I'm 68. I had cataract surgery on my first eye one week ago on March 13, and my second one will be in April. The lens that was used is the Eyhance ICB00, which is an enhanced Monofocal by Johnson & Johnson,... placed in my dominant eye. (right eye) I was shocked when I woke up the next day and my laptop was laser sharp with no glasses. I can see my phone about 12-15 inches from my face. I can even read fine print on medication bottles. At post-op the day after surgery, I tested 20/20 for far and 20/15 for near, although the letter chart that I was able to read was still blurry, so I didn't quite understand how I achieved 20/20 for distance. At the time, I guess I assumed that distance focus would improve, but it has not changed much in one week. I'm very happy with the way that I'm seeing inside of my house, for the most part, except the tv, which is about 14 ft away from my eyes, is a bit out of focus. It seems I can see very sharply up to about 6 to 7 feet, which is wonderful as that's how I use my eyes most of the time. At this point, I am content, but I know that I'll probably need glasses for distance so that I can enjoy a full range of clear, crisp vision. I have zero halos, rings, flares, floaters, etc and I would definitely do the same thing again. Low light is excellent. So, to sum up my experience thus far with one lens,...most of the time I will not be wearing glasses but will wear outdoors to drive, walks, etc. Good luck to all that are deciding. Ask your doctor questions, because they don't have much time to spend with each patient, it seems. Originally I was going with PanOptix multi-focal but changed my mind due to possible issues with those.
Thank you for sharing your experience! If that was an intention glad about you, however if you have expected good far and reasonable near, it sounds like refractive error, and there is a small chance that something will change in next 3-4 weeks.
@@iol-adviser Thank you so much for your quick response. I actually have a pre-op appointment for my left eye with that doctor this morning. I did not plan the outcome to be this way and expected the results that you mentioned. I had 1.50 astigmatism in that eye, which is my right/dominant, that was supposed to be corrected with laser. (there was no Toric lens) I see the doctor this morning and have a lot of questions. I am worried what will happen with my nondominant eye now, which has only .24 astigmatism. From what I understand .24 is nothing of concern or need of treatment, and I'm wondering how much differently that left eye will turn out and whether it will be like monovision to my brain, which I do not want.
0.25 of astigmatism is really nothing to worry about. The refractive shift is to be discussed. As you might have the refractive shift the only options are to keep a mono vision, to have laser surgery over, but knowing that dry eye might be noticeable or to exchange an IOL to another power to align with the target.. Hope this helps.
My auntie 70 y.o. did similar vision: for distance she has 1.5-2.00 Diopters and wears glasses outside but takes off glasses at home, she was severe myopic like me. Doctor said to her because you are used to close vision and wore glasses all your life that will be more comfortable for you.
@@Rita50 that is about target refraction and the residual refraction. discuss that with your surgeon, but be aware that auto refractors are not accurate with that lens, and maximum-plus technique has to be used to define actual post-op refraction
Your English is very good ! I am having cataract surgery in a week combined with MIGS for glaucoma I have astigmatism also. What Toric lens would you recommend for someone who has a distance favoring bias? A monofocal or a multifocal lens ? Any response appreciated and would be held confidentially by me. Thank you
Many thanks for your kind words! Toricity of an IOL is a must have option, if you have a regular astigmatism more than 0.5D, so I'd rather think about the IOL type in general, knowing that toric option will be any way selected by your surgeon. Regarding the lens, depends on glaucoma stage, your age and progression history. The least desirable today I would say a monofocal lens, as it gives you too shallow depth of field for daily life, you will need glasses quite often. Then, enhanced monofocal might be a better option. Definitely avoid trifocal or hybrid like Panoptix and Synergy due to glaucoma and far vision quality needs. And avoid Vivity as well due to low contrast which might cause problems for glaucoma patients. So, I'd go with something from Tecnis monofocal as the best in class far quality with the lowest depth of field, then any EDOF based enhanced monofocal and Symfony having the great far and functional near, but it will give you night dysphotopsias. So, take your time - watch my other videos to learn more. And I can offer personalised concultation to discuss options available, pros, cons and to be well prepared for your surgeon discussion. iol-adviser.com/consultation
@@iol-adviser -- Thank you very much for such a quick and detailed answer . I will research what you have said and look further into your other videos -- Best of health to you and your family
Thank you! Can you help me with one question I am investigating now? What is the reason, you are here on my channel, as theoretically you shall get all the answers from your doctor? I really want to understand from the patients, what is missing during the patient to doctor contact that people are looking for the information and advice aside. Many thanks for your input!
I’m researching iol lenses currently, not for cataracts but for presbyopia. To answer your question, I had a discussion with a doctor and he recommended trifocals for me. However, he didn’t really mention alternatives for me and I didn’t get any information on the models he proposed. I’ve done some research to better understand the downsides as well as the capabilities. This led me to your video. So far I’ve noticed that the doctor left out a lot of information about the lenses and their properties and especially downsides. I use glasses for distance and need multifocals to read. Without the glasses I can read quite well. I wouldn’t want to lose my near vision but understand that I can’t get it all. I also don’t want to disturb my night vision too much which is a really hard combination of course. If I could get workable near vision and as few problems with night vision that’s a perfect combo for me. Anyway, I’ve seen some hype around tecnis puresee but I guess the results are still not there.
thank you for your answer. It is inspiring to keep working... let me know if you will need anything else. And, I suggest, if possible to discuss with another surgeon as well. Doctors are different. ps: regarding the PureSee, seems to be interesting, I'm looking for more data, as I am planning RLE as well, and it looks really appealing for me.
After months of research, as well as a consultation with Alexei, I chose the J&J Eyhance for both eyes 2 1/2 years ago. I did a lot of searching for the right ophthalmologist at the same time, as those lenses were new and not widely adopted. I was incredibly pleased with the outcome. I have 20/20 distance vision and quite good intermediate vision (no glasses needed for anything beyond arm's length). Even my reading quality is good enough if I accept a bit of eye strain, but for reading I use +2.0 reading glasses. What surprised me was the quality and usefulness of my near vision (even at 6 to 8 inches), adequate for anything less detailed than threading a needle. This makes me wonder now if the compromise I made in giving up the 20/15 vision of the standard J&J lens was really necessary, but given the outcome and not being able to make a personal comparison, I would make the same choice again.
Thank you for your feedback! And I’m happy for your results! Talking about 20/16 far with monofocal, it would give defensively noticeable weaker near and intermediate. So I believe you did a right choice.
Shortly it shall be similar with all basic monofocal IOL, as the LAL is a monofocal IOL. however there is a lot of hype around, so I decided to create my next video about that cataract lens and the technology in general.
Cant see how anybody would choose anything but the monofocul plus like the eyenhance jnj. The others above those seem to have prominent sideaffects to make people comment often on the net about halos, not crisp etc.
Hello, in 1 month I will have my first operation and I don't know what to choose between PanOptix or Vivity... I am 22 years old, I have cataracts and astigmatism in both eyes and this decision must be taken carefully because I will see for the rest of my life... please a suggestion (toric one)
Hello. As a starting point I suggest IOL questionnaire here www.iol-adviser.com/iol-questionaire Then, the reason on lens exchange, eye conditions may narrow the choice. If uncertain, we may schedule a consultation (www.iol-adviser.com/consultation) Good luck!
Hello my young friend, have you had surgery? If you had surgery, can you give us information about it? I am also considered young for cataract surgery, I am 38 years old. What type of lens was fitted to you and are you happy with your final condition?
Hello my young friend, have you had surgery? If you had surgery, can you give us information about it? I am also considered young for cataract surgery, I am 38 years old. What type of lens was fitted to you and are you happy with your final condition?
@@atalayonline I chose vivity lens in both eyes, a month passed between the eyes and now I have 2 months since the operations, without dry eyes or problems, only the first 2 weeks because of the heat and the strong sun, you might need the sunglasses, keep drops artificial tears always with you and probably in the future I will also get glasses for things done very close, for example, a prick in the finger. The second option was Panopix
@@atalayonline my father still chose vivity at the age of 54 and now he is 56 and almost no longer uses drops . both very happy with the choice, for him it was the hours at the office and for me it was corticosteroids problem be careful to avoid these drugs in the long term
Well this video sounds all well and good, but most of us can't afford the high "out of pocket" costs for lenses since insurance only pays for the basic mono focal lenses and also does not pay for advanced laser surgery procedures, etc. here in the US. Kind of a bummer, but i guess we have to live with it and hope for the best.
@@iol-adviser sir but some people say or doctor says it compromise slightly distant vision or sharpness with slightly increased intermittent vision is it true
Sadly the satisfaction ratings by the industry are at best misleading. This makes personel research a must. This does not mean your doctor is lieing to you but just parroting what they are told.
👉 Uncover IOL truth at IOL-adviser.com 👈
I'm 68. I had cataract surgery on my first eye one week ago on March 13, and my second one will be in April. The lens that was used is the Eyhance ICB00, which is an enhanced Monofocal by Johnson & Johnson,... placed in my dominant eye. (right eye) I was shocked when I woke up the next day and my laptop was laser sharp with no glasses. I can see my phone about 12-15 inches from my face. I can even read fine print on medication bottles. At post-op the day after surgery, I tested 20/20 for far and 20/15 for near, although the letter chart that I was able to read was still blurry, so I didn't quite understand how I achieved 20/20 for distance. At the time, I guess I assumed that distance focus would improve, but it has not changed much in one week. I'm very happy with the way that I'm seeing inside of my house, for the most part, except the tv, which is about 14 ft away from my eyes, is a bit out of focus. It seems I can see very sharply up to about 6 to 7 feet, which is wonderful as that's how I use my eyes most of the time. At this point, I am content, but I know that I'll probably need glasses for distance so that I can enjoy a full range of clear, crisp vision. I have zero halos, rings, flares, floaters, etc and I would definitely do the same thing again. Low light is excellent. So, to sum up my experience thus far with one lens,...most of the time I will not be wearing glasses but will wear outdoors to drive, walks, etc.
Good luck to all that are deciding. Ask your doctor questions, because they don't have much time to spend with each patient, it seems. Originally I was going with PanOptix multi-focal but changed my mind due to possible issues with those.
Thank you for sharing your experience! If that was an intention glad about you, however if you have expected good far and reasonable near, it sounds like refractive error, and there is a small chance that something will change in next 3-4 weeks.
@@iol-adviser Thank you so much for your quick response. I actually have a pre-op appointment for my left eye with that doctor this morning.
I did not plan the outcome to be this way and expected the results that you mentioned. I had 1.50 astigmatism in that eye, which is my right/dominant, that was supposed to be corrected with laser. (there was no Toric lens) I see the doctor this morning and have a lot of questions. I am worried what will happen with my nondominant eye now, which has only .24 astigmatism. From what I understand .24 is nothing of concern or need of treatment, and I'm wondering how much differently that left eye will turn out and whether it will be like monovision to my brain, which I do not want.
0.25 of astigmatism is really nothing to worry about. The refractive shift is to be discussed. As you might have the refractive shift the only options are to keep a mono vision, to have laser surgery over, but knowing that dry eye might be noticeable or to exchange an IOL to another power to align with the target.. Hope this helps.
My auntie 70 y.o. did similar vision: for distance she has 1.5-2.00 Diopters and wears glasses outside but takes off glasses at home, she was severe myopic like me. Doctor said to her because you are used to close vision and wore glasses all your life that will be more comfortable for you.
@@Rita50 that is about target refraction and the residual refraction. discuss that with your surgeon, but be aware that auto refractors are not accurate with that lens, and maximum-plus technique has to be used to define actual post-op refraction
Your English is very good ! I am having cataract surgery in a week combined with MIGS for glaucoma I have astigmatism also. What Toric lens would you recommend for someone who has a distance favoring bias? A monofocal or a multifocal lens ? Any response appreciated and would be held confidentially by me. Thank you
Many thanks for your kind words!
Toricity of an IOL is a must have option, if you have a regular astigmatism more than 0.5D, so I'd rather think about the IOL type in general, knowing that toric option will be any way selected by your surgeon.
Regarding the lens, depends on glaucoma stage, your age and progression history.
The least desirable today I would say a monofocal lens, as it gives you too shallow depth of field for daily life, you will need glasses quite often.
Then, enhanced monofocal might be a better option.
Definitely avoid trifocal or hybrid like Panoptix and Synergy due to glaucoma and far vision quality needs. And avoid Vivity as well due to low contrast which might cause problems for glaucoma patients. So, I'd go with something from Tecnis monofocal as the best in class far quality with the lowest depth of field, then any EDOF based enhanced monofocal and Symfony having the great far and functional near, but it will give you night dysphotopsias. So, take your time - watch my other videos to learn more.
And I can offer personalised concultation to discuss options available, pros, cons and to be well prepared for your surgeon discussion. iol-adviser.com/consultation
@@iol-adviser -- Thank you very much for such a quick and detailed answer . I will research what you have said and look further into your other videos -- Best of health to you and your family
Thank you!
Can you help me with one question I am investigating now?
What is the reason, you are here on my channel, as theoretically you shall get all the answers from your doctor?
I really want to understand from the patients, what is missing during the patient to doctor contact that people are looking for the information and advice aside.
Many thanks for your input!
I’m researching iol lenses currently, not for cataracts but for presbyopia. To answer your question, I had a discussion with a doctor and he recommended trifocals for me. However, he didn’t really mention alternatives for me and I didn’t get any information on the models he proposed. I’ve done some research to better understand the downsides as well as the capabilities. This led me to your video.
So far I’ve noticed that the doctor left out a lot of information about the lenses and their properties and especially downsides.
I use glasses for distance and need multifocals to read. Without the glasses I can read quite well. I wouldn’t want to lose my near vision but understand that I can’t get it all. I also don’t want to disturb my night vision too much which is a really hard combination of course. If I could get workable near vision and as few problems with night vision that’s a perfect combo for me.
Anyway, I’ve seen some hype around tecnis puresee but I guess the results are still not there.
thank you for your answer. It is inspiring to keep working... let me know if you will need anything else.
And, I suggest, if possible to discuss with another surgeon as well. Doctors are different.
ps: regarding the PureSee, seems to be interesting, I'm looking for more data, as I am planning RLE as well, and it looks really appealing for me.
After months of research, as well as a consultation with Alexei, I chose the J&J Eyhance for both eyes 2 1/2 years ago. I did a lot of searching for the right ophthalmologist at the same time, as those lenses were new and not widely adopted. I was incredibly pleased with the outcome. I have 20/20 distance vision and quite good intermediate vision (no glasses needed for anything beyond arm's length). Even my reading quality is good enough if I accept a bit of eye strain, but for reading I use +2.0 reading glasses. What surprised me was the quality and usefulness of my near vision (even at 6 to 8 inches), adequate for anything less detailed than threading a needle. This makes me wonder now if the compromise I made in giving up the 20/15 vision of the standard J&J lens was really necessary, but given the outcome and not being able to make a personal comparison, I would make the same choice again.
Thank you for your feedback! And I’m happy for your results!
Talking about 20/16 far with monofocal, it would give defensively noticeable weaker near and intermediate. So I believe you did a right choice.
Can you explain the contrast and night time vision with Light adjusted (UV) IOL.
Shortly it shall be similar with all basic monofocal IOL, as the LAL is a monofocal IOL.
however there is a lot of hype around, so I decided to create my next video about that cataract lens and the technology in general.
The only people that I have talked with tells me far vision is the only way to go. This way readers for up close and perfect vision normally.
Cant see how anybody would choose anything but the monofocul plus like the eyenhance jnj. The others above those seem to have prominent sideaffects to make people comment often on the net about halos, not crisp etc.
it depends on personal preferences. I have talked to thousands of people and, believe me, personal preferences differs so much..
AND what about comparison between this EDoF LÍO ISOPURE vs VIVITY ?
IsoPure is an enhanced monofocal IOL similar to Eyhance , Vivity is presbyopia correcting IOL so it's different class of IOLs.
You need to mention the glare problem with EDFs
I have a separate video about halo and glare with cataract lenses, with all the details :)
They claim the halos and glare only happen in 1-3% of patients with EDOF lenses.
Hello, in 1 month I will have my first operation and I don't know what to choose between PanOptix or Vivity... I am 22 years old, I have cataracts and astigmatism in both eyes and this decision must be taken carefully because I will see for the rest of my life... please a suggestion (toric one)
Hello. As a starting point I suggest IOL questionnaire here
www.iol-adviser.com/iol-questionaire
Then, the reason on lens exchange, eye conditions may narrow the choice.
If uncertain, we may schedule a consultation (www.iol-adviser.com/consultation)
Good luck!
Hello my young friend, have you had surgery? If you had surgery, can you give us information about it? I am also considered young for cataract surgery, I am 38 years old. What type of lens was fitted to you and are you happy with your final condition?
Hello my young friend, have you had surgery? If you had surgery, can you give us information about it? I am also considered young for cataract surgery, I am 38 years old. What type of lens was fitted to you and are you happy with your final condition?
@@atalayonline I chose vivity lens in both eyes, a month passed between the eyes and now I have 2 months since the operations, without dry eyes or problems, only the first 2 weeks because of the heat and the strong sun, you might need the sunglasses, keep drops artificial tears always with you and probably in the future I will also get glasses for things done very close, for example, a prick in the finger. The second option was Panopix
@@atalayonline my father still chose vivity at the age of 54 and now he is 56 and almost no longer uses drops . both very happy with the choice, for him it was the hours at the office and for me it was corticosteroids problem be careful to avoid these drugs in the long term
Well this video sounds all well and good, but most of us can't afford the high "out of pocket" costs for lenses since insurance only pays for the basic mono focal lenses and also does not pay for advanced laser surgery procedures, etc. here in the US. Kind of a bummer, but i guess we have to live with it and hope for the best.
That's the problem of healthcare worldwide.
Negetive points of technis eyehens
For the lens of that type - none. To my opinion, Eyhance is the best lens among enhanced monofocals
@@iol-adviser sir but some people say or doctor says it compromise slightly distant vision or sharpness with slightly increased intermittent vision is it true
Sadly the satisfaction ratings by the industry are at best misleading. This makes personel research a must. This does not mean your doctor is lieing to you but just parroting what they are told.