Which Cataract Implant Should You Get? | Eye Doctor Explains Intraocular Lenses

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If you’ve been told your cataracts are “ripe” or “ready,” you’re probably starting to think about cataract surgery and what it will entail. When you see your surgeon, you may hear about 3 different types of implants that you may pick from. In this video I’ll tell you about them and go over pros and cons to help you make an informed decision. #cataract #cataractsurgery #intraocularlens #lensimplant #cataracts #cataractsurgeon #phacoemulsification
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⏱️ Timecodes:
00:00 Intro
00:43 Introduction to cataract surgery
01:12 Types of implants: Monofocal
01:34 Types of implants: Toric
01:41 Types of implants: Multifocal
02:00 Types of implants: Extended depth of focus
02:20 Types of implants: Accommodative
02:34 How to choose the best implant for you
05:57 Summary
What you may not realize about cataract surgery is that there's a variety of IOL types to choose from - all with different benefits - including extended depth of focus implants (EDOF IOL), multifocal intraocular lens implants, toric options, and more! Analyzing your visual requirements, lifestyle, and where your vision is needed most throughout your day will help you and your doctor decide which implant is right for you.
📚 Research Links: Visual Outcome Review in Pediatric Congenital Cataract Patients:
journals.lww.com/jcrs/Abstrac...
Changing Multifocal Implants: eandv.biomedcentral.com/artic...
www.aao.org/eye-health/treatm...
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🏡 We are Salisbury Eyecare and Eyewear - a cold start optometry practice and optical shop that is owned and operated by Dr. Melanie Denton Dombrowski in downtown Salisbury, NC. Our office operates out of a darling Victorian home where we provide medical and routine eye care and Dr. Denton specializes in dry eye treatment and management of various ocular diseases. Dr. Denton is a member of the Bausch and Lomb Speakers Bureau, a former member of the Alcon Contact Lens Speakers Bureau, a current Alcon consultant, a member of the Allergan Advisory Board, a member of the Valeant Advisory Board, a TearCare consultant, a Lumenis consultant, and a member of the North Carolina Board of Examiners for the North Carolina Optometric Board. We started this channel to provide patient education and eye-related product reviews, as well as to share our experiences in the office and at community events. None of our videos are directly sponsored. We hope you enjoy our videos! Make sure to leave comments and suggestions about what you’d like to see next!
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Опубликовано:

17 июл 2024

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Комментарии : 149

@Sipu79 Год назад

I think the most critical bit of information is that if you pick anything else than a monofocal, the lens has to split the light around to different focus points, usually 50/30/20 far, intermediate and near severely reducing contrast sensitivity. Because the amount of photons entering the eye is constant, monofocals let all the light through to your retina. Everything else is a compromise of light splitting so you will lose visual quality, color and brightness.

@AS-tt8ui 8 месяцев назад

I picked monofical lens. It still is the "gold standard" for sharpest, highest contrast and great night and dim light vision. If you pick multifocal just to rid yourself of readers you will never realize what you missed out by not picking monofocals.

@MALU0327 7 месяцев назад

@@AS-tt8uido you need to use glasses to use your phone with your monofocal lenses? Or you can still be able to to use it without glasses?

@AS-tt8ui 7 месяцев назад

@@MALU0327 You can easily use your cellphone with monofocal lenses. It's not super sharp but easy to read texts, make calls etc.

@johnreese3762 Год назад

Just had both eyes done with Toric lenses and so far, so good! Eyes tested better after 24 hours!! I'm a very happy camper!

@johnr8309 9 месяцев назад

Every time I watch these videos about IOL's I end up with more questions than answers.

@johnr8309 7 месяцев назад

Then after you read the mixed review experiences you have even more questions.

@Landis_Grant Год назад

As a 71 year old senior with cataracts, I will get the regular lens so I have to buy a new prescription eyeglasses because I look younger wearing eyeglasses than without.

@PrayNow4all 4 месяца назад

Your comment is something I noticed recently on a video podcast personality. Ordinarily she wears glasses. But in a recent interview, I noticed she looked terrible, much older. She was not wearing her glasses! Then I looked at myself with and without glasses. Guess what! My glasses hide the bags under my eyes! Now you’ve confirmed what I suspected all along. Thanks so much for mentioning that!

@itsame1277 Год назад

Thank you Dr D. Loved the overview of IOLs!

@eddie5407 Год назад

Excellent presentation. Thank you!

@dorothyschumm1842 2 месяца назад

I thank you so much for this video, it really clarified in lay language what I should choose. I was pretty anxious because I’ve always had great vision

@davidfwilliams1960 Год назад

Har my right eye done a week ago. Went with a Toric Vivity Lens. Blown away. Seeing doc tomorrow but thinking 20/20. Using off the shelf readers for near but computer is crystal clear. I think doc is planning a bit of blended vision for the left one. Can't wait. So happy

@AlexAlex-cr1kd Год назад

I think about Vivity lenses too! I can’t decide between symphony and Vivity!

@davidfwilliams1960 Год назад

@@AlexAlex-cr1kd Hey mate. Just had my post op checkup (1 week) today. My vision is better than 20/20. Very happy with my eyes and booked for second eye in a few weeks. My Doc only offered panoptix or monofocal or vivity but with all my research and online videos that would have been my choice anyway. I seem to have no visual artifacts or problems at night with contrast. This was the reason I didn't get panoptix. Doc is planning to make me a little nearsighted in non dominant eye for reading. Very happy with vivity. I also saw a bunch or doctors recommending panoptix but when a patient is then unhappy for whatever reason the replacement seemed to always be a vivity. It seems to me the only reason they recommend panoptix is because it gives near vision as well but I don't mind readers and when my second eye is done I probably won't need them anymore.

@aprilc.3697 Год назад

Glad to hear that the Vivity was a good fit. I have my consultation with the ophthalmologist in a few weeks for cataract surgery. I’m very nearsighted and have astigmatism and I need to be able to see on my laptop and desktop for work. Leaning towards the Vivity lenses.

@davidfwilliams1960 Год назад

@@aprilc.3697 My wife is also looking at getting her cataracts done and leaning towards vivity. But she is also myopic and currently can read without glasses as I suppose you can. You are likely going to lose that superpower hahahaha. Doc says I am better than 20/20 for distance and I can use a computer without glasses. Reading I am using readers at the moment. My second eye is in 2 weeks and he's going for blended vision with vivity again and making my second eye slightly near sighted. He says it won't affect my distance vision and I shouldn't need glasses.

@jeanherrman8492 Год назад

@@davidfwilliams1960 How is the vision for near after the second eye? What was the difference in the correction between the two eyes? I am myopic but need good near vision as I do a lot of detailed up close work 16-18 inches and I do love my up close superpower but I am tired of having 4 sets of glasses! Thanks

@janehandy9840 Год назад

I recently had the third and most expensive cateracts surgery and still am having some irritation in one eye. Feels like I have stitches in one. My dr. said it may thaw up to 90 days to clear up. Has anyone else had this problem? However I can see👏👍👍👍

@adstryker5084 Год назад

Informative video. My bozo of an eye doc never mentioned the "accommodative" option, and did a poor job of describing the features, limitations, and competing implementations of the "multifocal" option, but he did try to upsell me on the multifocal implant, which is what I ultimately chose. He didn't do a good job of choosing the correct power, however, so I ended up having to do PRK to get the distance focus approximately correct. Prior to correcting the distance focus I couldn't see well enough to pass a driver's license exam without glasses, and the "halo" was bad enough at night that I couldn't read standard road signs (like speed limits) until I was very close to the sign. He never told me how many focal zones the multifocal lens has -- I gather from doing my own research that it probably has either two or three zones, which means that my current contrast ratio is roughly one-half to one-third what it would be with a monofocal lens (another limitation he didn't tell me). Practically this means that I need more light to see fine detail than someone with healthy natural eyes ... kinda like I still have cataracts. I suspect, based on the diffraction patterns I see around any bright point source, that my implants utilize a Fresnel-type lens, but I've played with some multi-focal type options in a J&J simulator that seem to be based on something other than a Fresnel lens (maybe gradient index). My assessment is that the multifocals are convenient -- I can get by without glasses 95% of the time. But my vision is not crisp and clean at most distances; I still need reading glasses (or just cheap "cheaters") for small type (like medicine containers); and I notice significant diffraction rings around bright lights at night. It's possible that I might like a monofocal (set for distance) in my dominant eye and a multifocal in the other eye, but I wouldn't know for sure without trying it, and they really don't like the idea of removing an IOL and replacing it with something else.

@HeyYou0602 5 месяцев назад

I would love to know if you did the multi focal in one eye and the mono focal in your dominant eye and how that worked for you? That is the plan my surgeon and I came up with and I’m scheduled in 10 days. Thank you!

@adstryker5084 5 месяцев назад

I did not do that, because the eye doc did not properly describe the options available to me, but ... based on my experience with multifocal lenses in both eyes, I expect I'd like an infinity-focused monofocal in my dominant eye and a multifocal in my non-dominant eye. Still a compromise, but that would give me crisp, high-contrast distance vision and still be able to get by without readers the vast majority of the time. So ... based on my experience, I'd say, good plan. @@HeyYou0602

@vantelontheroad1750 Год назад

I got Johnson and Johnson eyhance Toric lenses. My understanding is they are enhanced vision monofocal lenses. I love them. I have only had one done so far but I can drive and read my phone. Watch tv etc.

@patfung3164 Год назад

Monovision worked well for me

@woodbark1008 Год назад

Thank you for this very interesting, informative lecture . I am a 76 yr old male and just had both eyes done. I chose the "Mono Focal" lens and like everything else, we always wonder if we made the right decision - now, after listening to your talk , I am very happy that I did !. . . It's now 4 months since my implants and it's all good. Mind you, I still have the "dry eyes" problem (excessive unwanted tearing) but am putting up with it, like everyone else !

@EyeSchoolwithDrD Год назад

Thanks for sharing! 😍 You might like the other videos about dry eyes 😉

@AerialLensVideo Год назад

Well done -- THANKS! This reduces any concerns I have, being very myopic, prior to surgeries coming up quite soon. May I ask what your general experience has been with patients who are very nearsighted (I am now - 9 in dominant eye and - 10.5 in the other, and have worn contacts for a long time) if they opt for monofocal or "monovision". I see very well with single-vision correction now except under about 2 feet (dollar store readers at +1.25 do the trick, like right now while I am typing and watching videos on the desktop). My ONLY BIG CONCERN is being badly out of focus under several feet. Thanks again.

@aprilc.3697 Год назад

Waiting to have my consultation with the ophthalmologist in a few weeks for cataract surgery. I’m very nearsighted and have astigmatism and I need to be able to see on my laptop and desktop for work. Leaning towards the Vivity lenses. I’m definitely on the younger side for this, but having issues with my right eye while wearing glasses and a huge change in my Rx. Thanks

@DT-ce2mk Год назад

Im is same boat wondering what you chosen and how it worked out for you ?

@petermalbin1629 Год назад

Excellent video

@EyeSchoolwithDrD Год назад

Glad you liked it

@drviray8812 Год назад

Clear info tnx

@rosemorris7912 2 года назад

I went with monofocals because I want to be able to drive at night. I've been wearing glasses for up-close activities since I was 19--no biggie.

@alvinalexander9868 Год назад

So is there less glare from cars during night time driving with monofocals for you?

@MuhammadAli-hj2fe 6 месяцев назад

For how much close activity you need glasses?

@D3M1N1 2 года назад

Just starting the process of getting a premium lens replacement at 49 I have pretty significant cataracts

@ekitt7629 14 дней назад

I’m 44 and also have pretty severe cataract. What lenses did you go with? How has it been?

@Carlos_Vr 10 месяцев назад

Could you please give more information about accomodative iol? Please 🙏🏼 thank you!

@johnalden4472 Год назад

Bifocal right eye, monofocal left eye. Wear readers when doing close work or extensive reading- couple of times a day. Works great.

@HeyYou0602 5 месяцев назад

I’m so glad to hear that. That is the plan for me. 10 days!

@nowwhatfam Год назад

I'm having surgery next month...I chose the Toric lens. I remember him mentioning I had many floaters in my left eye...will the Toric lens get rid of the floaters...will the floaters still interfere with my vision? Will I be able to drive at night too? I have floaters, astigmatism, double vision in left eye, I had rectina surgery on the left eye, eyes run sometimes, everything else...the muscles etc are good! Is the Toric the best one for me with these conditions?

@raysingh2628 7 месяцев назад

Can you pls make a video about Light Adjustable Lens (LAL) premium lens

@xfiles4792 Год назад

I watched another video about cataract surgery and they mentioned an emulsion step where the lens is broken up and sucked out. Is there a chance there will be floaters left? Will this step remove existing floaters?

@cindyprice7160 Год назад

@user-qe1gi9hp7y Год назад

Hi. Can u answer this question please? My story: Say 10 plus years a go I had my right eye cataract removed. After surgery, 3 days later surgeon removed bandages I was able to see clearly right away but double vision . Yes my left ieye had become lazy. Back than but after it corrected no more lazy eye. Luckily my vision corrected aon its own so both eyes worked very well no glases no glare no short Orr long distance issue. I went back to same surgeon last month for left eye. Yes I haD cataract in left eye even than was recommended to have it removed but I have waited 10 plus years yes my left I was very developed dense cataract. Removed bandaid 1 day latter absolutely no vision as if no surgery was performed I. My left eye. 5 days after surgery I have gained vision gradually has gotten better now 11 th day. However, left eye has the generic lense I chose, whatever my insurance paid. Since my right eye also has a simple lense from 10 years plus Now left eye yes was told by surgeon more astigmatism than right eye R is ..7 and l is 1.7 astigmatism. With normal lense I have 11 since my right eye has a near and far distance is vibrantly but no clarity in Either short or long distance. With both eyes I can see 20/15 to 20/20. But left eye I have only sharpness no details on short or long term. Can u help with this problem I need bifocals on left eye or need to put in multiform lense re cataract surgery?

@zunairasiddiqui2971 Год назад

I had narrow eye glaucoma surgery done about 10 years ago. Since then I see Halos and the rays of light get in my eyes and are very bothersome. I have consulted many Ophtsmologists but they could not figure out the problem. However one Ophtsmologist told me that the hole was made under my eyelid that is why I have this problem. He said he can put a stitch on the hole and close it and remove my cataract. I waited four years I just went back to him for cataract surgery. He gave me two choices. Standard or panoptics. Medicare does not cover panoptics. I also read that you see halos. I want to ask your advice on it.

@kenibnanak5554 Год назад

I am not her, but I would suggest getting one eye set tor far and the other for near as she mentions. I am about to do that myself as it is the best option for those on medicare which only pays for the one type.

@carmenwilley8858 Год назад

My cataract surgery caused eyelid droop in the corner of my right eye and why can't I just have that droopy skin taken off instead of complete eyelid lift and forehead lift as was suggested? Also, now I have dry eye.

@randylondon9462 2 месяца назад

If I get the Monofocal for distance di Still need progressive lenses? - great video too

@crystalfolse3208 Год назад

Thanks

@carmenwilley8858 Год назад

I wanted to be able to see without glasses after cataract surgery but still need a contact in one eye to see up close. Also, I ended up with ptosis in right eyelid and numbness on sides of eyes? And why should I have to pay for eyelid lift if caused by the cataract surgery? I have Medicare. I was not given a choice which implant I wanted. I just said I wanted to see without glasses.

@beverlycundelan1147 Год назад

I had cataract surgery last year. I was very near sided and hada lot of astigmatism I got the most expensive lense so i could see near,far and in between. After the original surgery, I had to return to clean up the new lense. I still didn’t test well, so I had lasik. I can see. In distance, but need reading glasses. They say nothing more can be done. What to do next?

@jbell6745 6 месяцев назад

I got the panoptix and can see 20/20 near and far no glasses for anything. The night drive is not that bad after I adjusted to the new eyes. I am glad I went with panoptix no regrets

@ekitt7629 14 дней назад

Did you have glasses prior? Might I ask how old you are? I’m 44 and leaning toward the same lenses.

@jbell6745 13 дней назад

@@ekitt7629 I had glasses, but did not use them very much. as my cataract got worse, my right eye got worse at distance but could read with it at close up, My brain had to adjust to seeing distance with left eye. I did not want to have to keep up with readers and you only get one chance with cataract surgery. So I decided to go with the panoptix. I can watch tv at a distance and the picture is so bright and clear, the colors pop and can read the small print on tv. At the same time I can look at my phone and read the smallest print. I am now 74 years old. Got this done about 3 1/2 years ago. I am very happy I did.

@gerardy7500 Год назад

Is Prelex and Cataract surgery the same procedure? What's the difference?

@jayblue5310 Год назад

IM considering the vivity because of my lifestyle and don't mind readers for close up however in my left eye i have a slight epiretinal pucker been wearing contacts since i was 19 and readers in 40's so im ok with readers for close up but sharp crisp distance is what I would like anyone know if the macular pucker will be an issue .?

@dannygreene2414 2 года назад

Two days out from doing laser with a Multifocal lens. Halos are an issue, but hopefully I will adjust soon for that. Near vision is slowly coming in. Far vision is pretty good. I can tell a light and color difference between my eyes as the other one has a cataract that will be replaced as it gets worse. I find it better to view black text on a white background as opposed to white on a black background. Only two day out so far. Let’s see where it goes in the next month.

@jenjen836 Год назад

Hi Danny, I had multifocals 2 weeks ago and reading vision is still a bit blurry and using 2.5 reading glasses which helps. How are your eyes now?

@dannygreene2414 Год назад

@@jenjen836 reading printed text is pretty good. Reading on electronics is not as good, as has a bit of a glare or flare. Guessing that is caused by the rings on the lens. I have not gotten any new glasses yet, but the new prescription does have a +2.50 for both eyes.

@dannygreene2414 Год назад

@Eunice Gonzalez I will not get that for my other eye. I will go with the mono vision lens. Reading black print is ok. But it is not so good on electronic devices. LEDs and other light have rings that may be distracting. Reading text on my tablet that is a light color on a darker gives a blurry effect. You can find RU-vid videos about these things.

@jenjen836 Год назад

It's been 5 and a half weeks since my multifocal lense exchange surgery. My distance vision is good but I still need reading glasses for reading mail, tablet and books etc. My intermediate vision is terrible and it's hard to see the VDU screen at work unless I wear the 2.5 reading glasses, increase the text size on my screen and put the screen very close to my face. I'm extremely disappointed with the result. I have all the cons of multifocals but without the multifocal benefits. My colleagues keep asking why my eye sight is so bed. I couldn't do training off my colleagues VDU last week as I could not see her screen. The Opthalmologist said wait another 6 weeks to see if it improves. If no improvement it's stuck like this

@jenjen836 Год назад

I think the Opthalmologist got the power calculation wrong

@AlexAlex-cr1kd Год назад

I think Vivity is the best

@bashirsalh4817 Год назад

I made cataract surgery before 6 years now after reading or watching TV sometimes my eye Cray and i feel something inside my eye not confort what is your advice for me thanks a lot.

@joycewright5386 Год назад

I only have one cataract so which do I choose? I guess I’ll still need glasses for other eye so I might as well get monofocal.

@donswords6671 Год назад

Can cataract surgery itself cause increased astigmatism? I went for monodical, distance, in my left eye. After three weeks my distance vision is blurry/cloudy and oddly enough I can read intermediate. I was now told I have astigmatism, which I had corrected with lasik years ago. I have very slight M.D. I have another 3 week check-up tomorrow. Not real happy at the moment.

@user-ym5ml3he1b 7 месяцев назад

Hi I'm 66 I wear contacts power 8..5 would I be suitable for phykic implants.

@hisstoryjesus Год назад

What is it called when they saw the lens on because there is nothing to hold it in place from within?

@Katsem Год назад

I would think carefully about spending the extra for a Toric if you’re going to wear glasses anyway after the surgery. I knew I would be wearing progressives after because I like them and knew I needed a prescription for the near and intermediate field. My Toric did not correct my astigmatism for as long as I’d hoped. In less than 6 months I needed a new prescription because my astigmatism had changed that much. So the $1700 I paid for the Toric in my left eye was a waste of money.

@cornelious2 2 года назад

I was a young cataract in one eye, had monofocal toric for near. Worst decision ever, since my other eye is still normal my iol eye gets ignored and is effectively as useful as with my cataract. Even with a multi focal contact it was a huge disappointment.

@MrNickdino Год назад

What woul you like to replace it with?

@OldGlory48Star 2 года назад

I had both eyes done in December. I got the mono focal implants for distance in both eyes. I still wear bifocals to correct for astigmatism and for up close vision. My insurance wouldn’t pay for toric implants.

@EyeSchoolwithDrD 2 года назад

Sounds like a good outcome to me, I have many patients with this scenario. Are you happy with the outcome?

@OldGlory48Star 2 года назад

@@EyeSchoolwithDrD yes I was very happy! I had dense cataracts in both eyes and I can see so much better it’s truly amazing. Dr. Kansupada did my surgeries from Charlotte Eye Ear Nose and Throat.

@alvinalexander9868 Год назад

Do you have issues concerning glare during night time driving, as well as issues with very early morning sunlight while driving? Will appreciate your response.

@thesnare100 Год назад

How are the intraocular lenses connected to the muscles that stretch and contract the lens, can the artificial lenses do that- just a like your eyes natural lenses can?

@alecbruyns4490 Год назад

I got monofocal lenses, for maximum sharpness. I chose to get my prime focus at about 2 feet, or 60 cm. This is where I do things with my hands. The depth of field with these is sufficient that I can function quite well without glasses in most situations. I can read and I can drive without glasses. To do anything closer than about a foot, I use reading glasses. My old distance glasses still serve me well, with only -0.5 diopter plus a bit of astigmatism correction. They help to see good detail at a distance at night. This intermediate focal distance is not often discussed, but it should be.

@stanleygabrel5279 10 месяцев назад

So, what is the shift of the lens to improve near vision, something like -1.5, or more.

@alecbruyns4490 10 месяцев назад

I can read and do most things without glasses, but +1.5 is good for more detailed work. @@stanleygabrel5279

@akahina 3 месяца назад

I did exactly the same thing. My old eyes were -5. My new monofocal lenses give me a -2. I can read, cook, and get around fine without glasses. Focus is about arms length. I wear bifocals that are somewhat odd, according to my optician. I had them set the "add" lower than standard by about 2mm. A "little sliver" as she called it. And the "add" is more than normal at +2.75.

@cozysouth 5 месяцев назад

If you have an astigmatism do you have to use the Toric lens?

@davidjohn9006 4 месяца назад

Having the use of only one eye, considering my upcoming cataract removal, the options and final choice becomes quite a different matter to decide on …

@kdwhitty Год назад

if i get a toric lens, what will my night vision be like?

@jb6712 Год назад

I'm going with the monofocal---won't drive at night, so that's not a consideration, but the extreme cost of the "better" lenses is, so I'm going with what my insurance will cover.

@jetmech421 Год назад

If I'm not mistaken, mono focal distance lenses are the best option for night driving. I'm getting my 1st eye done Wednesday and I'm going with mono/distance lens. My biggest problem is light glare and night driving is brutal because of headlight glare and halos. My best understanding is, mono focal is the right choice.. And medicare and most other insurances cover the mono lenses..

@alvinalexander9868 Год назад

@@jetmech421 Any results you'd like to share with us? Especially concerning night driving glare, as well as "sunlight glare." Your response will very much be appreciated. Thanks!

@jetmech421 Год назад

@@alvinalexander9868 Hi Alvin, I had my 2nd eye done this past Wednesday. I am very very happy with improvement regarding bright sunlight glare. That was my main issue. The last year+ I really struggled in bright sunlight. I mean I not only couldn't look horizontally in bright sunlight I had to look down. Now it's much much better. Night driving is also much more comfortable and easier now. I have only tested my night driving vision 2 times since I had my 1st eye done and 1 more time since Wednesday with both eyes done and halo's around traffic lights and street lights are still visible but barely and not a problem at all. Oncoming headlights are also much easier to handle and not anywhere near as glaring and uncomfortable as before the new lenses. I'm still adjusting and I expect to use readers for small print reading but other than that my vision is pretty good. In a month I'll get a regular vision test. I have no problem on the computer, phone or watching tv. Distance vision is very good. I don't know if it's as good as when I was 18 (50yrs ago) but I'm very satisfied and happy with what I'm seeing now. I first realized colors are brighter and more vibrant with the new eyes when I had the one new lens and one old. I would close the new eye gently, and look down the street 100-150 yards at houses, cars and flowers etc then switch to the new eye looking at the same things and the difference was remarkable. Bottom line is I'm very happy with the lenses and of course the surgeries that went so well. Total out of pocket was $520 bucks. $200 per eye (Co-Pay)for the surgery center/surgeon. And I purchased 2 bottles of medicine drops at 60 bucks each not covered by insurance. I hope this helps you..

@rosalinech.382 Год назад

@@jetmech421 0

@Pkilla80 2 года назад

hello Dr D! I am 42 and am monocular! in my good eyeball I had a retinal detachment and I have a buckle. now I have some kind of crystal cataract. I need advice. I know just about everything about all these lenses including the spec sheets that I've studied. no where can I find info on how EDOF lenses or Multi focus lenses affect monocular patients. I am probably going to get the ZCB00 or Eyhance. I'm nervous. any advice? money is not a concern as this is an investment in my well-being. I appreciate you being here and helping us noobs out!

@yesenia7950 2 года назад

Hi, did you decide on a lens?

@noelalvarez9899 5 дней назад

Anyone knows this? I have cataracts and see well close, also had LASIK 25 years ago but have regression, Can cataract surgery with Mono focal IOL is doable when LASIK was done years ago?

@bestcomment3589 Год назад

light adjusted lens?

@ameobiamicrobiological2366 2 года назад

Vivity lense in right eye, I did as much research as I could and I did not want to go with the other premium lense. So far so good, however side effects for me are dizziness and nausea from the differences in my vision in my treated versus untreated eye. I don't regret my decision however, this is the first time I've ever been able to see without my glasses. Right eye is at Plano so I'm thrilled 😄!

@ameobiamicrobiological2366 Год назад

As an update I have both eyes done now and have 20/20 vision no problem cooking, reading, working on the computer, or cell phone, or driving at night. I can say that if I'm in bright light it's much easier to see tiny print then in low light, but I'm okay with that it's better than cataracts. It really pays to research!

@JoseAvila-nv3hb Год назад

Happy for you. How's your eye sight watching TV in dark? No halos or glare.? Hope not?

@GOBINDKUMAR-uj3jx Год назад

Have you got vivity in both of your eyes?

@JoseAvila-nv3hb Год назад

Vivity contrast at night seeing a projector in the dark is great or halos? I think great. But surfing saw you say at night seeing light with Vivity will see halos? Might wear a 😷 achu 😁

@ruskinjere1221 2 года назад

I had cataract surgery in both eyes. My sight is worse than before surgery. I still see floaters right months after. I am wondering: was I given the correct implants? Can I undergo corrective surgery?

@teeduck Год назад

This is very common side effects. Very barbaric surgery. With really no advantage than living with the cataracts.

@ratherbfishing455 2 года назад

I had a Johnson and Johnson monofocal lens four weeks ago. Everything is violet. Going to see about cloudy vision that has started. I guess that it is because I have Fuch's. The first couple of weeks were awesome. So clear. I wonder if tinted glasses would help with the blueish purple when painting?

@yesenia7950 2 года назад

Hi, was your issue resolved? I was thinking of going with the Tecnis Monofocal lens.

@arslanahmed8504 Год назад

The link for astigmatism video is inside the flowers. Feel free to reach out and grab it

@macksquared 9 месяцев назад

I had the Crystalens implanted in 2005. It was outstanding for a few years. But 20 years later I need glasses to drive and I need to remove my glasses to read.

@sylviaragoi9688 Год назад

I got Mono-focal lens after cataract surgery 3 yrs ago and my sight has gotten worse eg cloudy vision, can read near or far, can’t drive at night coz of the glaring lights- Advise

@jenjen836 Год назад

This can happen after cataract surgery and is common. It can be cured by YAG laser

@johnverzwylet3346 Год назад

I currently wear monovision contacts. I do have cataracs, but not bad enough yet to have surgery. Would you recomend going mono vision since i am already doing it with contacts?

@EyeSchoolwithDrD Год назад

i think the only people who should consider monovision cataract surgery are those who are acclimated to monovision contact lenses or are otherwise monovision prior

@eFOOTBALLWORLD-yb7mu Год назад

Which lense is best for a football players

@watchtime9072 9 месяцев назад

I am have surgery on 3rd October, and have decided to go for RayOne EMV monovision toric in both eyes. But nervous about have a poke in both eyes at same time.

@chaugg1 2 года назад

Hi Dr. I just got a monofocal lens in one eye 10 days ago. Should I request a Multifocal lens put into my second eye to minimize future needs of wearing reading glasses. Please give me your thinking / advice. Thank you Dr.

@yesenia7950 Год назад

Which monofocal lens did you get?

@chaugg1 Год назад

@@yesenia7950 Thank you Dr. for your reply. I have no idea regarding the make and model. All I know is it helps to see distance images. Sorry 🙏

@JonathanLewis-gf1lu 10 месяцев назад

Hello mis I’m Jonathan I have a question for you. I had surgery Thursday to remove my cloudy lens. I got a card after my surgery it has a mumber on it it read +22.50D on it? What does it mean thank you so much for your time.😊

@bigtvjunky9119 8 месяцев назад

That's the lens diopter or power. A bigger + number should be for distance. Do you have good distance vision now?

@lorireece1930 4 месяца назад

Insurance companies need to get with it and start paying for all of these lenses! Clear vision is crucial!

@samyang12 Год назад

I have right eye operated for cataract at a distance with monofocal and will be operated for the other(left eye) for cataract. Can I choose multifocal for the left eye. What is the pro/con compared to monovision? I play table tennis a lot(2 hours/day) and use computer for work about 6 hours/day. Thanks

@brianknecht3216 2 года назад

Is it a good idea to get tested for dry eyes and get resolved…..before getting your prescription calibrated for IOLs?

@EyeSchoolwithDrD 2 года назад

YES, yes, yes. I always optimize the ocular surface before sending for cataract surgery! It definitely helps the surgical outcome.

@suewatters1 2 года назад

I have very dry eyes. I start putting eye drops in 4 times a day. Is more than one way to get your prescription calibrated for the Cataract surgery? Is there a difference in price? Which one is better?

@crystalfolse3208 Год назад

What do you recommend for 2+ cataract and beginning macular degeneration at age 65? Crystal

@bluejay9890 8 месяцев назад

With macular degeneration you'll want the monofocals. Good luck!

@krmntuxedo Год назад

I got eye cataract syrgeri , I have no idea what I got in, cuz I don't have idea what I can ask to my Dr. so I deside keep my mouht closed, I was hopen Dr. know best!!, so I still ignored that. so should I ask him?.....I can see far, I have myopia I use glasses but I still can't believe it , the person I meet at time I was blind, don't looks like the same now!!

@TheGdav0202 3 месяца назад

The one your opthalmologist recommends.

@kentsfinestlady47 Год назад

Where is your clinic

@deborahabc4117 Год назад

I am having cataract surgery in a couple of weeks because my eye isn't really of any use. I am paying alot of money for a toric lens. I guess the worse that can happen is I will need a patch for that eye because I still won't be able to use it after surgery and it might interfere with my good eye and be worse. I may just buy a patch to cover it. I feel I have about a ten percent chance of a good outcome. I hope I am wrong. It is very depressing because if I need glasses they will be a big expense and the prescription will not work to help me to see. I have spent about a thousand dollars on glasses I can't see out of and they blame me. I have always been better off with a five dollar pair of Wal-Mart glasses which I can't understand why I can see with a five dollar pair but not $500 pair. I feel hopeless and why did I ever believe I could be helped?

@grantmagner5786 Год назад

I’m 32, had cataract surgery on my left eye when I was 16 (they implanted a ReZoom multifocal IOL). Side effects are awful with ghosting, however uncorrected near vision and intermediate are excellent (I wear single vision -2 SPH glasses for distance). My other eye (dominant) is starting to have cataract issues, and I’m thinking of getting a monofocal also set for -2 in that eye. This is a mix/match situation with different IOL types. Do you think I could have a good outcome with this pairing? I need to be able to drive at night and work at a computer and read my iPhone at 19” away

@pegalou5785 2 года назад

I had RK surgery in 1996. My left eye is bad and I almost see double at times. Right eye is corrected well with glasses. I am concerned as I do have cataracts and not sure how my left eye vision will be with an IOL. Do you have any recommendations? Thanks

@EyeSchoolwithDrD 2 года назад

This can be a tough situation due to RK. Multifocals don’t typically do well, I’d stick to a monofocal in general.

@pegalou5785 2 года назад

@@EyeSchoolwithDrD thank you!

@RickACG Год назад

Oh you didn't talk about the accommodating lenses :(

@hondapilot Год назад

At what point do you go ahead with cataract surgery when one has very early cataracts - whatever that means. In a 60 y old

@EyeSchoolwithDrD Год назад

when it affects your "Activities of daily living" or impacts your visual acuity or glare acuity to the levels that insurance dictates

@teeduck Год назад

@@EyeSchoolwithDrD lol. Based on insurance. You docs are all alike. Don’t trust a one of you.

@mattieice2988 Год назад

It's all about the $$$ they dont give a shit about your vision... sad but true, be blessed have a great day IceMan

@peterlevan4719 6 месяцев назад

If you value your close-in vision...i.e. seeing your watch, doing DIY work, seeing instruments or people inside your car, seeing your phone (texts, etc.)? Please DO NOT opt for the Toric Lens. Since October 2023 my Toric Lens from Johnson & Johnson has left me CRIPPLED. Yes...I can read a license plate at 2-blocks, However, this morning I fell down 8 concrete stairs, head-first, because I no longer have depth perception OR balance. I was shamed into paying $1700 extra for the Toric Lens with the medical staff making me feel like a "cheapskate" for not choosing the so- called "premium lens." The worst medical decision of my life.

@teeduck Год назад

They all have side effects. Chronic pain, floaters, detached retina, rejections, etc. stay away. Why don’t you warn people?

@bluejay9890 8 месяцев назад

If you have cataracts you will eventually go blind. With surgery you may go blind or you may not. Surgery is the better option in my opinion.

@nas72glf Год назад

You are so gorgeous

@yafois988 Год назад

So this is a very intrusive OP on an extremely sensitive place. I asked the clinic about pain they said "ya just take a few advise you'll be OK". That alone shut me down in my decision, Absolutely no way can an EYE get worked on and the pain isn't severe for the first day or three needing A real pain relief for it, not a useless worthless very weak Advil . So some HONESTY is needed here.

@bigtvjunky9119 8 месяцев назад

Legit no pain. They use eye numbing drops and a mild IV sedative to keep you calm. You don't really realize they're doing something to your eye. They're done in 5 to 10 minutes. I was in and out in 1.5 to 2 hours total. Most time is spent in pre-op prep with eyedrops, setting up to monitor your vitals and waiting for my turn. I only had some eye irritation the first evening in one eye that caused tearing. It was fine by the next morning. I forgot that they did give me two Acetazolamide (Diamox) 250mg to use if I was experiencing eye ache or pain, but I didn't need to use them. It treats edema or swelling in the eye after surgery. They also said I could use Tylenol or Advil as needed for pain/discomfort.

@braddunbar5976 Год назад

Cute girl

@robnation2475 11 месяцев назад

No need to wait until they're totally "Ripe". Cataracts only get worse.

@goatlps Год назад

Why would you want a cataract implant LOL? Aren't they called lenses? Yeah, I didn't watch the video. Q: What do you call a fish without an eye? A: A fsh! (It doesn't really work in writing LOL)