Hi, I had Vivity implanted in my non-dominant eye 3 weeks ago. I have good distance vision as expected, I have good mid-range vision (to type on my Mac Air) but my near vision (to see my smartphone and read a book or textbooks) is blurry. I am disappointed. I have read that my near vision could still improve with time. I would love to know if anyone has heard this as well. As far as any halos at night, I don't notice them, but my cataract was so bad with such bad halos that anything would seem like an improvement. I also have a cataract in my dominant eye, so any slight halos I see could be due to that as well. I am noticing a slight waviness in my peripheral vision, but this could just be the natural healing process. At the one month mark, I have the appt with dialation where I will see how I'm healing. I hope I haven't wasted nearly $3k. I really don't understand how my brother had multifocals implanted 10 years ago and he can see well without glasses at both near and far distances, but I get the latest technology and am stuck in readers. I would love to have any feedback on anyone else's experiences. I contacted the FDA to see if I could get more long-term stats but they have not responded.
Your results are expected resulted with Vivity. Sorry that you are disappointed. Vivity gives great distance and good intermediate. The advantage it has is that there are no halos. Your brother most likely has a bifocal so he has great distance and near but may have gap in intermediate vision. If he has a trifocal he may have great vision at all distances, I am not sure if there were trifocals 10 years ago.
Thanks so much for responding. The promise of Vivity was "functional near vision" according to the studies from from Alcon so I took that to mean that I would be able to read my smartphone at least without glasses.
It seems that my outcome was no better than a patient who got a correction for distance vision.
vivity is smooth no circles so it can only offer refractive change to a certain extent much less than iol with circles which allows for steep drop and larger refractive correction. i have symfony and pretty much no near vision.
The Vivity lens is mainly a distance lens with good intermediate and possibly some reading. The results with the lens in one eye are not as good as having it in both eyes. Here is a table summarizing the results of a study done comparing the IQ Vivity to the IQ Monofocal, doing a vision test with the one eye only.
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Here are the results when both eyes are fitted with a Vivity lens. As you can see the vision improves compared to one eye with the lens.
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These tables come from the Alcon Vivity Patient Information Brochure. You should be able to find the pdf if you google the following:
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PATIENT INFORMATION BROCHURE AcrySof™ IQ Vivity™ Extended Vision IOL Models DFT015, DAT015
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If you want better reading I would suggest you consider getting a Vivity lens in the second eye but with it under corrected for distance to give you better reading ability. Or even if it is not under corrected your reading should improve. While it is considered ideal to use the non dominant eye for monofocal under correction, it is not mandatory. I currently have my non dominant eye corrected for distance with a monofocal IQ lens, and have an under corrected contact lens in the dominant eye. I can see pretty good for distance and can read my iPhone 8+ fairly well.
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If you want to save some money, another option would be to use a under corrected IQ monofocal lens for the second eye.
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Hope that helps some. I am considering a Vivity lens for my second eye, and if I go that way, I would ask to have it under corrected to a monovision type solution. For me that is down the road as I still see quite well with my non IOL eye.
Thank you so much for your feedback!!!
Yes, I plan on getting the second lens implant done sometime in my dominant eye. I am nearsighted in that eye so I have a bit of near vision to compensate for the blurry one with the Vivity lens. I have an astigmatism in my dominant eye so I will have to get the Toric Vivity lens. My doc did say the lenses would work better together.
if you have near vision in your non operated eye then your near vision with vivity in both eyes will not be any better than what you have now with both eyes open. binocular summation can only do so much. also how much near a person gets varies from person to person.
For 2 weeks I had perfect vision distance, intermediate and near with Vivvity lens in my left dominate eye. Put all my eyeglasses - progressive, distance, reading glasses in the garage. Then the sudden decline in distance and reading - blurry....intermediate great. The ophthalmologist said he could replace it or try lasik to correct. He said the lens must have moved in the healing process and is off center ever so slightly. He gave me a new perscription for distance glasses and when I wear them I can see perfect, but would have to now get progressive lens to see near and intermediate.
BUT I just got second opinion from an ophthalmologist that did a review on the Vivvity lens. There seem to be problems with these lenses. She said it would have been better to put distance lens in dominate eye and the VIvvity or another type in the other eye. I have not had right eye cataract surgery yet. She also told me if the eye has lasik fix on the VIvvity lens I would lose any near vision that I did get.
No halos....Spent $3,500 for the Vivvity lens - could have bought a-lot of gorgeous glasses for that price. I will go back to the original opthamologist next week to try and figure out what to do. NOT HAPPY.....3 months since my cataract surgery and IOL implant.
BUT I just got second opinion from an ophthalmologist that did a review on the Vivvity lens. There seem to be problems with these lenses. She said it would have been better to put distance lens in dominate eye and the VIvvity or another type in the other eye.
Oh no. Sorry to hear about that. That sounds concerning! Did she specify exactly what these "problems" with Vivity supposedly are? . I've been debating between Vivity or Eyhance or just forgetting the whole premium thing and playing it safe with plain old tried and true monofocals (Acrysof). Have not had any surgery yet. Still deciding. And soaking up information and spending way too much time on this forum. LOL. . Hope you get things sorted out in a satisfactory way.
Hi gayle, if you're still reading this thread... how is your quality of vision and contrast sensitivity in dim light/night time in Vivity eye?
If the loss in quality of vision is due to slight decentration then it seems the Vivity (just like the Synergy) is more sensitive to decentration. How was/is your vision in dim light?
I imagine centration would be important with any lens that affects the wavefront, even a mono that's aspherical… but especially Vivity with its raised area.
I believe the Eyhance changes the power of the lens from the edge to the centre, so it would seem to be susceptible too.
Correct. Any aspherical lens really would need to be well centred. Even a ZCBOO. But I think the Vivity with it's raised bump may be less forgiving. I don't think achieving good centring isn't too much of an issue these days anyway but it does happen. And some lenses probably deal with it better or worse that others. The worst would be a difractive multifocal I imagine.
david98963 I am with you. I just left the opthamologist office today and have surgery scheduled in 2 weeks on my worst eye. He plans to put the Acrysof IQ Vivity in both eyes 1 week apart. I will have my eyes function as monovision ...R lens for distance and L eye for midrange to reading. After seeing this thread from gayle, sox and richestwoman, I am very nervous about the info we just settled on. I am looking at ~ $8000 out of pocket for both eyes.
Another option is the monofocal AcrySof IQ Aspheric for the distance eye, and the Vivity for the near vision eye. That is kind of a hedge your bet solution. . How much do you plan to under correct the near vision eye?
i imagine the majority of people are happy with it though and we just don't hear from them online… but I know what you mean. Whatever you chose please let us know how it works out. Hoping you get a great outcome.
Hi just saw this post now and wondering how you are doing. I just had the Vivity lens done 3 days ago. I thought I would be seeing clearly by now. very disappointed but hoping for positive changes still. Did your near vision improve more? Mine is blurry and I'm worried. I also see a kind of wave in my vision.
I haven't has a surgery yet but a wave (shimmer) is normal and nothing to do with the IOL. Should go away in a week or two once the lens settles in / stabalizes. . As for near vision, the Vivity is not a near vision lens. It is not a multifocal. It should give you pretty good intermediate vision and good distance without halos. That's the big selling point and revolution with Vivity… an extended range of focus (but not near) with no dysphotopsias. . The best chance at being completely glasses free would be with a multifocal like Panoptix. But you will have halos, starburst and glare from point light sources at night (dysphotopsias) . Every lens today has trade-offs since there is only so much you can do with a static piece of plastic. In the future we may have flexible shape changing lenses that mimic a real human lens but that's a ways off yet.
Hello gayle14130
I had a Vivity implanted in my non-dominant eye 4 weeks ago. I was told that the lens will cure intermediate and near vision. According to the post op exam, my distance vision has improved, but the near vision has not. My eyes are very dry, and very uncomfortable. Working with computer is difficult and trying to read letters gives me a slight headache.
Before the surgery, I was able to see with reading glasses. After the surgery, I cannot see with glasses and having a difficult time reading letters without glasses.
It's been 4 weeks and I am wondering it was worth spending $3200 for it. The only good thing is that the vision got a little brighter, which I could have gotten with standard lens.
At this point, I am disappointed. I just hope my eye is still healing and it will get better.