VIVITY OR EYHANCE which to choose
Posted , 18 users are following.
l am 48 and having cataract surgery this year, My main aim is to have exellent distance vision for things like driving with enough intermediate for things like reading the car dashboard, l dont mind glasses for near reading. l have narrowed it down to either Vivity EDOF or Eyhance monofocal but l am having trouble deciding which one to go with. Which one do you think l should choose, is one a safer option then the other and less likely to have negative side effects or problems
0 likes, 44 replies
john20510
Edited
He said l could have one monofocal lens set for distance and the other set for intermediate, is that monovision, would distance vision look blurry in the eye set for intermediate? He said the other option is to go with vivity. if l go with vivity l think l will try vivity in one eye first and if l dont like the contrast level l will get a monofocal in the other eye.
RonAKA john20510
Posted
If that is what you are thinking about, I would do the non dominant eye first with the Vivity. If you like it for both reading and distance then you could go for the dominant eye with a Vivity as well. If you don't like it then you could do distance with a monofocal in the dominant eye. This is called hybrid monovision.
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The other option would be classic monovision. Normally you would do the dominant eye first with a monofocal. The standard target is -0.25 D (slightly myopic), as you do not want to end up far sighted. Then you do the non dominant eye with a target of -1.5 D more myopic to allow reading down to about 12" or so. This is more or less what I have. With the -1.5 D eye I can see TV reasonably well in the 6 to 10 foot range with that eye alone, but with both eyes it looks very good.
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In both options I would wait 6 weeks minimum between eyes to let the first eye fully heal so you know what you have.
john20510 RonAKA
Posted
thanks so if l go with vivity in the non dominant eye and l dont like it because it has low contrast and l then go with a monofocal in the dominant eye that should cancel out most of the low contrast from the vivity and give me good overall contrast.
RonAKA john20510
Posted
Yes, that is my theory. I was close to going with the Vivity and that was my plan. Vivity in one eye to get closer vision, and a monofocal in the other eye to give the best distance vision and contrast sensitivity.
Pascal111 john20510
Posted
My experience may help, although everyone is of course individual:
I have 2x Vivity. Refractive values left eye -0.09, right eye -0.5D.
I don't need glasses all day. If the light is bright (I read via tablet), I can read well from 30cm. To read books etc I need reading glasses in low light (have 5USD glasses with 1.0D)
Good look!
PS: Here is my eport: https://patient.info/forums/discuss/first-eye-vivity-emmetropia-second-eye--776756
john20510 Pascal111
Posted
Pascal would you still go with vivity if you had the choice again, is the lower contrast from vivity something that you notice or annoys you, is your distance vision outdoors good
Pascal111 john20510
Posted
I had my 3 month examination today and the vision results combined remote, close and intermetry are good to very good. After I receive the findings, I write the results here.
Yes, I would choose Vivity again. There is currently no comparable lens in terms of the combination of range and at the same time few optical phenomena.
On the subject of contrast, you have to be clear about the following: If you have Cataracte, you will definitely see a quality with a new, clear lens that you have not had for a long time. This alone makes your contrast better than current. Light is the decisive factor. My master optician also said today: Light is everything, more important than the choice of lens or glasses.
Guest john20510
Posted
if your main requirements are dashboard + excellent quality go Eyhance. A monofocal cannot guarantee dashboard vision and the Vivity cannot guarantee excellent quality in all lighting conditions for all patients.
john20510 Guest
Posted
my surgeon says he wont do eyhance only vivity, he said vivity is better. maybe l should see someone else who does eyhance
Guest john20510
Edited
Define "better". Yes Vivity has more range. Yes the contrast issue will probably not be an issue most of the time (but could for sure be an issue sometimes and could sometimes be mitigated by simply turning on a light). But an absolute statement like "better" lacks nuance.
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I suspect he's used to dealing with patients that have not done any research so he's just simplifying his advice by saying it's better. I get it. Vivity has become very popular with surgeons. Eyhance is not nearly as exciting / revolutionary. I also had a private clinic try to push me away from Eyhance.
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It could also be that your surgeon is an Alcon guy. Many Surgeons tend to have strong brand preferences. It's not necessarily anything nefarious or influenced by anything, just their personal preference. I'd seek a second opinion.
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p.s. Up-thread you mentioned not liking the idea of monovision. Same here. But bear in mind that a 0.5D offset is VERY small. I would not be the least bit concerned about such a small offset in terms of stereo vision, adaptation, etc.
john20510 Guest
Posted
yes he seems to be doing a big sales pitch on vivity like its the best lens ever made, l mentioned Eyhance to him and he just said its not a good lens and didnt say why. l mentioned the contrast issue to him and he said because l have healthy eyes it wont be a problem, but l am not sure. He said either l go with vivity or one monofocal set for disatance and the other set for intermediate , How much offset would give me intermediate ? would distance be blurry in the eye set for intermediate
Myope_PSC john20510
Edited
John - I'm just five days post-op with Eyhance IOL's both eyes so things may change but this is what it's like so far. My primary desired outcome was to have very good distance vision and that what I have right now. Pre-op prediction was a -0.34D offset between my eyes.
Outdoors, in bright sunlight I'm actually getting near vision from my non dominant eye. I could read "Alarm Chrono", "Water Resist", "Light" & "Mode" and the time on my basic Casio wrist watch two days ago in bright sunlight. I was really surprised by that. Indoors, I can read the 20/20 line on a printed eye test chart scaled for 10' viewing with either eye. TV viewing at 13' is very crisp & clear.
I don't have that same great near vision indoors without readers. I do have intermediate vision and can function well enough doing basic things in the kitchen such as cooking rice in an Instant Pot having to use a measuring cup and measuring spoons as an example. I'd need readers to see more detail than what that type of basic kitchen task required.
Outdoors in sunlight, I can read everything on a 6" phone screen at normal font size easily without readers but I need readers when indoors. The great near vision is mostly from my non dominant eye. Indoors I can read phone notifications for example without readers but it is not comfortable at all so only good for a very quick look.
It was overcast with light rain today and I went for a drive. No problem at all seeing the dash. I could even see the labels on the buttons on the steering wheel. I got fuel and paid at the pump and entered my pin number to pay quite easily.
Everyone's experience and outcome will be different.