I just got PanOptix IOL in my left eye last week. Right eye is in 3 and half weeks. I see horrible halos and stars at night. Hoping some of this will reduce as eye heals. Being in IT I am on computer most of the day. While reading is crisp with left eye, I can't use old glasses because vision is blurry and get headaches. Removed left eye lens (high prescription) from the glasses but didn't help. Surgeon says I can stop using glasses all together without any burden/risk on left eye. Without any glasses, when I look at computer screen I see blurry with right eye, left eye can see everything super sharp. I can't seem to adjust and find it annoying like hell... Given IT is my bread and butter what do I do... put an eye patch on right eye? Reading glasses did not help either. Question...what do folks do while waiting for 2nd eye surgery? Use an eye patch on 2nd eye? wear glasses and are OK with vision? Does removal of old lens for the operated eye help? or just wear no glasses at all and brain will adapt in few days? Also thinking of getting Synergy lens for my right eye. Did anybody do PanOptix and Synergy Combo? Thanks.
I had the Eyehance IOL put in my right eye on Thursday. It's still healing but eventually my new Rx should be s +2.5ish. My left eye still has a cataract and an Rx of -5.5.
I feel you. I tried popping out a right lens on a pair of glasses, promptly had to stop myself from falling over and vomiting. The doctor comfirmed that such is the normal reaction to that great an Rx disparity.
My love is in IT. This is helpful because I am a ludite. He set my living room tv up as a computer monitor. My current system is to sit on a yoga ball 3' from the tv with a wireless keyboard and mouse to work. (Work has been amazing, zero grief about suddenly working from home.) My eyes DO get tired and I need screen breaks (again, amazing management), but the clear, plastic, night patch is a wonder. It blurs out the stronger eye just enough to sort of balance the two eyes. Part of the time I wear that plus my glasses so I'm mostly left eye dependent; part of the time I take off both to work the right eye. It's never clear, but it's doable bc 40-something inch tv as monitor.
A contact lens is your only good option. I wore contacts (had high myopia) and waited a month between surgeries. my vision was perfect with one contact and one new IOL, but at night i took out the contact to read and it was a struggle. I took one lens out of old glasses and it didnt work at all, since the optics are totally different.
Also, I have a panoptix and a vivity. I love the Panoptix for close vision, But i would not recommend two panoptix. Given the sacrafice of night vision.
I think the issue is that the image size your brain "sees" is not the same from an eyeglass corrected eye as an IOL corrected eye. It is probably worse the more correction you have in the eyeglass lens. I found the best solution is a contact lens in the non IOL eye. The contact is right on your eye and closer to the position of the IOL in the other eye. This minimizes the discrepancy in image size. . Places like Costco will give you free trial contacts that may be enough to last you through until the second eye is done.
Hi I had a 6 week wait between surgeries but my prescription was not strong - -3.25 so i pipped lens out of my glasses but often when driving didn't bother as operated eye was fine to see to drive.
i also took a week off after each surgery. Are you able to get a contact lens in the interim?
If you google "How to get the best from Monovision - YouTube" there are some simple exercises you could try to get your brain to work better with your current situation. It couldn't hurt. My first eye (left, distance) was a little over 2 weeks ago, and my eyes are now about 2D apart. I haven't been wearing glasses except for reading, but my eyes have always varied by 0.5-2ish-D, so my brain is used to it. I did try some of the exercises because the contrast blending my brain was doing was weird.Now with both eyes I find that I'm sitting much farther back from the monitor (instead of face inches away it's more normal sitting up straight in the chair) and I'm getting color and contrast similar to what my right eye sees with the new lens and sharper text as viewed from the left eye. I think the exercises in the video did help some. They won't hurt anything and only take a few minutes to try.
2D is s lot of difference between eyes. Not something one should go for unless you are used to that setup prior to having cataracts
How myopic were you? I'm a -10.5 in soft contacts and may need lens replacement in one eye. Did you have other issues besides difficulty reading at night with the one IOL? Someone else here posted the image sizes were larger in after surgery in the IOL eye. I think he was a -15 in that eye.
Thanks all for your response. so after 1 week of Panoptix in left eye, daytime is fine, can read 20/30 at Doctor office. Night driving is hellish with Halos. Doc said try Synergy in right eye. Let's see. He also said I can try Vivity in Right eye. Not sure how well I will do with near vision with Vivity. Has anyone tried Panoptix and Synergy Combo? Has anyone done both eyes Synergy? Thanks.
I suspect you will have issues if your prescription is in the -10 range if you try to use glasses with one lens popped out. A contact in the non IOL eye should work well though.
I never wear glasses due to my high prescription. I believe the other OP, I think his name was Scott, also wore a contact in the unoperated eye but it didn't fix the anisekonia. He hasn't posted in a couple of months, I have wondered how he is doing.
I just mentioned the difference as a data point--2D is the difference between my eye that's had the surgery and the eye awaiting surgery, not a recommendation. I was really concerned it would be a problem, but it really hasn't been much of an issue at all. Maybe all those years of not wearing glasses except to drive have paid off and my brain is used to having my eyes work differently. Since my cataracts were too bad to do trials with contacts for monovision, this is my "trial". My surgical target will be in the 1.25-1.5 D difference between the 2 eyes. I'm not sure what the OP has as a delta between the 2 eyes, but I did find the exercises in the video helped a bit with the minor issues I've had.
"Night driving is hellish with Halos. Doc said try Synergy in right eye."
I think I would be looking for another doctor. In fact I know I would be.
If you have horrible halos with PanOptics, why would you even consider Synergy for the other eye?
I would want to have clear understanding why your halos are so bad with PanOptics, which in general has small halos than the Synergy IOL. And if you cannot get an answer find another doctor.
Let's say there are no outstanding eye condtions and you have perfect lens placement and you are just one of those people that cannot adopt to the Panoptics IOL, I certainly would not put a Synergy IOL in the other eye.
Depending on how bad it is I would be thinking lens extraction or Vivity using -.75 monovision setting. These are the things I would be looking at.
I am similar with a -2.0 D differential between my IOL eye and natural eye. It is OK but not ideal. I prefer the vision better when I put my -0.75 D contact in to give me a -1.25 D differential for monovision. I even prefer the monovision to wearing prescription progressives which fully correct both eyes. Vision is sharper with the glasses, but more natural with monovision.
My cataracts were too bad to use contacts, so I've got some pairs of reading glasses with different powers. I'm setting out items with labels at different distances to see where my "new" eye loses its focus reading the labels, then slapping on different powers of reading glasses to get an estimate of what power IOL will pick up around where the distance eye leaves off, and then take a look at how close I can see with it since there's no accomodation. Things are still changing and the second surgery is still a few weeks out, so I'll be playing with this for a while, but a -1.25 difference does seem like it would work really well at giving good continuous focus. The 2-ish difference I have now isn't bad, but I think a -1.25 would give me a little sharper vision for computing and maybe an extra boost for distance. My very minor astigmatism in the near eye will probably get a little worse after surgery due to its direction, so I'm hoping for a little range for close reading/small print.
I have some +1.25 readers sprinkled around the locations where I may need them to read, but I seldom need them fortunately.
I'm about to run into the same problem. Both of my eyes are roughly -12 D currently. I'm going to get one eye operated on in 2 weeks, then the second 2.5 weeks later, so in the interim I'll have a 12 D difference between the two eyes. Based on what people are saying, just popping out a lens is going to be a disaster, so I'm thinking just wearing a patch over the non-op eye some of the time, and glasses with a patch over the op eye at other times, is the best I'll be able to do. I have a long history of not tolerating contacts at all.
I had the same problem while I was waiting for the second cataract surgery. I had a month wait between surgeries. I was getting headaches and nausea because of the difference in the vision between my eyes. I bought a black patch off of Amazon. I did not like it because it felt tight and it would not let any light into my eye. I did not think that getting no light in at all was good for my eye. What I ended up using was a cotton oval pad that is used for removing eye make up. (I’m a woman so I had them on hand). I taped it on with surgical tape. It was comfortable, breathable, and it let light in. I am retired and due to Covid I was staying mostly in the house, so the appearance didn’t bother me. I did not drive with only having one good eye.