👉 Uncover IOL truth at IOL-adviser.com 👈

@carriepuccinolden9910

4 ай бұрын

if I am not a candidate for multifocal iol, what could be done to be able to see all 4 zones without glasses? I am an artist and would love to have my near vision back without readers, and see my phone or be able to put makeup on without a 10x mirror. Would a contact lens or additional surgery for presbyopia be an option? I functioned fine my whole life with one eye, and would love to get that back.

@iol-adviser

4 ай бұрын

@@carriepuccinolden9910 something from EDOF lenses either enhanced monofocal or extended range of vision with respective amount of monovision

Your videos are very informative and useful indeed. I had my cataract surgery in one eye about 2 weeks ago and it went well. I used information gathered from your videos to discuss with my surgeon what my visual needs are and he selected the perfect iol for me. I am near sighted in both eyes and prefer to be spectacle free when working at close distances. I have some astigmatism in the cataract eye and the surgeon chose the Eyehance Toric iol for me. After surgery, my vision is very good. I continue to wear glasses for far sightedness when driving. I can actually wear my current glasses but will need a slightly corrected lens for my iol eye. For my second eye, when the time comes, I will ask to get the same type of iol to maintain good depth perception. I can’t thank you enough for all your advice. My surgeon was very impressed with my knowledge and I came well prepared to ask him questions. That saved him a lot time trying to explain the various options. You are providing a great service, I now feel more confident going for my next cataract surgery when the time comes.

@iol-adviser

4 ай бұрын

Many thank for your support and experience you shared! It inspires to work on my next videos :) Please, share my channel with people who may need this information to be prepared for cataract surgery or refractive lens exchange. I wish you a great vision :)

Thank you for responding to my questions.You are easier to access and more thorough than my own doctor. I have one more question. Would you recommend holding off on cataract surgery for the modular iol's that are in the pipeline? my cataract is mild, but it is causing halos and light streaks on my only usable eye, so I am ultra sensitive. My distance is manageble without my glasses, but my near vision severly compromised. Is it unrealistic for an iol exchange as technology advance? I am relatively young, 53, I am assuming there will be major advances in my lifetime to IOL's.

@iol-adviser

4 ай бұрын

Thank you for your warm words. I appreciate your support! I will have my lens exchanged soon, as I need a lens exchange, which will be a refractive lens exchange for medical reasons (risk of angle closure), I'm 47. And I'm reluctant to think about modular IOL. The problem is that still we have capsular shrinkage, then ciliary muscles degradation with age.. I am not a firm believer in accommodative technologies now. Moreover, what I'v observed - the defocus curve was not superior to modern pseudoaccomodative IOLs. So, to my opinion if you are suffering from bad vision now, it's better to select the most suitable option for your case and proceed with the surgery. Any way, cataract impaired vision is way worse than with any of modern IOLs

Hello Dr, your opinion about SAV IOL lucidis? Which is better Lucidis vs Alcon vivity. For a healthy eye with mild cataract?

@iol-adviser

3 ай бұрын

Hi. I'm not a doctor, details about me at iol-adviser.com regarding your question - it depends on your visual needs, lenses are different by nature. Lucidis will provide worse distance vision and better near, Vivity opposite.

HI, Love the videos. I had a retina detachment twice. (didn't work the first time) The doctor removed the secondary lens as he was having issue looking through it. (Cataract) I just had a 3rd surgery to have the oil removed. I still need a secondary lens implanted. My Doctor is retiring so will be switching surgeons. Do you know if the 2nd surgeon will give a Lens choice? Also from what I heard in the Video it would be advisable to get the 2nd eye done correct? I'm 57 years old and have a -9.50 in both eyes.

@iol-adviser

2 ай бұрын

With -9.5 no chance to keep second eye untouched. Theoretically you may live with contact lens but if you will tolerate that.

Hello sir I want your suggestion Having bilateral hyperopia(+2 and +2.5 resp) in which left eye is ambylopic (va 6/36)and other normal eye having cataract (va 6/18 with ph 6/6) So which is the best choice of iol in such patient Plz give your valuable opinion

If you don't have to wear glasses for things that are up close but I have to wear them for do you just have to wear them for driving outside or all the time outside

@iol-adviser

4 ай бұрын

Exactly. With the monofocal IOL it is the case. As explained in the video :)

Hello Alex. I appreciate your thoughtfulness in the covered topics. What is your opinion on Vivity in the non-dominant eye while leaving the other non-cataract eye highly myopic (> -5-6)?

@iol-adviser

4 ай бұрын

Hello 👋 thank you for your comment! It will depend on your visual needs and expectations first. First of all, keeping the second eye at -5 will lead to need for contact lens as you will experience a significant discomfort, as I have explained in the video. Regarding the Vivity - it provides not so good near VA and honestly not the best lens in class, but if eyes conditions are ok, and you understand it’s pros and cons for sure it will work. So all depends on what do you need and what is available at your location.

@AC-sq1cj

4 ай бұрын

Alex, thank you for your feedback! In your opinion, what is the best lens in class? Also, the dr. says multifocal is a bad idea for just one eye if the other eye is not operated on. Do you agree?@@iol-adviser

@iol-adviser

4 ай бұрын

good question :) nowadays, in non-refractive EDOF presbyopia correcting I think PureSee. but the question is what is available at your location to choose from, what is your visual needs etc. Honestly, the right question is "what is the best IOL for my personal visual needs among the options available".

@AC-sq1cj

4 ай бұрын

If I selected Vivity for the cataract eye and used a contact in the other highly myopic eye without cataract, what would I do for near vision reading since glasses would be out of the question and only contact should be worn? Any insight will be much appreciated@@iol-adviser

@iol-adviser

4 ай бұрын

@@AC-sq1cj you may use the glasses for reading with that setup. moreover, same reading glasses will be needed for long comfortable reading indoors with 2xVivity set at plano

Your videos are very helpful, but I am not able to find any information regarding my specific situation. I was recommended a light adjustable lens for cataract in my right "good" eye for distance. My left eye has severe scarring due to HSV keratitis from childhood. I am 53 and I was really hoping for a multifocal or extended focus lens, because I have only one eye. I have presbyopia and a slight astigmatism, but never wore glasses prior to my mid 40's. My doctor wants me to continue to wear glasses, mainly to protect my eye. Can you achieve good vision with only one eye with a multifocal or extended focus lens? my goal is to get by without wearing glasses all the time. I would love any advice you could offer.

@iol-adviser

4 ай бұрын

Hello 👋 thank you for your comment :) Yes, you can get a better vision with one eye only, and my opinion is that the safest way is to go with extended range of vision lenses based on EDOF lens. The LAL is a monofocal lens by design and you should not expect a good depth of field despite you may hear some positive stories. It is mainly related to monovision with 2 eyes adjusted to different residual refraction. Full range of vision such as trifocals may work as well, however in some cases patients are reporting bad visual adoptation with only one lens. It’s rare cases, but it happens. I’d suggest to get a second opinion in your case. Discuss with your doctor do you have stereopsis now, what are the extended range of vision lenses options are. Think about your far vision needs and near vision needs and try to find an options to balance between your needs and options available. Hope this helps a bit.

Thanks for the video! I am getting one eye’s cataract fixed within a month that had a retinal partial detachment 15 years ago. The other eye is pretty good, as far as cataracts, but is myopic needing -12 diopter correction on glasses (most of the time were gas permeable rigid lenses). Would I be able to see with one eye using a premium IOL and the non-cataract eye using a gas permeable rigid lens (I know glasses for the good eye won’t work with the cataract fixed eye)? I’m 45 years old. I’m thinking of a LAL for the cataract eye (hoping to set for -1 to get some distance and intermediate to read a watch or phone held out a bit) and live with the contact in the other eye. Then later (5-10 years) when needing to fix the cataract in another eye I’d get another LAL or maybe vivity (set to plano). Would this work? I want to be able to play sports (accurately detect distance) and reasonable read my phone or watch (I can use readers for longer computer time).

@iol-adviser

4 ай бұрын

Hi! Thank you for your comment and question. Your setup will work with no issues, as the LAL is a monofocal lens by design, so no issues might be expected. And later you may add another lens, which will be either LAL at -2 for example, or set at plano, depending on your visual needs and preferences at that time. Or you may add EDOF technology based IOL to enhance the depth of field.

@Brian-fo5ww

4 ай бұрын

@@iol-adviserThanks so much for the reply! Very excited for it. Great time to be going through this with the latest technologies. Hope to get five years or more out of the contact and see what the state of technology is then. Maybe another generation or two down the road for LALs or even lenses that can focus.

@iol-adviser

4 ай бұрын

yes, let's see that happens in cataract surgery in the next 5 years with IOL technologies

I’m confused. I am 72 and have astigmatism in both eyes, but only the right eye needs cataract surgery. The left eye is corrected with 20/20 with glasses even though they said it has pretty bad astigmatism. If I get a toric lens in the right eye, with whatever distance I choose, I think my eye doctor said I would not be able to wear glasses but would have to wear a contact lens in the left eye. Toric lenses and wearing a contact is what I’m confused about. When the doctor talks to me I get very anxious and start having trouble focusing my mind on what he saying, so I may be misstating some of the things I thought he said. I think he said my best choice would be either a monofocal lens or a toric lens. I do know he said that just a regular lens (not toric)would be OK. If I choose distance, 18 inches, will my glasses compensate so that I can see other distances, too? from your video, it sounds to me like I should get the second eye done also. The astigmatism is bad enough that the lens is pretty thick. but won’t it cost a fortune to do that. I’ve read that it cost up to $20,000 to have to pay for your own cataract surgery. I’m in the US so Medicare takes care of a monofocal lens and the Toric adds approximately $2000 which is uncovered to that one lens. I did understand that the doctor said Medicare will not cover anything other than the basic monofocal.

@iol-adviser

2 ай бұрын

answer depends on your actual refraction and your visual needs after the surgery. with monofocal you may have only 1 distance without glasses, and with glasses it's the same one distance, however different toric lens will not add range of vision, it shall just improve that "one distance" quality , or if you choose monofocal IOL without astigmatism and vision quality will be bad, you will either need toric contact lenses (but not sure it is a good option for your age, might be not comfortable) or toric glasses, but in that case you will have to use few pairs to had the best visual acuity. if you will have more questions, we may schedule a call: www.iol-adviser.com/consultation

@musicfun2606

2 ай бұрын

@@iol-adviser I am very grateful for your reply! I’m going to talk to my doctor again and if I’m still confused I definitely will set up a consultation with you. I’ve watched your video so many times, and came away with a conclusion that I’m probably not the only one that gets extremely confused about this particular question. I appreciate your comment that it is very complicated! Again, thank you so much!

@iol-adviser

2 ай бұрын

I am working on additional education materials at my web site. Just have a look at these pages, and let me know if that helps www.iol-adviser.com/human-vision-basics www.iol-adviser.com/human-vision-problems

@officience1

Ай бұрын

Leave your healthy eye alone because if you have two eyes implanted, you may lose the ability to focus.

Hi Oleksii. My right eye is -11 and my left eye is -6. The right eye vision has degraded due to a cataract. The left eye has stayed fairly constant and correctable over the past 5 years (though it does have beginning of a cataract). Neither my optometrist or an opthalmolgist mentioned the option of having only the right eye done. If I understand you correctly, the large refractive difference in the two eyes is the reason why I should have both eyes done in the same time frame (e.g., standard scheduling of 2 weeks apart)? Otherwise it would be too difficult to make both eyes equal in vision post surgery? FYI, I will be 70 this year, if that impacts the decision...for instance I'd be less likely to want to wait for some new IOL advancement.

@iol-adviser

4 ай бұрын

Hi! Yes, correct. Theoretically, you may use contact lens for LE, but that is not a comfortable option in that case. So, the best option is to do surgery on both eyes, and the most important, as I have said in the the video "cataract surgery worst mistakes" is to select the best IOL option for your particular visual needs.

@ckp2ator389

4 ай бұрын

@@iol-adviser Thank you!

@iol-adviser

4 ай бұрын

You are welcome :)

@ckp2ator389

4 ай бұрын

@@iol-adviser Contact lens is not an option for me since I've never been able to tolerate them, so it'd have to be glasses. Even from a layperson's perspective, I can see how it'd be a challenge for an optometrist to prescribe, e.g., the same progressive lens for my un-operated eye and clear glass + reader lens for the IOL eye. Do some people that you know of, actually choose this option? I am not a fan of unnecessary surgery on my left eye but it seems practicality and better vision requires that I take the surgery risk.

@iol-adviser

4 ай бұрын

No, glasses are not tolerable with 6D difference. 2D max, and even that is subjective. In your case second eye is a must.

I had a multi focal lens in my left eye 4 weeks ago not for a cataract but because I’m over wearing glasses for reading. My vision is actually worse than it was before. I have my follow up appoint in 2 weeks so will see what he says. I can see close up better than before but it is still so blurry when I thought it would have been clear by now. My long distance vision was good that’s why I only got one eye done but now my distance vision in the eye with the new lens is so blurry. I’m worried it will stay like this now. Regret doing it as wearing glasses was so much clearer.

@iol-adviser

4 ай бұрын

Sorry to hear about your experience. Generally, far vision quality with multifocal lenses might be not satisfactory for a highly demanding patients. However, in some cases, a second implantation of the same lens may improve the experience (it can not be scientifically explained, but it happens). What you have discussed with your doctor preop? What expectations you had in mind and how you discussed it with your doctor? Are you aware about any other than cataract conditions of your eyes?

@user-vf2io2sc3k

4 ай бұрын

@@iol-adviser I definitely don’t consider myself as a highly demanding patient I only commented to see if others had also experienced this and whether, and hopefully if this would be something that would improve in time. I was more hoping to hear from other patient experiences and reviews.

10:44 I had myopia and astigmatism .50 and did well with monovision contacts. Had Med cataracts. Surgeon recommended Vivity but thought I did not need Toric. Then he did put in a vivity with toric in RE. While at first day I felt my distance vision was better I was very light sensitive and had a hard time to focus clearly. I had painful starbursts from bright lights and headlights. I cancelled the second surgery because I felt my RE was fuzzy alone but better with both eyes so I was afraid to have both eyes fuzzy. Back to see surgeon he says no one complains and is not sure what to do with the other eye. Is now thinking of monofocal with toric and -2. I am so confused. Went for new glasses for night driving and my LE is now -2 (was -3) and my RE is -1 (was -3) Said I have Dry Eye and need special drops. So lost on what to do for LE which had the thicker cataract and is the dominent eye.

@iol-adviser

4 ай бұрын

Sorry to hear that. Have you discussed doing -1 with Vivity on your RE or it was achieved occasionally? Have you been diagnosed with the Dry Eye before the surgery? Have you stopped using contact lenses (if so) 2 weeks before the IOL calculation? And the most important question - what was your visual needs and expectation which you have discussed with your surgeon at the counselling stage?

@julessymon9212

4 ай бұрын

I just started reading my doctor's after appt notes AFTER the surgery and so many issues were NOT discussed with me. When we first met I mentioned that I had done well with monovision when I wore gas perm contacts but have been wearing progressive glasses for 16 years, no contacts. I told him I was most interested in the best far vision as possible, and Vivity was his recommendation and said he did not think I needed toric. He never mentioned dry eye to me or doing therapy but he did put in the notes I had dry eye. He never mentioned re-doing the surgery but it was in his afternotes. Sadly I did not read all his notes until after the surgery because my GP highly recommended him and I assumed he was making the best choice. Now I am so unsure what to do. He wants me to get glasses but this is another expense if they will change again after the LE? Also no direction on Dry Eye therapy. I told him I was going to retire so less computer, driving and phone for the future but he said Vivity was the best for being glasses- free. Very stressed out on what to do next. Not much direction.

@iol-adviser

4 ай бұрын

@@julessymon9212 oh, honestly, it is a very sad story, and unfortunately, it is not unique... it happens in my practice. Very sorry to hear that. What is your current discussion with the doctor? Have you discussed something like enhanced monofocal (Tecnis Eyhance as example) for dominant eye, calculated for "Plano"? The best case scenario now could be to discuss with your doctor an option to calculate precisely the dominant eye for far, and then based on the results the next step what to do with first eye.

@julessymon9212

4 ай бұрын

Surgeon mentioned toric monofocal to -1. Or -.875. My RE is -1 with the Vivity can see a chart at 20/20 but distance is not clear. And wear glasses. 🤷🏻‍♂️

@julessymon9212

4 ай бұрын

Another surgeon found a “second cataract” in the RE and that is probably why the fuzziness and said cutting out the LE lens and replace or use a laser to clean the second cataract and keep the lens. And said I have blepharitis.

Dear doctor. I’m 50. If I have -7.5 LE (not affected by cataract) and -11.5 RE (with cataract, used to be -8.5): and they may fix my right eye for say -1.5. Could I still leave my left eye using the glasses and just remove the glass out of right glass in my glasses? Убрать правое стекло в очках. My left eye sees 1.0 with -7.5 diopter and -2 astigmatism, but I was told there is an early cataract there too but the eye is not affected and sees well and I can even drive. I was told they may suggest me to do both eyes one after another. My auntie had the same situation like me and did both eyes although she only had a cataract in one eye. You can reply to me either in Russian or Ukrainian I will understand. Thank you. What is the best IOL option would you suggest me which resembles a natural vision I used to have in my glasses? I did like seeing well in my old glasses before cataract where my right right eye was slightly weaker than left eye, maybe by just 0.5 diopters and in general I had a soft not overpowering good vision and I could drive a car. I’m a piano teacher by activity. My old glasses were just a simple minus lenses with astigmatism (lighted but still glass), for reading I’m taking off my glasses to see 10cm close up.

@iol-adviser

4 ай бұрын

Hi. I'm not a doc, please refer my the channel description and about section of my web site. Coming back to your question - no, you will not be able to use the glasses due to extremely high power difference, so called high anosometropia. So, you have to plan both eyes, as I'v explained in the video. Coming back to the lens type - there is no way to restore "same as back in age of 20th" vision, however something "natural" similar to what you have at 50, it is non-diffractive EDOF which will give reasonable near (functional, reading glasses for long near vision use) and no glasses for far/intermediate. Options of the lens are depending on your location - what is available in your country or city, and generally its something like Teleon Lentis Comfort MF15, Alcon Vivity, J&J PureSee, B&L LuxSmart, Hanita Active, Medicontur ELON, SiFi Miniwell or even maybe Lucidis from Swiss Advanced Vision. And consider general eye conditions in terms of other deceases and contract sensitivity now and in future. as different lenses perform differently in that measure.

@Rita50

4 ай бұрын

@@iol-adviser Oh, you really helped me. It all makes sense to me. I was leaning towards EDOF at the final stages of my research and some of the IOLs you mentioned were also researched. Thank you so much for such an extensive and informative reply. I really appreciate your advise as it reassured me in my findings. And hope it will help me when I’m at doctors. I’m quite happy to wear glasses for reading if needed. After all I’ve been wearing glasses all my life. I just don’t want to end up with glasses for all tasks including the distance so really hope they will fix my astigmatism to some extend.

@iol-adviser

4 ай бұрын

Good to hear. Can you help me as well? Please let me know, what is the reason you are searching the internet and not talking with your doctor? lack of trust? lack of time during the visit? bad quality of information provided during visit? your personality? other reasons? your answers will help me to improve my content. thanks!

@Rita50

3 ай бұрын

@@iol-adviser I was scared before my first visit to the National clinic where the doctor said I’m at early stages of cataract, he said there is no harm if I try to go private to treat my astigmatism with EDOF IOLs as it could be a good option for me. However I received no advice on clinics or surgeons so I started my research involving friends and family who had cataract. I think the main reason I did so much research is fear. I was scared for a while that I will lose my natural vision I had in my glasses: accommodation and focus, so it took me time to adjust to thinking that I will have something artificial inside my eyes. I spent a lot of time looking for the best surgeon, clinic, IOL. I don’t know what to expect with these new lenses. They all seem to take away close vision from me and I’m not sure if I will be comfortable looking at the distance without having a headache. I don’t expect anything good when I think of astigmatism or my diopters. So I just wanted to be prepared before seeing the doctor. It will be painful for me to let go of my past life, even if it was the life with high myopia. I’m scared of lots of things: that the doctor may choose the wrong type of IOL, overcorrection and over brightness, that I will see everything blue, and won’t see well at night, that my phone will glow in low light conditions and the TV will be a big halo, and that I won’t see the dashboard in the car or my plate of food, or my face in the mirror as it’s still a close vision. I read lots of horror outcomes. Monofocals feel like you are staring into distance all the time… So I was trying to find the perfect lens which could focus far away and within the room and also worried if I would be a candidate for it.

@ckp2ator389

Ай бұрын

@@Rita50 I relate to exactly what your are saying! So many choices, and fears about what one's vision focusing on one point will be after surgery with the mono-focal. And with the multifocal and EDOF, the higher incidences of halos, glare and dysphotopsia. For me the cataract in one eye has gotten so bad (can't see far, trouble doing paperwork, loss of depth perception due to unequal vision between eyes), I know it's imperative that I get it done.

40 years old, myopic, one good eye, one unusable due to cataract. Better to do near or far? Surgeons dont agree on this.

@iol-adviser

3 ай бұрын

What exactly surgeons are not agree with? And answer to your question depends on your lifestyle preferences, visual needs and myopia level. What is your myopia in diopters?

@natem2367

3 ай бұрын

@EyeSurgeryExplained myopia is -3.5 to -3.75 both sides. Work on computer but enjoy playing sports with the kids

@iol-adviser

3 ай бұрын

you can do both. ask yourself what is more important for you - be glasses free at near and using glasses during sport, play, etc, or opposite - work with the glasses and play / sport / drive without.

@donnaschindlbeck7457

2 ай бұрын

I recently had cataract surgery on my right eye with an Eyehance IOL set for distance. I am highly myopic at around a -9.00 in that eye with what was a minor .59 astigmatism. I was told my astigmatism didn’t qualify for a toric IOL. Post op my astigmatism changed to a 1.75 and I need glasses to correct. I have delayed my second surgery. Prior to surgery I was a contact lens wearer with the right eye set for distance in a toric lens and the left in a multi-focal lens which I was quite happy with. I am 6 weeks post op and currently wearing the new glasses with an astigmatism correction in the right and wearing my contact lens in the left with a clear lens in the glasses. I can see to drive now but need additional readers to see up close. Any advice on what to do with the also highly myopic left eye?

@iol-adviser

2 ай бұрын

@@donnaschindlbeck7457 sorry to hear that. one question first - if you was using contact lenses, have you been instructed to avoid contact lenses at least 2 weeks before IOL calculation and if so, have you followed that?