The Clearview 3 Multifocal Lens. First Impressions. Less Halos than PanOptix? Shannon Wong, MD.

Подписаться 60 тыс.

Просмотров 12 тыс.

50% 1

The ClearView 3 Multifocal lens implant is a lens implant that enables patients to see far, mid and near without glasses and while providing great vision at night with minimal halos around lights at night.
We present our first case using the ClearView 3 multifocal lens implant in a patient who was seeing great with his PanOptix lens implants but was bothered by halos around lights at night seen with the panoptix lenses.
We performed intraocular lens exchange - removed his panoptix lens from his right eye - and placed a Clearview 3 multifocal lens into his right eye.
One day after surgery, his far/mid and near vision were comparable to the range of vision with the panoptix. Importantly he did not perceive halos around lights through the Clearview 3 lens implant.
Financial disclosure: I have no financial interest in the products or lens implants discussed in this video.
Thank you to our patient for allowing us to share his experience.
0:01. Introduction
0:52 Patient experience with PanOptix lenses in both eyes. Great vision with halos at night. BEFORE having intraocular lens exchange with the Clearview 3 Lens for his right eye only.
4:10 Intraocular lens exchange procedure to remove the panoptix and place the Clearview 3
7:12 Patient experience AFTER having intraocular lens exchange. First impressions with the Clearview 3 lens
13:13. Conclusions

Наука

Опубликовано:

19 апр 2024

Ссылка:

Скачать:

Готовим ссылку...

Добавить в:

Мой плейлист

Посмотреть позже

Комментарии : 83

@garygreen9027 2 месяца назад

Wow..please do more on the Clearview 3 lens soon..❤❤

@moonlightsonata5576 2 месяца назад

I had cataract surgeries about 7 weeks ago for both eyes and had Vivity Toric lens (for astigmatism & previous lasik). I can see everything (distance, intermediate & near) crystal clear and no halos or starbursts at night. I now see 20/20 on left eye and between 20/20 - 20/25 for the right eye. Not sure why my doctor didn't use Clearview but overall, I'm very happy with my new vision.

@jakdalton7342 2 месяца назад

FANTASTIC! You make me cry with joy, Dr. Wong! There IS hope in gaining my independence back & reducing my fear of driving at night. My cataract surgery left me worse than how I saw before. I will ask my Dr. about these lenses. Educating us, educates others. Bless you for taking this time to teach.

@goma12x 3 дня назад

Thanks to you and your patient. These videos teaches me on what to expect on RLE from a first hand experience

@chrischapin2936 2 месяца назад

It would be interesting to get impressions of the “quality” of vision at night or under dim lighting. Not just whether Halos or Starbursts appear, but whether the distribution of light under darker conditions allows good quality vision when compared to a standard lens.

@johndoe-ep7qk 2 месяца назад

thank you for doing this! would really love to hear how he responds to night driving after a week. i'm considering this exact lens right now and would find this additional information invaluable. thanks again for posting this

@llToNzxll 2 месяца назад

Very educational and inspirational as always, Dr. Wong!! Thank you for the video!!

@ionean 2 месяца назад

Thank you for this video Dr Wong. This is interesting indeed, given the notable reduction of the night time halos. Looking forward to more client experiences for this IOL.

@mdmorell 9 дней назад

Getting Clearview 3 lens IOL x2 from Dr Wong in 2 days!!! Very excited. I'm a service technician doing a lot of close work. Not happy with glasses. I'm 65 and have minimal cataracts in both eyes. Using +3.75 readers for several years, slowly getting worse from 40 yo before that. Low astigmatism, 3mm pupils. No other issues.

@johndoe-ep7qk 7 дней назад

How did it go? Any follow up? I'm considering this lens too but concerned about night driving and/or type of glare or whatnot from the design of the SBL3. Do you notice any visual "artifacts" (ie positive or negative dysphotopsias)? Thank you

@mdmorell День назад

@@johndoe-ep7qk I don't think you need to worry. I'm seeing some "angel wing" flares on bright lights at night and longer, thin ones from the bifocal design. But nothing substantial or to be anxious over in driving. It's really very good at night for me. Also I'm ecstatic at both the near/far performance. Especially when I have significant cataract along with 20/150 vision! Now I am seeing 20/20 near/far! What a delight!!

@dat7hrfa 14 часов назад

@@mdmorell how is your intermediate vision? 25 - 30 " ?

@davidbetancourt4028 2 месяца назад

Great video. Always informative. I'm in my late 40s and dealing with the crappy loss of near vision. Personally I'm hoping and waiting for those accommodative IOLs. Hoping that they'll be a real option in a few years, like FluidVision or Juvene. Crossing my fingers.

@danivision261 2 месяца назад

So wonderful to learn alot with your great videos, Dr.Wong! Luckily, 'till now, haven't have many problems with my patients implanted with the Panoptix (neither the Vivity ones) - maybe due to alot of preoperative chairtime, maybe due to a lower n comparing to yours, maybe for avoiding to implant the Panoptix in patients so attentive to small details, like this one fom your video and also maybe for not being so open for patient's smallest complaints about their lenses... Even so, looking ahead to have the Clear 3 lenses in Brazil. All my best! Dan

@gillyg9263 2 месяца назад

Thank You.. I Need To Get Those..

@sergep7578 2 месяца назад

I currently wear glasses and require spherical & cylinder correction. Watching these videos convinces me that when my time comes for cataract surgery and choosing a replacement lens, I'll choose a lens that corrects only the sphere for distance and wear glasses to correct the cylinder and anything remaining. I don't mind wearing glasses and it's imperative that I be able to drive comfortably at night.

@LindaSims-cn4jc 2 месяца назад

Would love to know the follow up on this case. How was his night driving? Were the concentric circles less noticeable with the ClearView lens in the right eye? Did he decide to leave the PanOptic lens in the left eye or do a lens exchange for the ClearView? I’m 5 months in from having PanOptics lenses. Daytime vision is great, but the concentric circles are very troublesome when driving at night. Maybe this would be a good fix.

@basilio100 5 дней назад

Can you make same sort of sketch to show how do you see at night? how big are circles?

@richard9609 2 месяца назад

Would love input on night driving from patients who have this lens.

@Chris4334 Месяц назад

Hello Dr. Wong, Thank you so much for your informative videos!! You mention near the end of the video to your patient that both the Panoptix and Clear view lenses have their strengths and weaknesses. I know that the weakness with the Panoptix is night time halos. Could you please tell me what is the weakness with the Clarview lens? Thank you

@user-ik4br3nk2w 2 месяца назад

Wish my biggest complaint was 20/20 vision ❄

@donnaschindlbeck7457 2 месяца назад

This is very interesting! I’ve recently undergone cataract surgery in my dominant eye with a standard IOL. Unfortunately there was a refraction error and I’m only seeing 20/70. 😢 Previously I wore contact lenses one set for distance and the other a multi focal which suited me very well. While I’m sorting out what my options are for the dominant eye might this might be an option for the non-dominant eye?

@coupe96 2 месяца назад

Is there any contrast loss with Clearview 3?

@susankurtzweil7147 2 месяца назад

Are those good if you have astigmatism?

@gwmattos 2 месяца назад

❤Amazeing Science. Hard to believe we have the machines to manufacture and design these in 2023-2024. What is the cost versus mono focals? Do you have any patients from northern California?

@soccer24six 2 месяца назад

Wow Impressive Did u reopen ur original primary wound for this case? I would imagine it’s hard to reopen 10 months later.. I’m guessing you made a new wound. Also- I’ve heard the Clearview needs a slightly larger wound.. If you did make a new wound, did u make it in the same area as the original or did you have to scoot it over to completely avoid it? Thx for sharing! 🙏

@ShannonWongMD 2 месяца назад

Reopened OG primary incision. 2.8 mm. No need to widen.

@DRV13 2 месяца назад

Was he a myop or a hipermetrop before putting the panoptix? I heard myops do worse eith trifocals lens than hipermetrops

@barjohn007 2 месяца назад

I had the Crystal Lens put in each eye about 3 years ago and have not been able to achieve good close up vision without reading glasses. Is the Clearview lens one that could replace at least one eye? I have a lazy left eye so i wouldn't change that one. Is it too late to make the change?

@raznologija745 2 месяца назад

Are there such lenses in toric options?

@garywiddison7988 2 месяца назад

What is the intermediate vision like with these, is it as good, or better than "normal" trifocal lenses?

@DoctorRamil 2 месяца назад

Hello, Dr. Wong. What is the difference between ClearView and lentis mf30?

@TheMuzikMuzik 2 месяца назад

3 months post op with panoptix and still dry eyes Using eye drops frequently Will this get better?

@maxim-a55 2 месяца назад

Is it the same lentis mplus?

@nang. 2 часа назад

It is hard for me to read small and darker letters/sentences but whenever, I did the reading charts in my doctor's clinic my vision seems okay to him.20/20.He told me to to use the reading glass. Would you comment on this please? Thanks

@markmw123 2 месяца назад

Great information, and the halos at night is what puts me off IOLs but, Just wondering why a patient wouldn’t have the LAL surgery?

@ShannonWongMD 2 месяца назад

Reading vision with the LAL is weaker than reading vision with clearview 3.

@disqusrubbish5467 2 месяца назад

I believe the LAL is essentially a monofocal...

@TheKezhaya 2 месяца назад

I’m curious how your eyesight has been after you replaced just one of your lens.

@taylorpaSH 2 месяца назад

I have a Vivity Toric lens in my left eye. Can the Clearview 3 correct for an astigmatism? Looking for options for my right eye that will ensure good near vision.

@ladym6738 2 месяца назад

Have Vivity last year. Not happy with it. Cost?

@jimbert50 2 месяца назад

How was his mid-distance vision?

@basilio100 5 дней назад

Oil change takes longer... Amazing technology.. Is cost to replace lens same as new installation? What if the guy didn't like Clearview, would you install PanOptix again?

@Stevenn2186 27 дней назад

Assuming I meet the physical requirements do you think you could recommend or possibly consider this lens for someone like me who has had a retinal detachment? I’m 38 with -9 myopic.

@juicer52 2 месяца назад

Scheduled for Sx in 10 days. If I remember correctly, Dr. suggested Symphony in dominant eye with ZLB00 in non dominant eye two weeks later ostensibly achieving a combined broader range of near/intermediate acuity. Currently OD -0.5 sphere -0.5 Cyl 065 Axis and OS -0.75 Sphere -0.5 Cyl 085 Axis My readers have a +2.00 add in both eyes. Obviously would prefer to minimize the potential for glare or halos with multifocal IOLs. Can you give an opinion if I should discuss the Clearview 3 with the Dr. before it is too late or is it too early to determine how the Clearview 3 is behaving. I realize new lenses will always be developed but would hate to miss an opportunity for what might appear a game changer regarding halos and glare.

@aniketnavalkar5974 2 месяца назад

if your doctor suggested symfony, change the doctor. run!!

@juicer52 2 месяца назад

@@aniketnavalkar5974 can you explain your experience and expertise? Obviously I want what is best and can only rely on the Dr's suggestions.

@aniketnavalkar5974 2 месяца назад

@@juicer52 I got Symfony in 2018. I was 41 at the time. It is outdated technology. I got no near or intermediate vision with it. Worst was huge ring around light at night. Not the concentric rings of light, those are manageable, but huge ring of light of lens edge. Also the vision was never sharp. Last year I got it exchanged for Clareon PanOptix from Dr. Safran. Five years of misery was over. If you are going to get an iol with rings then get a trifocal. Good luck!!

@CBM193 Месяц назад

In one of your comments you said that one of the criteria is the patient cannot be "too nearsighted". What is considered too nearsighted?

@ShannonWongMD Месяц назад

Once we obtain measurements of your eyes then we can determine if you are within the treatment range of the clearview 3.

@gussoidarg3956 23 дня назад

Hello doctor, did the patient came back to exchange the lens on the other eye, do you have any updates? As always thank you very much for your videos.

@ShannonWongMD 22 дня назад

He kept panoptix in his left and Clearview right. Happy with the combo.

@gussoidarg3956 22 дня назад

@@ShannonWongMD thank you so much for your response, I don't have cataract but being 47 yr old the near vision is getting worst, I heard a out LAL plus of extended depth of focus coming out soon so I'm just waiting to see those reviews and make my mind before seeing you. If you ever have a chance to share your opinion on that I'll be great full. Also would you have picked Clearview vs your own iol?

@Pyro-01 2 месяца назад

I know you like to say no lens in perfect but with better than 20 20 vision and no Halos what would be the down side to these new ClearView 3 lens? They sound pretty perfect to me

@ShannonWongMD 2 месяца назад

Not everyone is a candidate for the clearview 3. 3 criteria must be met by the patient: 1) pupil size 2.75 mm or larger in normal lighting, 2) low degree of astigmatism, 3) prescription of the eye cannot be too nearsighted due to limited power range of the clearview lenses available.

@doanngocchang Месяц назад

@@ShannonWongMDwhat’s the max prescription for nearsighted

@user-fs7oz3gn8g 2 месяца назад

I wear a +250 reader would i still be a candidate for this lens?

@user-fs7oz3gn8g 2 месяца назад

I mean +2.50

@BRigwald 2 месяца назад

What do you know about the new Tecnis Odyssey lens?

@ShannonWongMD 2 месяца назад

Started using the Odyssey lens 2 wks ago. Will learn how well it works over the next 2 months.

@doanngocchang Месяц назад

Does patient has to pay again for the lenses exchange if he has issues with his current lenses

@ShannonWongMD Месяц назад

Within our practice, if we place a lens implant and the patient is intolerant of the vision with the original lens implant then we will exchange the original implant for a different lens implant at no additional charge to the patient in most situations.

@peterszostak1141 2 месяца назад

Is there a cost difference between these two IOL's ? I got a price quote from my ophthalmologist of $ 3395 per lens for the Panoptic Trifocal lens. She only uses the Alcon Panoptic for high end lens cataract surgery.

@ShannonWongMD 2 месяца назад

Pricing for elective surgery varies from surgeon to surgeon/practice to practice.

@peterszostak1141 2 месяца назад

@@ShannonWongMD Thank you. I understand that costs will vary due to many factors but my question is the actual cost of these two lense brands. Are they different ?

@ShannonWongMD 2 месяца назад

Roughly equivalent costs.

@1drummer172 2 месяца назад

I’m a 70 year old retiree and I’ve never had cataract surgery. I’m thinking about my options for lens replacement and I want the best available. I’ve been waiting for the technology to advance to at least this level. How should I go about making arrangements to have this done? Thank you.🙏

@ShannonWongMD 2 месяца назад

Contact your ophthalmologist.

@1drummer172 2 месяца назад

@@ShannonWongMD👍

@disqusrubbish5467 2 месяца назад

Does it come in a toric version?

@ShannonWongMD 2 месяца назад

No.

@michaelcantele7941 2 месяца назад

I’m curious why you didn’t use the vivity lens.

@happychaoli3005 2 месяца назад

Vivity generally does not provide enough near vision compared to the panoptix and it seems like the clearview as well.

@ShannonWongMD 2 месяца назад

I am less and less enthused with the Vivity lens. There are better alternatives: Light adjustable lens, and likely Clearview 3.

@carolineleng313 15 дней назад

@@ShannonWongMD Is Clearview suitable for people with astigmatism?

@LindaSims-cn4jc Месяц назад

Did he leave it with 1 PanOptic and 1 ClearView or did he change out the other PanOptic?

@ShannonWongMD Месяц назад

He is happy with clearview 3 in one eye and Panoptix in the other eye.

@dat7hrfa 2 дня назад

Was the panoptix lens yellow or clear? Since the Clearview 3 is clear, it is interesting to know if it is ok to mix yellow tinted iol and clear. I would assume it is ok. @@ShannonWongMD