Educational videos for patients and ophthalmologists about eye surgery performed by Shannon Wong, MD. Content of this channel does not constitute medical advice.
Shannon Wong, MD is an ophthalmologist/eye surgeon and CEO at Austin Eye in Austin, TX specializing in all-laser lasik (iLASIK), premium cataract and lens replacement surgery, and corneal surgery. Additionally he has extensive experience with PRK, ICL, basic manual cataract surgery as well as the most advanced lens implant designs.
First ophthalmologist in Austin to perform All-laser Blade-free LASIK and Laser Cataract Surgery.
Extensive experience with management of complex and complicated cataract and corneal surgery.
Co-founder - Mitchel and Shannon Wong Eye Institute at the University of Texas at Austin Dell Medical School.
Affiliate faculty in Ophthalmology at the University of Texas at Austin Dell Medical School.
Contact:: shannon@austineye.com
No financial interest in the products discussed in these videos.
Finally ! No one, not my eye doctor, not the surgeon told me of this. When I complained about my new permanent swim goggles all I was told was I'd get use to it. My reply to them was if I had a car that pulled to the right and I took it to a mechanic and he said don't worry you'll get used to it, that would be the last visit to that garage. Thank you Dr Wong for identifying this for me.
Thank you so much for this guidance Dr Wong. It has been 10 days since my cataract surgery. I want to go out and play golf. Are transitional lenses OK to use for proper protection of my eye?
I am 50 yrs old I had lasik on both eyes 22 yrs ago. I need reading glasses now and I need glasses to drive at night. I also have dry eyes. Just want to share my experience with lasik. If I have to do it again I wouldn’t. I would keep wearing glasses and contacts. Right after my lasik procedure and first years my eyes were extremely dry it was a horrible feeling.
Hello doctor It's been two years since I had my laser surgery and I've been having this central corneal opacity problem now I am take drops last five months but not cure . I am go hospital they can't understand my problems
Very cool video, and thanks for posting it here. My Pop just had both of his eyes done like this and I just showed him this video because he was curious. He was amazed by how fast and seemingly simple it can be. Prep time takes the most time lol! He is pleased with the results of his surgeries and is now better informed as to what happened while he was on the table. Thanks again!
Floaters are a side effect to the YAG surgery!! Don't tell me is normal! I got them in the YAG eye just hours after the surgery. I see you are an MD and that's what you are told to say. It's damage.
My question is why didn't the original doctor notice the scratch? I have the same symptoms and wondering if this is my problem. Should I ask my doctor to double check for scratches and is this problem hard to detect?
I am not quite 58 years old and one year ago I had my first eye surgery for cataracts. 10 months ago I had my second eye surgery. These new lenses were not available and I opted for the panoptix. I do see halos while driving at night, but to be honest they are much less intrusive than the halos that I saw with my cataracts. The halos are only around certain point sources such as LEDs. When I first had the surgery it was very pronounced and quite wild to see these halos. I was quite nervous because it was so bad. Within a few months after both surgeries were complete, The halos lessened substantially. When I drive at night, which is very common for me, there is a slight notice of halos and if I really look for them I notice them more, but they do not stand out like they used to. At first I thought I was getting used to them but my memory is pretty good, they have toned down substantially as my eyes healed. Right now it is 3:00 a.m. and I am sitting in a dark room with a very small light behind me. I can see much better than I had expected with just a slight loss of contrast. When I am tired it is hard to focus correctly, but that is mainly because I am tired. It took several months before my brain really learned how to focus on something, and even now a year later if I am having an issue focusing I just force myself to be precise in what I'm looking at. That may sound strange but then I remember that these are not natural eyes and I am not 20 years old anymore. Many people who are in my situation that are friends of mine are very nervous about the halos, and all I can say is that while they are there, they are less intrusive than the halos I had while trying to drive at night with cataracts. I no longer have to look away while driving which I had to do prior to the surgeries. Normal light and even dim light vision is very good to outstanding and I can see very well at all distances. I am absolutely thrilled with being able to see probably as well as I did in my mid-thirties. I am better than 20/20 at all distances in good light and I am amazed at the fine details I can see close up. He is correct that I have reached for readers a few times when working on extremely intricate projects. My job requires excellent vision and I do not use glasses at all. I am a printer and need to be able to see very fine dots which I can do without glasses. The very fine precision that I am talking about is doing very fine trigger work on a gun or very precise changes in metal work which require me being able to see extremely small changes in surface area. I am sorry that this is so long and I am not saying that the panoptics are better than the clear view three. What I am saying is that over a period of a year my eyes are still adjusting and getting better everyday and I am amazed at the change in my vision. My cataracts had degraded my vision to the point where I didn't realize how poor my vision really was. With the surgery I am amazed at the colors and contrast that I can see in good light and I am OK with the slightly reduced contrast in low light. I have no problems getting up in the middle of the night to go to the bathroom in darkness. I enjoy hunting and target shooting and have not been able to use iron sites in almost 20 years and now I have no problems with iron sites. For at least 15 years golfing has been a challenge because I really couldn't see the ball well when I addressed it and after I hit it I could never see it if there were clouds in the sky or if it landed in an area with perhaps some leaves on the ground. I can see all of that again with no issues. Watching TV is much sharper and crisper than it has been in the long time and reading is crystal clear. The only issue are the halos at certain lights at night, and again they are not nearly as pronounced as they were in the weeks and first few months after both surgeries were complete. I believe that My eyes and brain needed to adjust so that I could see better. First of all the healing process takes longer than just 24 hours. It takes several months before everything is completely to where it is going to stay. Secondly I believe that your brain needs to relearn how to see when using this type of lens. I have to learn to look directly at something whereas before something could be off to the side and it would still be visibly sharp. Now you need to focus on a spot. My peripheral vision is still good but to be able to see clearly I think you need to be laser focused on what you are looking at and then your brain will make it happen. I know this sounds strange but that has been working for me and I can't believe how well I can see with the pan optics lenses. I hope this helps at least a few of you and I hope that All of you can have the miracle of vision improvement that I have had!
I scribe for Dr Stonecipher. We are located in NC. Just found out today we are starting it Friday after years of him saying no😂 I’m trying to learn as much as possible. I always tell him I watch your videos ! So informative
Is any one experiencing as one person called it "moveable fog with eye movement? I had left eye done mid April 2024 & Right eye 2 week later. Vision is good, but having this fog type sympton in both eyes. Does it go away?
How come scientists are not able to make a multifocal lens that is multifocal because of its flexibility and hence has the possibility to accommodate in the natural way?
Very informative video Dr. Wong. I don't seem to find any information on the lens that I upgraded to. Can you tell me anything about the J & J ICB00 lens. You have kindly written me back recently. I am struggling with the cataract surgery in my right eye and have gone to the expense of new glasses, sun glasses and the upgraded lens and feel lost as to what to do to improve my vision. The surgeon in Germany suggested the Yag laser to clear up the film on the back of the lens, but I almost feel that I should get a new one that would allow me to see as I could before, which was pretty much free of my glasses except super close up. Frustrated to have blurred vision, halos and some double vision. I can't read my phone, lap top or anything else. Thanks so much for any suggestions you might have.
I had the patient see a cornea specialist before and will have her continue to see the cornea specialist in the future. I have not used anti-vegf injections for cornea neovascularization patients yet.
All lenses currently available in the US can and will have a 20-50% chance of needing yag capsulotomy after implantation due to posterior capsule opacification.
@@ShannonWongMD Thanks for the response. I know your data may be limited for the odyssey lens, but what % of your patients receive yag due to pco for the panoptix lens?
@@JasonSesler If you receive a lens implant (panoptix or any other lens implant), expect a 1/3 to 1/2 chance of needing YAG capsulotomy in your lifetime.
Hi doc im from Philippines ,i had 3 times operation for my right eye for retinal detachment with cataract in public hospital still not working on me to see everything ,now my left eye have cataract too im so worried if the same on my right eye ,pls help me Doc from Philippines
I dont have enoughf money to pay that kind of lens,that why Doc I'll go to public hospital for free surgery but still not working...my surgeon in public hospital is internship so its free but still not working to see everything
Great video....but if you have this procedure done, you can never put a different lens in your eye as there is nothing to hold it in place. I am supposed to have this done in October but am no happy with the lens I had installed so not sure what to do at this point. Maybe remove the lens and start fresh and see if that gets rid of the blurred double vision, I never had even with the cataract.
You’re firing too fast. One shot per second is the correct frequency. When you fire the laser, the cavity is always at full power. Your setting is done by attenuating beyond this cavity by rotating a polarizing filter. You also didn’t use a caps lens. This is a 90 diopter lens. The lens changes the cone angle of the laser. It also changes the area of laser to something like a quarter of the beam delivered. This enables you to perform a capsulotomy at no more than 1.5mj. You’ll probably be using over 3mj. This causes pitting of the IOL. Also, as the cone angle is more direct, that extra energy is going through the vitreous and hitting the retina. There’s growing evidence this can cause detachments. If you’d like me to give you more details, I’m happy to help.
"Different strokes for different folks." There are many different and safe ways to perform yag capsulotomy. Despite my technique, I have not had to remove a pitted IOL and find the rate of retina tears/detachments to be exceedingly low.
If we assume the patient had myopic LASIK, the corneal wavefront will show positive spherical aberration, the higher the LASIK correction the higher the spherical aberration. High SA is not our friend, it robs the eye of contrast. In general the Panoptix, which has negative spherical aberration, does not have enough to compensate for the positive SA of the cornea. This, along with some other optical design issues, renders the Panoptix a suboptimal choice in post myopic LASIK eyes. I completely agree with Shannon that the Odyssey, and it’s sophisticated optics and better material, is likely a better choose for these patients
Surprised you did the YAG Capsulotomy in a patient with Panoptix who is 20/20 and unhappy…would have been much easier exchange without the YAG. Panoptix in general is not good enough in post LASIK eyes, especially in younger patients who still have native lens to compare it with. I would caution other surgeons to not do YAG so quickly in these patients and move towards the exchange earlier. When a patient sees 20/20 and is unhappy, don’t YAG! While the IOLX turned out well, there is too high a risk of an outcome the patient would be unsatisfied with or, worse, a disaster.
Rex, Great points! Actually I have had good success with Panoptix in post myopic Lasik patients (but not in post hyperopic Lasik patients). Your points are valid. Prior to doing his yag capsulotomy, I made sure that his anterior capsulorhexis was 5.0 mm or less (which I found out it was probably too small...closer to 4.25-4.5 mm) and knew that I could do IOLX post yag capsulotomy prior to pushing the "fire" button on the YAG laser. I have now done a good number of IOLX post yag and feel comfortable and safe doing so. This case was "a challenge" due to his small rhexis which turned-out to be a good teaching point.
Very helpful and comforting, Iam due for my second eye cataract removal, watching this great video has reminded me of all the points one needs to be aware of having the cataract removed thanks very educational
Thanks for the info. Most of these do not appear to be a fit for me. My first exams and measurements a few months ago showed I have high myopia with AL=29.xx in both eyes. The IOL power needs to be around 0.0 to -0.75. Is there any multifocal solutions (that are FDA approved) that will work in this range? What are the alternatives? Thanks.
You could (if your anatomy allows) have a piggyback IOL (monofocal IOL stacked on top of a premium lens) to allow you to have a premium IOL outcome despite the premium IOL not being available in your power.
