Hi! My name is Oleksii, and I am working as an independent Intraocular Lens Expert who has been dedicated to the field of cataract surgery and IOL clinical integration since 1996.
Frustrated by the lack of accessible information and the industry's monopoly on knowledge, our founder set out to change the narrative. Driven by a passion for helping people see better, we aim to empower patients with the knowledge they need to make informed decisions about their eye health. My goal is to ensure that every patient can confidently discuss their options with their surgeon, understanding all the pros and cons.
At IOL-adviser, we believe that everyone deserves clear, unbiased information to achieve the best possible visual outcomes. Join us in demystifying the IOL selection process and taking control of your vision journey.
Please note, that I am not a doctor. Any decision about your surgery to be discussed and approved by your doctor.
Hi, can trifocal iol near point (like tecnis synergy) near point can be closer than 33 cm if the doctor add myopia on the iol? Like the monofocal setup
Thanks for great details sir. I did my left eye surgery with SFIOL few months back , my right eye is dominant and now need to fix cataract, mr Dr advising for EDOF or Trifocal. Im age 42, please guide me. Thank you!
Very interesting video. I'm a bit puzzled as to why these lenses are widely referred to as having extended depth of focus instead of being correctly described as having extended or increased depth of field ?
Dear sir . I had monofocal IOL put i my right eye 1 1/2 weeks ago. my night vision was very good in both eyes , now my right eye is worse at night but my left eye is good . I don't know what to do . Left eye sx is on the 4th of October. If my left eye comes out the same I won't be able to drive at night , to dangerous. At day time right eye is still blurry , right eye is blurry. Please advise. Will it get better ? My night vision was great before. Don't know what to do.😢
Thank you for the information1. I have a question, I had cataract surgery yesterday with a monodical IOL. went well, they said. I was noticing yesterday and more today as I pay attention, that I see the OUTSIDE of the IOL, I think. It is like wearing eyeglasses with semi-clear-plastic rim, and I see the arc of the rim on the outside (left of center, about 60 degrees left of center) - when I have bright window off to the left side. (Left eye IOL.). This arc tracks with my left eye when I move eye horizontally. Is this a concern, or normal?? Is the IOL detached?? the eye doctors offices are closed until Monday morning (Friday at 3:30 pm now). Thanks for any help1
Had Sifiminiwell iol in my right eye 4 weeks ago. Had - 6.5 and +2.5 in both eyes. After surgery I feel objects are nearer in the right eye and farther in the left eye. Very whitish in the right eye and yellowish in the left. Have depth perception problem. Whether to go for same Sifi Mini well in the left eye. Please suggest.
Hello doctor. Ι have hypermetropia 1,5 and presby 3,25. My doctor says go away from multi lens He suggests monofocal clareon. He is sure for the result Perfect vision and only 1,5 for reading and no issues for Ever. Im 45 What is your opinio??? . Thanks
.Had cataract surgery 7/12/2024. I am 74. In good health. Never had to wear any glasses for distance. Only 1.75 reading glasses for computer and reading. Now I have extremely blurry vision and must wear prescription glasses for distance and near. Surgeon put in Ionuclar lense. Claimed I would be able to see again for distance without glasses. Would still need glasses for near. I realize now that they should have put in toric lense. I had 1.4 astigmatism. Now it is worse. Surgeon told me that I either have to wear glasses or get Lasik surgery. I am seeing Lasik surgeon who is monitoring eye to see when it will be stabalized for lasik surgery to correct astigmatism from cataract surgery. Should I get lasik?
I have had LAL for more than a year, but why does the distance my eyes see change? Is it not locked? After the first three months, I didn’t need to wear glasses to read. Now I can’t see without glasses. Why is this happening? can you tell me? thank you
Thank you so much for all of your videos about IOLs selection. I am in a process of watching all of them, getting ready for the pre-cataract surgery consultation in the end of September.
I am deciding what lens to get now, and I’m overwhelmed. I had lasik done about 24 years ago, and I think I’ve been told that LAL is my best choice since it is harder to get precise measurements and my myopia was pretty bad (don’t know the rx) before I had lasik done. I came across your channel, and I love the direct way you have of giving information. I know there are many variables, but am I thinking correctly, or are LALs just a very expensive choice? Thank you so much for your efforts!
Thank you so much for your incredibly informative videos for those of us who are utterly confused! 🙏🏼 I took your online AI quiz and due to the fact that I only had a cataract due to a retinal detachment that resulted in a vitrectomy that ultimately caused my cataract. I am incredibly nearsighted and was a -6.00 OS and -7.5 OD. Based off your quiz, I decided to get the J&J Monofocal toric lens. I’m a week out from surgery and am finding it incredibly difficult to focus my vision. The thought from my doctor is that I may need to get my right eye done to focus my vision and stop the headaches. My long message is to say, could a multi focal lens be a reasonable option for my right eye? I worry because that’s my more nearsighted / longer eyeball and I wonder if a monofocal toric lens in my left eye and multifocal lens in my right eye will cause similar unbalanced issues. I just hate not being able to see up close anymore! I’m 37 years old and feel so hopeless right now… been searching far and wide and could really use some advice. Thank you again!
In my opinion, LAL should be the standard of care for cataract surgery. I had a small amount of astigmatism. Was very near sighted. Had surgery in May 2024. Had 3 adjustments. I now have Excellent intermediate and distant vision. But need to wear glasses for reading. Achieved 20/15 in both eyes. I am very happy. I have never had such good vision. I wore contacts for 60 years.
The hardest decision for me has been what should be my target refraction distance for my monofocal IOLs. I finally decided on intermediate or arms length, since it was the recommendation of my long-time optometrist. This recommendation was seconded by the opthalmolgist I selected who will be doing my surgery next month. I basically like the system of progressive lens glasses taking care of my high myopia and presbyopia through the years and will be continuing this with my new fixed focus IOLs. As an experiment, I took off my glasses now and tested what range of focus each eye has. It was shockingly bad: my right eye can focus 3" - 4" and my left eye 4.5" - 6". I don't think I will be missing that "super close" vision that myopes have when they take off their glasses, the pluses of being able to have my vision once again correctable with glasses as to be everyday functional, out weighs that.
Good point about what activities do you ENJOY doing. The person may work in an office most of the time but if they are going to be retired soon and want to be glasses free during their enjoyment activity, that may take precedence. Swimming and golfing and other sports I'd imagine would be more convenient without glasses.
I remember the first opthalmologist visit I had 3 years ago where I was considering cataract surgery or stronger glasses. After a lot of tests by technicians I was seen by the Dr who I'd never met. She spent like 5 minutes with me and turned me over to her surgery manager who gave me two pamphlets for Vivity and Panoptix to consider, and told me when the Dr could fit me in. LOL, so much more to think about as Oleksii has presented here.
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.
Thank you, I'm going out tomorrow morning to get my right eye with why adjustable lens? Plus I will get my second eye done one week later. I'm definitely looking forward to it. I can't say that I'm not nervous. I've not had many surgeries.
This was a very good explanation, and I will probably end up with one LAL lens soon as I only have a cataract on my right eye. I had Lasik surgery over 20 years ago and my eye doctor recommended the LAL lens but it is $5000 !!!
Your videos are really helpful in finding out more about the different IOLs in order to decide what is best for me. Would it be possible to make a video about the J&J Tecnis Puresee, which sounds like a great lens, but as it's EDOF I don't know if near is good enough for reading? Thank you for all that you do to educate us.
I am due to decide on my IOL surgery which will take place within next two-three months. You came (your videos) about just as if God Almighty decided to make videos on this very topic. No amount of thanks will be enough ! Almighty Bless You and your folks !!!
i have -1,75 myopia in one eye, caused by surgery, with a small begining cataract from trauma, that may not develop. My other eye is 0 without cataract. If cataract develops and i have to opperate and get an iol, would i probably need to get an iol in the other eye as well, and then start wearing progressive lenses or glasses. To get a balancecd vision? My va is 1,0 / 20 /20 corrected in operated eye and 20 /20 in normal eye
Hi, having the corneal thickness of my 2 eyes at 480 microns, can I be eligible for transpKR having had a toxoplasmosis scar in the lower periphery 6 years ago pls, Is this not a contraindication to this refractive surgery at 23y? and what about wearing lenses? Thanks in advance Dr🙏
Hello Aleksi, I have improved myself a lot thanks to your wonderful videos. I am grateful to you for this. I would like to ask you a question, if you had to have cataract surgery today, would you prefer multifocal or monofocal? And what would be your brand choice?
I'll be getting my first eye done with Monofocal (Torics) in a week or two. I was born Myopic with my right eye about twice as myopic as my left. I'll be going with the Monofocal IOL because I've been wearing glasses for over 60 years now and don't have a problem with glasses for intermediate or close work. Besides the price, the "no glasses from far to near" IOL's have a downside...if you're outside at night or in low light these "premium" lenses transmit about 30% less light than Monofocals and are also subject to "Halo" effects.
I've been legally blind without correction for 46 years. I could not see clearly a foot from my face. I chose monofocal distance. I can see 20/20. I can handle wearing glasses for reading and computer usage.
you are talking about me :D I had eagle eyes until I hit my early 40s...then I started wearing reading glasses. Really not a big deal. Within 5 years I could not see well at any distance, and it has only gotten worse. I hate it. I have progressive glasses but they don't thrill me. They are functional enough, but I would not call the result "good", but swapping between three pairs of glasses for daily activities is a bit much. Even if cataract surgery means I can only see at one distance with a monofocal, it will be pretty amazing.
excellent discussion as usual. I've recently been diagnosed with irregular astigmatism, however it does not affect my measured refraction - allegedly! So far it appears to be a simple "feature" of my eyes and not related to some degenerative disease like keratakonus, so in theory should not be a problem when I finally arrange cataract surgery. But how can this be? And how might IOLs mix with irregular astigmatism? (in my case of 1 diopter in my worse eye). Should this influence IOL type at the very least (with the understanding that a toric would not work anyway - this part I understand)?
My wife needs cataract surgery. She currently can read OK without glasses. We are very confused about the differences between near and far monovision. What are the distances - the focal range for each? I have not seen any numbers for this. When does the near, start to get blurry? 6 to 10 feet? Where does the far focus kick in sharply? Does anyone know of these ranges. Any info would be helpful. Thanks.
Alexei, Thank you so much for the review! I've been waiting for something new for a long time (As you may remember). I still haven't put in my lenses, the excitement and stress about my eyesight is gone, I'm using glasses for now..... I guess I'm used to it.
Hello sir I want your suggestion Having bilateral hyperopia(+2 and +2.5 resp) in which left eye is ambylopic (va 6/36)and other normal eye having cataract (va 6/18 with ph 6/6) So which is the best choice of iol in such patient Plz give your valuable opinion
