UK 60 Year Old, Considering Lens Exchange - Zeiss AT Lisa vs Zeiss AT Lara?? Input much appreciated!

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I'm UK based, 60 years old and am getting particularly fed up with constantly swapping glasses (distance / reading) - I have tried varifocals, but can't seem to get on with them.

Last week I met with Optegra, an organisation that does laser and lens surgey - they have said I am an ideal candidate for lens exchange, and the surgeon specifically mentioned Zeiss Lisa tri focals as his favoured product.

However, I really like the sound of the Lara's, particularly if they give me less issues at night. I'm also a keen golfer, and I think the progressive nature of the Lara technology would be better for golf.

Any comments or input much appreciated!!

Thanks 😃

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7 Replies

  • Posted

    From your email, I'm assuming that you do not have cataracts and are considering this surgery to eliminate the need for glasses? You'll find a few people on this forum that will agree with you, but the majority of us will say not to do the surgery in this case as there are always risks and your vision can't be replaced.

    Can you wear contact lenses? If you can or if you aren't sure I would advise you to try multifocal contact lenses as an option before IOL surgery. You have to be prepared to try several different lenses but if one works for you it can work beautifully. I have a multifocal IOL (due to cataract) in one eye and now wear a daily, disposal multifocal contact in the other eye. The contact gives me excellent vision from infinity to about 16". I used to wear reading glasses of different strengths for almost everything. Without the contact, my focus point in that eye is around 5", so I am quite nearsighted.

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    • Posted


      Many thanks for the reply and comments. I do not have cataracts, and yes - I am trying to eliminate the need for glasses. I must confess that I hadn't really thought much about contact lenses, and I certainly hadn't considered multifocal contact lenses. Are they easier to adjust to than multifocal (varifocal) glasses? As I said, I have tried those and even after a week or more they were very disorienting for me.

      I know I am chasing utopia somewhat, but I am simply trying to regain good (or excellent...) all round vision (reading / intermediate computer work and distance) without the reliance on glasses.

      Thanks again, Andy

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    • Posted


      If you find a mulitfocal contact that works for you (and you tolerate contacts well), it will be a completely different experience for you than varifocal glasses. They do make bifocal contacts too and these will function similarly to glasses in that you'll have zones for distance and close viewing.

      Multfocal contacts are quite different (and more similar to mutlifocal IOL's) in that you won't notice the different zones. To me, my vision in my eye with the contact "feels" no different from my eyesight before I developed presbyopia, except that the close vision range ends around 16" or so and I need reading glasses if i need to do really close work (or remove the contact). I find though, that very little of my time is actually spent viewing in this close range. I can use my phone, laptop, computer, TV, drive, and do pretty much everything else without reading glasses now.

      If you go this route, you will need a patient optometrist. Regular contacts are pretty easy to "fit" but multifocals are different. In my case they either worked pretty much perfectly or not at all. I tried about 6 sample lenses (usually free for the optometrist) until we got one that worked but it works really well.

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    • Posted


      Your comprehensive input is very welcome, thank you. I have an appointment on Wednesday with my Optometrist to review the options and hopefully embark on some trial lenses, so fingers crossed!!

      Cheers, Andy

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  • Posted

    I would proceed very cautiously, especially since you do not have cataracts (and these will come if you live long enough). If you can wear contact lenses or progressive glasses, I'd opt for that instead. Aging brings on many changes with our eyesight and none of it is avoidable. Don't be shy about seeking another opinion. When I had cataract surgery on my left eye (developed after a vitrectomy), I saw three ophthalmologists and each one had differing recommendations for lens replacements. You have time on your side and with time comes improved technology and patient reviews. Do keep us posted on what you decide to do!

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    • Posted

      I have wondered whether there will be a separate forum for those seeking to correct presbyopia through clear lens exchange. It is good they come here at least they will get a perspective they wouldn't get otherwise.

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