6 weeks for the eye to completely heal. That IOL also shifts back and forth before it becomes fixed (adheres) so vision can change .25 diopter either way +|-Hopefully at 2 weeks you have a follow up with the surgeon to check to see if everything is healing well. Did you have prior lasik surgery? You mention distance vision was good prior yo surgery so just wondering. If you had lasik surgery it does make measuring for IOL power trickier.

      Hope all does work out for you.

    • Posted

      yes mistake. i would give anything for distance vision with natural lens and age induced reading glasses. i m 45. sorry u r going through this.

  • Edited

    I'm in the U.S., 59 years old, and just had the Synergy lens put in my right eye two days ago. I am very nearsighted. It took a full day for my pupil to start constricting again so that was startling. The change in my distance vision was almost immediate, but the near is poor. Completely blurred. I'm closing my right eye and using my left with glasses to see computer clearly and read--both of which are an integral part of my job. I don't get second lens until end of August, but have so many questions.

    The prolonged use of Pred Forte is odd to me as I have a lot of experience with it (iritis) and it clouds your vision so I'm hoping that's part of the case here. Other than that, maybe I'm expecting too much too fast. Everyone raved about multifocal lenses, but I'm wondering (given the nature of the majority of my day) if I would have been better off going with mono.

    • Edited

      Three weeks should be a pretty good indication of what vision you are going to have, but 6 weeks is better if you want to know what your stable vision is going to be.

    • Posted

      Thank you! Good to know. I feel as if I'm stuck in a weird space for now because I'm wearing my glasses to work on the computer and closing my right eye.

    • Edited

      What is your vision like in your left eye without glasses? I currently have an IOL in my right eye and use a contact in my left eye. The contact under corrects my left eye by about -1.25 D which leaves me somewhat near sighted in that eye. I can read computer text quite easily with it. Places like Costco will give you a few contacts to use as a trial for free. It may be an interim solution to the vision issues. The other way is to have the right eye lens removed from your glasses. I did that for a while too, but I like the contact solution better.

    • Edited

      I was 53 when diagnosed with cataracts and had a 6 week wait between surgeries. it does take a while before your vision clarifies for some. Those drops do affect clarity. Once those are over and done with you'll have a much better idea of how your vision will be

    • Posted

      Very nearsighted. There are so many numbers on my last prescription form but for my left eye it reads: -5.00 -1.00 x 105 if that helps answer your question. I appreciate your patience! I have a pair of glasses I don't wear much so am going to pop the right lens out and see how that goes.

      I thought I was a good advocate for myself, but it simply never occurred to me to ask how long before my vision would settle or what's considered normal post surgery. Given how much premium lenses cost out of pocket it would have been nice if the doctors managed patient expectations.

    • Posted

      Thank you! I wish any of the doctors involved would have been more clear about immediate outcomes, but there was no discussion at all and I didn't think to ask. My bad.

    • Edited

      Reason likely because it varies from person to person and where I live where surgeries are covered by medicare there is such a backlog of patients and wait times are long - not much time spent discussing all possible outcomes. If you can best go with a list of questions.

    • Edited

      If you are game to try a contact lens for the interim period I would suggest a non toric or toric solution. Your correction for a non toric contact is estimated by adding 50% of the astigmatism to the spherical. That would mean -5.5 D. If you want to under correct to allow some reading then reduce that to -4.25. The other option is to fully correct for the astigmatism and reduce the spherical by 1.25 D. That would mean a -3.75, 1.00 x105 toric contact. I have -0.75 astigmatism and use a non toric contact. I tried a toric and while the vision is very slightly better they are much more expensive, and I found them less comfortable in my eye.

      .

      What you may find with the eyeglass for one eye solution is that the image sizes from each eye do not match. When I use my progressives which are now corrected for both eyes I get a bit of a dizzy feeling compared to using a contact. It does go away after a while, but I much prefer the contact solution unless I need really good vision.

    • Edited

      I'm sure you're right. I just didn't even know what questions to ask. I opted to pay $$$ and go for a premium lens and somehow expected a better (or more rapid) outcome. I have a follow-up on the 4th and have already started my list of questions! Thank you.

    • Edited

      Thank you so much for all your help! My husband took the right lens out of a pair of my glasses, but the result was as you describe. Very bizarre- almost double vision at first, then just an uncomfortable discrepancy between the two eyes. I'm doing a balancing act of using one eye or the other or both depending on the activity.

      I can report that distance is great, almost startling (I've been wearing glasses since i was 8) and mid-vision is getting better (I used an ATM and could read the screen the clearly). I've adjusted the font size on my computer for Word docs to 180% and can read them using both eyes. It's a process and I just wish I was getting the other eye done sooner as I'm finding the current situation fatiguing. I may go for a contact based on how things are next week. Thanks again!

  • Edited

    Hi,

    i had this lens put in my right eye 7/14 10 days ago. I can see close but not mid or far. the other thing is that I have my natural lens in my left eye that is farsighted and that I see is sharper than this synergy lens. please note that I am a professional Portrait Painter so Details like putting highlights in the eye and using small brushes are of great importance to me and it is very difficult with this new lens to do that as the eye that has a little bit of a cataract with a reading glass is it better than this new lens. I know it’s only 10 days but when my doctor asked me to close my eye and he was sitting about 15 to 20 inches away from me he was soft focus and everything in his office with soft focus. The halos at night are much worse than when I had the cataract. when I close the eye that’s the natural eye and look through this new lens my painting is soft focus and this is very disturbing to me because the doctors answer was within the next four weeks if you’re sight is the same we have to take that lens out and put in a mono focal lens!! This is not a good response for me as I became alarmed thinking that why I wasn’t going to get better and if you use your eyes extensively like I do to paint professionally if the galleries and conditions you can imagine how upset I am.. What I do notice is through the center of the lens there’s a little bit of a cloudy hazy luck and that is getting in the way of shot vision. Now I know it’s only 10 days and it got slightly better but I’m hoping within three weeks of this settles and I can see mid and far! The nearest good but it’s not crystal clear or sharp it has a little bit of a haze to it and the only time that it looks sharper is if it’s black tape on a white background now I know with these lenses the contrast is less than what I’m on a focal lens any thoughts on this Would greatly be appreciated!

    • Edited

      I don't know if this will help, but if you are using Pred Forte drops post surgery those cause a haze over your vision. I've had to use them on and off for 30 years due to iritis and using them now for my new lens reminded me of how much they mess with clarity.

    • Posted

      i am in my 3rd week of prednilosone. is that what you are saying causes the haze? I don’t see sharp either near, mitt, or far and it’s 2 1/2 weeks. Any idea why that is happening? I do use my eyes for painting and drawing almost every day and I’m having a really hard time looking through reading glasses on the eye that wasn’t implanted and trying to look through a glass list frame with a new lines and planted. I do very precise work so it’s been a nightmare! Any advice would be greatly appreciate it

    • Posted

      I don't know for certain because I'm just a patient like you. I wish I could help more, but I'm in a similar situation. Two weeks in to first Synergy implant and while my distance vision is great, my mid to near vision is almost non-existent. Mostly just a blur. I have an eye appointment on Wed and have MANY questions for the doctor as I was led to believe this was the best lens for near vision. I'm very frustrated.

    • Posted

      It's debatable. Plenty of medical literature, patient testimonials, and people on this forum who says Synergy is supposed to provide better near vision than PanOptix. My doctor chose it specifically for that reason.

      Which is not to say I'm agreeing. I have no idea at this point. Two weeks in and I just want to get my second eye over and done with, because the adaptivity between the two eyes is not working and I'm tired.

    • Edited

      just saying what i am observing on the forums. pan optix seems to be better for night issues as well. hope it works out for you.

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.