What Lens Should I Choose For Cataract Surgery? | Ophthalmologist Discusses Your Lens Options!
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- čas přidán 12. 07. 2024
- In this video, we answer a difficult question: “What lens should I choose for cataract surgery?” I do my best to break down the three general classes of intraocular lenses (monofocal, toric monofocal, and multifocal lenses), and I go through five important questions to ask yourself when deciding which lens would be right for you!
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TIMESTAMPS
00:00 Introduction
01:38 Monofocal Intraocular Lenses
02:04 Toric Intraocular Lenses
03:11 Multifocal Intraocular Lenses
03:48 Question 1
04:11 Question 2
04:23 Question 3
04:42 Question 4
04:54 Question 5
#cataract #lenses #eyesurgery
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Hi! My name is Michele Lee, and I am a board-certified ophthalmologist and fellowship-trained cornea, cataract, and refractive surgeon. Please hit the subscribe button if you like my videos, and thanks for following me on my CZcams journey!
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Phone: 480-947-4493
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Disclaimer: This CZcams channel is not intended to provide diagnosis, treatment, or medical advice. Content provided on this CZcams channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical diagnosis or treatment options as information on this CZcams channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products are not to diagnose, treat, cure or prevent disease. - Věda a technologie
Thanks for watching ❤️
If I were to get cataract surgery today, I would elect for a toric lens to correct my astigmatism and pick lenses for monovision - one eye for driving/far distance, one eye for computer/intermediate distance.
Let me know what lenses you would pick for yourself (or what you have already done)!
I'd probably make the same choice as you--except that I don't have astigmatism so I wouldn't need a toric lens. I've worn monovision contacts for about 15 years, and I love the acuity I get with them, so I'm likely a good candidate for monovision IOLs. All that said, I'm at least 5-10 years away from needing lens replacement surgery, so I'm always paying attention to new developments. I reserve the right to alter my decision based on technological advancements over the next several years. 🙂
I picked the lenses that Didn't cost four thousand dollars per eye. Oh well...
@@auntymarushkafah Thanks for sharing!
@@MicheleLeeMD I would have chosen the toric, now, if I had the money.
@@ajs11201 Thanks for your feedback :) Yes, definitely keep an eye out for newer, better lenses!
I had cataract surgery earlier this month and had both lenses replaced with the multi-focal lenses. I am totally impressed with them. Both eyes are now 20/20, both near and far distance. I can hold a finger five inches from either eye and study the fingerprint. I can look at the cell phone tower five miles away and make out the trusses and cross bars of its construction, again with either eye or both together. I have not noticed any night time flaring, but I have noticed that during the daytime everything is much brighter and more colorful with the cataracts gone. I am 77 years old and have the eyes of a 15 year old and am delighted with the results of the surgery.
Thanks for sharing! I’m so happy for you and your brand new 15 year old eyes ❤️
Which brand and model of multifocal lens did you get? Thanks!
@@stevew9769 I'm not 100% sure, but I think perhaps they were Bosch.
@@stevew9769 Some of the more popular/newer brands in the US are the Alcon Panoptix and J&J Synergy multifocal lenses.
@@MicheleLeeMD I know. I was just wondering which specific model Douglas received, since he got such good results.
I'm almost 72. I had Alcon Vivity multifocal iol's put in one week apart (21 and 28 September.) I had been wearing progressive lensed glasses for many years. But finally the cataracts were affecting my ability to be corrected for distant vision. I am still working as an EMS helicopter pilot and was primarily concerned with finding a lens that would give me the greatest range of vision without glasses as well as being mostly glare free. In the US, the FAA requires a three month "adaptive period" after multifocal implants are put in place (not so for single focus.) So while I'm not flying for the next 85, I have to say that I am pleased with the Vivity lenses so far. I have no glare in the daytime and have noticed very little if any at night. My distant vision is extremely sharp in the right eye (done first,) and the left is catching up quickly. Intermediate vision is also very good in both eyes. I read my computer and most things on my cell phone. I'm hoping to see more improvement in the close vision. But I may end up having to carry a pair relatively low powered readers for small print or reading in darker environments. After wearing some form of glasses for over 35 years, it's quite liberating to only look for my sunglasses!
Thanks for sharing your experience!
I just got the Vivity IQ last week. I just came back from my optometrist. 20/20 near and far. Agreed that with small print I need good lighting. Virtually no glare, that is why I chose this option. Lights are easily 1/4 the was seeing before with cataract halos. I have to concentrate for small print but can pretty much see everything.
@@quasimodem5260 Thanks for sharing your experience with your Vivity lenses!
Thanks, Melvin. That really helped me in my decision.
similar experience with Vivity for me as well except the non-dominant eye was made slightly near sighted so I can read well and have excellent distance/intermediate as well. Great lens
Here’s my gripe about two out of two ophthalmologist offices I recently visited: they jump right to the premium lenses without THOROUGHLY discussing the neuro-challenges that those lenses entail. The cost difference between monofocal vs. premium lenses is large and the comparisons between the lenses is farmed out to auxiliary personnel likely because the doctor can do more exams, etc. while someone else makes the sales pitch. So, buyer beware…do your research BEFORE your visit so you can make a well informed choice. The savings can be monumental!
Watch this candid video and be an informed consumer.
P.S. a multifocal lens is actually a fresnel lens (much like lens used in lighthouses). A fresnel lens is actually many tiny lenses concentrated into concentric circles and these lens tend to intensify light and produce glare. Since, at least in my experience, seniors tend to avoid night driving anyway (even those without cataracts!) why would someone take the chance of making night vision WORSE? Part of the problem these days is the design of auto headlights by vehicle manufacturers. The headlights tend to be much brighter than older vehicles and the light beam is focused upward and straight ahead of the vehicle rather than down and to the right of the vehicle.
You absolutely right. I agree with you people going crazy . They don't care about other people. Just them self
Agree 100% on research before deciding on type of lens. The initial explanation on type of lens available at my surgeon' s office was done by a non-medical personnel. In retrospect, I did not understand it perfectly, and did not realize I could have asked the surgeon for more clear explantion. I chose a monofocal plus lens. After reseach afterwards, I might have choosen VIvity.
You're are right about the glares from the on coming cars. Most of the new cars have LED lights, and they can blind you , it's like they are on full beam.
The glare factor at nights should be a big consideration, especially for seniors.
@@robin7275the problem with LED lights is the glowing element itself is glaring. If you compare old headlights or halogen, you will see that the low beam bulb covers the filament. The high beam bulb does not. LEDs, typically there is a lens, but you can see the yellow of the actual LED. If I were President, I would push to mandate projector style lights in all vehicles. Aimed properly, they are excellent at reducing glare while providing excellent visibility. The low beams have a perfect line cutting off the light. That line is a mechanical shutter that moves out of the way when high beams are on.
I lenses replicated my monovision contacts that I used for 20+ years. It’s been 4 years and my vision is still perfect. I was told I might still need readers to do things like thread needles. Nope! I can thread needles all day long with no problems. Thrilled with my results. After wearing corrective lenses most of my life, this is a true gift.
Thanks for sharing!
A suggestion for those thinking about single vision lenses for distance vision. If you are used to seeing up close without glasses, get a pair of readers and wear them around for a week or two. You will realize what you won’t be able to see clearly without glasses after surgery. Things like your watch, fingernails, toes, etc. you may choose to go with near vision and use glasses for the far stuff as necessary.
Thanks for the tips. I’d rather wear glasses for driving, walking my dog, going to ballgames, etc., and not needing glasses for seeing to read, do computer work, watch Tv, etc. I don’t like wearing progressive lenses as I have to turn my head and not just my eyes. I did have LASIK
Ask
I have worn glasses since I started kindergarten. About 4 years ago (late 50s), I was not able to fully correct my vision because of cataracts. I was on the computer all for work. My gave me the choices you outlined, and I went with the Toric because of my astigmatism. For the first time I can remember, I don't need to wear glasses all day. He warned me, and it's true, that I would need them for reading. I am ok with that as most of my peers are in the same boat. I was terrified of the surgery, I would literally be unable to work if the surgery failed miserably, but I was so amazed I could see that evening and it got better everyday. It was a great decision for me. The only issue is that without the "protective" older cataracts, I now religiously wear sunglasses because that darn sun is so bright (I live in Arizona).
Thanks for sharing your experience with cataract surgery ❤️
Did you choose Toric monofocal or Toric multifocal or EDOF? Could you share the name of your lens, please?
@@Rita50 I believe they are monofocal. Looks like AcriSofIQ, Length 13mm, Optical 6mm. Had these implanted Jan 2018.
@@jimselvy6157 Thank you so much. I am in a similar situation, got astigmatism and a cataract on one eye more. Scared, researching, learning, don’t like change, confused with all the types of lenses and what the vision would be like. Thank you for sharing with me.
I have extreme light sensitivity. I need to wear sunglasses and ski goggles while skiing and nighttime driving is too bright with the headlights. I am hoping cataract surgery reduces my light sensitivity. I guess I have the opposite problem you faced with cataracts.
At 73, I could no longer drive safely at night due to the extreme glare from headlights and even traffic lights. So I went to a recommended ophthalmologist who, after a very careful exam, told me I had cataracts in both eyes, and discussed my options very thoroughly. He told me I was a candidate for the what he called PanOptix Lens by Alcon which would enable me to see distance, arm's length as well as close-up (reading), or I could go single vision near sighted (for reading) or distant vision for things like driving a car. The single vision lenses would be covered, for the most part, by my medicare provider while the PanOptix Lens would cost me $5k out of pocket (and, I was told, may have some small glare at night). I did not make my choice that day but went home to ponder as to which option to select. I had been wearing glasses for near-sighted since I was 15. After much thought I chose the long distance vision option for both eyes because, I argued, there are a lot of things to see between 2 to 3 feet away out to infinite distance. So I still have to wear reading and computer glasses, big deal. Thanks Dr. Lee for this video! Very useful for so many people.
How do you feel about your decision now? I am trying to figure out which option would be the best for me. I am able to read without glasses now with one eye. I also started wearing glasses at age 15, but they caused me a lot of headaches and sinus infections.
I still don’t know what to do but will watch video a few more times and continue to research.
I think that was what Actress Cheryl Ladd had and she said she sees like she is 15 again.
I'm 75 and going with lens to stop glare at night. Has laser at 50 to correct seeing distance which is still good. But put me in readers. I will keep readers at my age would rather spend dollars on travel
I can see only 10cm near and 5 cm near with focus. Everywhere else is a blur (I got cataract in my right eye which is -11.5 now). I have been wearing glasses with -7.5 and -8.5 since 11 years old and got astigmatism. So I am really torn whether to chose Toric monofocal or multifocal and very confused. I’m scared that the vision with new IOLs would not be the same as now in glasses (like in my still able left eye for example). I’m really scared but planning to go to a surgery. I’m 50.
Thank you so much. I'm having cataract surgery in a few weeks and this helped tremendously in knowing what questions to ask my eye doctor.
Thank you! For the basic 411 lens! Down to Earth language that I can comprehend! Knowledge is valuable on sight! Have a blessed day!
Thanks for watching ❤
I have been looking at your CZcamss recently and enjoy the info VERY MUCH. Thank you. I have toxoplasmosis and have been seeing an ophthalmologist since I was 1 year old (I'm 65 now). With very limited vision, in my left eye, I think I would choose a Toric mono distance lens and just wear glasses for mid and near distance. I wear glasses for eye protection too. Dr. Lee, thank you again for these informational CZcamss. On my annual visit to my retina specialist, he told me I will be needing cataract surgery in approximately five years. Naturally, things may change by then but I would still choose a lens that has been out for many, many years.
Eighteen months ago I made my choice. I had been wearing glasses since I was 14 years old. I am now 73. When time for the decision came, I chose Panoptix Trifocal lenses. I absolutely did not want to continue wearing any glasses. Within a few days of each separate surgery my eyesight adjusted seamlessly. Sure, it was expensive, but I no longer have to get new glasses every couple of years. It is done! I have absolutely no regrets!
Thanks for sharing your experience!
Have you noticed any issues with lights at night? Have you noticed that your vision is dull or not as sharp as you would like? I scuba dive and am only 38 years old so I have been advised that the trifocals might be a better option. I fear the loss of sharpness of this option.
@Dana Ferguson Thanks for sharing your results!
@@bkriegle You will get some glare at night with any multifocal lens - whether it will bother your is a different story. Definitely talk to your eye doctor about the best fit lens for you. Best of luck!
Nice to have done early in life and not wait until 80's.
I had both eyes done this summer. Now 68, I've worn glasses for 60 years to correct -5 nearsightedness. I opted for standard IOL and my "new eyes" are -2.25 in both eyes with just cyl +0.5 & cyl +0.75. I can read just fine without glasses. I have an add in my prescription of +2.75 for closer focus, but taking off my glasses with single distance lenses works for now.
My vision is better than ever but one thing never mentioned is that I sort of enjoyed a focal distance of 4 inches. It might have influenced my hobbies of jewelry making, and stamp and coin collecting. I could always see tiny things nobody else could see.
Don't be scared of surgery. It is life changing.
Thanks for sharing and glad to hear you are enjoying your near-sighted eyes!
I understand your problem. I can all most read the bar code on a nat's ass, the rest of my vision is not so good.. I am reluctant to loose that ability. The problem is my vision is getting progressively worse and I can't decide which way to go long or short.
Have you thought of monovision?
@@suek6477 I have some questions about monovision, if you don’t mind.
1. Does it take a long time to get used to the two different lenses?
2. Can it affect depth perception or cause balance issues?
3. Are the lenses they put in good for life, or do they have to be replaced at any point?
4. If eyesight does change, how would wearing glasses work?
Thanks for your time!
@@cherylmcnutt9905 I have no answers for you for cataract monovision since I have not had that done yet. If you want to know about Contact monovision, I can answer that for you.
I choose the topic lens. I am facing the reality of cataract surgery - I so appreciate this very informative video. Thank you!
This was an excellent video presentation on the topic. I need to make the decision on what type of lens to choose when I undergo my cataract surgery next week. Your information is timely and I appreciate everything you did so much. Thank you. 😊
I got multi focal and I hate it. The doctor said I would love it. I don’t wear glasses to drive anymore but I don’t feel I can see any better while driving. And what I really hate is now I can’t see anything close like cellphone, computer, books, instructions or bottles labels!! And my night driving is so much harder with all the glare. Be sure you know what you’re getting into!
I'm so sorry to hear about your experience with multifocals. Thank you for sharing!
this is a real hard situation.
I remember the opticians telling me i had cataracts and needed glasses.nobody prepared me for quite that shock.Even less so nobody was explaining to me options that work for different people,it was all very generic and none of what they brought up suited me.
They were quite happy to plug the varifocal reactive glasses which cost a bomb, but the change in focus made me sick,and the reactive lenses were not reactive in the way i needed to take out the risks for driving.
in the end i got mono's set for distance with polarised lenses, but that was by trial and error rather than doing proper scientifice studies or a proper consultation period.I was pretty much left to fend for myself and find out what fits school of hard knocks style.
It's not the way it should be.
I had little astigmatism, so I got monofocal silicone SoftPort lenses by Bosch & Lomb which were both in the near-sighted range, though differing slightly in focal length so I can read books and computers and yet feel I have normal indoor vision. I was utterly snowblind in my right eye, but now see clear as crystal in both eyesl! I even had them done without sedation, it's totally painless and takes less than ten minutes, unless you're freaky about things in your eye! I sometimes use glasses to drive, though I re-passed the DMV test without them. I'm 74, this was 5 years ago, and I was so happy about regaining my right eye I was moved to tears many times!
I recently found that I have very slight cataracts and slight astigmatism so it will be a while before I require surgery. Your video was extremely informative, and I learned quite a bit. I don't mind using reading glasses at all. Thank you.
Thank you for your feedback, and best of luck when it is time for surgery!
I am preparing for cataract surgery to fix both eyes - one at 20/70 and the other at 20/40 with a "medium" amount of astigmatism... in my early 60's now. I will probably go with the standard mono-focal lens on each eye (no laser used), with the appropriate glasses after the fact. Been wearing glasses since I was 8 years old, so I don't mind continuing to do so. Cost beyond what Medicare pays is prohibitive to me, so I just will do the best I can. Thanks for your informative videos!
Thanks for sharing, and best of luck with your surgeries ❤
Hey Dr. Lee. I've been told about having cataract for 3 or 4 years now. well my eye doctor recommends cataract surgery now. I've worn glasses about 2/3's of my life, I'm 65 now. I was glasses free for about 10 to 15 years after RK surgery in 1986. I went with RK over contacts because of my astigmatism. I've watched a lot of cataract videos and yours was the first to mention the glare associated with multi focal lenses. So I would probably go with the toric lens because of my astigmatism and the glare issue with the multi focal lenses. Come to think of it, when I had my RK surgery, I think the surgeon made one eye for distance and one eye for up close. I was right eye dominant before and after the RK, but now I seem to be left eye dominant. Anyway great video.
Thanks for watching and for your comment. Speaking generally, my opinion is that RK and multifocal lenses do not go well together. RK incisions induce some glare and affect your quality of vision, and a multifocal lens will make things worse. Also, after RK, lens calculations are a bit more difficult so even if you get a multifocal lens there is no guarantee that you will be completely glasses free. Of course you should make sure you talk to your eye doctor and/or surgeon about your lens options and what would be best for you!
I hope that helps, and best of luck with your surgeries ❤
I had multifocal lens replacement 3 weeks ago. I was severely short sighted. I now live in a new life. Its wonderful. The procedure was painless and very quick, I had no discomfort at all. Well worth it if you hate wearing lenses or glasses!
Wow! Thanks for sharing your experience ❤
What about the halos at night and sunglare in day ? not to mention dry eyes ?
What about the halos at night and sunglare in day ? not to mention dry eyes ?
1
Thank you so much for sharing your knowledge Dr. Lee . God bless you! 🙏🏻🙋♀️
Last year (2022) I finally gave in and got cataract surgery. My doctor took the time to explain the different types of lens replacements and in the end I knew I didn't want to wear glasses or contacts any longer and I didn't want to compromise my sight either. I had worn contacts for years and they did far more damage to my eyes than I even dreamed possible. My vision was horrible and contacts and/or glasses were doing a very poor job of correcting it. In the end I decided to take the multi-focal lenses, even though I would have to pay the entire cost out of pocket because the insurance companies won't cover multi-focals, and man am I glad I did. My vision came back so well it was staggering. The colors were vivid, the vision was crisp almost to the point that everything looked 3 dimensional. True there can sometimes be some weird glare but I consider it a small price to pay for such perfect vision. My humble advice is if you can afford the multifocals and need the surgery do it.
Thank you for this video. I will probably be having cataract surgery this spring or summer and after watching your videos I feel I will be better to communicate with my doctor.
Thanks for sharing, and good luck on your surgeries!
I did monofocal lenses at intermediate distance. I have small astigmatism so I opted for glasses to sharpen distance but I see perfectly to read even the fine print and computer. My doctor definitely suggested the right choice based on lifestyle and age. She was patient and listened. I like yr channel you don't sound prideful and genuinely seem to care about ppl. Thank you.
Thanks for sharing your experience. I also appreciate your kind words ❤️
@@MicheleLeeMD Hi Dr Lee, Hi Eleanor. Your monofocals are set for intermediate & distance, but not for near. Question : Why are you still able to read fine prints after lens exchange and without reading glasses?
@@Nipponho08 I don't know why I can read near but I can..even the smallest print...it's like a miracle..even the Dr was amazed.. I just need glasses to sharpen my distance for driving and the small astigmatism correction..
Yes
Great same story to share. But doubtful about the arcysoft platform glistening.
I have Panoptix and I’m so happy with them. Having worn glasses since third grade for astigmatism and near-sighted, it’s wonderful to see clearly without glasses!
That's so great to hear - thanks for sharing your experience!
That's my exact same story. Congratulations on your new eyesight, it is truly amazing!
I had cataract done at the age of 62. I opted for single vision lenses from Zeiss. Went for far vision in both eyes because I love driving and enjoy the outdoors. Wearing a glass for reading was not a bother for me. After couple of years my vision slightly changed and I now need minor correction in both eyes for distance vision too. All that precision calculated lens is good for a few years. You eye sight will change again.
Were you able to change your lenses? Did insurance cover that?
@@juditrotter5176 I think he means he now wears corrective lenses to compensate for the change in his vision, not that had to have the IOL's changed out.
I just had my cataract surgery but I don't know what kind of lens that I got. I am far sighted 80 year old, and i have to say that I don't wear glasses when watching T.V. or working with the computer and my cell phone. It has just been a week and I am overwhelmed with the colorful pictures I see now with my eyes. I don't remember seeing thigs tis good especially the colors. I am just happy that i agreed with the cataract surgery and refused the meniscus tear ones for both of my knees. Thank you for the good presentation.
Thank you this was very informative for me as I have to make a choice and was not clear on how to choose properly. Much appreciated.
Thanks for watching!
I wore monovision contacts for several years, but my cataracts got worse and my eyes changed. Also had astigmatism. I had cataract surgery on my right, dominate eye, 10 days ago and left eye done 3 days ago. Have Vivity lens in right eye and Panoptix in left eye. I can read small print without glasses and my distance and intermediate vision is very clear. Have only driven at night one time since surgery, but did not have any problems. I am very pleased with the combination of the Vivity and Panoptix lenses.
That's amazing! Thanks for sharing :)
Very good information to know, dr.Lee"s explanation is very clear and easy to understand ! thank you !
❤️❤️❤️
I had my first surgery three weeks ago and my second surgery a week and a half ago. I am 73 years old. I chose the mono vision as that was the type of contact I was wearing. I am still putting drops in each eye, and all is going well.
5 years ago when I had my cataract's removed, I chose the Tecnis Multi-focal lens implants. They were/are life changing! I'm 73 now and can STILL see both near and far without glasses!!!
Thanks amazing! Thanks for sharing :)
What about the halos at night and sunglare in day ? not to mention dry eyes ?
1
My surgeon just turned up his nose to monovision, not explaining why he didn't like them. He only game me the option of distance or multifocal Zeiss lens, at cost of course. Prefer not to wear readers every time I have to look at my phone or computer. Thank you for the info, and everyone below for their experience.
Thanks for the informative video. When I had cataract surgery I selected monofocal lenses set for distance with good results. I no longer see any halos at night and can drive safely. If I could do it again though I would consider the toric IOLs to correct my residual astigmatism to further improve my distance vision without glasses.
Thanks for sharing your lens choice and experience with your monofocal lens!
I had cataract surgery a couple of weeks ago and chose Panoptix Toric multifocal lens. For right now eyes are competing with each other on which will see clear and which one is a little bit unfocused but I’m sure that will clear up with time. The day after both eyes had been completed, my regular eye doctor said I was seeing 20/25
Amazing! Thanks for sharing your positive experiene with Panoptix Toric lenses - my favorite multifocal at the moment :)
I'm getting a Symfony in my dominant eye, and a Synergy in my reading eye. I had success with monovision contacts, but this should be better for distance. A mild astigmatism is being corrected during the surgery.
Awesome! Good luck with your surgery :)
I wore monovision contacts for quite a few years and I loved them. I just had cataract surgery on the first eye and I had decided to go with monovision lens replacements as well. At first after surgery it was like trying to look at everything through a clear shower door. So I just went to bed and slept for a while. 9 hours after surgery that haze lifted and I couldn't believe how good I could see my computer and the teeny tiny print on my water bottle. Having the other eye done in 3 days and hoping that eye does as well as the first with the distance lens.
Thanks for sharing, and best of luck on your second eye surgery!
Thank You for accurate information to assist me in choosing new lenses.
I am 57 years old and had my first cataract surgery three days ago. In my right eye I had installed a Vivity Toric lens to correct astigmatism. The lens is a multifocal Vivity lens and I could not be more pleased with the results so soon after surgery. The doctor's office told me that it may take two weeks to gain clear vision. My right eye has surpassed my left (with which I wear a -6.5 dpt contact lens). Close vision is still a little worse but improving, distance is very good and night vision is at least as good or better than my left eye is currently. The Vivity toric is a 10.5 dpt power. I could not be happier with my choice in this lens.
Thanks for sharing your experience!
My opthmologist gave me the option to get a single vision or a toric lens for my stig. The toric cost much more so I opted for SV.
He said even if you get toric lenses you'll still need glasses.
Vision changes over time. At some point ,you'll need glasses if needed them prior
I just had my second surgery yesterday and chose the Toric IOL. I'm very pleased with the distance vision it provides and can drive without glasses for the first time in decades. So far I have had to use reading glasses, but I think the tradeoff is the right decision for me. I didn't want to deal with the glare I saw on various forums with multifocal lenses.
Thanks for sharing!
What was your prescription before? I'm most likely going with the distance (toric). Thanks.
You are absolutely awesome, Dr. Lee!! You exhibit all the important qualities that a physician should have…any chance you make house calls?? LOL. Obviously, just kidding, but I just learned 2 days ago that cataract surgeries are in my near future & after watching 2 of your videos, I feel much less scared about my ophthalmologist replacing my cataract-ridden lenses. I have SLE, (lupus), & I always have to be wary of something get infected, so surgeries have always been of great concern for me. I also have astigmatism so learning about the toric lens option was extremely helpful. Thank you for sharing your knowledge with me! ❤️🤓🙏
Thank you for helping people understand the options of some of the cataract surgeries. Unfortunately I need cataract surgery BUT .... I suffer from problems with excessive spinal fluid. I have had 25-30 spinal taps. Sad to say I have no one I can trust to help me deal with this. Please be safe and thank you again.
Thank you for your kind words ❤
15 years ago I was not given a choice of lens options under the British National Health Service, but the surgery was free. The first lens replacement disappointingly produced slightly myopic vision. The second was perfect. This has resulted (accidentally) in monovision which enables me to both read and drive without needing glasses. Works fine for me. 🙂
That sounds great - thanks for sharing ❤
Very good information, as I am considering cataract surgery in the near future.
Thank you for your kind words, and best of luck with your cataract surgery :)
Oh How I wish you were in Florida. Thank you for all the clear info,
That is so nice of you ❤ I very much appreciate your feedback. Thanks for watching!
Your videos are very informative and well done. Thumb up!
Thanks for watching!!!
Had multifocal lenses with the rings put in both eyes after cataract surgery 6 years ago. The night glare was terrible right away and I had to look at the line on the side of the highway to be able to drive as the oncoming headlights would blind me. The good news is my brain started adjusting to the affect and the halos started going away. My night vision has improved dramatically and day vision was always good after surgery. Night glare from headlights is a problem for everybody because these new led headlights with upper uv level frequency are bad ! There's no organization that will rein in these auto manufacturers or the aftermarket resellers of led headlights ! I'm sure half the night time accidents involve being blinded by headlights !
I had my surgeries during the height of Covid. It got to the point driving at night, which I have to do for work, was scary. I went with the monovision lenses for distance. I've worn glasses my entire life and even though I have mild astigmatism, I didn't want the toric lenses, and since I could never tolerate bifocals or progressive lenses at all, the monovision were an easy choice. It's been about a year since the surgeries and I'm very happy with my vision. I had to have the YAG laser done on my right eye due to a fold in the capsule right at the worst spot it could have been at, causing rays and beams at night. It was no big deal and that was it. The other eye seems fine. My only real problems with the entire surgeries and recovery was I had some sort of minor panic attack during the second procedure for some reason, and the drops, I could taste them and that got old quick.
Wow you tasted the eye drops? Thats wild!
@@Padraigp I'm one of those people who taste anything that gets into my eyes. I don't know how it works exactly, but every time I go to the eye doctor, I take some cough drops or candy to kill the taste of the dialating eyedrops. About 2 or 3 seconds after the drops go in, the taste hits me. Yuck is being too nice about how bad some of them taste. Not as bad as shampoo that has gotten into my mouth, but very bad, enough to make me wretch a few times.
@nrd515 that's kinda cool. Maybe your tear ducts redirect to your tongue somehow. Awesome freak 😍
Thanks a million for your professional advice which is what my surgeon told me!!
Thank you!
I have cataract surgery done last Dec., just the standard lens. I’m very happy with my new eyes. I need reading glasses now. No problem at all after wearing glasses since 3rd grade & hard contact lenses for myopia 50 yrs. I got droopy eyelids after the surgery. I was so surprised i did so poorly in the field vision test. The eye doctor is very busy, my surgery was scheduled in 3 months. Then he has an emergency to take care of & my operation is pushed back 1.5 months. I’m not very happy. Just have to wait a while. Oui.
I'm sorry you had a delay for your eyelid surgery. Thanks for sharing your experience!
Hi Dr. Lee, I would choose Mono focal and wear glasses for astigmatism & close work for auto repair. As is often shouted in Kyoto, Japan: " Hey! "
That's great! It's always a good idea to protect your eyes when doing auto repair. Thanks for sharing ❤️
@@MicheleLeeMD It is. As I've aged, sometimes I can't get close enough to see what's going on. I've also threatened to get a pair of bifocals with the reading lens on top. So, if I'm under a car and looking upward while on my back I can see without raising my glasses. It was all so much easier when I had 20/20 acuity. :))
thanks for sharing, I subscribed right away, since 80 years old start got all kind problems, include Glaucoma, multi vision , weak nerves, problem, eye astigmatism
Thanks for subscribing! I'll be sure to make some more videos for you about glaucoma and astigmatism soon!
@@MicheleLeeMD thanks for your quick response, I appreciated very much, if you can educate me of glaucoma , thx
@@nancykoo4156 I made a video with a glaucoma specialist here in case you are interested: czcams.com/video/_pXkDEPonI0/video.html
Otherwise look out for more videos. Thanks for your support!
Very informative video, thank you , im considering to have this surgery in a near future.
I am having surgery in 2 days. I have worn glasses since I was 13. Your videos have been extremely helpful thank you very much. My Dr several years ago suggested using only 1 contact for distance on the right eye since I could read up close with the left eye. No other eye Dr ever suggested that. I liked it. I do have astigmatism so I am going with the Toric lens in my left eye for reading, like my contacts since I can not longer read and distance is worse even with glasses. Since my right eye is developing a cataract I plan to just go ahead with that eye and get the Toric lens for distance. I'm 67 so my thoughts better to have surgery now at this age than later. The one thing that was brought up and I have not seen it mentioned. I can always get eye glasses as well if I decide I don't like it. That was a huge relief as I had not thought of that. It was actually the Dr's assistant who mentioned it. I think I will be fine with my decision. My neighbor just got both eyes done and went for the ones paid by insurance. He says now he has to use readers all the time as before he didn't have too, but his distance is great. It will cost me $2,500.00 for each eye, but then all the money I have spend on glasses over the years I figure this will pay for itself over time. Thank you your videos have been extremally valuable in my decision process and I went prepared with questions for my Dr.
I hope your surgeries went well!
Thank you for asking Dr Lee. That was very thoughtful and kind of you. My surgery went extremely well. My regular eye Dr. took me and observed the procedure. I changed my mind the day before and decided not to do the mono for now with my left eye. I did pay for the Toric lens in my left eye since it would fix my astigmatism and it was worth ever penny!! I did distance and for the 1st time since I was 13 I am not wearing glasses to watch tv or drive. It's just amazing!!! The 1st 10 days my right eye compensated and I could read with it. Before the surgery I would wear only 1 contact in my right eye as I could read with my left, though I no longer can. This last week I've had to start using readers to read and that's ok. After 54 years of wearing glasses all the time I am just in heaven. My right eye does not need cataract surgery yet so I will wait, maybe do mono vision then. With changes happening so fast in the medical field, who knows what will be developed by then. I could not believe that the procedure only took 10 minutes. It did a few weeks time to completely heal. I felt for awhile like I had to take off my contact lens and then I could see the lens on the left side of my eye. I touched that white part of my eye with the bottle while inserting the drops, so I was on the Prednisolone drops about 3 days longer. I did start wiping the tip of the dropper off with alcohol Prep Pads if the dropper touched my eyelashes or hair. It was hard to find the correct position to put in the eye drops, but I finally settled on one your recommendations and it worked great. I also put the drops in the refrigerator as you suggest and that helped too. I read the instructions to make sure the droppers they gave me could be refrigerated. It has been 26 days now and I would say by the 2nd week I no longer felt like I have to take off a contact or that I have like a piece of sand in there. I no longer see the edge of the lens on the left side. My eye Dr said I was a very good patience caused I followed instructions very well. I took the drops as instructed and followed all the Dr's instructions. I AM SOOOOOOOOOO HAPPY I DID IT. I hope the information I wrote helps others. Dr. Lee your videos were really fantastic I watched them all and they where extremely informative. I really appreciate the time you took to make them and checking up on my :). I also read the comments from so many folks on your CZcams channel and found them to be helpful as well. I hope my response can help someone too. Thank you.
My doc is pushing me to get multi/bifocal lenses :(. I haven't fared well with bifocal glasses before, so I'm kinda nervous. And now I learned from your great video that there might be glare during the night or daytime. I definitely don't want that! Thank you.
Thanks for watching, and I hope your surgery goes well!
This is very helpful, thank you. I am in the UK, aged 72 with a cataract in one eye that is just becoming troublesome. I have decided to go ahead with surgery, but the choice is difficult. I have happily worn Varifocals for years,, with an extra monofocal pair for convenience reading / computer. I can have free NHS surgery - for monofocals only - but researching has taught me about the possibility of multifocals (likely to cost several thousand £ / $) on private surgery, and suddenly the idea of being spectacles-free for the first time since my mid-40s is tempting. I am still thinking. Thanks again to you - and to the other commenters for the input.
Excellent and very helpful explanation. Thank you so much!
Very informative, I had RK with some astigmatism removed. No cataracts,but have a friend that does. Will share this with him.
Based on personal experience, my recommendation is something not mentioned in this video. The idea of one eye for distance and one for close vision may sound okay, but I've met a lot of people who couldn't handle it. And those who have it report difficulty in getting used to it. And with lenses that give fixed 20/20 vision, reading glasses are a necessity.
Instead or either, my surgeon suggested using a lens that gave me 20/50 vision in both eyes, which is a perfect compromise. It's legal for driving, and, allows you to read without glasses. In practice, that means that most of the time you'll need no glasses, even for watching TV. There are some exceptions, though:
At night, with your eyes dilated it becomes harder to read street and highway signs (your depth of field reduces), which is why I mostly wear glasses to drive at night. The same applies in a darkened theater, so when in a theater, I also wear glasses.
But, those exceptions aside, and after more then 20 years of use, were I to do it again I'd not hesitate in asking for the same lens. If you're going for the monofocal lens option, ask about the 20/50 lens. You'll not regret it.
There's also something they don't tell you: If you're nearsighted, as I was, and you're having the lens replaced in only one eye, you will probably no longer be able to use glasses to correct the remaining eye. I was having both replaced, with a gap of a month between one and the other. So, I came up with what I thought was a brilliant solution. Till the second surgery I would have the lens in my glasses for the eye that had the surgery done replaced by clear glass. But...putting those glasses on resulted in my vision breaking into concentric rings that made me instantly rip the glasses off. Perhaps I might have adjusted to it, but, were the other eye not to be operated on, a single contact lens would have been my choice.
Hope this helps.
I was born with congenital cataracts. On the advice of my ophthalmologist, We waited until age 17 to receive the surgery. We would have waited longer, but I pretty much had lost my ability to see in high-light situations. We ended up choosing mono-focal lenses after discussing potential issues with the other types. Yes, I have to wear reading glasses (+2.50), but more than 15 years later my distance vision is still 20/20. The nice thing is I can do physical activity, fishing, running, skiing etc. without having to worry about breaking/losing my glasses as I can see far just fine. I can still even read large print near text without the glasses depending on the lighting. I would say, you really only get one chance to choose a lens, so please take all things into consideration carefully.
Thanks for sharing your experience!
I am getting ready to have cataract surgery videos are greatly appreciated!
I've been wearing multi-focal contacts for many years with great success, needing reading glasses only for the finest of fine print in low light. The lens I wore until recently has been discontinued :-(, and the best replacement I could find does not give me the super close-up ability I had before. I have a friend who recently had surgery to replace his natural lenses with multi-focal lenses. He's absolutely thrilled with the result. He was to the point where he was wearing progressive glasses all day, and now doesn't need glasses at all. I've been informed that my lenses have begun to slightly cloud. I don't notice it yet, but when the time comes I'll definitely go with the multi-focal option.
I read, sew and use the computer a lot. I am happy to wear distance glasses., not reading glasses and as I live in a hot country I have always worn prescription sun glasses anyway. Going for surgery next week and will choose to have near vision. My other eye is fairly good all round.
How are you doing now?
I had cataract surgery a little over two years ago. I wore gas permeable contacts for decades and wore multifocal contacts for at least a decade. I was fortunate enough to have a great optometrist who worked with the Contact lens lab to get a great fit. When it was time for cataract surgery, I did research and my optometrist referred me to an ophthalmologist that he felt was the best for my situation. I definitely wanted to not wear glasses and I also had astigmatism in both eyes.
I chose to have the multifocal, toric lenses for my cataract lens. I am really happy with the result, I have not had any problem with glare or the night time halo effect. I see 20-20 both near and far.
Thank you for sharing your knowledge. In doing my research on lens options, I realized that lens technology is changing rapidly. So like you say, what is available today may be obsolete in the future. I would recommend that people do their research and work closely with their eye specialists.
Thanks for sharing your experience!
Well...i went with toric to correct astigmatism and monolens to correct for distance in both eyes. Wear readers when needed. Im quite happy with the result
I am close to needing cataract surgery, this is very helpful information.
Thanks for your feedback and best of luck when the time comes for surgery!
I'm getting my first (left) cataract surgery Wednesday and I'm going with a mono lens. My surgeon advised that I have a small scar on my eye and he does not recommend any multi lens. My issues are blurriness especially in my left and light glare has gotten pretty severe.
Sunlight glare can be brutal and night driving is now horrible with the halos and glare. I had great vision my first 60 years but the last few years I've used readers, and the last 2 yrs I've had prescription progressive glasses.
All the new multi lens options sound pretty appealing but with my surgeons notice of the very minor scar and recommending against any multi lens, I'm feeling that a mono lens and a successful operation will be best.
I can live with using readers when needed no problem. If all goes well, my 2nd eye will get the same procedure in 3 weeks.
The option of a distance lens in one eye and near in the other just doesn't sound like a good idea to me because its not like you just go back and get a redo if that combo doesn't go well. I'm hoping for a 1 & done..
I've been examined by 3 different Ophthalmologists none even mentioned noticing the scar or any issues it presents for lens options other than the surgeon and in this outstanding video presentation from Dr Lee.
I have been kind of questioning my surgeons conclusion about the scar and lens recommendation but after watching this video by Dr Lee, I am satisfied that my surgeon made the right recommendation foe mono lenses..
Thank you so much Dr. Lee for this most helpful video. I appreciate it very much.
Best regards,
your newest subscriber....
Thanks for watching, sharing your experience with figuring out the lens for your eye, and supporting the channel. If you have a less than perfect eye, I always recommend avoiding a multifocal as well. Best of luck with your surgery!
Patients should be well informed that some of these upgraded lenses may not be covered by insurance or Medicare. These lenses may cost thousands of dollars extra out of pocket per eye.
Thanks for your comment.
Yes I agree. Pricing should be transparant. If you are unsure, ask your surgeon, surgical technician, and/or surgical scheduler for cost/price breakdown.
You are very appreciated. Thank you for sharing valuable information clearly.
You are so welcome!
Thank you for this video Dr, It has really helped me to chose the right lenses for me.
I never had any choice of lense so my cataract operation was a disaster from my point of view. I wish you the best of luck with your work. I live in France part time and I write from my experience there where ophthalmology is cheap, but not for me cheerful.
I’m so sorry to hear about your experience with cataract surgery :( Thanks for sharing - I love to learn more about what care is like in other parts of the world.
I was given choices but my insurance only covered the basic ones so I still wear glasses ( I've worn since I was 4 years old and feel naked without them,).
All the other lenses were iffered at over $2,00] per eye. So, I had to go with te badics and my eyes are back yo exactly what they were prior to surgery, except that instead of triple vision in headlights, I see star bursts.
@@ellenhofer3343 Thanks for sharing your experience with your monofocal lenses ♥
Everyone I know has chosen the toric or toric II the problem is it’s too expensive for most and even veterans can’t afford them so opting out for the cheap lens is the best choice.
Dr Lee , Well learnt and used her own intelligence.
Thank you for the video and information. Blessings to you.
Very informative.thank you
I appreciate your feedback! Thanks for watching :)
I went with premium Multi-focus lenses in 2012. I wore mono vision contacts for almost 40 years and they would have been my choice had the option for the multi focals not come up. My choice was very expensive but well worth it even as I age.
Thanks for sharing :)
I'm having cataract surgery next week (as well as fixing an astigmatism). I am going with the multifocal lens as I really don't like reading with glasses (which I started wearing for reading a couple of years ago). I find that I read physical books less and rely more on my kindle since I can increase the font, but I still have lots of physical books on my shelf I want to get through, so I hope the multifocal is the way to go. Expensive, but I'm considering it an investment.
@@KalCraig How did it go?
When I had my surgery, the insurance company would only pay for the standard lens, although I would have benefited greatly from the toric lense. I offered to pay the difference in cost and the insurance company would not allow it! I would have had to pay the entire cost myself ($4000/eye I was told)! So, I have the standard lense with eyeglasses for reading and astigmatism correction. Still MUCH better than when I was severely nearsighted, but the toric lense would have been a great thing!
Thanks for explaining the different types of IOL. I watched your other videos on different complications of cataract surgery. Scary! I'm a nurse who scrubs & circulates for cataract extractions. Soon I'll be needing this procedure done on my eyes. I think, I'll choose standard monofocal lens. I don't mind wearing eyeglasses. My problem is farsightedness so distance while driving at night is a must for me.
Thanks for sharing your thoughts :) Best of luck on your surgery (when the time comes)!
I just had cataract surgery - and I have monofocal lenses. Its only been a little over a month since the last eye was done, I still have some of the dark semicircles visible, but they don't bother me. The dry eye does, but I had that before. I use the computer a lot and don't need glasses. Some up close is the same. I still have not tested it at night, and that was the type of vision I wanted surgery for.
Thanks for sharing your experience with cataract surgery!
@@MicheleLeeMD Thank you for this video. It was comforting. I wish I had known it existed earlier.
A great video. I just had cataract surgery and opted for the Crystalens. It has most of the advantages of the multi-focal without the extra glare and halos. I just wondered why you didn't consider these as a separate category?
There are so many kinds of lenses so I had to make this a bit more broad! As you say, there are so many other lenses like EDOF, etc. Thank you for sharing your results with the Crystalens ❤️
In other words you don’t offer this class of lens yo your patients. Just be up front about it.
I know that this is a year old video but I just went through having my cataracts removed and I went with the standard lens that Medicare covered. The primary reason was not the cost but the fact I was not a candidate for the premium lens according my surgeon after a complete eye exam. I am actually amazed at my new vision without the heavy glasses I had before anything more than three feet away is clear and easy to see. I was also having color vision problems that no longer exists as the colors are correct. I don't mind have reading glasses and after my final exam I did order a pair of bifocals with just the scratch coating on them that I paid extra for. Just the standard plastic lens is fine as they are at a reduced by probably 2/3s the weight of my old glasses. I am so happy with the results and the corrective lens that implanted. I have the drop less surgery and everything worked great.
I have had monovision contacts (one eye) for presbyopia after 50. I'm now going to go with monovision distance in dominant eye and vivity near and intermediate distance lens in other eye for my cataract surgery. Don't think I could deal with the glare issue with PanOptix. Thanks for the very informative video!
That sounds like an excellent choice. Best of luck!
if you are nearsighted get the Toric Lens. Pay the extra. get a mini monovision in one eye. Don't need any glasses.
Dr. Lee,
I was wondering if you can comment on something because I have experienced something pretty nifty.
To start I have had a horrible time with sleeping for years and I tried everything except medications. I think that is a slippery slope. What I was noticing was an increase in dreaming but then realized I was sleeping for much longer stretches in the last four days. There are two aspects I was curious about….The blue blocking of the lens and that rhythm of light in the day and darkness at night thing.
Wondering too if others have experienced this. Yes I do spend a lot of time on the computer.
There is some weak evidence that blue-blocking lenses can help with eye strain, sleep, and certain eye conditions so it is very possible the lenses are helping you. So glad to hear about your experience - thanks for sharing!
Very nice educational video. I work for Johnson & Johnson and I would like to know what's best lens out there which will give one a 20/20 vision for both distance and reading.
Thank you so much such a great break down and explanation.
Hi doctor, you mentioned you would choose a toric lens to correct your astigmatism and choose mono vision. Would you not choose for yourself a light adjustable lens? I am in a situation that you've described but I don't want to have to wear the UV protective glasses for a month. Your thoughts please! Thank you!
I have a pilot's license. Therefore I wanted the best, no compromise, distant vision. I also have astigmatism. I chose toric mono vision lenses. I now have 20/20 distant vision without glasses. I have worn glasses all my life so I chose to wear, full time, progressive glasses. This gives me 20/15 distant vision and 20/15 near vision. The instrument panel of most planes is far enough away that it is possible for me to fly without glasses if needed. I am very happy with my choices and the laser insertion of my lenses by Dr. Blaylock.
Thanks for sharing your experience!!!
Great input for my consideration! I also fly and am trying to figure out the best course of action as my cataracts take over. Thanks!
@@MauleSean If you do night flying, I highly recommend lenses fixed to distance vision - a monofocal or a monofocal toric if you need astigmatism correction. Best of luck when you eventually need cataract surgery!
@@MicheleLeeMD Dr Lee, I turned 60 this year. I think my night flying days are over; there’s just no need. So do you have different recommendation if I stick to daytime driving and flying? I’ve been wearing readers and prescription readers for a few years so I have no problem adding glasses to the equation. Distance glasses really don’t help me much right now. Thanks for the information!
@@MauleSean If you don't mind wearing glasses, I would probably stick to the monofocal or monofocal toric. You could consider a multifocal lens to hopefully be glasses independent if you do not do night flying or much night driving. Make sure you discuss this option with your eye surgeon so that you understand the possible risks and to make sure you are a candidate! The side effect that unhappy patients tell me about is some glare at night. Most of the time it is nowhere near where it was before cataract surgery.
Michelle, great video and thank you. I just had my first cataract surgery on my left eye and got the Toric lens for distance. I have good TV viewing but blurry intermediate and cell phone vision. I have Duane’s syndrome in my left eye, a paralyzed muscle. Now I have a choice for my right eye next month. Should I get a monofocal also with distance vision or go for the mini Monovision and get an intermediate IOL for my right eye. My right eye does not have significant astigmatism. Thank you very much.
Thank you so much such a great break down and explanation. 👍👍👍
I had cataract surgery in 2015. The results were outstanding. It is amazing how much better my eyesight improved immediately after the surgery. But, a few days before the surgery a clerk was briefing me on the procedure, and she offered me an upgraded lens that would have prevented the use of reading glasses. I declined them because I felt that I was being upsold on something I did not need, such as it happens when you buy a new car and they offer you an extended warranty. I wish I had gone with the upgraded lens, but I am still happy with the results. What was the name of the standard lens they gave me, and what was the name of the upgraded one....thanks.
Thanks for sharing your experience! I'm not sure which monofocal and which multifocal lens they would have offered you (there are several different ones). You can ask your surgeon's office which lens they implanted in your eye and they should have given you a lens card with that information after your surgery.
Fabulous information
❤Thanks for watching!
This was very informative. I don’t have cataracts now, but I do have a horrible nearsightedness with slight astigmatism in one eye. My optometrist has already told me I have myopic degeneration. He has told that I should wait until I develop cataracts to have my lenses replaced vs having the lenses replaced early, due to potential danger of something going wrong during surgery. He basically said if you are already unable to see, it’s not going to matter if the surgery doesn’t work…something along those lines. But, I’m really tired of wearing contacts. Glasses don’t work well for me. Plus, I’m starting to need readers. Sigh.
Now, after your video, there are so many things to consider about the lens choices. I need to make an opthalmalogy appointment anyhow.
Thanks for sharing your experience! When you are really near-sighted there is a slightly higher risk to the retina so I agree it might be best not to jump into surgery too early. It's never too early to start thinking about your refractive goals though and what type of lenses would be best for you. Best of luck ❤
I got featherweight eye glass lenses which reduces the eyeglass weight a lot. They cost more but are more comfortable. I also got wire frame eyeglasses with nose pads. They fit my face better than plastic frames. Not sure if this would help you but it was a game changer for me.
Thank you for this informative video. I’m scheduled to have the toric lens put in for my posterior cataracts with astigmatism and my dr recommends these over multi vision lenses. I’ve felt nervous to lose my near sighted vision but glare is my biggest problem with my cataracts, so your video is very helpful.
I have the same type cataracts. How did your surgery go? I can't stand the glare/light sensitiviy. I really hope it goes away after surgery.
@@bluejay9890 I had one eye done so far and I’m amazed with the results. No glare and no astigmatism. I’m very happy I went ahead with the surgery.
@@jblilbear That's great news! I hope I'm equally lucky! I hope your second eye goes well too!
هل استخدمت عدسة متعددة البؤرة
thank you dr lee.
I had already figured out that my basic choices would be either multifocals of EDOF(or similar)mono's with monovision.
I do have a serious problam with halo's and glare,so which would be your choice as a best option?
I do have quite a varied job to do,so
1)decent driving without visual obstructions is a must.
2)at the moderate end of the spectrum,i am reading/writing reports on a laptop on a dailly basis
3)at the more extreme end of the spectrum,i will be selecting electronic components by eye so must be able to read the values on them(like reading the ingrdients ona medical bottle) THIS IS A MUST.this is not exhaustive as I also need to do fine work under a microscope.
most of the reports i've seen say eyehance set to -0.5d dominant eye/-1.25d other eye seems to work well,with little problem with glare/halo
(less than -0.5 for dominant people seem to have issues with laptop reading/writing)
synergy is the other option,which seems much better depth of focus,but does have the reputation of extra glare.Not something I like to be honest.I do not tolerate it well
your thoughts??
I should also say I do not tolerate varifocal glasses.They make me nauseous.
anything remotely balance-changing give me a sea-sick feeling.
best glasses i have are very mild mono set to distance
انا لا اتكلم انكليزي لا اعرف في النهاية ماذا اخترت من العدسات هل اختر عدسة متعددة البؤرة ام احادية البؤرة ارجو التوضيح لاني مقبلة على عملية زراعة عدسة
Hi Dr Lee, I enjoy your videos so thanks. I'm considering cataract surgery and i
I've been reading up on these EDOF lenses which seem to have the best outcomes for intermediate and far distance vision. However I'm a Type 1 Diabetic (for 57 years) and while I am well controlled, I do have some diabetic maculopathy with some minor microaneurysms.. Should I consider monofocal over EDOF as I know there are compromises with EDOF lenses? Thanks again.. Ken
Hi Ken, thank you for watching! It's hard to say without examining your eyes but if you have macular issues your best bet would be a monofocal lens to maximize your quality of vision. If you want to consider EDOF, talk to your provider about the risks/benefits and see if you are a candidate.
Some monofocal lenses like the J&J Eyehance have some depth of focus, so you can ask your provider if she/he would recommend that for you.
Hope that helps, and good luck!
Monofocal done yestrday..got follow up today...I went from 20/200..yestrday
today it was 20/20
WOW, THANK GOD
2ND EYE TO BE IN AUGUST
@@Itsme-ni9jk Amazing!!!
Good information Dr. Ma'am thank u
I just had cataract surgery. I chose Toric. Happy with this choice.