Is the Light Adjustable Lens the REAL DEAL???
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- Опубліковано 1 сер 2023
- The light adjustable lens is a premium presbyopia correcting lens implant that can be adjusted and customized using a non-surgical light treatment after implantation. Patients achieve far/mid and near vision with minimal nighttime halos. We will be using this lens for our premium cataract surgery patients and premium lens replacement patients who want to achieve the best quality of vision at all distances without glasses.
I have no financial interest in any products discussed in this video. - Наука та технологія
Thank you Shannon Wong, nice video. I learn alot of detail from it. Question though: I am very conservative, I know LAL is the best at the moment. But I still want to go one eye at a time, just in case if I will face unexpected unpleasant result, then I still have another eye. But, sounds like LAL prefer have both eyes done same time in order to adjust near and far vision. Anyone with experience can help me out if I am just over worried. Plus, I had Lasik on both eyes 26 years ago. I always thought if my cornea had been cut before, it is not good to be operated again. I am researching these days before this coming up LAL surgery. Thanks all
I have been waiting for a review of the LAL hoping with fingers crossed it could be a choice for me but I am hearing that I would need to have a LAL in both eyes? I have had a Pan Optic for 2 years in my dominate eye but never had the other eye corrected because of halos and glare. Also need a lot more light to see really good, however in some situations in brightly lit venues or certain stores the brightness/ glare and it feels overwhelming and it takes me a couple minutes to refocus my brain. I don’t regret getting the Pan Optic because I had very bad vision 8.50 and the fact that I can see is pretty amazing.
Thank you for sharing your experiences with the world.
What do you think about the LAL Plus lense?
I have my left dominant eye with the Vivity, and my right eye with PanOptic last August 2023. I am very happy with the outcome. I can see all distances with clear vision. I am on the computer more than 8 hours M-F. Driving at night with minimal halos, and I got used to it after couple of months, now it doesn't bother me. 2 things I don't like is, my eyes get dry and I use eye drop very often, like every hour. Another thing is I can't see clear in the dark. But very happy overall. I am glad that no more reading glasses.
Dry eye is caused by the faco energy applied to divide the lens into pieces. Unfortunately it also kills some amount of the endotel cells which is very essential for stabilizing the liquid inside the eye. The reason you couldn't see clear in dark is because of the mentality of the lens: it takes some visual acuity from your dar distance and give it to mid distance. Which means steal light from far distance and add it to mid distance.
My concern with LAL is adjusting for people with early PCO. Also is the material durable? Glistening etc.
I have cataracts, and need surgery. I'm at the point of deciding which lens to use. It sounds like I would be a good candidate for the LAL - I've been used to having rather different sight in each eye for many years. Is this a decision I make, or will my doctor guide me to what is a best fit for my eyes and lifestyle?
Hello everyone, well had both my eyes done with the light adjustable lens, left eye on 8/23 and right eye on 8/30…. It’s hard to find words to tell you guys how amazing my vision is right now and the day after surgery, I have perfect distance vision like I’ve never seen before… driving at night two days after surgery, everything was crystal clear, no crazy lights coming at me halo’s,stars etc lol..after I healed for three weeks we’re going to be making some adjustments to my near vision a little, my near vision is fairly well, but slightly blurry, The doctor can change my vision with a light treatment after I heal, I’ll try the adjustment for a week and if I’m happy the doctor can lock it in to make it permanent..I’m sooo happy my doctor recommended the light adjustable lens..!!! I’ll update you guys after the adjustments to my vision, you do have to wear special UV protection glasses till your lock-in treatment, it’s a small price for almost perfect vision… Thks everyone
Wow. So lucky. I'm happy for you!
Thank you for the update Jason, very happy for you. Congratulations!
I did same and on schedule along with you.i also removed multi focal. This is awesome. Congrats to you.
Thk you very much & congratulations to u also, it’s so wonderful to b able to see everything now, it’s like a whole new world out there lol..
I recently had LAL lens in June 2023. I have monovision. Right eye distance and left eye reading
Neither eye is optimal and I need glasses for distance and near
Computer vision is ok but the keyboard is blurry. I filled a progressive lens Varilix comfort and the glasses are not right. My eye surgeon insists the prescription is correct and the glasses are correct
I am not satisfied and I will need glasses for driving and computer
So disgusted with this result
V
Can a LAL procedure be done at the same time as a dmek endothelial corneal transplant? Will the dmek have time to settle in before the first adjustment?
An Important question:
As a 37 yo KC & PSC patient I would like to ask is it possible to correct the mid-level irregular corneal visual distortion with LAL?
Thanks...
So in the past year I had both my eyes done with the Pan optics multi focal lens, and I do see fantastically intermediate and up close and I do suffer some distance lost in contrast, but my near vision is insanely good but the nighttime halos for me are at the utmost extreme almost blinding with the headlights and the halos you cannot even see the vehicle just looks like 2 bright Shields and that's on most every headlight and street light Front porch lights landscape lights etc I'm waiting to get some feedback on this LAL, if this is what it sounds like im going to removed theses lenses and replaced with this light adjustable lens.
If you have panoptix multifocal IOL, than you should be remove the membrane in comora anterior (CA), after that the hallos will be disappear
would this lens work with symphony lens in one eye and what is cost of lens with medical coverage
What are the symptoms of a defective lens? I am post op 8- 7 weeks bilateral LAL. Left eye done first, R eye a week later. I have severe halo effect to my R eye and am not sure what is causing it. I've had two adjustment to the R and one to the L. I'm very worried that my R lens may be defective because of the starburst side effect. LAL has less risk of this complication.
I had lasix 35 yrs ago and this lens seems to offer the best outcome for me: not a true monovision, less chance of starburst side effect and less chance of needing glasses thereafter. Thus far, I'm not having the best outcome... I understand once the lenses are "locked", they become harder and more challenging to remove. My lenses aren't "locked" yet. If a lens is defective, shouldn't it be removed before being locked in?
how young can this surgery be done if you have poor vision but not yet a cataract (and dont qualify for laser or ICL)
I had LAL Nov 2022, the extra time for adjustments and lock in took 2 months due to unacceptable vision in one eye. Still today, I am not satisfied with my vision but apparently there isn’t anything that can be done. Background - I had RK in both eyes in 1996, 4 cuts in left eye and 7 in the right. During my assessment, I was told there were two options, standard lenses or LAL, nothing else. In addition, was told I would never need glasses again, not the case. I need readers for reading, computer work, using my cell phone and even to see the food on my plate clearly. Not the results based on expectations set by my doctor.
Can I ask the cost? I also have had RK 8 cuts both eyes. Have had my left eye done 2021 and ended up getting a piggyback lens and now the dr I saw today said LAL my best bet at 4,500 not covered by insurance. Plus wearing the glasses after surgery until lens lockes seems like a lot to deal with.
I'm feeling uneasy about especially for cost and possibly not better vision.
2 Months of adjustments/lock-in are a pain (i.e., 5 more doctor visits). I now see 20/20 overall while able to clearly see my phone and smartwatch. No visual artifacts at night. Had CK and LASIK 20 years prior.
My husband's eyesight is 20/20 in his right eye. Left eye hasn't been the best
The Light Adjustable Lens is at the moment the best possible lens. It it a must for people who had corneal refractive surgery in the past (LASIK-PRK-RK radial keratotomy) and for extreme dense cataracts that don't permit any reading on the optical biometer (ex IOLMaster700). Expect to pay for the extra 3-5 adjustment visits. Consider it as a monofocal that hits the desired target every time. It comes with a ''light setting'' operated on the machine during the adjustment session that can give some EDOF extended depth of focus but it's not a multifocal (ex Panoptix) nor an pure EDOF (ex Vivity).
ppppp
I was told 4,500 after ins and the adjustments included. It's a lot of money but I've had RK so hoping for a great result. I have had my left eye done already the old way .
I have one eye with Alcon panoptic you mention(not toric). It will be removed and exchanged for this lens after 4 months of trying to adapt. It has been horrible, as quality of vision just not worth trying to live without glasses. Night driving is ridiculous. I will have both new LAL by August 31 and of course praying for a home run. I have waited for you to do such a video as I have probably watched most all of your presentations and appreciate you and you prospective. Thank you :)
Did you have it done, any updates yet?
Home Run: Yes indeed had it done. It is amazing-worth it all. I haven't even started the adjustments yet. The exchange is just healing nicely and the one 2 weeks ago is just beyond my expectations already. Sorry but multi focal has not met my expectation. My night issues with lights are all solved now and I might say"bionic eye". lol. Without doubt without question this rocks. I am thrilled and by mid October I should be loving it even more. Do it...@@damonmelendez856
So what's the out come, did you have the replacements? I'm very interested in know, as I am considering doing the same..
I did both and will begin adjustments in about 2 weeks. This is life changing, especially night driving. I am thrilled.@@louisgaccione7794
Is there a window that adjustments can only be made immediately after cataract surgery, or can they be adjusted even many years out?
There's a lock-in after the final adjustment. The adjustments are done over weeks, not months or years.
Would this work on me who had RK surgery and Laser surgery. i have a pretty bad stigmatism also.........Joe
I’m having this surgery with RX Sight lens because I had RK back in the 90’s and now I have bilateral cataracts and a lot of trouble seeing. This is the right lens for people who had corrective eye procedures but I don’t know about a stigmatism.
The document at 2:16 is misleading , it does not mention the new lens , the entire video does not reference the future or how and why we should wait and see, if we can wait and see...
It’s the best Pair it with omidria Crystal clear, I’m a double eye patient
Im suffering from Negative Dysphotopsia. I'm in Philly area. Can you refer me? Tks
Steve Safran, MD. www.safraneyesurgeon.com
Doctor Wong, thanks for your great video. I am living in Bellingham WA, any chance you could refer me? Thanks a lot.🙂
VERY interesting, would this Lense work with astigmatism?
Yes.
@@ShannonWongMD exciting LAL could be a game changer 🙏 👀
I might be interested in the LAL but I don't think it's had time for these doctors to see what's down the line in a year or 3. I'd wait for a while and see how Dr. Wong likes this treatment in a year or 2.
For me, I have cataracts and I need a procedure now. So, I'm going with the Vivity in both eyes.
I’m a 51 year old male that’s been wearing glasses & contacts since middle school, I’m having my non dominant eye done on 8/23/23 with the LOL lens, I’m looking forward to the experience & hopefully getting away from glasses and contacts for good. I’ll update u guys after the procedure & adjustments etc….
Yes, please update us. I hope all goes well.
Hope you’re doing well Jason,
Hello everyone, well had both my eyes done with the light adjustable lens, left eye on 8/23 and right eye on 8/30…. It’s hard to find words to tell you guys how amazing my vision is right now and the day after surgery, I have perfect distance vision like I’ve never seen before… driving at night two days after surgery, everything was crystal clear, no crazy lights coming at me halo’s,stars etc lol..after I healed for three weeks we’re going to be making some adjustments to my near vision a little, my near vision is fairly well, but slightly blurry, The doctor can change my vision with a light treatment after I heal, I’ll try the adjustment for a week and if I’m happy the doctor can lock it in to make it permanent..I’m sooo happy my doctor recommended the light adjustable lens..!!! I’ll update you guys after the adjustments to my vision, you do have to wear special UV protection glasses till your lock-in treatment, it’s a small price for almost perfect vision… Thks everyone
Yes please update I'm scheduled for Oct. 4th. I'm just leary especially since it is expensive. Thx. :)
@@shariward7733any updates from you too??
Are these lens can be used for people with autoimmune disease and severe dry eyes? Can you referral a doctor for me in Plano tx who have these lens? Thank you Dr Wong!!
I just had cataracts done by Dr Brooks in Plano. Everything went well. Thank you for recommending him to me after I went through all your videos and found who you told me once before but lost it. I appreciated your advice.
@@sunshinewang1139 I has dry eyes problems too. How do your symptoms now after you had LAL ? My concern is will my symptoms getting after many UV lights on my eyes. Thank you for your information.
Dr. Wong is LAL the Real Deal? What's been your experience after 1 month of use?
Too soon to tell yet. Stay tuned.
commenting to follow
How due Insurance Co react to LAL . Due they cover ? Or due they say it's unnecesasary surgery
I was told no insurance will pay that insurance pays for regular cataract surgery and there is a fee for the RX Sight. For me 4,500$ but I only need my right eye done.
Love the Seinfeld reference!
The industry gets closer and closer to the perfect lens
Question. What causes the Halo effect? Why does it happen, is it a manufacturing issue a material or neurological
A multi focal lens that gives you 3 ranges of visions have multiple rings in the lens circumference that's how they achieve the vision splitting the light between the lens rings and you get a Reflection from between the rings in the lens, the pan optics that I have, have 29 rings...
I had cataract surgery in right eye ten days ago with LAL I have to say that had I known ahead of time how difficult it would be post op I would have done something else. It's disheartening to know after my left eye is done on 10/30 that the first adjustment cannot be made until 11/17. Right now I have a contact lens in my left eye which gives me distance vision but I cannot read at all. I am wearing the RX glasses with a pair of men's reading glasses +275 over them and still cannot read the newspaper or do anything like knitting. I have been unable to go to work for the past ten days. I have the aspect on computer display on the largest text size and it's still difficult to read with +275 glasses. I cannot read anything on my mobile phone. Between this and the considerable expense I feel I should have done something else. Hoping to be proven wrong and "this too shall pass" and I will join all the others who are so happy with their choice!
How are your eyes doing now after 2 months?
@@yvonnediaz7176 I had to have additional procedure in my right eye (which was painful to say the least) but the final LAL adjustment was done the week after Christmas & now I am doing very well. So the whole procedure (for me) took from Oct 16 to Dec 27. I think if you don't have the additional issues I had, it still takes a long time - 4 weeks minimum. And depending on your vision you may or may not be able to see well during that time. But now that it's all over I'm happy!
Thanks for your response. I'm so glad you are doing well.@@susanbrint2887
@@susanbrint2887 Thanks for your sharing. It is helpful info and I am so happy that you're satisfied with your vision now. 🙂
How much it cost without insurance
One eye
Insurance will not cover the cost of this lens as it's considered a premium lens. It may cover mono-focal lens. I was quoted $4,500 per lens in Phoenix, Arizona, so $9,000 total plus the cost of surgery (if not covered by insurance). Surgery with insurance would have been about $2,000 per eye. I don't know if this includes all the follow ups and the adjustments. I forgot to ask. I also have significant PCO and was told that I'll not see any better after the lens exchange until I get the YAG procedure done a couple of months later. I was quoted an approximate $350 for the YAG without insurance.
in Seattle LAL is 7,500 per eye.
I was told $4,500 and the adjustments included which for that price they should!!
I don’t have insurance. I pay $7000. For One eye
I paid 12000 for both eyes in Arizona