You have to be one, if not the best doctor out there in providing excellent videos, explanations, etc. on this subject! If I lived close by, you would be my doctor of choice. Thank you so much.

@ShannonWongMD

15 күн бұрын

Thank you so much!

You have to be one of the best ophthalmologist eye surgeons. I have been sitting back here on Sunday, June 2 watching you video and it is brilliant the way you get into explaining everything. How eloquent and patient. I have an appointment to see an ophthalmologist on Wednesday, June 5 and I’ve learned so much from your video is absolutely fantastic. Thank you very much.

Hello sir, I am from India. I have seen many videos of yours , the way you explain the things in a simple manner is too good. After seeing your videos I made the decision of PANOPTIX lens for my mother . The surgery was done last month , the vision quality is fantastic , no need of glasses even while putting the thread in the needle . A little bit glare and halos but they are not bothersome.second eye surgery is planned in June with PANOPTIX lens . My confusion was PANOPTIX vs SYNERGY . After seeing your video it was crystal clear for me to go with PANOPTIX .Thank you sir for guiding millions of people all around the world.

Dr. Wong - I don't know if you read these comments, but if you do, thank you so much for your great videos. They are very informative, very easy to understand and very helpful. I am going to have cataract surgery done in the next year and your videos have helped me understand the process and make decisions regarding my care. THANK YOU for being so professional. Thank you.

@ShannonWongMD

3 күн бұрын

Thank you for watching!

Great video, Dr. Wong. As a fellow ophthalmologist and eye surgeon, I can tell your viewers that the information you present is accurate and fair. Thank you for taking the time to present all of these options in such a clear and concise manner.

@ShannonWongMD

15 күн бұрын

Thank you Richard!

Brilliant information Dr Wong and have answered several questions for me….only wish you were closer to home ☘️

As an ophthalmologist who has to explain this to patients on a daily basis, Dr. Wong does a very comprehensive job explaining everything. My personal experience with the Panoptix, Vivity, Symfony is identical to his.

@ShannonWongMD

7 күн бұрын

Thank you!

Incredible real time feedback. Excellent information!!

I had accommodating intraoccular lenses done in 2006 and in my 70s I do not require any glasses at all. It’s so nice to not have to rely on glasses.

Getting ready to start the cataract process, your video's have been very helpful.

I have the Panoptic lenses; best surgery I've ever had. Thank you, Dr. Wong!

Great review of current options currently available.

fantastic presentation -- especially with so many choices to make! Really helpful with our chat with our surgeon to see which lens may be the best option

Thank you for your time and informative video!

Well explained. Concise. And helpful. ty

Dr. Wong, you spell things out in an easy to understand method. The newer Clearview lens is an interesting concept. Interested in seeing videos on patients who are good candidates or choose this lens for one or both eyes.

Fantastic video. Thank you!

Many thanks. I"m 59 and just learning about this option which will be a huge game changer. Thank you. :-/

Thanks for the detailed explanation of the new IOLs. As you note, the lens choice depends on the patient's needs. When I decided to have my cataracts removed, I opted for a mono-focal lens set for distance. I had already been experiencing halos at night caused by the cataracts, and I didn't want to possibly continue to see halos by choosing a multi-focal IOL; my goal was good night vision for driving. I was already accustomed to wearing glasses with progressive lenses, and becoming “glasses-free” wasn't my goal. The result with the mono-focal IOL is close to 20/20 distance vision, and I wear progressives for intermediate/near vision and astigmatism correction. It's also worth noting that mono-focal lenses are covered by Medicare, so the cost of the procedure was very affordable compared with the more expensive IOLs that are not covered.

Just an excellent explanation Doc! At 56 , and wearing corrective devices since my teens, I feel that this would free me from the never ending decisions of which glasses….sun and regular…..just transitions….blah blah. Thanks for this.

For someone who has had LASIK surgery & now as a consequence of age now considering cataract surgery - this very comprehensive video will assist me in determining which lens suits me as opposed to which lens I prefer. My preference as a broadcast technician is for a high quality lens with minimal distortion - I imagine I will have to experiment with contact lenses before I make a final decision or consider the compromise I made with LASIK in choosing monovision (L eye distance, R-eye close up reading)- It will be at least 12 months before I am ready to take the plunge.

Excellent explanation. I suspect you will keep your Symfony IOL but will await your contralateral choice given the ‘24 options.

للأسف لم يخبرني الجرًاح عن نوع العدسة التي ركّبها في عيني بعد عملية Cataract ب 3000 دولار ..أجريتها في USA في May , 2024 شكرا دكتور على شرحك ..👍

Thank you very much for the video and the information. I really enjoy watching your videos. Which lens implant do you recommend diabetic patients who do not have cataract yet but still want lens implants to get rid of the eye glasses?

Excellent video, thank you ! What about the Tecnis PureSee, could it be a good alternative to the Vivity ? Is it worth waiting for ?

Thank you for outstanding explanations and comparisons. So for someone with cataracts and current monovision from Lasik, would the choice of LAL for distance and an Eyhance or similar fixed lens for near vision? This is for someone with strong need for precision at distance and desire to be glasses free for near vision-30cm for eg?

Thank you very much, de. Wong! I'm 40 and started having eyesight issues in the past 6 months, turns out the terrible myopia was caused by a cataract which developed very aggressively after Covid. Now i'm trying to figure out what lenses would be best for replacement...

Awesome video!

Thanks for the great information. I just had the Johnson and Johnson Model ICB00.....I find this is not working for me, it was a Premium Charge but after 3 months still having issues with blurred, double vision and halos at night. I can not longer read my phone or laptop although this lens is supposed to give me intermediate and distance. Any Suggestions???

Thank you this explains a lot foe me

Hello and thank you for the amazing content! What would be the best option for a patient with a severe hypermetropia, please? Thanks a lot in advance!

Thanks for the info. I’m 42 and still have great accommodating near vision. I got a panoptix lense in one eye. My other eye has no cataract and is 20/15 uncorrected. I’m trying to figure out what the hype is about these lenses other than being able to see up close. 10 months in and the halos and glare at night still really bother. I also have some daytime glare, and I feel like my vision is kind of “ washed out”, especially in dim lighting ir overcast days… not a lot of clarity. Intermediate vision isn’t great, especially looking at a screen. I see glare behind letters. Is this normal for this lense or am I being unrealistic with my expectations? I really want to love it, but I don’t enough to get it in my other eye tbh. I don’t think I’d be able to drive at night or really hate it. It was also really hard adapting to one eye with a trifocal and not the other. Although that’s better I still feel it’s “ off” when walking on uneven ground. Wondering if I should have gotten the monofocal. ?? Do I need to just give it more time or am I not “ nueroadapting” like I should?

I’ve had panoptix for over a year now . I never need glasses and night driving Is much better then before. I would never change these lens. Very satisfied with my results and no problems seeing far, near and close up. Picking an experience doctor is very important. I’ve had friends who have had multiple problems with their surgery. Chose carefully is my advice

Hi Dr. I wanted to ask a question related to eye injury. If one's pupil is partly injuied, lens and cornea are also injured, is it repairable to regain eye sight? Your reply would be valuable and apreciated.

I have an eye appointment this week and plan to inquire to see if I am a candidate for PanOptix or the CleanView 3 lens. I wear 2.50 readers and far away vision is not very good. I also see eye doctors two times annually. One appointment is to keep an eye on any changes due to the hydroxychloroquine I'm on for Sjorgens autoimmune disease. The other is a concern with a suspicious optic nerve. Also they had a concern for Glaucoma but ruled out because eye pressure was okay. Are you able to tell me if either of these concerns could prevent me from have lens?

Are any of these lenses less prone to postop pco? Do you advocate yag for pco in presence of residual silicone oil microbubbles? What is maximum postop waiting time limit for lens switchouts?

You have many great videos I used to help make my decision. I ride motorcycle, and ride/drive a lot at night, so I wanted implants that would give me good contrast and clarity foremost, with the need to have great near vison secondary as I know its nearly impossible to get it all. I settled on the Symfony for it clarity over the Synergy. The Panoptics I felt had a little too much gap between focal rings for my desire to pick up as much detail as possible at all distances of oncoming traffic at a glance. The Symfony checked the boxes I felt I needed. But halos could possibly be deadly in certain situations. I saw that Johnson and Johnson, in there advertising app, was trying to visually show that Halos were really not an issue but from all I learned from you, that is not guaranteed at all. So I asked my doctor to put the Symfony in one eye first. To see how bad the halos would be at night, I chose to give it a few weeks time to settle before choosing the second lens. I didn't like it at night, which didn't surprise me, so I asked for the Eyhance in the other eye. As you likely figure, the Eyhance saved the night for me and the Symfony is just a great lens for day(and night without headlights coming at you). Combined, they ended up being perfect for my needs. I'm glad I gave my brain a choice. Two Symfony implants would have given my brain no other choice than the halos. No place for the Halos and starbursts to hide. At night with headlights coming at me, the Eyhance, with virtually no halos, remarkably takes over and dominates very quickly, giving me a really good and safe experience overall. Thanks for all the education you gave me! To motorcyclist and night drivers out there I would recommend the combination, if you are suitable candidates, for the benefit of the safety alone. I can read small print fine without glasses and use cheaters only for more relaxed prolonged reading. I would not change a thing. Thanks Dr. Wong for your help. It made my first choice the right choice.

@RuthEmmett-tv4gy

20 күн бұрын

Hey how is your closeup vision with the eyehance???

@MrSixunder

19 күн бұрын

​@@RuthEmmett-tv4gy Hi Ruth. Here is a short and long answer. (in case you really want details) The Eyhance is a really good IOL if you don't mind wearing readers for extended reading and low light situations at distances used for book reading and phone use. I find it is very good for computer screen, and dashboard distance, in my case at least. The eyhance should not be expected to allow freedom of reading glasses. But, for me I find it to be almost as good as the symfony. Almost. The thing is that the little bit better close performance of the symfony really makes a difference for phone use. I don't use readers much at all with this lens in just one eye. And the eyhance and symfony are close enough to work together well for me, giving similar performance I believe, to having two symfonys. The reader glasses, when I use them, is an inexpensive off the shelf 1.25 and it brings both the eyhance and symfony eyes into really crisp vision for close use. I don't need two different lenses in my readers so that saves the need to get custom glasses from the optometrist. That's the short of it. Following are more details, if you are interested, regarding how it came to be that I have both IOLs. In it you can learn learn the manufacture of both lenses is devious in their advertising and that can mess up your decision making process. My opinion, but you will be able to judge for yourself because I attached a link to the app so you can try it and see if you agree with me, or not. Since I have both IOLs, I can compare easy enough. Its important to know that I always intended to use readers because the truth is that you cant have it all. You can't have excellent at every distance and at every level of available light with every possible quality available between all IOLs. I wanted best intermediate and far for my personal needs of motorcycle riding and night driving. The particular qualities as measured in independent studies showed both IOLs offer the qualities I wanted regarding optical clarity, contrast, depth perception, best use of available light for the range I wanted, ect. That said, I almost went with the Eyhance for both eyes as my ultimate choice. It is a very good choice for my needs and much easier on the wallet. Best bang for the buck if you will. However, I was thwarted by the J&J Tecnis manufacturers' own simulation app. The app is available for consumers to get an idea of how several of their lenses perform in day and night situations. Using the app I saw that the Eyhance left a driver with a blurry dashboard,. This caused a big problem for me. As I said , I figured I would be fine with readers for close, and from videos I saw on patients getting the eyhance, I felt it was the lens for me. But when I saw the performance of the eyhance in the app I thought shit, I'm not putting up with a blurry dash. What the hell am I going to do, use glasses while driving?? Thats crazy. Figuring since the manufacturer itself is the one showing me this, I decided to not take the chance, even though I saw all the good anecdotal outcomes in videos. I mean the manufacturer wouldn't be so off base in their own app right? Using the same app , I Iooked at the performance of the symfony and saw that their most recent "blue" upgrade was showing great dash, good close , and no halos. So I decided to cough up the extra money for the symfony. The doctor put one in my worse cataract eye and scheduled me soon after for the second eye, but I asked for a delay on scheduling the second because I wanted to test the symfony in just one eye for several weeks. What I found was that even though I could see the dash clearly, the phone very well, and distance too, there were halos and starbursts around streetlights, and worse, oncoming headlights at night. This was nothing like the app showed me at all!!! And let me tell you what I never read anywhere before about these halos and starbursts, and what readers should know. The halos/starburst stay the same size around a headlight that is close or farther down the road. You would think the halo would be smaller around a more distant headlight but I did not find that to be true. So that made it really hard to judge distance between sets of oncoming cars at night which kept me fighting to determine things. Very unsafe and aggravating. I was pissed!! I eventually decided to go with the eyhance in the other eye since I understood there is the ability to neuroadapt to this. The brain can learn to use more of the better lense for the appropriate situation its best suited for. This ended up being true for me. The eyhance mitigates the halos at night very, very well for me, while my brain leans on the symfony for close use. But I will tell you this, The eyhance is very good at all distances except close. Not as good as the symfony at phone distance but close enough I can tell you I would have been happy with two eyhances and then use readers for close up use. That said, I really appreciate that little bit extra the symfony gives me at close. Its just enough to allow reading the phone 90 percent of the time with ease. I can read the phone with the eyhance but I think I would likely use readers more , had I went with eyhance in both eyes. It is not as comfortable for close up reading as the symfony. Having one symfony is only a little better but it really makes a difference if you're on your phone a lot. For me, the symfony also has a little more natural hue which blends well with the more lively hue of the Eyhance. Just a really good mix in my opinion. So I wouldn't change a thing. I do feel that the manufacturer lies though. I think they undersell the Eyhance in the app and over sell the symfony. Its likely all financially driven. The symfony is more than double the cost of the eyhance out of pocket.. Its a good thing I was able to neuro adapt because I would likely have had the symfony taken out. Sorry for the long reply but I would have liked to have read something like this before I had my eyes done. Hopefully it will help you or other readers who want opinions. If I could do it over I would start with the Eyhance in one eye to test it, and then decide from there. But I'm happy with the little extra close, and the colors/hue mix from using the combination, so I'm happy about the outcome. I'm still upset about being lied to though.🙂 Here is a link to the simulator app I mentioned so you can see for yourself what I mean. Good luck! www.tecnisvisionsimulator.com/

Could Dr. Wong explain more on why Symfony is recommended for people who had RK surgery? Maybe Dr. Wong could make an episode for people who had laser surgery in the past to fix their myopia. I heard it's harder to get an accurate calculation on lens power. Thanks!

What level of astigmatism is the limiting factor for the Cleariew 3 iol? Does it matter if astigmatism is corneal or lenticular? Am anxious to follow your experience with additional patients with this promising lens for any surprises (left leg falls off??) Thanks for sharing your expertise.

@steofanov

18 күн бұрын

Ограничението е за корнеален астигматизъм само. Лентикуларният астигматизъм няма значение, защото вътреочната леща на човека се заменя с искуствена.

Got panoptix w some tint(only learned about tint after sx… thx doc Devgan!). Nighttime halos no biggy… but reading requires headlamp cuz dim light really is hard to see in! Otherwise great!

This is timely and helpful. I'm on the fence. At 66 years old I'm sick to death of wearing glasses and struggling with contacts that don't really work as well as glasses. However, I'm old school where you try not to mess with things if they can be addressed without surgery and glasses are a necessary nuisance. So even though I can have perfect vision with glasses, it's the dilemma of how bad does it need to get before I take the plunge? I grew up hearing the horror stories of botched eye surgery so it's a mental hurdle. Also with every year there are new advances and better lens versions, so there's some return in putting it off, but not to the point that it's so long you don't enjoy the benefit when you can really get use from it for daily lifestyle. Boy it sure would be amazing to have eyes that worked though...

Assuming Thank for sharing this. Assuming I’m a candidate for the clearview i currently have good far distance but not good mid and near +2.50 how will the clearview change my distance? I’m 63

@steofanov

18 күн бұрын

Ако астигматизма ви е в минимум и нямате глаукома и диабет много вероятно е да сте кандидат за clearview. С нея ще виждате и на близо без очила.

I do have LAL. Yes the experience was the best I could do back in 2018. I really wanted to go with the Lensgen unfortunately it was not FDA approved even with all the data on it. Today I'm at -.50 in my domanent eye and -.25 in my other. I look to see what happens in the future. My goal was to get great distance vision as well as no halos and possibly decent near vision. I do have days when I have soft distance vision and at times slight double vision which was more of a problem before going LAL. I do want to note that I was a Lasik patient prior to developing cataracts and having the surgery so I do have dry eyes and once I went through the process realized that my vision also includes bothersome floaters. Not sure where I'm going with this but I will say I hope to see future developments that may persuade me into seeking revision of where I currently fit. Time will tell. Will Lensgen be the grail for us older patients I don't know.

Hahaha- LOVE the intro

I agree with the viewer about your experience, any way’s I am 72 years young and have cartetact and need to aee better again how much is the clear view.

In my opinion, the best correcting IOL is Panoptix multifocal (toric) IOL

Dr Wong, like all others have said, thank you for your wonderful videos. I have chosen the new J&J Odyssey lens, but am a bit nervous about the halos/starbursts etc that it might produce due to the way it's made. I know it's super new, so there's no long term data in the US yet, but, how have your patients been doing with it thus far? Picking a lens is such an important decision for us all. Can you give me some feedback as to how your Odyssey patients have been doing thus far? Thank you so much. 😊

@ShannonWongMD

15 күн бұрын

So far, our patients' experience with the odyssey lens has been comparable to the panoptix.

I have a grey cloud at my focal point... its been a year since the surgery.... please give a solution

Dr May I ask you to comment if you can have lens implants if you previously had LASIK done? If possible, do they have good outcomes? ty

@ShannonWongMD

20 күн бұрын

People who have had prior LASIK do great with cataract and lens replacement surgery.

@popcornl8208

20 күн бұрын

@@ShannonWongMD ty for your reply. Keep up the good work. Have a nice day!

How much is each of these lenses, please? Thank you.

Are any of these lenses recommended for glaucoma patients?

Dr. i had standard mono inserted with an ERM condition will any lens help me i am scared to have the other eye done because eye with the ERM is a failure with vison what can i do for better acuity.

Thanks Dr Shannon for the very informative video, my question how long it will take to set up an appointment for the procedure for an international patient? And the appointment cost for 70 years patient? Many thanks.

@ShannonWongMD

5 күн бұрын

We can evaluate and perform surgery to one or both eyes within one week. Cost for surgery will vary between $7,000-$9,500/eye if paying out of pocket. Preoperative testing and exam fees add about $600.

@fahedal-ajmi4015

5 күн бұрын

@@ShannonWongMD many thanks Dr Shannon.

I had Radial keratotomy in both eyes in the early 90’s. Now my corneas are flat in some areas making it very difficult to fully correct my vision with glasses. Are lens implants an option for people who have had RK?

@ShannonWongMD

3 күн бұрын

Yes absolutely.

Will the clear view 3 lens work with a patient that has had RK Surgery and meets the other criteria ? I now have the Symphony Lenses as of Oct. '23? Thanks for these incredibly informative videos.

@ShannonWongMD

22 күн бұрын

I have not yet placed a Clearview 3 lens into an eye with RK.

@joedyeranch1

22 күн бұрын

@@ShannonWongMD I have an appointment with you on May 23. Would love to discuss this more with you. Maybe I could be your first. See you then.Thanks again for what you do.

@SuperSZ

22 күн бұрын

As far as I know, the best IOL for patients with RK surgery are the Light Adjustable Lens or the IC8 Apthera. If the cornea is very irregular, the IC8 may be better. If not, it's highly likely to have an unexpected refractive outcome in a patient with many RK cuts ; in that case, if the patient ends up miopic or hyperopic and has a Light adjustable Lens you can correct it afterwards. I learnt that from a video on youtube made by an ophtalmologist recently, he's called DoctorKrad.

@ShannonWongMD

22 күн бұрын

@@SuperSZ Our experience with the IC8 lens has not been positive. I have removed about 40% of the IC8 lenses that were implanted in our practice. The LAL is a great lens.

Is it okay to have a LAL in one eye [dominate] only? And perhaps one that corrects for near better in the other eye? My near vision is extremely important to me. Thanks Dr. Wong!

@ShannonWongMD

15 күн бұрын

If you have been successful with mono vision (one eye seeing far/not near and the other eye seeing near/not far) then the LAL in each eye works well.

If you have astigmatism, can you undergo a Lasik procedure to help with the astigmatism and then qualify for the ClearView 3?

@oseasviewer7108

21 күн бұрын

I would caution anyone considering LASIK - high risk of developing halos in vision and very noticeable at night - that's my experience. With an implanted lens at least you can have it removed & try an alternative that does not present halos - with LASIK you have them for life.

@docmarshall2251

21 күн бұрын

@@oseasviewer7108 My wife and cousin have had no such issues with their Lasik. PRK was much worse for that. Interested in what Dr Wong's opinion is.

hi Dr Wong, could you review following lenses: ACRIVA TRINOVA (VSY BIOTECHNOLOGY), LISA TRI (ZEISS). thank you,

@ShannonWongMD

21 күн бұрын

Unfortunately, I don't use any of the lenses that you mention.

I have worn glasses since 5th grade. My right eye has a cataract that is nearly ripe that I will need to have removed soon. The right cataract is still in the baby stage. Can I have these lenses put in both eyes or will I have to wait for the right cataract to mature?

@SensSword

8 күн бұрын

You don't have to wait in my experience. Had visually insignificant cataracts at around 40 and got it done. Probably could've waited another 20 years but I hated wearing glasses and contacts.

Which lens is suitable to cure my myopia and astigmatism values of -13 sphere and -2.25 cyl.Tbe native IOL is not so cloudy , eventough since one year ago the quality of my life started to decrease due too extra pathological issues like glaucoma , being diagnosed with 24 to 28 mmHg spikes values , more over micro wholes in the peripheral retinal part has been identified, also some corneea disorders. Anyway everything what I planned to replace native IOLs after age of 40 and forget about glasses sems to turned out into a nightmare. According to the oftalmologists statement's after the age of 35-40 the dioptries should remain stables and we can proceed with the replacement of native IOL for refractive purpose.But my dream just blow away. Maybe COVid or vaccine did some adjustments within my existing pathology beacause statiscally speaking those complications started to occur few months after vaccination. Anyway I don't know if there are such studies to prove my theory but one think is clear. This terrible disease cannot be stopped or pre considered in the DNA. I am happy for the ones who succeeded. God bless you all !

Would you put in a LAL or LAL+ in eyes that have had prior refractive surgery? Lasik and PRK x 3

@ShannonWongMD

21 күн бұрын

Yes. LAL in RK eyes works.

@doanngocchang

16 күн бұрын

Does it makes sense to choose LAL+ for 1 one eye n the other Clearview 3 ?

What about the IC-8 Apthera for previous RK patients?

@ShannonWongMD

21 күн бұрын

I wish our patients had better outcomes with the IC8. Unfortunately, it is not a lens that performs well enough consistently for us to recommend it.

What is needed info is the cost of these lens

Q: Is there a lens that helps reduce the distraction of Floaters? I have heard that perhaps LALs help reduce seeing Floaters, is that your experience? Thanks !

Can a premium multifocal lens be applied to just a single eye?

@rachellerachelle2183

22 күн бұрын

I've just had one put in one eye last week.

@ShannonWongMD

22 күн бұрын

Yes.

Most patients with Monofocal lens implants don't need glasses for far, they are equal if not superior for far vision than all the other lenses, and the toric version of Monofocal lens can correct astigmatism.

@ShannonWongMD

22 күн бұрын

Basic monofocal lenses are indeed outstanding lenses. The focus of this video however was premium lenses.

Does odyssey lens have halos at night too?

@ShannonWongMD

15 сағат бұрын

Yes.

What about the Synergy multifocal IOL? You forgot it

@ShannonWongMD

22 күн бұрын

We stopped offering the synergy lens in 2021.

@ocudockzn

22 күн бұрын

Synergy lens is not a multifocal! It is a combination of EDOF and multifocal lens.

@raznologija745

22 күн бұрын

@@ShannonWongMD I see

thought these were penile implants at first, still waiting on mine from ubereats. also last name checks out. ps great sound track. i FUX with the 2000s shit

But Medicare doesn’t pay for the multiple vision

So sometimes a lens needs to be replaced

Why limited to 45-60? If I am 65 am I not a candidate?

@11111Rich

22 күн бұрын

It is like retirement. Some people retire very early and some very old (older than 65 even up to 80). When a person retires their lens is a matter of the same, finances and body function but 45 - 65 is a general range when a persons body starts telling them it ain't working like it use to.

@ShannonWongMD

22 күн бұрын

If you are 45 or older and still have not yet undergone cataract or lens replacement surgery, then you are a candidate.

@11111Rich

22 күн бұрын

Agree if you are of the age that accommodation still works ie

Yeah old eyeballs suck, thankfully we have eye doctors.

I had PanOptix. Terrible visual side effects with lights. Halos, starbursts and rings in car headlights and all bright lights. Terrible. Had the PanOptix exchanged to the Vivity. The rings were gone in lights, however I still see starbursts, halos and light streaks in lights at night. I have trouble driving at night. All the money spent and I still have the terrible visual side effects. Should have never listened to the surgeon. My vision is shot. I regret getting the surgery.