PanOptix: Near at 40cm. Synergy: Near at 33cm. PanOptix: Can scratch at transplantation. Synergy: No scratches. PanOptix: Quadfocal so may have soft spots. Synergy: Continuous range of vision from 33cm. PanOptix: Better night time effects. Synergy: If it uses EDOF design there will be exaggerated night time effects. PanOptix: Distance is A if symfony distance is A+. Synergy: I have noticed that some posts have said near to be a bit blurry. What do you guys think? My right eye is GONE!
Do you need a toric correction? Not sure the Synergy has that option yet...
When you look at the defocus curve for the Synergy it looks very impressive compared to the PanOptix. As a believer in the "there is no free lunch" theory I wonder if there is a tradeoff to get that nearer vision compared to the PanoOptix? There seems to be none in the defocus curve.
no toric needed. synergy toric is now available in europe. synergy non toric is not available in the US so i will have to travel.
synergy defocus curve is impressive indeed. thanks for your input.
Isn't synergy toric also available in Mexico ?
I was looking at those lens also, but I wanted the bang on refraction that the Rxsight lal gives. I found out that Codet in Tijuana Mexico is doing the edof enhancement ( In trials in US and Europe) right now. I'm going to go there unless something changes. I'm in Phoenix.
Sorry to gear about your RE soks. Tough decision to make. Is travel an option to Europe? With pandemic spiking again seeing more restrictions.
Sorry to gear about your RE soks. Tough decision to make. Is travel an option to Europe? With pandemic spiking again seeing more restrictions.
Sorry to gear about your RE soks. Tough decision to make. Is travel an option to Europe? With pandemic spiking again seeing more restrictions.
i think the LAL would still be a monofocal with the ability to choose your distance post op.
yea travel has really put a hindrance to this.
It seems like the Synergy IOL is available in Canada, but I am not sure it is possible for Americans to get the surgery done here. The first obstacle would be the current ban on all non essential visitors to Canada due to COVID. The second would be our healthcare systems that does not allow queue jumping by paying for private services. That issue may vary from province to province, and I really don't know where it stands.
Not at Codet. They offer the edof enhancement.
Might be wise to wargame the hard choices if you don't like the outcome ( Surprise! ) of the regular surgery ( you bought it, as the man says )?
With regular edof/trifocal iols, you have 4 options to try to fix it. ( Heavy emphasis on the verb try) Btw that verb has $$$$ attached to it.
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cut n weld ( lasik , lri ) Oh Boy! You're gonna roll a 7 this time for sure , right?
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glasses ( Maybe some magic progressive lenses will get you close to the vision you tried to get in the first place. Maybe not. Best Case= your stuck wearing a very expensive pair of glasses that you paid alot of money to avoid in the first place = Best Case. Your still stuck with the weirdo glare/halos/starbursts but hey, what did you want for only 6/8/10 g extra. Btw this is for The Rest of Your Life.)
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Iol exchange. ( clinical term for " dig it out and try again" ) Not much to go wrong here. Piece of cake.
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Live with it. For The Rest of Your Life. 90% pick door#4.
This is why i'm going for the lal. Give them a call. Ask how much.
Have you considered the vivity lense?
no. i want good near vision.
Soks: I don't think any of us can know which is better. Synergy is more recent, and has good looking defocus curves. But not clear if halos/glare will be worse than PanOptix (since while marketing suggests EDOF has less halos, from comments of posters and Danish_Viking (who had EDOF in one eye and Tri-focal in the other eye), it seems in practice EDOF has more halos, and Synergy being a mixes bi-focal and EDOF.
I forgot which lens you have in your other eye. Many suggest sticking to the same manufacturer is best. E.g. Recent Article: A Mix-and-Match Comeback? says that in US, bilateral PanOptix is becoming more common to get binocular summation. But one doctor said where mix and match is used,"I find that mixing and matching is most successful when lenses are mixed within the same family (manufacturer) because the optics are similar,”
So unless your research shows one is clearly better than the other, you may want to stick with J&J if you have J&J already, or Alcon if you have Alcon already.
Also found an ariticle from July this year in theophthalmologist "when-a-doctor-becomes-a-patient". The ophthalmologist has Symfony in one eye, and just got Synergy in the other eye.
this doctor has a youtube video too. he said the synergy eye picture is a little smaller.
in that video he says panoptix has gaps that synergy doesnt.
the youtube video is: klinka svjetlost j&J Vision Tecnis Synergy CEMS webinar.
from other youtube videos panoptix has less halos then symfony according to youtube videos of 2 patients with symfony in one eye and panoptix in other. they also say symfony is slight crisp distance vision. panoptix is better closeup vision.
Soks, you have succinctly stated my dilemma. My right eye is also "gone" at this point, I have been researching cataract surgery and iol's for a year now and have reached the conclusion that Synergy or PanOptix are the only way for me to go. I have worn multifocal contact lenses for almost 20 years that have allowed me to be completely spectacle free. I can live with some small amount of spectacle use, but I hate wearing glasses. I am amblyopic, so I see clearly with only one eye, my RE. My iol choice is therefore critical. My LE cannot make up for deficiencies with the RE iol. I am hyperopic and have been experiencing "second sight" for at least 2-3 years now. At this point, my RE has passed the point of no return. Surgery is the only option. I have an appointment Jan. 7 with a highly esteemed ophthalmologist/cataract surgeon in Houston. My sister, who has had perfect vision all her life just had surgery performed by this ophthalmologist on her RE, but she was able to achieve fabulous vision with a monofocal. She has opted for monovision and will have surgery on her LE Dec. 28. At my request, my sister asked the surgeon about Tecnis Synergy. When she first saw the surgeon in early November, he said Synergy would be available in the US soon. When she saw him Dec. 16 for the pre-op on her LE, he told her it is available, but he thought there were better options for me (based on her inaccurate description of my problem). Per my sister, he loves PanOptix, but I can't forget the articles I've read about Alcon's AcrySof material and glistenings. No other hydrophobic iol material seems to suffer from glistenings to the extent that AcrySof has. Since I see essentially with one eye, this seems like too great a risk for me. With respect to Synergy, very few ophthalmologists in the US could have any personal experience unless they're involved in clinical trials. That said, I'm sure all US ophthalmologists who utilize premium lenses in cataract surgery are closely following Synergy outcomes in Europe and Canada. Bottom line - hang in there if you really want Synergy, It will be available in the US. Will follow up this thread once I've seen the ophthalmologist.
One further thought, Last March, just as covid was beginning to disrupt our lives, I took an acquaintance for cataract surgery. She was a -7 myope, and she opted for bilateral PanOptix. At her 24 hour post op appointments, her vision was 20/20 at all distances. Recently, however, she had YAG capsulotomies in both eyes. She was experiencing very large floaters in both eyes, Granted, her health is not the best, so she might have had YAG in both eyes no matter what iol she chose, but bilateral YAG in both eyes after just 7 months certainly gives me pause.
hi kathleen, its not an easy decision. On paper, synergy looks better (to me) but there are hardly any real life experiences that people have shared. If you'd like to read up a bit more about synergy, you can look up for Daniel Chang's recent presentation to Canadian Society of Opthalmologists. There is some interesting info in there but he falls short of talking about dysphotopsias, the key question I had about synergy. I'd also take his charts on MTF with a grain of salt... (he uses JJ's EYE model and not ISO bench model) which I think is biased in favour of their higher SA of -.27. Nevertheless, its interesting to note that synergy MTF is slightly lower than symphony.
The following search should bring up his video on vimeo:
tecnis synergy chang vimeo
All the best.
You have an interesting situation. Days after I had my cataract surgery done, my wife was diagnosed and referred to the same surgeon I went to. She is also amblyopic so no opportunity for a monovision solution. It also elevates the risk of "getting it right". We have a friend that has the PanOpix in both eyes and regrets it. She was expecting much better close vision and now uses readers for any close work. My suggestion so far for my wife has been to get a distance corrected monofocal lens, and then plan to use readers for close work, as she does now anyway. She will probably be almost as glasses free as she is now, and will have excellent distance vision, which she does not have now. . That said I have been following the AcrySof Vivity IQ (EDOF)lens with interest. It probably would give her much more intermediate vision but still would need readers for small print. My and now her surgeon was very anti multifocal lens when I saw him. Vivity was not available at that time. By the time her surgery date comes it should be well established. I will make the suggestion to her and let her and her surgeon make the decision. I think it may be a good solution for her, with the only real bit of a negative being the contrast sensitivity at night. I also will consider it for my second eye, and possibly a bit under corrected to give me reader glasses freedom for all but the smallest print. . I have an AcrySof IQ Aspheric Monofocal lens for a couple of months now and I am not at all worried about the glistening thing. I believe it was an earlier production quality control issue, and it has been fixed. My surgeon offered me the Tecnis lens, if I really wanted it. He said that he has rarely seen glistening, and they have never been a problem that had any visual impacts. His suggestion was that glistenings is an issue that the competition likes to distinguish themselves with. . Studies have found that the AcrySof material is more resistant to PCO, and PCO is a much more common problem with IOLs. I also like the blue light filtering on the AcrySof lens. It gives a more natural colour rendition than the clear lenses do. If you need a toric lens the AcrySof material also seems to be more "sticky" and stays in place better than the Tecnis material.