Vivity Difficulty
Posted , 4 users are following.
I had a vivity lens planted I'm my non dominant eye about 4 months ago. I cannot see clearly at a distance. I can only read street and road signs when they are close. My eye doctor will not see me and his staff tells me I'm expecting too much from this lens and it cannot be corrected. I paid for both eyes but they informed me that they will not do my dominant eye and recommended another eye surgeon. This has caused me a great deal of distress. I have an appointment with another eye surgeon but have to wait 4 months road see him. I had new glasses made but each eye sees images that do not align with each other. The image sizes are also different. I fear having the same dismal result in my dominant eye.
0 likes, 9 replies
neverquit fred23984
Edited
A Vivity is a EDOF lens and can´t give you the full range from far to near, but has the advantage of less dysphotopsia compared to a multifocal lens. It´s ment to be a balanced compromise between both optical systems.
I got bilateral Vivity in a mini-mono setup. As usual, my nondominant eye was chosen as the "near eye" (target -0.5D), which now works great down to ~30 cm close up vision, at the cost of "a little" weakness for far distance in that eye.
So i guess they planed for a similar setup for you, and made your "near eye" first, and once your second eye is done, they should work together seamlessly.
The only thing, that is a little concerning, is that you seem to see not too good at far distance in your near eye now, whereas i can see with mine nearly perfect at distance as well. But hitting surgery targets is often still a bit of a lottery and sometimes not met exactly. On the other hand, you should therefore have amazing near vision with your operated eye now, as it seems to have landed in the range of probably -1.0D.
In any case, it is what it is, for now. You should read and inform yourself as much as possible, on which lens to finally choose for the other, the dominant eye: Another Vivity set for distance, or a Monofocal lens to get full power without any dysphotopsia in the distance eye, so they hopefully work harmoniously together in the end.
Don´t get too distressed now, as your situation at the moment looks not so bad. Just choose the second lens wisely, and you still could become a happy mini-monovision patient in the end.
Guest fred23984
Edited
Do you know what the target was for the non-dominant eye and where it ended up? When you say "at any distance" do you literally mean any distance? Like you cannot see well up close either (3 feet or less)?
neverquit Guest
Posted
He wrote: "I cannot see clearly at a distance".
Not "at any distance".
fred23984 Guest
Posted
because i am into the shotgun sports such as skeet, trap, sporting clays, etc. I want and need good distance vision. I expected to get same from the vivity lens and expected to use reading glasses. I can read acceptably although not as clearly as with my dominant eyeglass aided eye. I can get along with the vivity eye but not well enough to see 20/20. They tell me I test at 20/25 but for me it is just too fuzzy. I don't believe what I am being told. I think they just want me gone. I spoke with my insurance provider this morning and they contacted the Dr's office requesting a partial refund and they filed a grievance as well. My right eye is dominant and I am right handed shooter so putting anything other than a distance lens in it would not work for me. I believe the lens in my left eye is not quite what it should be but I am being told that there is no way to make an improvement.
Guest neverquit
Posted
Ah. Right. Sorry. I was replying late at night and I guess I didn't read carefully enough. Thanks. Still would be interesting to know the target. Vivity shouldn't be that bad at distance if the near eye was only offset slightly.
RonAKA fred23984
Edited
What is your current eyeglass prescription? Are you seeing well in the distance with the eyeglasses with this Vivity eye? It is best to find out where you stand for refraction before proceeding with the second eye. Without eyeglasses are you seeing well closer up. Can you read with it?
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If the Vivity eye is suitable for closer vision then I would suggest you consider getting a monofocal lens in the other eye for distance. The normal target would be -0.25 D. I think the best way to use a Vivity lens is to only use it in the near eye, and then use a monofocal in the distance eye.
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If it turns out that your Vivity eye has ended up at -1.0 D you should have very good near vision, but distance will suffer. That is probably the ideal target for a Vivity in the near eye. If so, then all you need is a monofocal at -0.25 D in the distance dominant eye.
fred23984
Posted
My eyeglass OS is -0.50 -1.00 × 100. It improved that eye to 20/20. I have progressive lenses so I can see relatively well with that eye for reading and computer etc. The idea of spending $8800 was to eliminate glasses except for reading. I was told to expect a life changing experience and it has been but not in a positive way. I could see more clearly from that eye before the cataract surgery. My fear is that the right eye could wind up the same way and that would be devastating.
RonAKA fred23984
Edited
I assume your non dominant eye with the Vivity is your left (OS) eye? If so that is not an ideal outcome, but is not a disaster either. It looks like you would have benefited from a toric lens to reduce the cylinder, but it is a bit late now. In any case, the spherical equivalent which is your sphere D plus 50% of the Cylinder comes to -1.00 D. That is not too bad with a Vivity lens. You did not mention what your closer reading vision is like without eyeglasses. But, it should be pretty good, although not quite as crisp with that higher amount of astigmatism.
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If you can live with the reading vision from your Vivity eye (without eyeglasses), I would suggest a monofocal like the Clareon for your right eye set for distance (-0.25 D target). The weakness of the Vivity is that it reduces contrast sensitivity in dimmer light, and can have larger halos around headlights at night compared to a monofocal. Having a monofocal in the distance eye can help mitigate those effects in the Vivity eye. Also it is standard practice if the objective is to be eyeglasses free to use a toric version of the lens if cylinder (astigmatism) is expected to be 0.75 D or greater. So you might want to consider that for your right eye.
RonAKA fred23984
Posted
The issue you report about seeing a difference in image size between the eyes may be the result of the pre surgery refractive error in your eyes. If you had a high myopic or hyperopic condition then the correction applied with an IOL will not be the same as a correction applied by a lens in front of the eye. This is a fairly common issue when having one eye surgery, but not the other. One temporary way of dealing with it is to provide the correction in the unoperated eye with a contact lens instead of an eyeglass lens. The image size differential should be minimized because the contact lens is closer to the actual lens in the eye.