Worse Decision Ever
Posted , 10 users are following.
I received the Pan Optic lenses. I am only 49 and doubting that I actually had cataracts. I did not have a problem with my vision wearing contact lenses. My optometrist referred me to an ophthalmologist that said I had cataracts and charged me $5K for this special lens where I would not need glasses, contacts or readers (even though I was not at the point of needing readers yet). I had my surgery 7/20 and 7/27/21 and 5 months later my vision is still off. I still need contacts and I refuse to now drive at night because of the halos and blurriness. I am terrified to drive at night. I have been to 3 other doctors for opinions and the 1 doctor that is a cornea specialists is advising to not do a replacement. I want the mono lens so I do not have the halos at night. I mid-range vision is off during the day and I still need contacts to correct my far vision. What a mess. I can live with the vision being off but its debilitating to drive (or not I should say) at night. Has anyone experienced this whose Halos have gone away after a year? Will these go away? Do I find a surgeon that will do a replacement?
0 likes, 17 replies
rwbil angela1212
Posted
My first and best advice is to find a top doctor as everything you said is disturbing and from what you wrote that first doctor is what makes this profession look bad.
Look at Newsweek Best Eye doctor as a start. You want an eye doctor that is involved in clinical trials, does research and has lots of experience with the IOL you are implanting.
I have 2 diffractive IOLs; a Tecnis MF and Tecnis Synergy. Everyone IMHO that gets a diffractive IOL gets dystphotopsias. I get dysphotopsias.
The problem is everyone is different and my dysphotopsias my be milder than yours.
For me they are worth the tradeoff.
Also you are coming from having great vision, whereas I came from having pretty crappy vision by the time I had cataract surgery and that makes a big difference.
To answer you question, I think you do get use to dysphotopsias after a while, but it is not like they go away. If you stop and think about them they are there.
It also depends on how much you drive at night. 90%+ of my driving is during the day. And when I drive at night it is usually relatively short distance on road I know like coming back from work or a friends house at night.
My advice is find a top doctor and discuss your options and if you can not stand the dysphotopsias think about extraction. Extraction is major surgery, but the sooner you do an extraction after implantation the better.
If in the US tell me what state you are in and I can see if I see any top doctors in that area I would recommend.
john20510 angela1212
Edited
l'm younger also at 48, l have early stage cataracts, two lots of advice l have been given is dont have cataract surgery until vision gets really bad and to go with the standard mono focal lens even thought you will need glasses for close up and dont risk the fancy premium lens . From what l read the Halos get better over time but dont go away totally. Perhaps give it more time to try to adjust to the lens before the risk of repalcement surgery which is more risky then the first surgery
RonAKA angela1212
Posted
I have a friend that has PanOptix in both eyes. She has issues with reading especially in dimmer light, and with halos on car headlights at night. She has kind of reconciled the problems by not driving at night, and using +1.75 readers for reading. She wishes she had chosen monofocal lenses, and regrets paying more for the PanOptix but is not going to have them explanted. That is a risky procedure.
Guest angela1212
Posted
I'd do a replacement. If it hasn't gotten better after 6 months it's probably not going to. And you're still not too far out from the surgery to make an exchange possible. You just have to find a surgeon with the experience doing that. Not all will.
soks angela1212
Posted
replace one panoptix with monofocal set for -0.75 and your halos should be reduced and you shoukd still have benefits of panoptix near as well as increased contrast.
assia99778 angela1212
Posted
Hello Angela,
I'm in the same boat after implantation of two trifocal IOLs 14 months ago. Driving in the dark is still a nightmare and extremely exhausting because of rings, glare and spiderwebs. I sent you a message to go more into detail and to answer your questions.
john20510 assia99778
Edited
But did'nt the warn you beforehand that if you go with Trifocal IOL Driving at night will be difficult with glare and rings. Are there glare blocking glasses you could try . Apart from night time glare and night time problems do they give you any other problems, are they good during the day, l guess you dont need glasses for close up and intermediate like people who got monofical lens
assia99778 john20510
Posted
Hello John,
no they didn't warn me. In addition, I need several glasses now. I'm left with significant residual refractive error in both eyes because both toric IOLs are off-axis (I already had second surgery for rerotation). Therefore I always have to wear glasses to correct the astigmatism. For intermediate and near vision I have to put readers on top of them. Two glasses at a time is normal but for my work I have to wear even three glasses - one on top of each other. Computer glasses didn't work.
I have floaters, positive dysphotopsia, ghosting (white letters on black surface). I'm active in this forum since December 2020 with many posts on the subject. Unfortunately, I didn't know the forum before the surgery.
I tried polarized, yellow tinted sunglasses during nightdriving but they didn't reduce the concentric rings and spiderwebs.
RonAKA assia99778
Posted
They are not so common any longer, with the popularity of progressives, but I wonder if you could go to trifocal glasses. They should be able to correct astigmatism, intermediate and close vision independently. I'm sure not what you were looking for, but may be better than wearing two pairs of glasses.
john20510 assia99778
Posted
sorry to hear it, l will need surgery in a year probably, Did you choose an experienced surgeon or one recommended to you from a doctor or optomerist . Do you know if your surgeon had been doing surgery for years and had a good reputation? he should have explained the risks of glare before hand and the risks of certain lenses.
rwbil assia99778
Posted
My God what kind of quak doctor are you using. He did not mention the side effects of a diffractive IOLs and totally missed the Toric IOL alignment and even after surgery to re-rotating you need glasses for Astigmatism. Maybe your astigmatism is not regular. Did he even discuss this with you.
I understand people hate to get another opinion, but my advice is find a Top Opthmalogist maybe one that even uses the latest machines as opposed to the mark the eye method.
You stated your doctor missed the refractive mark. From reading and talking to doctors missing the mark can have a big effect on dyspotopsias.
assia99778 john20510
Posted
Yes, experiencend surgeon who did thousands of surgeries.
assia99778 rwbil
Posted
Astigmatism is regular. Experiencend surgeon. Was told there will be some halos but mild ones and gone two months after the surgery. Yes, only mark the eye method used. As I wrote before with citation of European study: Not hitting the refractive target is not uncommon and occurs in 26% of the surgeries. Rotation happens after the surgery and is not a fault of the surgeon. If you have high astigmatism, the impact is bigger.
assia99778 RonAKA
Posted
Can you mention the brand or vendor of those trifocal glasses? I tried varifocals -but no chance with trifocal implants. Maybe there will another option.
RonAKA assia99778
Posted
I would suggest a discussion with your optometrist about trifocals to see if they think they could work for you. I have never used them, but have seen others wearing them. I would expect they could prescribe three different power zones; distance, intermediate, and close. Then the astigmatism correction is applied to the whole lens.
assia99778 RonAKA
Posted
Thank you, Ron. I tried those glasses with different zones for distance, intermediate, and close but they didn't work with my trifocal implants. The optometrist worked hard on it. It drove him crazy. For example I could read with +1 as good as with - 1. These strange things happen with trifocal IOLs.