Vivity lens implant results
Posted , 7 users are following.
i had lens implant/multifocal 4/20/2021 I have blurry vision for distance, mid range and cannot read at all near vision without readersVery disappointed Went for follow up 5/3/2021. Surgeon stated since im not happy with nondominant eye vision, he canceled my surgeryfor dominant eye Spent nearly $3K to not wear glasses. Dim light vision is worse. I hadlasik surgery 20 years ago. severe astigmatism both eyes. anyone else with these issues, if so did your vision ever improve? i also amexperiencing at times light flickering in peripheal visionIn bright light my distance vision seems improved but most of times blurry. i have appointment for eye dilation on 6/7/2021. Surgeon stated there is nothing wrong but no plan for dominant eye cataract surgery. HE canceled multifocal lens implant surgery at follow up on 5/3/2021. Any suggestions?
0 likes, 8 replies
rwbil charlotte47654
Posted
First, don't even consider 2nd surgery until this is resolved.
You mentioned severe astigmatism , did you get a Toric IOL, as I know placement is more critical with a toric lens. Also is there no other corrections like glasses that help?
I would wait to see what the doctors sees when you do your full dilation on 6/7/2021. That also will give your eye time to heal.
If the doctors says the lens and everything looks perfect, then I would suggest getting a 2nd opinion from a top Opthamalogist and if he also says everything looks perfect and you are still having these issues, I would seriously thinking about a lens exchange to a monofocal. If you are having issues with Vivity I would not consider any other lens than a traditional monofocal and maybe the LAL; monofocal setting. And then you can do some micro monovision to gain some close vision.
Ron is the expert on monovision if you decide to go that route.
charlotte47654 rwbil
Posted
YES I received the toric lens. I wore toric contact lens prior to lasik surgery. As I aged I gradually wore glasses more & more then I developed the bilateral cataracts. Thought I would wearglasses for clear vision the rest of my life which I was ok with. Then went to surgeon who talked up this multifocal with toriccorrection & near vision correction? Yes I went to see my doc who referred me to thissurgeon, he examined myeyes withcorrection & I could see clearly. However I paid out of pocket nearly $3K to wear glasses! I am doing exactly what you suggested. In hind sight I should have done my own research prior to surgery. I guess if its too good to be true, it probably isn't true.
Thank you for your response!
rwbil charlotte47654
Posted
"Then went to surgeon who talked up this multifocal with toriccorrection & near vision correction?"
Vivity is not a MF. It is a refractive lens that just give a little bit of EDOF; around .5D, which means you might gain 1 line on an eye chart. It is supposed to provide the same overall benefits of a monofocal, but gain a little bit of intermediate.
The more I read about this lens, it seems it gains that .5D by sacrificing Contrast Sensitivity.
My question is you said you vision is clear with glasses. So what are the glasses compensating for; astigmatism, refractive error or what exactly. I would want to get an answer to that question first from the doctor.
Need to understand what the glasses are correcting in order to know if a monofocal would have made a difference.
You said you can see clearly with glasses. How exactly is your distance, intermediate and close VA with eyeglasses.
charlotte47654 rwbil
Posted
My vision was clear only with correction from eye doctor exam, his lenses. I assumed it was for astigmatism. My vision is blurry with my current prescription eyeglasses even my near vision. I purchased readers from drugstore & I can read with them.
rwbil charlotte47654
Posted
Search for the Brochure at the bottom, as it might give you some ideas.
If the issue is astigmatism, I know lens placement is critical. I am not sure if lens placement is more critical for Vivity than a monofocal. Also there are more options for monofocal lens.
I don't have significant Astigmatism, so I have not researched it at all. Just information I have gathered by reading up on IOLs in general.
Others here have more knowledge on Astigmatism and hopefully will weigh in.
Personally I would ask your doctor about your astigmatism and if the Vivity would make any difference in that area over a monofocal. It is not clear to me even if you received a monofocal your vision would be better. Maybe there are limits on what an IOL can do to correct for Astigmastism (Again this is not my area of expertise).
If you are in the US I strongly suggests you find a top Othamalogist and get a 2nd opinion before taking dramatic action, like lens exchange.
Go the FDA Clinical Trial site and look for an Opthmalogist that was involved in the clinical trials. Also look to see if they do research and publish papers. You can also check out Castle Conolly Top Doctors for your area.
"PATIENT INFORMATION BROCHURE AcrySof™ IQ Vivity™ Extended "
rwbil charlotte47654
Posted
A new video I just saw that might be helpful.
Search for:
Helio Video: shows how to handle toric IOL surprises surgically.
Guest charlotte47654
Posted
I'd be curious to know what formula they used to determine IOL power. It can be very tricky to get right with post LASIK eyes. I've heard that the best formula for LASIK eyes is the Barrett True K TK (TK at the end stands for Total Kerotonomy and means that it maps both the front and back surface of your cornea). Plain old Barrett True K is also good for LASIK eyes but the "TK" version is newer and a little better.
assia99778 charlotte47654
Edited
Hi Charlotte!
As rwbil suggested I will weigh in with my knowledge about astigmatism and toric implants in order to help you in your current unpleasant situation. The first thing: A refractive eye surgeon has to find out if your toric IOL has hit the marks and is well-positioned.
Residual refractive errors are possible relating to sphere and cylinder. If your current surgeon won't help you with this try to get a second opinion. How much astigmatism do you have? If the IOL is misplaced or had rotated after the surgery you will get a lot of problems. Monofocals are more forgiving but with the so-called premium lenses 1° off-axis causes 3,33% loss of cylinder correction. The higher your astigmatism the more severe the problems. I do suffer from this case a lot in both eyes after bilateral implantation of two toric trifocal IOLs. It's a nightmare. I need several glasses now and I have to put two glasses on top of each other for intermediate and computer work. Night driving is a torture. Neuroadaption couldn't take place because of this. And it will never happen. Laser enhancements won't help because they don't cure the original problem which is the misalignment.
The good thing in your case: Repositioning and explantation are easy to perform within 6-8 weeks after surgery. Because you had LASIK it's a harder to get the refraction right even if the measurements had been performed with great care. The LAL is the first choice in that case because you can correct sphere and cylinder two weeks after the surgery when the IOL is in place. There are no halos, no glare and no contrast loss. In the meantime there are many places in the U.S. where the LAL is implanted.
But first you have to find out what's going on in your eye with your newly implanted IOL. The Vivity is not a trifocal IOL that enables you to see clearly far, intermediate and near. Readers are necessary with that lens. But despite of this there is something else causing your problems. Maybe misplacement, rotation or/and refractive error related to sphere. If it's "only" rotation a rerotation is worth trying. In my case I wasn't told the truth, months passed and I had to wait a long time to get a second opinion, Therefore try to go ahead! And no Vivity in your second eye until this issue is solved.