I just had my right eye done six days ago with the monofocal for distance. Later that day I was 20/20 and the amount of light and the brightness of colors is amazing. I only need reading glasses now. It’s great!
I had the Toriclens . I have 20/20 vision . I see long-distance , don't need glasses to read a book , but will need light reading glasses to see the extrema small printing on some packages. Especially those that have multiple ingredients. I had an excellent opthamologist .
For those looking to learn more about the possible side effects of different lens implants, check out the links in the description. For example, here is our comprehensive article on the PanOptix, which includes FDA data on potential side effects: bestcataractsurgeons.com/panoptix-lens-review/
Thanks for the excellent video!!! I had custom lens replacement with a Tecnis multifocal in one eye 12 years ago. I dislike the loss of crispness of objects and people at any distance. It's like someone smeared a tiny amount of Vaseline on my eye. Is it safer now to do a lens replacement? I'm hearing of surgeons reporting good efficacy. I'd love to do one but want to avoid any chance of disaster.
There have been some significant advances... Laser cataract surgery has improved adding safety to the procedure, and there are a variety of new lens implants such as PanOptix & Light Adjustable Lens. Most importantly... choose an experienced surgeon and you should have a great outcome. Good luck!
Hi Linda, The many different options can be overwhelming. To simplify things, think about how you'd like your vision to look. Explain this to an experienced surgeon, and he/she will guide you to the right lens option. This article & video may help: bestcataractsurgeons.com/lens-options-with-cataract-surgery/
Clearview 3 is relatively new and doesn't yet have a large surgeon following in the United States. Surgical techniques are constantly changing. If we find that surgeons report good results, increasing their preference for and use of the Clearview 3, we may consider it for next year's list.
Is it worth it to have the dominant eye with a Vivity & the other with a PanOptix? Would this reduce glare/halo effects while providing multifocus vision?
There are many patients who have done this. Discuss with your surgeon if this is suitable for you. Every combination comes with trade-offs. While you may hope to gain better distance vision with less glare & halos in your dominant eye with this strategy, you will give up some of your dominant eye's near vision. For some patients this trade-off may be worth it, and for others, not worth it. You also may find that if you do the PanOptix in your non-dominant eye first, that the glare & halos are not bothersome to you, in which case, you may be more confident to do a PanOptix in your dominant eye. The most important thing is to go to an experienced surgeon who can match your eye exam to your vision goals, and has experience with these implants. Of course, we can not offer this type of personalized advice over the internet without examining your eyes. Would you like us to recommend a surgeon near you?
@@bestcataractsurgeons Thanks for the response. Yes, I would like a recommendation. Anywhere in the Lancaster or Palmdale or Bakersfield or surrounding area would be preferable.
Thank you very much for your very informative video! Wanted to ask a question, I know the Clearview 3 is relatively new. I also know that no artifical lens is perfect. Do you know any weaknesses with the Clearview 3? I have read a lot about how it has a full range of vision with no halos at night but have not read anything about the Clearview 3 lens weaknesses since no lens is perfect. Thank you in advance for your feedback.
Great question. You are correct that it is new, and there are a lot of surgeons that don't have a lot of first hand experience yet with the lens to know how it performs. The best we can do at this time is point you toward the FDA report that reviews the clinical trial data in detail. You can find it here: www.accessdata.fda.gov/cdrh_docs/pdf20/P200020B.pdf
Elizabeth - I will be having cataract surgery on both eyes in October. I'd had my mind set on the PanOptix until I found out about the ClearView 3. While virtually all ophthalmologists use the PanOptix, there aren't many that are currently using the ClearView 3, although the number is always increasing. The Lenstec site has a link to find a doctor near you who does use them. Also, not all patients are good candidates for the ClearView 3. I'm hoping that I am - I have an appointment for a consultation to find out!
Lucidis is not available in the United States... so we don't have any experience with it. Here is a study: www.ncbi.nlm.nih.gov/pmc/articles/PMC9167139/
We reached out to their team before we made this video when their lens implant was pre-released. They didn't get back to us! The lens is still very new... We will consider it for next years video.
Great question. Clearview 3 is new, and most surgeons don't have a lot of first hand experience yet with the lens to know how it performs. The best we can do at this time is point you toward the FDA report that reviews the clinical trial data in detail. You can find it here: www.accessdata.fda.gov/cdrh_docs/pdf20/P200020B.pdf Maybe it will make next year's list.
Yes. These lens implants can all be used for presbyopia. If you don't technically have cataracts yet, the procedure of removing your natural lens and replacing it with a prescription implant to correct your vision is called "Custom Lens Replacement" or "Refractive Lens Exchange".
@@bestcataractsurgeons i’m holding out for the jellisee or juvene accommodative lenses, uses all the light for all distances using your own eye muacles
Also, it's the only one that most insurance providers will cover completely. Premium lenses are an out of pocket expense and usually require you to pay 8 to 10 times the cost of the lens itself. For those that can afford it, it's a good option. My advice would be to educate yourself before you choose a proper lens for your eyes. A healthy dialogue with your eye doctor is paramount as well. If you are not comfortable with a eye doctor, go somewhere else and ask questions, especially if you don't understand what they tell you. Take care and good luck to everyone.
This leaves out a lot of details. Monofocal lens implants provide the least range of vision. Monofocals also come in a variety of types, toric monofocals, enhanced monofocals, adjustable, and different materials. A monofocal will also not achieve clear vision unless astigmatism is managed. Every patient is different. Oversimplifying to "one lens is the best for everyone" is dangerous.
Insurance companies cover a basic monofocal that does not account for astigmatism or other higher order optical aberrations. Patients choosing a basic monofocal implant should expect to need glasses for all ranges of vision. That is, they should expect to need bifocal or trifocal glasses after surgery. Some patients may get lucky who happen to have low corneal astigmatism and not need distance glasses after surgery, however, if your astigmatism is not managed with imaging prior to surgery, there is no way to know this in advance.
I have diplopia. Came on suddenly last year. Have checked everything and no reason for it. Other than decomensating esotropia. I wear prism glasses. I’m about to do LAL. I am not confident this lens is best. I had PRK 30 + years ago. No astigmatism. Is a Vivity ok with past PRK? I expect to need prism glasses post.
I just had my right eye done six days ago with the monofocal for distance. Later that day I was 20/20 and the amount of light and the brightness of colors is amazing. I only need reading glasses now. It’s great!
Thanks for sharing! Congrats!
I had the Toriclens . I have 20/20 vision . I see long-distance , don't need glasses to read a book , but will need light reading glasses to see the extrema small printing on some packages. Especially those that have multiple ingredients.
I had an excellent opthamologist .
Great to hear! Congrats on the excellent outcome!
Gearing up for my cataract surgery, these video's are so useful! Thanks for the guidance.
You're welcome! :D
Nice explanations, but you need to stress in your top choice the halo and blooming problems especially at night.
For those looking to learn more about the possible side effects of different lens implants, check out the links in the description. For example, here is our comprehensive article on the PanOptix, which includes FDA data on potential side effects: bestcataractsurgeons.com/panoptix-lens-review/
Thanks for the excellent video!!! I had custom lens replacement with a Tecnis multifocal in one eye 12 years ago. I dislike the loss of crispness of objects and people at any distance. It's like someone smeared a tiny amount of Vaseline on my eye. Is it safer now to do a lens replacement? I'm hearing of surgeons reporting good efficacy. I'd love to do one but want to avoid any chance of disaster.
There have been some significant advances... Laser cataract surgery has improved adding safety to the procedure, and there are a variety of new lens implants such as PanOptix & Light Adjustable Lens. Most importantly... choose an experienced surgeon and you should have a great outcome. Good luck!
@@bestcataractsurgeons Thanks for this encouraging advice!! Much appreciated.
There are so many lens selections that I’m confused. I ca read without glasses.
Hi Linda, The many different options can be overwhelming. To simplify things, think about how you'd like your vision to look. Explain this to an experienced surgeon, and he/she will guide you to the right lens option. This article & video may help:
bestcataractsurgeons.com/lens-options-with-cataract-surgery/
Just curious why Clearview 3 didn’t make your list?
Clearview 3 is relatively new and doesn't yet have a large surgeon following in the United States. Surgical techniques are constantly changing. If we find that surgeons report good results, increasing their preference for and use of the Clearview 3, we may consider it for next year's list.
@@bestcataractsurgeons ok that makes sense thank you
Is it worth it to have the dominant eye with a Vivity & the other with a PanOptix?
Would this reduce glare/halo effects while providing multifocus vision?
There are many patients who have done this. Discuss with your surgeon if this is suitable for you. Every combination comes with trade-offs. While you may hope to gain better distance vision with less glare & halos in your dominant eye with this strategy, you will give up some of your dominant eye's near vision. For some patients this trade-off may be worth it, and for others, not worth it. You also may find that if you do the PanOptix in your non-dominant eye first, that the glare & halos are not bothersome to you, in which case, you may be more confident to do a PanOptix in your dominant eye. The most important thing is to go to an experienced surgeon who can match your eye exam to your vision goals, and has experience with these implants. Of course, we can not offer this type of personalized advice over the internet without examining your eyes. Would you like us to recommend a surgeon near you?
@@bestcataractsurgeons Thanks for the response. Yes, I would like a recommendation.
Anywhere in the Lancaster or Palmdale or Bakersfield or surrounding area would be preferable.
Thank you very much for your very informative video! Wanted to ask a question, I know the Clearview 3 is relatively new. I also know that no artifical lens is perfect. Do you know any weaknesses with the Clearview 3? I have read a lot about how it has a full range of vision with no halos at night but have not read anything about the Clearview 3 lens weaknesses since no lens is perfect. Thank you in advance for your feedback.
Great question. You are correct that it is new, and there are a lot of surgeons that don't have a lot of first hand experience yet with the lens to know how it performs. The best we can do at this time is point you toward the FDA report that reviews the clinical trial data in detail. You can find it here:
www.accessdata.fda.gov/cdrh_docs/pdf20/P200020B.pdf
What about the Clearview 3 by Lenstec?
It's a new lens. Maybe it will make next year's list.
Elizabeth - I will be having cataract surgery on both eyes in October. I'd had my mind set on the PanOptix until I found out about the ClearView 3. While virtually all ophthalmologists use the PanOptix, there aren't many that are currently using the ClearView 3, although the number is always increasing. The Lenstec site has a link to find a doctor near you who does use them. Also, not all patients are good candidates for the ClearView 3. I'm hoping that I am - I have an appointment for a consultation to find out!
@@kathleenlenkeit6509 good luck! I have an appointment in September.
Please comment about LUCIDIS sir.
Lucidis is not available in the United States... so we don't have any experience with it. Here is a study:
www.ncbi.nlm.nih.gov/pmc/articles/PMC9167139/
What about Clear View 3?
We reached out to their team before we made this video when their lens implant was pre-released. They didn't get back to us! The lens is still very new... We will consider it for next years video.
How about Clearview 3 IOL?
Great question. Clearview 3 is new, and most surgeons don't have a lot of first hand experience yet with the lens to know how it performs. The best we can do at this time is point you toward the FDA report that reviews the clinical trial data in detail. You can find it here:
www.accessdata.fda.gov/cdrh_docs/pdf20/P200020B.pdf
Maybe it will make next year's list.
Do these lens also work for presbyopia? My cataracts are small but I want to get out of glasses so badly. Are the results the same?
Yes. These lens implants can all be used for presbyopia. If you don't technically have cataracts yet, the procedure of removing your natural lens and replacing it with a prescription implant to correct your vision is called "Custom Lens Replacement" or "Refractive Lens Exchange".
You can learn more about it here: bestlasiksurgeons.com/resources/custom-lens-replacement-clear-patient-guide/
What about LAL+ .
Great lens! Might make our 2025 list next year!
@@bestcataractsurgeons i’m holding out for the jellisee or juvene accommodative lenses, uses all the light for all distances using your own eye muacles
The clearest vision is with a monofocal lens, the rest are a compromise.
Also, it's the only one that most insurance providers will cover completely. Premium lenses are an out of pocket expense and usually require you to pay 8 to 10 times the cost of the lens itself.
For those that can afford it, it's a good option. My advice would be to educate yourself before you choose a proper lens for your eyes. A healthy dialogue with your eye doctor is paramount as well. If you are not comfortable with a eye doctor, go somewhere else and ask questions, especially if you don't understand what they tell you.
Take care and good luck to everyone.
This leaves out a lot of details. Monofocal lens implants provide the least range of vision. Monofocals also come in a variety of types, toric monofocals, enhanced monofocals, adjustable, and different materials. A monofocal will also not achieve clear vision unless astigmatism is managed. Every patient is different. Oversimplifying to "one lens is the best for everyone" is dangerous.
Insurance companies cover a basic monofocal that does not account for astigmatism or other higher order optical aberrations. Patients choosing a basic monofocal implant should expect to need glasses for all ranges of vision. That is, they should expect to need bifocal or trifocal glasses after surgery.
Some patients may get lucky who happen to have low corneal astigmatism and not need distance glasses after surgery, however, if your astigmatism is not managed with imaging prior to surgery, there is no way to know this in advance.
I have diplopia. Came on suddenly last year. Have checked everything and no reason for it. Other than decomensating esotropia. I wear prism glasses. I’m about to do LAL. I am not confident this lens is best. I had PRK 30 + years ago. No astigmatism. Is a Vivity ok with past PRK? I expect to need prism glasses post.
'Only if you don't want to see your phone.