Customize Your Vision AFTER Cataract Surgery With A Light-Adjustable Lens (LAL)!
Вставка
- Опубліковано 27 чер 2024
- Did you know that there is a lens that you can put in during cataract surgery that you can adjust AFTER the surgery to get a near-perfect outcome? In this video, Dr. Lee, a board-certified ophthalmologist and cataract surgeon, discusses how you can customize your vision after cataract surgery with a light-adjustable lens (LAL) by RxSight! Find out who is a good candidate for this lens and everything you need to know about this customized treatment.
RELATED VIDEOS
Prepare For Your Cataract Consultation → • Optimize Your Cataract...
What To Expect Before, During, And After Cataract Surgery → • What To Expect Before,...
Lens Options For Cataract Surgery → • What Lens Should I Cho...
Multifocal Intraocular Lenses → • Multifocal vs EDOF len...
Advances In Cataract Surgery → • Advances In Cataract S...
TIMESTAMPS
00:00 Intro
00:25 Lens Choices
00:56 Problem With Traditional Lenses
01:24 Light-Adjustable Lens (LAL)
01:52 How Does It Work?
02:10 Who Should Get This Lens?
03:08 Contraindications
04:06 Considerations
05:08 Advantages
05:38 What You Need To Know
06:39 Wrap-up
#lightadjustablelens #lal #rxsight
***********
I have no sponsors. These links below are affiliate links and I may receive a small commission when you use these links to purchase products.
Favorite Preservative-Free Tears:
Systane Complete PF: amzn.to/46PylrP
iVIZIA: amzn.to/47frQOP
Other Favorite Eye Drops:
Allergy Eye Drop: amzn.to/49pWA1B
Nighttime Ointment: amzn.to/47kfBAm
Red Eye Drop: amzn.to/3QIahl4 (use this instead of Visine!)
Eye Products:
Bruder Mask: amzn.to/3SK2V23
Moisture Chamber: amzn.to/3tZeCYj
***********
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 UA-cam journey!
Subscribe to my UA-cam channel: ua-cam.com/channels/7Zu.html...
Instagram: / michelelee_md
Website: www.micheleleemd.com
My Practice:
Tozer Lee Eye Center
9811 N 95th St., Suite 101, Scottsdale, AZ 85258
Phone: 480-947-4493
www.tozerleeeye.com
**********
Disclaimer: This UA-cam channel is not intended to provide diagnosis, treatment, or medical advice. Content provided on this UA-cam 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 UA-cam 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. - Наука та технологія
I hope that this is a helpful video about light-adjustable lenses, my new favorite lens to offer patients in order to customize and fine-tune their vision AFTER surgery!
My apologies for the sound quality for this video - my mic broke during filming and I was unable to edit out some of the rustling and background noises. I'll make sure to fix this before the next video.
Is there any evidence that the lense can be disrupted by ionizing radiation? I’m an X-ray tech and there was some question by my eye Dr about it being a problem.
I am almost 75 years old, and have had the LAL lens installed in my right eye over a week ago, and will have the LAL lens installed in my left eye this Thursday (18 days apart, which is common). So far I am impressed with the results. I will probably have new glasses just for reading and looking at the computer screen. The UV treatment after the surgery will be done once a week for 4 weeks. I was awake during the surgery. It did not hurt, since I received a lot of numbing drops for the eye and a sedative through an IV. Thank you Dr. Lee for all of your clear informational videos.
Hi Briane. I'm considering the light justable lens myself. Are they going to do mono vision On you where one Eye is set for 2020 distance and 1 Eye is set to be a little nearsighted so that you can have some intermediate vision for computer use or near vision so you can read or see near?? Thx
This is how I went from 20/60, to 20/20.
Thank you Dr. LEE.
20/20 IS WONDERFUL.
Thanks for sharing ❤️
Hi otie. Did you have the light adjustable lens? Do you have any intermediate vision for computer use or any near vision for reading uploads? Or have they done a mono vision by setting one Eye for 2020 distance and 1 Eye a little nearsighted so you can see near forreading? Thx
Hi otie. Did you have the light adjustable lenses implanted? I'm glad to hear you have 20/20 far vision. How about your intermediate or near vision? Are they adjusting one Eye a little nearsighted so that you can get some intermediate or near vision making it a Mini monovision so you can see nearer? Or are you just going to have both eyes set for 2020 far vision.? Thank you
I just have cataract surgery on my left eye 5 days ago and I didn't know anything about LAL lense until today and wonder why my surgeon didn't mention it to me. My cataract surgeon suggested Vivity lense (with Toric for my astigmatism) to suit my eye condition as I also had lasik surgery 15 years ago and I'm a competitive swimmer and not taking ANY medication. After 5 days I start to see everything (driving, TV, computer) so crystal clear and I'm surprised I can read without glasses except very tiny fonts. I'm going to have another surgery for my right eye next week and I'll definitely ask him about LAL. Thanks for the video Dr. Lee.
I guess I am the only one who is not happy with my visual acuity after LAL implants. I was encouraged to get LAL due to my previous Lasik. Post final LAL lock in, I have 20/35 in one one eye and 20/40 in the other. Doc said that's the best he could achieve for me. Close up vision is pretty good, but distance is very soft focus. However, I was seeing better after the adjustment and before the final lock in. The lock in procedure definitely had a negative impact on my vision. I haven't been able to find any reviews out there similar to my experience. But for the huge extra cost incurred for these lenses, I was hoping for better results.
Thanks for sharing.
We have to be thankful for Doctors like Michelle Lee.
I got Catarac Surgery with Clareon IOL yesterday. This was due to a Retina detachment I had back in March of 2023. My right eye had been foged up for a while. I now see clear. It's kinda of strange since I had got use to the eye with the cataract. Now im in recovery mode.
So much information and fantastic explanations! Thank you!!
Thank you, Dr. Lee, this is so helpful. I am scheduled for cataract surgey this month and originally chose the Vivity lens, but I have been hearing about the LAL and it sounds amazing. I’ll consult with the surgeon next week to see if I am a candidate. I’m not seeing a lot of downside with this lens. Thanks as always for the information you share!
Thanks for sharing, and good luck on your upcoming consultation!
Thanks! Just had my surgery and you have been a big help on the matter!
Thank you for your kind words, and best of luck with your recovery!
Excellent explanation -ty
Another excellent video. Thank you Michele
You are so welcome!
Dr. Lee, I have watched a number of your cataract videos and have found them very informative. The one thing I would ask you to consider making is a video indicating what you deem to be the price ranges of the various IOLs. I fully understand this will vary depending upon a given practice, its geographic location within the U. S., and, perhaps even in the same city. Out of pocket costs for most Medicare patients is an important factor. The standard IOL is covered by Medicare but not other newer lenses to my knowledge or related ancillary treatments. Thus, I believe many of your viewers would find this information to be useful. Thank you for your consideration and keep up your informative videos.
Thanks for this info. -I need cataract surgery and you mentioned several issues with LOL lens implants that weren't mentioned by my eye doctor and his office. They knew I take one of the medications on your no-no list, but didn't mention the possible complications of that with LOL lenses.
Hello Dr thanks for your valuable time u replied me ,,,,sure I will consider many times thanks
Thank you for this video Dr Lee. I have had LASIK surgery twice the second time I was given monovision and have enjoyed it. I will be getting the LAL in my right eye on 7/11 for far vision and in my left eye on 7/18 for near vision. I am excited and looking forward to both surgeries. I hope my vision great with the initial measurements but happy it will be able to be adjusted after the surgery as necessary
Good luck with your surgeries!
@@MicheleLeeMD thank you. If I was in the phoenix area I would have come seen you Alas, I live in California
Hi rx dude. May I ask that instead of the light adjustable lens set for amano vision did you consider a multi focal lens like the PanOptix? Do you know how much they will offset the eyes to give you the mono vision? I have heard anywhere from -.5 to -.75 (1/2 to 3/4) quarters diopter nearsighted is necessary. I've never had monovision and and afraid I won't be able to adapt to it. Was adapting difficult for you when you had it? Thank you for your time and help. Carl
Can you please make a video discussing keratopigmentation? I've been considering undergoing it and I'd really appreciate your thoughts on it!
Thank you
You are so welcome!
Hi Dr. Lee,
I customized my Snellen, by going from 20/50, to 20/20.
Took me two years.
Refractive change, from -0.75 Diopters to +0.5 diopters.
Thanks for your advice!
Hello endmyopia!
Cool !!!
Thank you for all your information about cataract surgery. I have watched a lot of your videos. This was very informative. Could you please do a video discussing lens implants and significant astigmatism?
That's a great idea! I made a few videos about lenses and astigmatism if you want to check it out, but I'd be happy to make one specifically about astigmatism correction.
Here are some videos you can check out in the meantime:
Premium lenses --> ua-cam.com/video/la_HzTafAtk/v-deo.html
Laser-assisted Cataract Surgery --> ua-cam.com/video/TL0DuCV2Ikw/v-deo.html
Lenses for cataract surgery --> ua-cam.com/video/gTvHLcYvy88/v-deo.html
@@MicheleLeeMD Thank you! I will check those out!
Is this a good lens for high minus eyes? I also have had vitrectomies on both eyes. Would I be a good candidate? Thanks for the info...
interesting !!!
Do we need a paid follow up
Check ups after the cataract
Surgery and if it is how often
It will be and after the surgery
What are the precautions we
Should take???
I've heard that LOL can also correct for astigmatism, and be modified to offer EDOF. Also, that a significant percent of fixed lenses end up with the wrong focal point due to the lens not ending up in the location that was expected. Any comment on this?
Doctor are you able to achieve much intermediate or near vision with an LAL without going to mono vision? Or is vivity a better option even though the power would be 1/2 diopter near sighted? Appreciate your help
Hi . Am a general Ophthalmologist and I would like to know if SMILE can be done for a eye 6 months after manual small incision cataract surgery+IOL. Please let me know.
Does the amount of astigmatism effect the availability of this choice
I have toric and distance in my right eye. I need to choose for my left. Is this an option for use in only one eye?
Hi Dr Lee. Both of my eyes have cataract. The Left had Retinal vein occlusion as well. Since I was a small child both of my eyes are really highly light and touch sensitive. And the worse part, whatever my eye prescription are I would be so dizzy wearing eyeglasses. Wearing it a day or two, my eyes refuses to adjust. Prescription had to be lower than the right one which is now a bit blurry, in order for me me not to feel dizzy. I also kind of like a different iris color. Is there a Version of this being use for permanent eye lens? I'm willing to travel to your state for the procedure. Thanks.
Has anyone had an outlight adjustable lens implanted and if so how do you like them and do you have much intermediate or near vision
Not sure I understood correctly. With a LAL installed you can not take any of the medications listed? Not sure what all those medications are used for just concerned if in the future I'll face the choice of medication to cure whatever OR loosing/effecting my eyesight.. Also how much UV does it take to effect these lenses. Being on a boat on a sunny day without sun glasses enough to tweak the adjustment of the lens?
Can the light adjustable lens be readjusted to far vision once it adjusted to see near?.
My vision has naturally been 1 close/1 far & I didn't need glasses til both got worse with age. My dr won't do monovision surgery with basic lenses but suggests LAL.
But LALs are SO expensive. Is it possible to do a basic lens in one eye & LAL to match it in the other.
I canceled surgery until I figure this out.
Hi doctor Lee, thanks for your helpful and interesting info. My opthalmologist doctor said i have 20/25 vision she doesn't want to do the cataract surgery but why I have blurry vision. I cant understand. Other opthalmologist doctor wanted me to do the cataract surgery already because the doc saw my eyes covered with white spot. Im confused. I'm watching your videos, so I'm writing to ask your opinion. Thanks a lot for any info help. God bless you.
Can the LAL account for astigmatism also?
Hello doctor, my cat slightly scratched my eyelid about 10 days ago. It didn't cause any pain/blood or any other problems in my eye . I can see things clearly when looking with two eyes open but when I try to see with my injured eye ( other eye closed) I feel a little blurry from a distance like I can see the hands of a wall clock but the digits look a little blurry . Other than that I don't have any other problems .But I think the bluriness problem improved a little in the week, it was my non-dominant eye(left eye) . Should I be worried?
I do not have macular degen but my mom has severe wet, and my dad has dry. Do you think the LAL UR treatment will make me more susceptible to the disease ? I'm 54 and need readers but just minor correction for distance. thanks
Dr. Lee, how many RK patients have you done and what are the outcomes? Thanks for the video.
Thank you for your question! We do a lot of RK patients here in the Phoenix/Scottsdale metro area since there were a few surgeons who did high-volume RK in the 80s and 90s. The light adjustable lens can be an excellent choice for RK patients since many times the lens calculations can be challenging. Hope that helps!
Do you require the laser cataract removal with LALs? My surgeon has the laser included in the LAL price like it's tjey go together. Why is it necessary?
What is the cost per eye?
Within in a few hours i have surgery in my left eye. I'm so ready.
Best of luck with your surgery and recovery!
@@MicheleLeeMD my vision is still cloudy every other day. I see clear vision one day and cloudy the next day. What does that mean???
Which ioL is better for post lasik patients Vivity eDof or simfony plus?? Plz help me choose
They are both good EDOF lenses after LASIK surgery. I wish I could help you but uou should discuss your specific eye options with your eye surgeon. Best of luck!
Is the halo effects of a LAL more or less than that of a basic one focus (distance) lens?
Theoretically it should be a little less due to the material used for the LAL lens.
Hello Dr.. I like your videos,,,,I have one question if u could reply I had cataract surgery 3 years ago,,, in right eye Dr put lens with incorrect number for long distance vision ,, for left eye switch the Dr and it's ok ,,,,,now I'm having problem while working vision is not stable,,,,is there any solution for my problem kindly answer so thankful to you
I'm sorry to hear about your lens issues. You should definitely discuss your options with your eye doctor as there can be many different problems and solutions for you to consider. Best of luck!
How well does it with for patients who had pk transplant and high astig?
Thank you for your question. It depends how much astigmatism, whether it is regular vs irregular astigmatism. You would need to consult with your cornea/cataract surgeon about whether this lens can help you achieve your refractive goals. Best of luck!
Hi Dr. Lee, do you see any problem with implanting the LAL for a patient who is also getting a Hydrus microstent for glaucoma? I will consult with my surgeon regarding this, but just wanted to get your professional opinion. Thanks!
That should be fine, but I would make sure you consult with your surgeon about your particular risk profile. Best of luck!
Thank you, Dr. Lee. 😊
I am 36 and I have been already had keratoconus on my left eye since 2013. I got used live with my kc with the help of toric lenses and my right eye has already been seeing well but at december 2022 one day in the morning I relized that my right eye has very very cloudy. I made a small research about the sympthoms and I concluded that this is PSC(Posterior Subcapsular Cataract). I also went to a doctor and the doctor also confirm that it was PSC. As time passes it progressed some more and now I almost couldn't read the black writing on a white paper and I almost couldn't read the computer screen in light mode. Since my left eye has already kc up to having PSC I have been using my left eye and right eye was only helpful. But now if I don't put my special hybrid lens on my left eye, the vision is terrible especially sunny days... I don't know what to do and what to choose!! I have doubts if catarct surgery really satisfactorily correct my vision and provide me my previous vision or will I be disappointed again after suregry? I even don't know if the surgeons can completely clear the blurry parts without defracring the posterior capsul?? Many questions???!!!
thank dr lee how much it cost lal lens in usa thanks
Thanks for your question! Pricing really does vary depending on where you live and your provider. You can ask your eye doctor if they are offering this lens and how much out-of-pocket cost it would be. Sorry I can't answer that question directly.
Can the LAL be used for not cataract people who wants to get rid of there reading glasses , and are seeing good in the distance . Would it be possible to only do one eye ? with a LAL .
Don't do it! Cataract surgery is not risk free and complications are not uncommon. I would never, ever have this surgery just to avoid reading glasses. There is no artificial body part that is as good or better than what nature has given you. Be glad you don't have cataracts and just wear the reading glasses.
Hello, I have to make my lens decision in 3 weeks (late Oct 2023), so I’m watching videos and learning. Two questions- first, can a person take those listed medications after the lens is locked and the UV treatments are concluded? Or is that a lifelong issue re: taking those meds? I’m relatively young- 54 - with genetic premature cataracts, so I assume there’s a possibility that one day I may need one of those meds you listed as a concern for contraindications with this lens. Second, is the only option for multi focal vision with this lens the one where one eye is set for distance and the other eye is for near? Or are these lenses multi-focal? I’m confused on this point. I’m very nearsighted but I hate glasses of any sort and would prefer to stay away from reading glasses post-surgery. Does this desire eliminate the option of LAL?
It's OK if you need any of those medications AFTER your lenses have been "locked" in. The danger is only if you need those meds during the adjustments to the LALs. And...yes, the only way to get multifocal vision with the LAL is to have one eye set for distance and one eye set for near. If you don't want to wear glasses the LAL might be a good option for you. Good luck!
My LAL has been a disaster. Although I think LAL is a great option, not sure where my situation went wrong. Be great to have someone to discuss my situation with.
You didn’t discuss it with your ophthalmologist?
@@pytube777 I have learned a lot since this post. Overall, I would have been better off not having the cataract surgery. The vitreous behind my lens somehow was impacted and still causes issues with my vision. I have an option for surgery to replace the vitreous, but have decided to wait a few months to determine if the problem subsides. We are not just talking about a few floaters; the problem impacts my vision during the day, which sometimes makes everything blurry. I do not know enough if this can happen due to the surgery. I am told it happens due to aging, but I do not accept this kind of change on its own overnight. Either I did something wrong post surgery and I followed all instructions, or this is just something that happens to some individuals after surgery, part of the list of risks.
@@leonardbalk1649 good luck
Is a light adjustable lens appropriate for someone who is almost blind in one eye?
It could be a great option for anyone. You will have to discuss with your eye surgeon what the potential risks are for your eye, as well as expect to be blurry before you finish your adjustments. Hope that helps!
Hi Dr Lee I have Catarac surgery 7 months ago they put 3 focal lens but I have astigmatism and I have frame glare’s around everything I see reflection all letters and objects I can see but not Quality pictures even colours not warmest as before I feel like living in different world I can’t concentrate please this Lal lens is suitable for me or not.
I am so sorry to hear about your issues with the trifocal lens. You need to discuss this with your eye doctor and see what your options are. Sometimes there are issues that can be fixed, such as scar tissue (PCO) behind the lens or refractive error, and sometimes the lens itself may not be well-suited for your eye. I hope you find some relief!
@@MicheleLeeMD Thank you for answering.❤️
Secondary cataracts (opacity of the posterior capsule of the lens) sooner or later develop in almost all patients who have undergone lens removal.
Yup. It sucks! The younger you are the sooner you'll get them. Fortunatley, for most folks it can be"zapped" away with a laser in your doctors office.
@@bluejay9890 Okay, it can be DESTROYED by a laser OR another tool - THAT'S NOT THE POINT.
1) This is the tissue of the eye, BUT NOT THE BUTTOCK - THIS is the first thing. Secondly, behind the back wall of the capsule in which a HOLE IS MADE with a laser due to secondary cataracts, the TISSUE in which the OPTICAL NERVE ends (EXPOSED) is anatomically EXPOSED and this leads to COMPLICATIONS ALREADY WITH THE OPTIC NERVE IN GENERAL OR access to the nerve “chest to chest - face to face” .... etc...
2) ATTENTION! , if 100% develop a secondary cataract, THEN IT WOULD NOT BE SAVERER AND RATIONAL, without removing the PRIMARY CATARACT, to JUST make a “hole” in your own clouded lens and USE GLASSES.
....IF there is no penetration into the capsule and implantation of a PIECE OF PLASTIC INTO IT, then there will be no secondary cataract.
.... SECONDARY CATARACT, this is a consequence of mechanical IRRITATION BY PLASTIC OF THE REAR WALL OF THE CAPSULE (layering of fibrous tissue, clouding, etc..)
...BUT !!! JUST A HOLE IN YOUR OWN LENS - IT'S SIMPLE AND YOU CAN'T MAKE A LOT OF MONEY HERE....
P.S. my right eye “turned off” and I would need an operation to implant PLASTIC IN THE EYE and I am not a young man or even an old man of my first youth - I am an old old man with good knowledge in the field of BIOLOGY OF OUR HERD.
.... I am ready to wear glasses (I have had them on my nose for the last 20 years), BUT TO CREATE A PROBLEM for myself with my own hands and “spinning” around EYE SURGERY AND IMPLANTING A PIECE OF PLASTIC INTO IT, etc. - THIS IS NOT ENOUGH FOR ME YET...
....let them make a hole in my clouded lens - I would do this without any hesitation.....
Can the LAL be adjusted to correct astigmatism?
Yes it can!
@@MicheleLeeMD Wow - thank you.
I already had Lasik earlier, will i suit for this LAL ?..my requirements & needs are to be completely glasses free..is the LaL a better choice than Vivity eDof?
If you are post-LASIK, the light-adjustable lens is a fantastic option to get you to your refractive goals. I love offering this lens to post-LASIK patients.
Vivity is an EDOF lens, meaning it has some range in vision (i.e. distance and computer, or computer and reading) that an LAL may or may not achieve as well. If having a range in your vision is more important to you than having a "perfect" refractive outcome, you may want to go with a Vivity.
@@MicheleLeeMD if iam right LaL is monofocal in nature right? Simultaneously it cannot cover all the focal points like an edof does..plz correct me if I'm wrong
@@Gstar999 You are correct. Sometimes we can achieve some range in vision depending on your light treatment but it is not something we can promise.
@@MicheleLeeMD my requirements & needs are to be glasses free as much as possible but I'm not going with multifocal since my doctor said me I'm not the candidate for panoptix as I had Lasik he suggested me vivity edof and that too he said 50-50 chances of success in vision without glares or halos
@@MicheleLeeMD I had lasik on top of RK. It sounds like I need to ask for a light adjustable lens.
Doctor Lee ,how come you got time to educate people? My doctor before and after the operation have talk to me nothing.
I enjoy making and editing videos, especially if it might be helpful to others!
Just for people understand insurance will cover cataract surgery only if it is at a point that it's affecting vision.
Thanks for clarifying!
@@MicheleLeeMD Welcome! I had LAL surgery in October with previous RK and lasik. I'm very satisfied with my results I see 20/20 60 year old vision and can use computer and phone without glasses but do need reading for small print and darker rooms or darker background on the phone etc.
Hi . Did you have both your lenses adjusted for best distance vision ? Thanks
@@timmccarthy5782 Yes I tried mono vision but wasn't for me. Supposedly if I didn't have previous RK and lasik I could've maybe done a different lenses but I am happy
@thomas I had RK in 1996 and Cataract in Nov 2023 with LAL lenses. I am not happy with vision and have been told since I had RK, I can’t expect better vision outcome. Wish I was told this before spending the extra money for the premium lenses.