Update Trifocal and edof mix

Posted , 14 users are following.

I had eyes checked last week, 9 weeks after Lara edof implant, 4 weeks after Lisa trifocal implant.

Both lenses are toric 3.0

I have no pco, although I learned something new. Pco is not an on/off thing, it is normal to have slightly capsular opacification after implant, in both eyes I had what everyone has she said. She pointed to the matte desk pad under her keyboard and said, that is how it looks to me, if it needs fixing.

Anyway, with no pco I guess my result is a relative good comparison of the two lenses, even that results will always vary from person to person, but off course I can only judge from my own result.

Some keywords:

Edof have more visual side effects than trifocal

Edof have worse near vision than trifocal

Edof and trifocal have same intermediate vision capability

Edof is slightly "thicker" at intermediate but trifocal is slightly more sharp

Edof and trifocal have same far vision

Nightvision is similar, but much bigger starburst and much bigger concentric rings from edof.

Night vision is generally good

Contrast looks very similar, trifocal have marginally more color and trifocal white is marginally more white

Before surgery my "edof eye" was dominant eye, but now the trifocal eye have become dominant.

I notice no soft spots with the trifocal, i feel continuous vision from far to 14", with two trifocals I guess it would work well even closer than that.

So, is edof a bad iol? No, I think it works very well, but when I compare the two, the trifocal is just a bit better, because it offers better near vision, and have less visual side effects.

6 likes, 99 replies

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  • Posted

    ...but are you tempted to exchange the Lara for a Lisa???? 😃

    • Posted

      Tempted, well yes - I would say, if there were no risk at all, I would replace the Lara with a Lisa immediately, even if it should cost me 3700$ like I payed for each lens.

      But with the risk involved, I have no doubts, I will leave the Lara where it is, it is not worth the risk.

    • Posted

      I see that there is a limit to your risk taking 😃

      Yes money is no limit when it comes to eyes. People waste $$$ on latest gadgets and all kinds of trash but become miserly when it comes to their own eyes!

  • Posted

    Thank you very much for this post. Please do an update as time goes by.

    I am definitely considering mixing IOL's when it's time for my second eye and there aren't many first hand experiences from patients who have done two multi-focal/EDOF lenses (mostly it's mixing with a monofocal).

    I was curious to get your opinion on how colors looked between the two eyes. It seems like you might have covered that with your comments on how "white" looks. I'm assuming that most other colors look the same between your two eyes?

    • Posted

      Colors are slightly more colorful with the trifocal, but difference is very small.

    • Posted

      I can't provide feedback on multifocal IOLs but I presently have one Alcon monofocal (yellow tint) and one B&L Sofport A0 monofocal (clear). I can tell a very slight difference but it is so small. It does appear that white is whiter with the B&L, but some of it could be psychological.

    • Posted

      I have an ALCON blue-light filtering IOL and I definitely notice a difference. My other lens is a Symfony EDOF and will be switched out soon because I see huge starbursts: it has the white vision. That white vision is the only thing I like about the Symfony. I think it makes colors more vivid. The surgeon only told me I was receiving an ALCON monofocal lens set for distance. Shouldn't I been told the lens was UV and blue-light blocking? Blue-light blocking lenses do not provide the best "photoreception". I didn't even think I had to ask WHICH monofocal ALCON lens I was getting. How does a patient know to ask such questions? Had I been asked and had the time to do research, I would not have chosen a blue light filtering lens .Blue-light blocking lenses do not provide the best "photoreception". There have been studies on this difference: my first response to this post included a link to it but must have been deleted by the moderator because of it.

    • Posted

      Thanks for your replay (and Danish_Viking), too. I can't tell any difference in colors between my RESTOR 2.5D IOL and the other eye which has no IOL. I am pretty sensitve and work a lot with colors so I'm pretty sure I would notice a difference and I've been doing eye vs eye tests for 18 months now.

    • Posted

      With time and younger and younger patients with cataracts I hope docs will spend more time discussing the options and pros and cons. Unbelievable if you didn't ask a question doc makes their own choice. They have the knowledge but it is nice to research things and have some opinion of your own.

      I am still baffled why Symfony lenses for some have day time disturbances. Does your surgeon provide any explanation for that?

    • Posted

      i agree sue. however trained the doctor is, in today's digital world -- buyer beware.

    • Posted

      I have read statements from surgeons, that claim the visual side effects are severe with edof, if the iol don´t hit target very well.

      I think this statement could be true, my Lara have hit 0.5 over the target, and it makes more visual side effects than the trifocal that have hit 0.25 short of target.

      So maybe the problem is worse when they hit over the target instead of under...

    • Posted

      On most things. I am moving houses and have to leave my appliances in house I sold. I am quite surprised that the appliances today aren't likely to run more than 5 to 10 years! My old ones are 25 and work fine. Think it's all the computers in them. Hard to believe technology helps much if all I can expect is 5 to 10 years. Makes me wonder about IOLs!!!

    • Posted

      You could be right. Seehearnow's Symfony was specifically targeted in non dominant eye and I think targeted for less than plano. He has far less halos with that set up. EDOF lenses do give larger rings the further you ate from light source so likely worse if far sighted. Given my results I think targets pretty much achieved - more so in RE

    • Posted

      I appreciate this is an old post, and perhaps has been discussed further later in this thread. But, it caught my eye as I am researching these issues ahead of my scheduled cataract surgery. In any case, I think Alcon's answer to your concern would be that not filtering some of the blue light would make the colours unnatural, compared to what we would see with a natural crystalline lens. See the graph below. The dark blue line is a lens without blue light filtering, while the other shaded bars are the crystalline lens and the AcrySof blue light filtered lens.

      image

  • Posted

    Thank you for your updates and all of the information you have shared with us. I have learned a lot from you. I'm glad you have had such a successful outcome.

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