Update Trifocal and edof mix

Eye care
1

I had eyes checked last week, 9 weeks after Lara edof implant, 4 weeks after Lisa trifocal implant. Both lenses are toric 3.0 I have no pco, although I learned something new. Pco is not an on/off thing, it is normal to have slightly capsular opacification after implant, in both eyes I had what everyone has she said. She pointed to the matte desk pad under her keyboard and said, that is how it looks to me, if it needs fixing.

Anyway, with no pco I guess my result is a relative good comparison of the two lenses, even that results will always vary from person to person, but off course I can only judge from my own result.

Some keywords: Edof have more visual side effects than trifocal Edof have worse near vision than trifocal Edof and trifocal have same intermediate vision capability Edof is slightly "thicker" at intermediate but trifocal is slightly more sharp Edof and trifocal have same far vision Nightvision is similar, but much bigger starburst and much bigger concentric rings from edof. Night vision is generally good Contrast looks very similar, trifocal have marginally more color and trifocal white is marginally more white

Before surgery my "edof eye" was dominant eye, but now the trifocal eye have become dominant.

I notice no soft spots with the trifocal, i feel continuous vision from far to 14", with two trifocals I guess it would work well even closer than that.

So, is edof a bad iol? No, I think it works very well, but when I compare the two, the trifocal is just a bit better, because it offers better near vision, and have less visual side effects.

2

...but are you tempted to exchange the Lara for a Lisa???? :-)

3

Thank you very much for this post. Please do an update as time goes by.

I am definitely considering mixing IOL's when it's time for my second eye and there aren't many first hand experiences from patients who have done two multi-focal/EDOF lenses (mostly it's mixing with a monofocal).

I was curious to get your opinion on how colors looked between the two eyes. It seems like you might have covered that with your comments on how "white" looks. I'm assuming that most other colors look the same between your two eyes?

4

Tempted, well yes - I would say, if there were no risk at all, I would replace the Lara with a Lisa immediately, even if it should cost me 3700$ like I payed for each lens. But with the risk involved, I have no doubts, I will leave the Lara where it is, it is not worth the risk.

5

Colors are slightly more colorful with the trifocal, but difference is very small.

6

Thank you for your updates and all of the information you have shared with us. I have learned a lot from you. I'm glad you have had such a successful outcome.

7

I can't provide feedback on multifocal IOLs but I presently have one Alcon monofocal (yellow tint) and one B&L Sofport A0 monofocal (clear). I can tell a very slight difference but it is so small. It does appear that white is whiter with the B&L, but some of it could be psychological.

8

thanks for sharing. d u have NP in both eyes?

9

i mean ND.

10

I don´t know, what is ND?

11

I see that there is a limit to your risk taking :-)

Yes money is no limit when it comes to eyes. People waste $$$ on latest gadgets and all kinds of trash but become miserly when it comes to their own eyes!

12

i meant the peripheral shadows. ND = Negative Dysphotopsia

13

Yes, I have them both eyes, but it doesn´t really bother me.

14

I have an ALCON blue-light filtering IOL and I definitely notice a difference. My other lens is a Symfony EDOF and will be switched out soon because I see huge starbursts: it has the white vision. That white vision is the only thing I like about the Symfony. I think it makes colors more vivid. The surgeon only told me I was receiving an ALCON monofocal lens set for distance. Shouldn't I been told the lens was UV and blue-light blocking? Blue-light blocking lenses do not provide the best "photoreception". I didn't even think I had to ask WHICH monofocal ALCON lens I was getting. How does a patient know to ask such questions? Had I been asked and had the time to do research, I would not have chosen a blue light filtering lens .Blue-light blocking lenses do not provide the best "photoreception". There have been studies on this difference: my first response to this post included a link to it but must have been deleted by the moderator because of it.

15

Thanks for your replay (and Danish_Viking), too. I can't tell any difference in colors between my RESTOR 2.5D IOL and the other eye which has no IOL. I am pretty sensitve and work a lot with colors so I'm pretty sure I would notice a difference and I've been doing eye vs eye tests for 18 months now.

16

Hi Danish - it would be very interesting to compare atLARA and Symfony. I cannot compare Symfony with a Trifocal but I do know I see from 11 inches to distance seamlessly with Symfony.Agree concentric circles are large around light sources st night - albeit they are much lighter now or maybe brain turns them out.

17

With time and younger and younger patients with cataracts I hope docs will spend more time discussing the options and pros and cons. Unbelievable if you didn't ask a question doc makes their own choice. They have the knowledge but it is nice to research things and have some opinion of your own.

I am still baffled why Symfony lenses for some have day time disturbances. Does your surgeon provide any explanation for that?

18

How is it that ND isn't bothersome? Do you experience that with both LARA and LISA?

19

i agree sue. however trained the doctor is, in today's digital world -- buyer beware.

20

I have read statements from surgeons, that claim the visual side effects are severe with edof, if the iol don´t hit target very well. I think this statement could be true, my Lara have hit 0.5 over the target, and it makes more visual side effects than the trifocal that have hit 0.25 short of target. So maybe the problem is worse when they hit over the target instead of under...