Hi, I consider IOL exchange due to positive dysphotopsia. Is there anyone who had the LI61AO Sofport implanted in his/her eye? Could you share your experience? Is it really so nice and dysphotopsia-free as stated by some? Thanks
I don't have experience with the lens but that is what my surgeon suggested to use if I wanted monofocal since it has the least edge glare. LI61AO is a bausch and lomb lens.
what do you currently have implanted?
Tecnis 1-piece
I do not have the lens, but I am experiencing positive dysphotopsia in both eyes with the Alcon Acrysof SN60WF monofocal IOL. I am 2+ months and 1 month out from surgery. I know there is a chance the positive dysphotopsia could go away, but I have done a lot of research and I think the LI61A0 is the best option if not. I have an appointment scheduled with Dr. Safran in NJ the end of August.
Safran is the best at dysphotopsia. What are your symptoms of dysphotopsia?
Thank you for letting me know that about Dr. Safran. My symptoms are glare, halos, starbursts, and monocular diplopia. I am stressed because it's easiest to exchange an IOL early on and it will be a month before I can see him. I asked if I could get on a waitlist if they got a cancellation sooner and the receptionist was very nice but basically said people don't cancel. An important factor in choosing a monofocal IOL over a premium IOL was to be able to drive at night as my husband can't see well. I do not believe the problem is pupil dilation because, although faint, I can see the artifacts at times during the day when driving.
Deb03 Could you let us know about your appointment outcome with Steven please? I do consider him as my "next" surgeon, but I live in Europe, so it's quite complicated. Thanks.
Yes I will! Not sure why, but my comment to soks is waiting to be moderated, but will repeat some of it here. I am 57 and do not believe pupil size is a factor in my case. I have trace PCO. No yag. My left eye is definitely worse, but I do have symptoms in both eyes - glare, halos, starbursts, and monocular diplopia. How far out from surgery are you?
1 year. Is your positive dysphotopsia gone when you flash more light? I mean it goes away in my case when there's more light, pupil-size dependant.
No. I did try Lumify drops (.025 of brimonidine tartrate) which didn't help. I can also see it at times during the day, although it's faint. I also sat parked in front of a bright street lamp one night and it didn't go away. I am still somewhat early in the healing so it could go away. In your case, I don't expect it will without intervention. Have you had a YAG?
Lumify works for me for 3-4 hours which is more than enough but it has preservatives BAK so don't like it.
Try Pilocarpine 0.5%. That's what I am using. It hurts but works. No side effects so far. I think that the nature of Positive Dysphotopsia is that is starts from day one post op and not resolves. Actually it got worse one month out from the surgery. I mean, my night vision (beside completely dark rooms) was excellent witihin the first month, but then it started to be a nightmare. So if there're some changes, I'd assume it may only get worse.
*doesn't resolve, sorry
I really don't think it's pupil dilation in my case. I think it's a combination of the acrylic, high refractive index, and higher IOL power.
I see. But please flash some light directly into your eyes when the Positive Dysphotopsia is present and let me know whether it diminishes anyhow shortly after doing that. Just curious
I'm also considering exchanging my multifocal to LI61A0 with Safran. I saw him last year in 2018 and he said he could do it for me with "low risk". I've had my IOL for 12 years and I've also had the YAG capsulotomy. I'm dealing with similar positive dysp. issues (ghosting, monocular diplopia, fog around text, arcs of light due to internal reflections off the IOL).
Keep us posted on what you decide to do. I'm still thinking about going forward with the exchange (possibly in late 2019)
That's great that he can exchange it after so many years. How old are you? Do the miotic drops help with your symptoms?
I'm 29. I had original cataract surgery back when I was 17. I actually haven't tried the drops yet but I just got an Rx so I'll be trying them soon (although I don't have high expectations because inducing miosis with a bright light doesn't seem to help)
they should make a 7 to 8mm iol for younger patients. how have you been dealing with the issues for this long? i think you will be surprised with what the drops can do.
In my readings, the article "Newer generation IOL platforms designed for high-quality visual performance after cataract surgery" talks about a few things (including the new Tecnis Eyhance mono-focal, which potentially could dominate the mono-focal category), and the great results with Tri-focals.
But it also mentions one company introducing a 7.0 mm optic IOL to minimise dysphotopsia and is a particularly suitable treatment option for large pupils. It's a 7.0 mm optic IOL.The IOL is the ASPIRA-aXA (by HumanOptics).HumanOptics is a German company, and the ASPIRA IOL seems to be available in Europe only.