Crystalens or Restor as a Multifocal IOL After Cataract Surgery?

I’ve had repeated bouts of posterior and intermediate uveitis. I was alerted to the first one almost three years ago by the epiretinal membrane that formed over the center of my visual field. They treated me early and I didn’t lose any vision, I stayed 20/15 in both eyes. I had PVD’s in both eyes with a huge amount of stringy debris. Repeated flares clouded my vitreous. The ERM got worse and began to distort my fovea. I had a vitrectomy and membrane peel on the right eye last summer. I read the 20/20 line the next day, but a few months later the post-surgical cataract began to develop. My myopia has gotten much worse. I wear multifocal RGP contract lenses, which deliver very good vision. My doctors are all opposed to putting a multifocal IOL into my vitrectomized eye. My question is – Why can’t I have a monofocal IOL for distance and wear a RGP multifocal contact lens for close and intermediate vision? I’ve been told that doesn’t work, but I can’t understand why not. My distance would be corrected. I’d be using the multifocal contact in place of reading glasses. Why not?

I had been wearing glasses since 16 for mild Myopia in both the eyes (- 1.5 ) – needing correction for distant vision. Did not feel uncomfortable in the active 30 odd years in the army.

I am 68 now and need cataract surgery in the dominant left eye. I searched for the best option hi and low and wide, researched the web. I find that for people like me, the best option is the “Standard” lens. It is simple,time tested, and highly accommodating with little side effects and of course – free of cost if you are insured.

This conclusion is also supported by our family doctor Dr M.S. Srinivasan who is one of the highly experienced Cornea Surgeons anywhere ( from Aravind Eye Care System, Madurai, South India (they do maximum number of eye surgeries in the world).

I always wanted to have vision without glasses but after this research, I am ready to compromise with Standard lens. I want to tell everyone this – I had done lot of adventurous activities in the army – including Riding, Skiing, Sky Diving etc with glasses and it is okay – no discomfort at all. I respect the opinions and choices of all of you but consider the simple thing first.

I am going is for surgery next week. Will share my experience in this Forum later.

Hi
I am 66, diabetic (dx 8mos ago) now in control with oral meds—but have retinopathy & DME (being treated with lucentis and lasars since Nov./12) and glaucoma treated with Azopt gtts (Pr.17 bilaterally from 20) also have bilat. cataracrs. Present Rx is -4.50 and -4.75 ( which is 3 yrs old and not adequate right now). I realize that multifocal lenses are out of the question but I wonder if anyone could suggest an appropriate adjustment to monocular lenses which would allow me to read, do computer work , paint (art) and still be able to see license plates and road signs well. I have been near sighted since high school but able to read well without glasses until a few days after I was Dx’d and 2 days after I was started on statins and other meds. Vision is now improving with treatments Also would like to know at what point in the rest of my treatment is it okay to do the cataracts ( I am on the waiting list for sometime in the fall)>

Feb.4 ,I had cataract removed and monofocal lens put in now I can not see to apply makeup how do I fix this and what kind of lens should I put in my right eye now. I need enough closeup vision to apply eye makeup.

I had the cataract surgery with Crystalens implanted in both eyes in November 2012. The biggest difference is how bright the world is. Colors are vivid and beautiful. My far vision is great. No glasses for driving, TV or walking around. I need readers for computer and reading. I am using 2.00 or 1.50 readers. I practiced reading without readers like the doctor suggested, but it doesn’t help. I can’t see the words at all and they don’t get clearer. I get a headache on the computer without readers. I can’t see my Ipad or very fine print even with readers. I go to the doctor on Thursday and will ask him if prescription reader glasses can correct for astigmatism so I can see the Ipad. I am grateful that the surgery went well and I can see distance. I don’t mind readers if I can find a solution for seeing my Ipad and very fine print. It seems like the standard lens would given me the results I have without the expense.

I had the Restor multifocal lenses put in November 2011. At first things seemed to go well, distance in right eye was perfect. Then I had my first vitreous detachment and a month later the second. The left eye was quite impaired by this web like floater. Was not informed since I was so near-sighted that this would definitely happened. By the way I did not have cataracts my specialist informed me that my vision could no longer be corrected by glasses, I now doubt this statement. 8 months later I could no longer see to drive the contrast sensitivity was so bad. The glare and reflections were unbareable in the sunlight and yet in the dark I was completely impaired. I had YAG surgery but I still had one removed 2 weeks ago thank god I had an excellent retinal specialist do this procedure. I had to have a vitrecomy as well and then had a Alcon monofocal placed in the sulcus. I could not see clearly for close to a week but the difference was immediate it was like a shroud was lifted off and I had my eyesight back. I will have to wear glasses but who cares. Will have the right eye done in about a month, can’t wait! Multifocals suck!!!! Do not risk them.

I’m nearsighted (3.5 range). Discovered have cataracts – right eye, dominate, is worst. Doing contact lens experiment for monovision. Does this “partial blurriness” sensation go away after some period? I hate the feeling and prospect of always having blurriness wether looking near or far – nauseating. I also hate the thought of loosing all nearsightedness. I work on a computer 10 hrs a day at least. Read about nanoflex and they sound like my choice if I do the monovision option. Ari you spoke about making the nearvision eye slightly nearsighted which might work…. what about the problem of developing problem like “lazy eye”…. am also considering multifocal one with intermediate other with nearvision… would that work? I’d really like the sharpest, daylight contrast, no glasses option. This is just really hard to sort out.

whether crystalens is good or not is unrelated to the lasik.
crystalens can be unpredictable in its ability to give you god reading vision.
if you have astigmatism, and its not corrected, your success with crystalens will be less. some astigmatism can be irregular after lasik and may be hard to correct.
implanting the correct implant after lasik can be tricky. i strongly suggest a second opinion from someone who has a lot of experience in these matters.

I am 50 years old and had a vitrectomy for floaters in my right eye which quickly worsened what was probably a small cateract. My eyes are otherwise healthy. I am considering the Nanoflex IOL but was wondering if it would even accommodate for me since I don’t have any vitreous. Have you seen any research about the Nanoflex’s effectiveness in vitrectomized eyes?

I would like to try a blended vision approach and have read that the Nanoflex works well since the Collamer material it’s made of is more flexible that acrylic and provides for a greater range of vision. My left eye is -1.25 with .33 astigmatism and my right eye prior to developing the cateract was -2.75 with .55 astigmatism. I was thinking of targeting plano or slight myopia with the IOL correction in my right eye and using my left eye as is for computer/reading. I would then get an IOL with -1.25 when I need to have the left eye cateract addressed.

I guess my natural eyesight was like mini-monovision for near/intermediate as I could work at my computer and desk without wearing my progressive glasses, which have a 2.25 add. I find working with glasses very annoying, so do you think it would be advisable to keep my right eye more myopic like it was rather than correcting for distance? Or do you think having plano in the right and -1.25 will work for me at the laptop? I spend probably 10 hours at the day at the computer and reading for my job, which entails a lot of graphic design work and proofreading.

One surgeon I visited recommended the Tecnis ZCBOO set for distance correction and use my left eye as is. He thinks I can work at the computer all day with this approach, but I am concerned that after I set my left eye IOL at -1.25 that I will have little accommodation with a Tecnis ZCBOO and will be stuck using readers. That’s why I’d like to investigate the Nanoflex because it seems to flex for some pseudoaccommodation.

Thanks, in advance, for your help!

toric is risk-free and i strongly recommend. otherwise, you will need glasses to correct the astigmatism to see better. makes more sens to implant the astigmatic correction in your eye instead of wearing it on your nose.