Glare, Halos, and other Vision Problems - Multifocal IOLs & Opticians Upselling AntiGlare coatings

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The Floater Doctor (Vitreous Floater Solutions Inc.)

4 жыл бұрын

{{ PRACTICE UPDATE: As of Feb 2021, the Practice is now located in the Dallas- Ft. Worth Metro area. The website remains the same at TheFloaterDoctor.com. We are no longer using an answering service and the new updated contact number is +1 214-810-5290. Appointments can now be conveniently scheduled online through our website at www.thefloaterdoctor.com/sche... }}
Buckle up, as this is a long one. I address the many causes of vision dysphotopsias such as glare, halos, the problems of contrast sensitivity and the many, many causes of these issues such as dry eyes and tear film instability, corneal scarring and previous corneal refractive surgeries such as LASIK, PRK, RK, as well as cataract with or without YAG laser treatment for posterior capsular opacification (PCO). But wait, there's more. A very common age-related event, the posterior vitreous detachment (PVD) can also cause visual problems such as glare. Unlike the other conditions, a PVD causes a dynamic fluctuation of glare that varies from moment to moment as with eye and head movements. PVDs can also alter contrast sensitivity and reduce it by about 50%. This is something that is not tested by your optician, optometrist, or ophthalmologist at a typical eye examination.
Lately, those with cataract surgery are 'pressured' (or, at least stongly directed) toward the significant 'out-of-pocket' expense for the "premium" lenses that are multifocal lens options. These have the potential for getting you out of glasses for distance AND near vision - but not without sacrifice. The cost is more than just financial, as there can be significant increases in halos, starbursts and other visual dysphotopsias.
I also address the issue of when your optician tries to upsell you with an antiglare coating for your eyeglasses correction. These antiglare coatings generally do not reduce glare but they can reduce the reflection off the surface of the glasses which doesn't benefit you all that much, the person wearing the glasses, but instead improves the appearance of the glasses to the person looking at you as they see less reflection off the front surface of the glass.
This is a lengthy one, but if you're frustrated and aren't sure why you're having vision problems and your doctor says everything is fine because you are seeing 20/20, well now you have a vocabulary and understanding to describe your problem.
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The Floater Doctor, James H. Johnson M.D. is Medical Director of the only medical practice in the world specializing in, and exclusively treating bothersome spots, shadows, and clouds that affect your vision. Although common, especially changes such as posterior vitreous detachment (PVDs) as we age, these vitreous eye floaters are rarely offered treatment by your local and well qualified eye care providers, even at top specialty institutions. Dr. Johnson uses a specialized FDA-approved YAG laser to vaporize and destroy the proteins in the vitreous that are responsible for your spots, shadows, and moving blurred areas in your vision. He has been doing so since 2007 making him one of, if not the most experienced in this very specialty niche area in ophthalmology, a pioneer in this field.
Links you may be interested in:
► MAIN WEBSITE: www.TheFloaterDoctor.com
► TREATMENT OPTIONS: www.TheFloaterDoctor.com/trea...
► THE YAG LASER: : www.TheFloaterDoctor.com/the-...
► WHY AREN'T MORE DOCTORS TREATING EYE FLOATERS www.thefloaterdoctor.com/why-...
►CHOOSE YOUR DOCTOR CAREFULLY www.thefloaterdoctor.com/choo...
►YOUNGER PERSON WITH FLOATER? www.thefloaterdoctor.com/youn...
MEDICAL ADVICE DISCLAIMER: All content in this video and description including: information, opinions, content, references and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading or otherwise using this content does NOT create a physician-patient relationship between you and it’s author. Providing personal or medical information to the Dr. Johnson does not create a physician-patient relationship between you and the Dr. Johnson. Nothing contained in this video or it’s description is intended to establish a physician-patient relationship, to replace the services of a trained physician or healthcare professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed healthcare worker in your community in all matters relating to your health.

Пікірлер: 374

@rodneykroetsch2924 3 жыл бұрын

One of the most informative and honest explanations I have listened to 👍

@breaker1685 3 жыл бұрын

great to see some impartial honesty about complex issues - thanks

@grahambrown8239 5 ай бұрын

Oh just the BEST video on this subject. I wish some of the specialists I have seen understood what glare and flare are when described to them. Thanks so much...

@grantnoble9978 3 жыл бұрын

Excellent presentation Dr. Johnson. Helped much. Thank you.

@OceanYOGAwithKseniia 3 жыл бұрын

Very knowledgable and intelligent presentations!

@StudioCicada 8 ай бұрын

Your assessment about the single focal IOL being the safest bet for all contingencies is spot on. Thank you for your hard work in relaying this very important message for cataract sufferers about to undergo lens implant surgery. I received the Clareon Monofocal IOL a couple months ago--which replaced a very troublesome cataract. And the implanted monofocal lens is a dream come true. I still need reading glasses for computer work and reading (now just a +1.25 sphere for the operated-on eye). But for things like cooking, quickly scanning a menu, driving a night, and everything in the distance, I can see perfectly (20-20) now on the surgery eye. Sometimes less is more.

@Thefloaterdoctor1 8 ай бұрын

Thanks for sharing you experience. I am sure it will help others in the decision making process, or helping them understand the post-surgery gaslighting.

@ckp2ator389 Ай бұрын

Did you get the clear IOL or the yellow tinted one which is supposed to filter out blue light and gives a warmer tone?

@StudioCicada Ай бұрын

@@ckp2ator389 I think it was the clear IOL.

@byrnedegrandpre8884 2 жыл бұрын

Great video Dr. Loved it.

@mc3429 3 жыл бұрын

I want to scream from the mountain tops to anyone considering getting multifocal IOL's like Symfony or the new one Panoptix. Please do a lot of research and consideration. Please read Jamie's comments below mine he has decided to have his swapped with standard mono. This is not a common procedure. You need to know your life at night is going to permanently change. Any kind of light outside at night is going to have a pronounced glare THAT DOESN'T GET BETTER. You just learn to live with it. It becomes your new normal. Headlights are the worst, imagine every headlight coming at you is a sparkler flaring out so far it touches the sparks coming off the other headlight, now times that by how many cars on the road coming your way. It's dark, so of course, there's going to be street lights MORE SPARKLERS! For me, all brake lights look like spider webs so now if you are following a car those are blending or bleeding into each other. Now imagine if it's raining, quite terrifying. Oh, and if you enjoy the moonlight (who doesn't) Remember I said "any kind of light" will have a glare. I was somebody who wore contact lenses for over 40 years I was extremely nearsighted my contacts box said -10. Simply put I was blind without them just about. My doctor actually wanted me to go with mono, My insurance would have paid 100%. Then I came across Dr. Shanon Wongs video's. He had just gotten a Symfony lens in one eye and couldn't stop praising it. (I'm not here to talk the Dr. down) But it honestly was his testimony that convinced me to pay $5000.00 out of pocket, the idea that I could have 20/20 and never having to deal with glasses or contacts again, no more dry irritated eyes, or the intense strain I went through when I took them out and had to wear glasses. I could swim with my eyes open, etc. So I financed the Symphony's a little over a year ago I was so excited. So by now, you're probably wondering if I regret it. For me...YES!!! Here's why. Every time I go out at night. OMG to have just one night without sparklers (Starburst) or spider webs. I cannot stress this enough it's life-changing. If I understand The Doctor here, Your eye functions best when the very back of your eye gets all the unimpeded light it can get. Thats what a Monofocal lens gives you naturally. As explained in this video the multifocal changes that. Unless you are a true homebody who doesn't enjoy going out at night, doesn't appreciate the moon, or counting the stars. Doesn't have to drive at night very often and just wants the freedom of not having to wear glasses for the most part. I would advise the Mono...or at least start with the first eye being mono.

@stephenyoutubin4476 2 жыл бұрын

I just had my right eye done with a acry sof IQ toric monofocal lense for astigmatism.My left eye is scheduled for Oct 12.It will just be a monofocal. My Doctor did not even offer these multifocal lenses.He removed the cataract from right eye and this lense is superior right away, clear and correct,I will need readers for super small text on lets say a pill bottle but thats it! I think they know it's a gamble with the multifocal lense and the track record is poor like your experience. My Hospital is Massachusetts eye and ear Infirmary so I have confidence in one of the best Hospitals in the Country. I hope you resolve your issue with that lousy Multifocal. Good luck.

@auricgoldfinger8478 2 жыл бұрын

Thank you so much for your testimony. I’m approaching surgery need, and will only consider mono focal lenses. The issue, unfortunately, is the incentive to bill more than insurance allows, which fosters physicians such as Wong to push alternatives that are profit centers. Until our system disincentives this, you will make ophthalmologists car salesmen

@marycarla6245 2 жыл бұрын

A great, straightforward, easy-to-understand presentation. You said many of the things my own cataract surgeon has said so I’m feeling even more comfortable moving forward with him now. I decided on monofocal for many of the reasons you said. Plus as a graphic designer my surgeon felt I’d be happier with the standard vision monofocal/toric (astigmatism) than an EDOF or multifocal. He did not try to upsell me. I felt the loss of contrast even if only at night would not be worth the extra foot or so of vision. I am now even more sure of my decision. Thank you.

@Thefloaterdoctor1 2 жыл бұрын

I agree. Sounds like you have a very ethical surgeon.

@zentex8877 3 жыл бұрын

Thank you for the informative video. I am trying to sort out my options prior to having cataract surgery. Comment section is helpful also. I'll be going to another ophthalmologist next week for a second opinion.

@cathyolague9408 3 жыл бұрын

Wow! Thank you. I feel much more informed going forward and making my appointment. I have a pretty big floater, unfortunately. I'll deal with the glare and haze of possible cataracts first then maybe I'll need to come see you. We'll see...haha. I really appreciate your informative video. God bless you!

@otiebrown9999 3 жыл бұрын

Dr. Johnson, A Good Review!

@Baat_Pate_Kii 3 жыл бұрын

Very informative and helpful video.Thanks a lot.

@EMEdel-ir4ti 3 жыл бұрын

This was a very good presentation and I’m grateful for it because I’m going to get cataract surgery soon. Have subscribed now.

@Tracon9er 3 жыл бұрын

Same here and I'm 43.

@Ardass486 3 жыл бұрын

Had mine 5 days from ago, brilliant.

@jayhingtgen1512 2 жыл бұрын

Very good info. Pretty much was able to decide what i want in a cataract lens. (The single focal / no multifocalfor me. Thx.

@ingenuity168 2 жыл бұрын

Very good info. Thank you! 🙏🏻❤

@janetvogeler7842 3 жыл бұрын

Thank you so much for this video Dr Johnson. I am having cataract and glaucoma surgery in a few days and have been on the fence between multifocal and basic mono lenses. You helped me feel better about going with my gut and getting the basic lenses. Thank you so much !!

@Thefloaterdoctor1 3 жыл бұрын

Thanks for the feedback. Some people are happy with the multi-focals, but I think the single focus standard lenses are more reliable and predictable.

@janetvogeler7842 3 жыл бұрын

Had my first eye done Friday with monofocal lens, and I couldn’t be happier with results so far.

@michellelew190 3 жыл бұрын

@@janetvogeler7842 Hi Janet, I just saw your comment today as I am trying to decide the IOL for my upcoming cataract surgery. How do you like your monofical lens? I am concern about the intermediate vision. Do you need glasses for things like cutting vegetables or cooking, see your family’s face while eating at the dinner table?

@janetvogeler7842 3 жыл бұрын

@@michellelew190 I’m very happy with them! I have 20/20 distance and can even read most print without readers, unless it is small. I just have a pair of drugstore readers at the weakest strength and do fine

@michellelew190 3 жыл бұрын

@@janetvogeler7842 thank you so much for your reply Janet. I think I will choose Monofocal as well. Keep things simple!

@brauliorivera1202 Жыл бұрын

Thank you ,DOCTOR.

@chrissmith5567 7 ай бұрын

Thank you for this very informative video. I have already gone down the cataract surgery multifocal IOL lens replacement and YAG laser route. I also have significant dry eyes, which feels different to the dry eyes I experienced prior to cataract surgery. Fortunately I don't do a lot of driving, but the starbursts are quite noticeable in low light country areas. Obviously there is always a trade off and as you say nothing is perfect, but I'm still pleased that I don't have to wear glasses anymore.

@Thefloaterdoctor1 7 ай бұрын

There are some happy patients with the multifocals too. They are just not on the internet browsing around trying to understand their experience.

@Mike-ew9zn 7 ай бұрын

Great video!

@Jakecaseyy 2 жыл бұрын

Dang things are so annoying thank you for looking out for us !

@dglady5168 2 жыл бұрын

Thank you for your very eloquent talk, everything very clearly explained & has improved my knowledge & understanding. Quite correct wrt doing one's own due diligence in selecting an eye surgeon/specialist. My 1st cataract done a week ago (2nd to be done in a week's time) and my specialist had determined that monofocal IOL (set for distance) would be best given my severe glaucoma in one eye - listening to this talk I'm grateful for my surgeon's advice tho I'll be the first to admit that I was disappointed that in his professional opinion he didnt think the "fancy" lenses would be suitable for my eyes/future visual acuity - sounds as if I had a lucky, money-saving escape! I'll discuss the possibility of a single contact lens to provide near vision when I have my post-op sight test but I suspect that having lost over 2/3rds vision in one eye this is probably not an option. I've hit the subscribe button and look forward to watching more of your informative videos!

@Thefloaterdoctor1 Жыл бұрын

Thank you for your comment. Not only money-saving, but quality-of-life-saving, I think

@janerobertson-oh4ul Ай бұрын

I wish I had seen this video three years ago before my surgery. I got the multi focal lens. Next month I will be examined for a lens exchange to a single vision lens. Irony here, I’m a surgical RN who scrubs for cataract surgeons.

@joysanders59 Жыл бұрын

Thank you!! I have been reading EVERYTHING about cataract surgery and was considering mono vision. Now I’m just going to go with the Eyhance toric monofocal. I have astigmatism and am wanting to get rid of it to have better vision. Thank you. I know from looking at EVERYTHING- that Eyhance seems to be a very good lens. Being poor I’m only getting one shot at this, would really like the astigmatism gone, and have talked to an agency about the money needed to upgrade for a premium toric lens. I found the funding because they don’t have to pay for the whole thing, only a pair of lenses. You’re not wrong about glasses and lenses. My ins is so poor on the vision there was only one frame to get two years ago, if you needed bifocals-and it doesn’t fit me at all it’s huge. (And Too big even for fitover sunglasses which will be required after my surgery)but again only one pair to choose when you needed bifocals -and only the same ones when I returned -two years later! It’s ridiculous! They need more than one pair of frames for bifocal wearers. Hopefully this will get me to readers… I do think it’s worth it to get the premium toric but I’m not messing around with all these different focuses, and I want crisp vision. I do art and photography and am disabled so have been unable to do these activities. I may speak to my surgeon about the mono vision, but I feel much better now about readers if that’s the way I have to go or about single near vision glasses. That would help with my problems with the ins company.

@gbala45 Жыл бұрын

Thanks for your excellent presentation. Pros and Cons of multifocal IOLs explained is easy to understand. Wish I had come across this video before my cataract surgery with multifocal continuous range IOL implants for both eyes about two months ago. I am having issues with Halos and glare during night time driving and some difficulty for reading small size letters on my mobile phone due to diminished contrast. I don't drive often during night time. So halos is not a serious issue for me. I hope my quality of vision will improve over time.

@Thefloaterdoctor1 Жыл бұрын

Reading through the comments here. The very common comment: "I so wished I had seen this video before my surgery".

@thomasrieker4129 Жыл бұрын

This is super helpful. I'm going for cataract surgery next week and weighing a monofocal lens vs. an extended depth of field lens. Thanks for a great video.

@Thefloaterdoctor1 Жыл бұрын

Follow up: what did you end up choosing? How's it going?

@thomasrieker4129 Жыл бұрын

@@Thefloaterdoctor1 I decided that I needed to go for the absolute best vision possible and chose a monofocal toric IOL. based on my doctor's advice. I can see better than ever in my left eye: 20/15 distance vision with my near focus around 3.5 feet, better then the expected 5ft. Cataract surgery on my right eye is scheduled for next week. I expect to go with another monofocal toric. I hate that I will need to depend on reading glasses and wonder how the Vivity lens would have worked, but you can't have it all...Thanks for asking.

@joysanders59 Жыл бұрын

@@thomasrieker4129T hank you. I am getting mine done soon and was looking at everything. You have def eased my mind. The monofocal def seem the way to go- and readers seem a small price to pay for good overall vision! I too have am going with a toric. I have astigmatism I want gone. Even with glasses my eyesight wasn’t very clear because of it. With it and the cataracts gone I anticipate only the best!! God bless you .

@MsAjax409 2 жыл бұрын

Hi Dr. Johnson. What a wonderful presentation. You explain things so well. Regarding the choice of an IOL for cataract surgery, I passed on the multifocal IOLs due to dysphotopsias (halos, starbursts, etc) that interfere with night driving despite my wanting to be as glasses independent as possible. Monovision was an option, but after a trial period using contacts, I found monovision difficult to adjust to, and it negatively affected my depth perception. I chose to an extended depth of focus (EDOF) IOL for both eyes, offset by -0.5D, which increased my range of functional vision to 16 inches, I now have 20/20 distance vision and 20/32 close vision, and am thrilled to be nearly glasses free for the first time since I was a child. I achieved my goal of being able to use my smart phone without needing to put on glasses. Extending the depth of focus does reduce contrast sensitivity, however, but not enough to make night driving unsafe, but in low light conditions, I do need specs to read newsprint. I'm so happy to be able to apply eye makeup without a magnifying mirror. My lenses cost an extra $2500 out of pocket apiece, so that's a barrier to picking these lenses, but in the end, I personally think it was worth it. Unfortunately, the cataract surgery triggered PVD (posterior vitreous detachment) in my dominant eye with the formation of a Weiss ring that has greatly lowered the quality of vision in that eye and my ability to drive safely at night. The floater moves in and out of my line of sight so I doubt that neuro-adaptation is the answer. It's driving me crazy. I'm so glad to have discovered your channel. I'm hopeful that contrary to what I was told by my optometrist, YAG laser treatment offers the possibility of restoring the quality of vision that I paid so much to achieve, but then lost due to the sudden appearance of this large floater.

@Thefloaterdoctor1 2 жыл бұрын

I can and do treat through various types of multifocal or 'premium' lenses. I am gal you are happy with the results of your choice.

@SuperMrAndersen 2 жыл бұрын

Hi. What lens do you have? Is it Eyhance? Thank you

@barbaramartin6347 3 жыл бұрын

Ok, so I had my surgery today. Was thinking about toric because of my astigmatism. Heavily influenced by this video, I opted for monofocal lens. I just had left eye so far. It’s only hours after my surgery, and I’m seeing great! He said I will have to wear reading glasses. Of course he was pushing multi but I did my research on contrast sensitivity and compromised night vision. Btw I had coke bottle glasses so I’m pinching myself. Thanks Floater Doctor and fellow commenters! See you on the road...at night!

@Thefloaterdoctor1 3 жыл бұрын

Oh. Great feedback. Thanks and congrats. I have naturally excellent distance vision. The glasses you see me wearing have no Rx for distance and just some power for up close. I don't mind it at all. I think if I had cataracts a multifocal lens 'may' have me out of glasses, but the optical quality 'uncertainties' and tradeoffs would be too great a sacrifice for me. I'll opt for a monofocal lens like you did. -Dr. J

@qatsi4897 2 жыл бұрын

Well done and congrats! From the video and the comments I got the same idea, the multifocal seems just like exchanging one discomfort for another one.

@kantaarya1544 3 жыл бұрын

Thanks for Honest openion

@nancyylvisaker8966 9 ай бұрын

Wow. Unbelievably helpful, clear and objective. THANK YOU for the advice on lens. I have had one cataract surgery, had a multi-focal lens put in, and it resulted in much worse glare, halos and starbursts than were caused by the cataract. Did they recommend mono vision for the next surgery? Of course not! Fortunately I saw your video, did a little more homework, and will now get monovision for the second surgery. I do have a fair amount of astigmatism, so I am wondering if the correction for that will cause any issues with glare, etc. I assume and hope not! Again, thank you so much.

@Thefloaterdoctor1 9 ай бұрын

The astigmatism correction lenses do not have the same problems as the multifocals. Not at all.

@unclejoe3397 2 жыл бұрын

Most helpful. Thank you.

@RW-ur7ym 2 жыл бұрын

Very informative. I wish I had seen it prior to spending 6K on multi focal lens implants. Glasses are no longer required, but my night vision is terrible. I am not comfortable driving at night on unfamiliar roads.

@1taylorgibson Жыл бұрын

Can’t you get glasses to improve your night vision? You didn’t mention halos but glasses will improve your contrast sensitivity if that’s your issue.

@dawnsmith2511 7 ай бұрын

Excellent explanation, thank you

@Thefloaterdoctor1 7 ай бұрын

Glad you liked it

@naweofiam 3 жыл бұрын

My eye surgeon really pushed and promoted the Panoptix IOL multi-focal lens on me. He did not inform me of the common problems associated with the multi-focal lens. The glares and halos are now much worse than when I had cataracts. Contrast sensitivity is now so bad that I can't read many labels in the grocery store, without my lighted magnifying glass. I still have difficulty seeing in low light areas. While reading, letters are often blurred and I must strain. My eyes are worse after cataract surgery than before surgery with glasses. I wish I had trusted my own logic and chosen the regular single vision lens implants and continued to wear my glasses. I do NOT recommend the multi-focal lens if you care about your overall quality of vision. I wish I had watched this video before my surgery.

@Thefloaterdoctor1 3 жыл бұрын

I am sorry to hear that. Your comment may just add to the real experiences and may help someone else make a 'more' informed decision.

@davidandrews8007 3 жыл бұрын

My eyes are great. You read to much into what type to get. Relax and be happy. Generations will benefit but you live now and have the best. Everyone does the best for you so enjoy. There are plenty more decisions to make. I enjoy my eyes however worried a lot. I did not need cataracts surgery. I thought let's have advantage at 65 not 85. Must be done sometime and your brain will adjust when younger.

@naweofiam 3 жыл бұрын

@@davidandrews8007 So happy that your lens worked for you. No advantage in my case. I've heard MANY more stories just like mine, from physicians. Several physicians have told me that they have heard of many cases like mine. My eye surgeon took of advantage of me and my wallet. Both my eyes and my wallet have suffered.

@naweofiam 3 жыл бұрын

@@davidandrews8007 I will have to have another surgery to remove the lens and replace them with regular lens in the near future.

@davidandrews8007 3 жыл бұрын

@@naweofiam Yes Dr Patodia in Sarnia Ontario. I have been going for glaucoma for 20 years. Toric multifocal (trifocal) TFNT30 2 years ago. I guess I just went for the best technology recommended and best chance of not wearing glasses. Cost $5,200 CAN per eye. You could watch Kurt V. video.

@jeffestrada6857 Ай бұрын

Thank you, great information 👍

@XOYzzzz 2 жыл бұрын

All of sudden I found my self unable to drive on the freeway at night , went to eye doctor they given me anti reflector glasses with hefty cost out of my pocket after insurance . I tried the glasses , no difference .

@Sher-oh2by 3 жыл бұрын

This is EXACTLY the information I needed to choose an IOL. The combination of a monofocal with reading glasses (the devil you know) and a contact lens, is an eye opening (haha) solution. Thank u!🙏

@Lindamorena 3 жыл бұрын

Are you using contacts sometimes without glasses?

@Thefloaterdoctor1 3 жыл бұрын

I have perfect distance vision, the glasses I wear just have some power for up close, basically reading glasses. It is convenient for me to wear them most of the time except for tennis

@jsmariani4180 2 жыл бұрын

See my comment above. Be careful with the iol lens choice. Even monofocals can cause severe dysphotopsia. Hydophobic acrylic is by far the worse offender.

@lucianmanea9816 2 жыл бұрын

@@jsmariani4180 I have an implant with Monofocal AcrySof Natural Alcon IOL.This cause me severe dysphotopia. I saw the material is acrylic. What material do you recommend for removing dysphotoia on monofocal lenses?

@orangecat8298 3 жыл бұрын

I have vision problems of the frist ten minutes of this video. those same eye iuesses brought me to see 2 ophthalmologist which both told me I don't have a problem as long I have 2020 vision....this video helped I knew iwas not wrong

@Thefloaterdoctor1 3 жыл бұрын

There is A LOT MORE to vision than just 'Snellen Visual Acuity' chart vision as you well know: peripheral vision, color vision, balance and coordination between the two eyes, contrast sensitivity, etc. There is no good measure of the problem of eye floaters. Many or most of my patients bitterly complain of their floaters and also have 20/20 vision when corrected.

@Wesker-bg1rn 2 жыл бұрын

Doctors think it's all about visual acuity but it's really about visual function. No point having 20/20 vision if it's full of opacities/ floaters and Starbursts... that's like having a Lamborghini with square wheels.

@Thefloaterdoctor1 Жыл бұрын

Funny, I often describe as a Ferrari with a cracked windshield. Nothing wrong with the car, but not enjoyable to drive when you have that crack right in the middle of your view.

@Airlxs23 11 ай бұрын

Seen a lot of videos about the pros and cons about multi and edof lenses vs monofocal. Im having a surgery soon and still dont know what to get. But your recommendation at the end if the video help me a lot. I decided to get monofocal lenses. Like you said, get one eye contact lens for close u p when needed on the situation. Thank you for this video 😁👍

@CeeTeeUSA 3 жыл бұрын

Rational advice. The single vision lens is a standard, been around for decades. Why be cutting edge when there are big risks..

@JmieYoutube 4 жыл бұрын

Thank you for this. I'm having a lens exchange next month because I'm having a high amount of visual effects at night, you're right about the high pressure sales towards the multifocal iol. I had the procedure done in July 2019 and the visual effects are not getting any better like they say not in my case

@Thefloaterdoctor1 4 жыл бұрын

It goes without saying that by 'promising' that you will be out of eye glasses with these premium IOLs that bar is raised - the expectations for success are much higher as well. I have heard of some doctors that will sell this as a combined procedure: The multifocal IOL + a corneal refractive procedure to 'dial it in' if needed to get it right. The prediction of which power of IOL to put in is a soft science and not always right ESPECIALLY if the patient has had previous corneal refractive procedures as that can throw off the IOL calculations. Now, for your extra $3000-$4000 you are subjecting yourself to more risk. With monofocal lenses, you just have to get it pretty close to the target since the patient will likely be prescribed glasses afterwards. By the way, the multifocal lenses do not really address the problem of pre-existing astigmatism. So there's that. Good luck with your IOL lens exchange. I hope all goes well. I think we will see more comments like yours. -Dr. J

@JmieYoutube 4 жыл бұрын

The Floater Doctor (Vitreous Floater Solutions Inc.) Thank you! Just subscribed to your channel. I'll be switching out to a monofocal lens feb 5th. Your video really needs to be seen by candidates that are considering a multifocal IOL. Luckily for me I'll be getting a refund for the $4,000.00 out of pocket. I've been wearing a Bausch & Lomb Ultra multifocal for astigmatism contact lens in the non operated left eye for a couple of weeks now and am having a REALLY good experience with them! I'm a 43 male with -5.50 in both eyes. Been wearing contacts since I was in my teens. The symptoms i'm having in my right eye with the symfony tecnis toric are; starbursts, halos, light flickering from LED lights, rings around tail lights, especially annoying while night driving or catching a movie with my family. I've been told that the visual effects will diminish or my brain will get used" to them (neural adaptation) but its honestly driving me crazy because they're still present. I can't wait for my lens exchange next month :) Good video to learn from

@gabrielleshing4767 3 жыл бұрын

Good and honest explanations. I wish I had seen this before I got trifocal lenses. Worst decision I have ever made, my quality of vision is terrible , loss of contrast being the most distressful for me . Think very carefully about your lifestyle before opting for multi or trifocal.

@mickthompson584 2 жыл бұрын

thanks for that, very informative.

@Thefloaterdoctor1 2 жыл бұрын

You're welcome!

@patriciawilson605 3 жыл бұрын

Thank you sir!!!

@fiorfannin8330 Жыл бұрын

I wish I have this video before my cataract surgery and IOL lens my vision it horrible ,and I have to Used so many eyes drops very expensive and can’t drive a night because of the halos light and starburst Thanks ❤

@Thefloaterdoctor1 Жыл бұрын

Wow. If you read through the other comments in this video, there are many others who say the same thing. I could probably have a whole series of KZfaq videos discussing this topic.

@petermayiii722 2 жыл бұрын

Thank you very much for your sharing your knowledge. I have had the surgery and the IOL with terrible halos making almost impossible to drive. He says I have a little cloudiness but not bad enough to YAG it. If he does YAG it there is no hope of changing to single focus lenses so I'm at a quandary right now.

@Thefloaterdoctor1 2 жыл бұрын

I think you are referring to the use of the YAG laser for posterior capsule opacification - a clouding of the capsule that holds the artificial lens. If the YAG laser is used to open that up, it will make a lens exchange very risky.

@petermayiii722 2 жыл бұрын

@@Thefloaterdoctor1 Thank you very much for your input.

@stevec8836 2 жыл бұрын

Question : to continue from my incomplete comment below. Will these conditions I am experiencing improve at all when my pupil goes down to normal size and if not , is a mono focal lens re implantation and option for me , as you suggest at the end of your video for distance and then use reading glasses again?

@bjs2022 3 жыл бұрын

Great presentation, thanks. But, any photographer knowledgeable about lens optics knows about anti-reflective coating to prevent lens flare and specular aberrations. The same principle applies to glasses. I suspect that not all anti-reflective coating is equal.

@chiekomiami5022 2 жыл бұрын

🙏 doctor! You addressed all my concerns about my future eye surgery.

@Thefloaterdoctor1 2 жыл бұрын

It's funny, I don't even do cataract surgery and this has been a very popular video

@se5442 3 жыл бұрын

I had flashes and floaters; may be adapted to them now. But feel like I am looking through "vitreous". I had a cataract consultation/exam from one of the 2 most prominent surgeons in town. I ask if I'm seeing through vitreous or cataract. He said cataract. But - he said my cataracts aren't that bad. I wish there was some way I could know how much my vision would clear up should I go in debt for the expensive lens replacement surgery.

@bediosoro7786 3 жыл бұрын

Hi doctor. I have a terrible glare problem. I cannot see the pedestrian green light silhouette

@chrisbull2448 Жыл бұрын

I got my floaters as a young teen, to the best of my recollection the optician took a quick look at the retina then told me there was nothing to worry about.. and the floaters would become like old friends! I just recently at 46 got diagnosed with cataracts, and had lens exchange surgery a month ago. My surgeon diagnosed PVD with weiss ring as part of assessment. What noone has said to me until your video is that PVD is associated with a drop in contrast sensitivity and increased glare... Thanks for this nugget of information. The floaters don't always bother me, but they can be frustrating when they do. Maybe once I've paid off this surgery I'll come see you to see if I can be rid of them.

@Thefloaterdoctor1 Жыл бұрын

We weren't taught this nugget in residency training either.

@dalealyea6019 3 жыл бұрын

I am 6 months post cataract surgery both eyes. Both replacement lenses used were single focus. I also had my astigmatism addressed with laser treatments which was done immediately before the cataract procedure for each eye. I had to pay out of pocket for the laser treatment because it was not covered by my insurance. All post op exams were positive and suggested good results with the exception of the pressure in my right eye was above normal the day after the procedure. This was treated by eye drops and within a day the pressure in my right eye was within normal range. About 2 months after the surgery and laser treatment I began to see glare which radiated away from most white light sources when the background was dimmer or dark. Unlike the glare in your video, the dysphotopsia I experience is more like two starburst like rays and is exactly the same in each eye. For example; streetlamps and car headlights produce rays of glare in both eyes. Imagine the light source being the center of a clock; the rays extend from the light source at the 2 o'clock and 8 o'clock in both eyes. When I extending my arm and point at the light source with my index finger the rays are about one and a half to two feet in length as measured from the end of my finger. The rays are nearly as bright as the light source. This condition is both irritating and affects my driving at night. I can not find any information on a condition similar to mine. I wonder if it may have been a defect in the replacement lenses they used.

@Thefloaterdoctor1 3 жыл бұрын

That phenomenon you describe may be better evaluated by a wavefront analysis of the quality of your optics. If there are irregular irregularity of the surface of your cornea, it could cause the glare and starburst you are describing.

@barsitapanchariya3340 4 жыл бұрын

Can u say shortly the pre and post operative catract surgery difference in contrast sensitivity?

@Artpapacom 2 жыл бұрын

Thank you gigantic! You helped me a lot in the selection of the lens. Until now I was convinced that for an artist like me I should use the best, latest technology and was going to put tecnis synergy. Now I will start to study about monofocal lenses. Please advise about monovision When one eye is set to distance, and the other eye to near. In this case, the vision for each eye will be twice as bad? In other words: if both eyes are tuned into the distance, will my vision be better than if only one eye is tuned into the distance, and the other eye is tuned to a close distance? Thank you so much in advance! And as a bonus, can you name a couple of mono focal models?

@Thefloaterdoctor1 2 жыл бұрын

I have tried 'monovision' using a contact lens to have one eye for distance, the other for near. It will have you pretty functional for most types of general activities, but not as good as having both eyes focused equally on the object. One option is to do the monovision for most daily activities, but have some glasses you can use for your art activities/compute/reading activities to bring the distance eye in to match the already-near eye. I can't recommend a specific model as I don't do cataract surgery anymore and I am not well read on the current state of art.

@deepababani1962 2 жыл бұрын

Had my cataract surgery 8 months back.used multi focal lence.but suffering very badly with very very glare and halos around every objet.pls guide me .hw long it will take to recover.

@mrs.padilla9328 Жыл бұрын

Thank you doctor for good honest advice . My doctor suggested mulitfocal lens and researched information for myself since he explained nothing to me. Felt really rushed and not informored of my options. Now the only decision to make is I am 61 and my eye doctor said was no hurry to get cataracts done. My vision is pretty fair I can see intermediate well and distance is somewhat blurry and do need reading glasses for small print should I wait or go ahead with surgery ?

@Thefloaterdoctor1 Жыл бұрын

Well, I don't really feel comfortable giving you advice as to whether you should go ahead with cataract surgery has only you and your doctor can determine that locally. Best corrected vision is a reasonable estimate to how advanced the cataracts are. If with a good correction you were able to see 2030 or better on the visual acuity chart. Then the cataracts are probably not all that danced. If you find the doctor's pushing for cataract surgery and not being very clear about the procedure, but instead being very clear about the extra three to four thousand dollars that you would have to pay for multifocal lenses, then you might seek a second opinion.

@saundrac9 2 жыл бұрын

So suddenly I had a foggy left eye, progressively worsened over a period of a few hours, eventually, I was seeing rainbow halos around street lights. Felt better the next day, but now a couple days later, I have the fog in my right eye with the halos again, I’m very frightened, because this was so sudden. I have an appointment with my optometrist on Thursday, it’s a shame I have to wait so long, I hope I’m not going blind.

@Thefloaterdoctor1 2 жыл бұрын

It may be intermittent elevations of eye pressure cause the cornea to swell (edema). Read up on Pigment Dispersion Syndrome. I hope they figured it out.

@marshallmason4118 3 жыл бұрын

Had lasik one eye about 8 years ago for Distance and cateract surgery on other eye and mono len. After surgery glare and halo on coming traffic,vision much better but night vision while driving need to be brighter Any suggestions much appreciated.

@jsmariani4180 2 жыл бұрын

I had a standard hydrophobic acrylic monofocal square edge iol implanted in one eye (Alcan). I have all the dysphotopsias mentioned plus long streaks at night. It's a nightmare. For my second eye, I am looking at a couple of Staar collamer lenses. They should be way better for dysphotopsia but with a 50% chance of PCO.

@Adam-py6fz 2 жыл бұрын

Staar collamer is no longer available.

@RobertMacCready 10 ай бұрын

I have a Vivity (I have cataracts) lens in my right eye. See only 1 emitting beam from each light in my kitchen. And I have a vertical line blur that sweeps left if I look right and vice versa. I've held off on the 2nd eye. I would have no problem using reading glasses. Would you suggest going with a monofocal or should I match the lens I have now?

@Thefloaterdoctor1 8 ай бұрын

I am not a fan of the multifocal lens. ME? I'd go monofocal, but worthy of a discussion with your doctor.

@sherithorson3496 3 жыл бұрын

Thank you. Excellent presentation and I have shared it. I have cataracts bilateral at age 57. 2.5 on a 0-4 scale to date. Lots of glar and starburst. Is there any argument for resisting cataract surgery and just tolerating what I have versus what I will have post surgical and risk involved? And quality issues post. Maybe when I get closer to a 4/4 I will have answered my own question. I would definitely appreciate a comment if you have time. So glad to have received your information about the multifocal lenses. I’ve had excellent vision all my life and I am fussy. I would not be happy with that.

@Thefloaterdoctor1 3 жыл бұрын

Thank you

@severineg8702 2 жыл бұрын

First: I’m not a doctor. Just a person experienced with lots of eye problems. You are right to be wary and retain your own lenses as long as possible. But there’s a tipping point in cataracts. I have had cataracts and have a husband who is dealing with what you have right now. He’s a 3 in one eye and they couldn’t get a good reading to prepare him for the IOL due to the density of the cataract. We just came home from his doctor appointment yesterday, His doctor didn’t feel it would be extremely difficult to remove, but when I told him the tech couldn’t get a reading on one of the machines he hesitated a moment. You’re at 2.5 , which is enough to cause symptoms, as you know. The longer you wait, the harder it may be to remove the cataract. Simply put, the cataracts grow harder, more dense and require more effort to remove - possibly compromising your eye health. Some doctors offer laser cataract removal because they feel it’s easier on the eye. At 2.5, you’re at a decision point in my non-doctor opinion. In my opinion cataracts of 3 are at the upper limit with regard to ease of removal. Do some research on that. Ask a doctor. Definitely get a second opinion. Cataract rating, 0-4, is not an exact science. One doctor’s 2.5 is another’s 2 or 1.5 - You get my drift. Second opinions are valuable for all procedures and surgeries. Btw, I totally agree that multifocal lenses have lots of issues and I’d stay away. Many doctors will try to upsell you on lenses as they make more profit on a premium lens than a plain old monofocal. Good luck. Remember, take my information as “an experienced patient” but bring this information and ask a doctor.

@415Betty 2 жыл бұрын

Thank you!

@Thefloaterdoctor1 2 жыл бұрын

You're welcome!

@margyeoman3564 2 жыл бұрын

Had Cataract surgery in one eye so far. Single vision. The nearsighted eye was done first. Now I have 2 eyes with 20/30. The Dr. noticed some secondary Cataract build up on my eye 6 Weekes after the operation. She wants to do Lazer. No thanks for now. I have good , non blurry vision , good distance vision and no problems. Think I will sit with that.

@marys9554 2 жыл бұрын

Sounds like you have PCO on your operated eye. I did also, and it’s called YAG laser, and it gets rid of that so-called membrane. It’s nothing at all, it’s painless, done right in the office. Almost like an eye exam, sit in the chair, put your chin and forehead in place, and you just hear a few clicks and it’s done. Simplest procedure ever. No pain whatsoever.

@Thefloaterdoctor1 Жыл бұрын

"Secondary cataract" is the lay term for Posterior Capsule Opacification (PCO) as mentioned by @Mary S. That what the YAG laser is usually used for. Takes just a couple minutes and very safe.

@danielthornton6903 10 ай бұрын

I had a monofocal lens fitted in my left eye due to a cataract a few years ago which was done for free on the National Health Service (NHS) in England (I had a detached retina before this). I was wondering if the quality of lenses varies between the free NHS and what you would pay for privately. Also do some different manufacturers make better quality lenses than others and if so is the difference noticeable and is it worth paying more money for.

@Thefloaterdoctor1 8 ай бұрын

Ignore the rumor that the NHS buys rusty old used lenses at a deep discount on the black market. It is a rumor I just started right here (OMG, I'm kidding people and NHS fanboys). Monofocal lenses are pretty standardized and have been in use since the early 70's and it was a Londoner who was the first to place one. Interesting story (look up "Sir Harold Ridley"). For me? I'd take a monofocal lens from the NHS over a 'premium multifocal lens" for my eye.

@mortalstorm 2 жыл бұрын

Thank you for such an excellent explanation of dysphotopsias as related to the insertion of a multifocal iol. My wife had cataract surgery with a monofocal lens insertion. Prior to the surgery the surgeon told her that the dysphotopsias she was experiencing due to the cataracts, would probably persist after the surgery. Sure enough the problems with night time glare, halos, etc., were still a problem after the monofocal lenses were inserted. Why would that be? Isn’t the monofocal lens just a clear optical device with no concentric rings that would otherwise scatter the incoming light on it’s way to the retina? May there perhaps be differences in the fabricating processes among different manufacturers that might cause the problems to persist post surgery? I read that some surgeons did in fact choose a particular manufacturer’s lens because of lessened “glistening” effects post surgery. With my upcoming surgery, I would like to explore all possible options to try and reduce the negative side effects of the procedure. I would be very grateful for any suggestions you might be able to provide.

@Thefloaterdoctor1 2 жыл бұрын

Thank you for your words of appreciation. I am only addressing the issues of multifocal lenses broadly and can not speak to recommend any particular lens as I no longer do cataract surgery myself. Re: your wife, I wonder if some topographical / wavefront measurements may reveal some irregular astigmatism of the cornea that might explain the problem.

@mortalstorm 2 жыл бұрын

@@Thefloaterdoctor1 Thanks so much for the reply. We will take your suggestion and ask the doctor about the test to check for the irregular astigmatism. Best of luck to you in your continuing practice.

@sreegeethsreenivasan290 3 жыл бұрын

Iam 21 years old and have myopia and wearglasses since 9 years ago and still now . Now a days I see rainbow halos around light at night and day . I don't have eye pain or head ache. What is the reason. Is it afraid to be glaucoma? When I just check my eyes by doctor by dialating the eye . She told me there no problem seeing. Should I need to be worry?.... Please please tell me please🙏

@hutchphotography 3 жыл бұрын

30 days ago I did the cataract surgery and went with the Panoptix multi focal in each eye a week apart. 5K out of pocket. At this point, I do not need the contacts or glasses except for reading which is much clearer with the readers on. Can I read yes but strain so I wear readers still. Glare and halos are present as well as sensitivity to bright overcast skies more so than a sunny blue?? In addition occasionally a flicker or blinking sensation can come from the peripheral vision. I am 60 and wore daily wear contacts pretty much without issue for nearsightedness for 40 years. I will admit it was very emotional decision to get rid of all glasses and contacts and I did not do enough research prior to the surgery and that is on me. My hope is that with time my brain will adjust for some of the shortcomings I am experiencing. My sight is certainly not perfect and hindsight is of course 20/20 . . . but I would have waited till my vision was so bad with cataracts that I couldn't function and have no choice. Pre-surgery the cataracts in my left eye were pretty bad but the right eye was still fairly good. No turning back now but if anyone is considering this surgery at least they will know ahead of time that these are very real issues they could face. Perhaps what the eye surgeons should share more freely is the percentages of their patients with post operative issues like the ones which are mentioned in the comments here.

@Thefloaterdoctor1 3 жыл бұрын

I hope this helps others doing their research

@androidchannel309 3 жыл бұрын

@hutchphotography I had a Panoptix lens implanted last year. Would you have a few minutes to exchange notes? I'm on the East Coast (eastern time.)

@marlenecardinahl9346 2 жыл бұрын

Thanks

@kevoid 2 жыл бұрын

I have halos, starbursts, and floaters since receiving my single focus IOLs (AcrySof SN60WF) in 2019 at the age of 40. My surgeon gave me 3 subsequent laser treatments in an attempt to eliminate floaters to no avail They said floaters may never go away. I'm going to see a retinol specialist for a second opinion next week. I'd come see you if I didn't live on the east coast. Thank you so much for this informative content. We answers do many of my questions.

@Thefloaterdoctor1 2 жыл бұрын

I have a lot to say about the many doctors who buy a laser and are told that they can not treat eye floaters. In the last year particularly, I have had a lot of patients coming to me after one (or even several) treatments that did nothing for them. Experience matters.

@victorvictorfitness7537 3 жыл бұрын

I started getting eye floaters , starburst, contrast sensetivity and halos after 2020 with a really stressful year There’s not one doctor that knows anything about what I’m talking about Happened after taking to many barbiturates by mistake and immediately my room got wider and got contrast senseitvity along with involuntary eye blinking etc 7 months out and still have these things

@Thefloaterdoctor1 3 жыл бұрын

Some bothersome floaters can be microscopically small and difficult to see on examination by the doctor. Maybe they are just not seeing what you are.

@alphazero2005 3 жыл бұрын

I just had RLE surgery two weeks ago and I got multifocal lenses. It takes a few hours for my eyes to adjust and my right eye is still very sensitive to light. It always feels like there’s something in my right eye. I ‘m starting to feel like I was happier with glasses.

@jasong728 2 жыл бұрын

Any updates? How is your vision ?

@stevethomas5467 4 жыл бұрын

I see a white/yellowish ring in the center of my vision in right eye every time I look to the left and right - Its almost like a sun stain...after you look at sun but it doesnt go away

@JohnPaulHales 2 жыл бұрын

I’m wondering if trying concentric multifocal contact lens is a good test to determine whether one will tolerate multifocal IOLs.

@Thefloaterdoctor1 2 жыл бұрын

Probably, but as I don't do cataract surgery anymore, this is a great question for your surgeon.

@rebeccaflores3565 Жыл бұрын

Any suggestions for starbursts in my 23 yo son. He has been seeing an an ophthalmologist and has been treated for dry eyes and blepharitis with little to no improvement. He has recently developed headaches and is being sent for a precautionary MRI by his PCP. It is exacerbated with reading or phone use. He works from home on a computer for work. Any recommendations for what we can do to improve his environment, lighting, glasses, etc. Like u mention, he has 20 20 vision.

@Thefloaterdoctor1 Жыл бұрын

I can't make a remote diagnosis or specific recommendation. It could be corneal surface/dry eye/meibomian gland issues, or optics of the cornea or lens itself. Best to get continued evaluation locally.

@barbaramartin6347 3 жыл бұрын

Ok, I’d nevertheless love your opinion on the monofocsl toric lens.

@Thefloaterdoctor1 3 жыл бұрын

I don't do cataract surgery anymore, and so I don't have professional experience with them. Optically, they should be quite good and don't suffer the tradeoffs associated with multifocal IOLs

@robertwilson5615 3 жыл бұрын

Actually, lens coatings do help with contrast - it's not just a reflection issue. Camera lenses are always coated and the lens manufacturers don't really give a damn about reflection - just contrast.

@robertlynn4709 3 жыл бұрын

This is the best information on multifocal IOLs that I have found. After doing what I thought was a significant amount of research I had a PanOptix Multifocal lens put in my left eye just over a month ago. It is a disaster. 20/25 distance vision, blurry intermediate vision - it's a strain trying to read a computer screen, blurry reading - it's a strain trying to read. I live in a rural area in Canada and night vision and driving is horrific due to lack of contrast, glare, halos, starbursts. It's worse and more dangerous than with driving cataracts. Oncoming headlights are white hot blazing electric coil stove elements surrounded by two or three blazing circles. My surgeon said he wanted me to go to a pharmacy and pick a couple off the rack cheapo eyeglasses to handle the intermediate and reading ranges. He says it will be better after I get the other eye done. I cancelled the next surgery and I'm getting an appointment with another doctor to get the damn thing out and I will be getting monofocal lenses. Thank you Floater Doctor, I wish I had found you sooner.

@mc3429 3 жыл бұрын

Switching out IOL's is no easy surgery. I would go to someone who has done it before. If I could afford it I would go to Mono's in a heartbeat. Good luck

@sarojinisinnetamby2901 3 жыл бұрын

I got cataract surgery and opted for multi focal lenses. Now my focusing of distant objects is very poor. I went to several doctors one said that he doesn't recommend multi focal lenses to active people only to bedridden patients so they ll be able to read n watch tv both.

@Thefloaterdoctor1 3 жыл бұрын

So sorry to hear that. It has been a few months since you have posted this. I hope you got it taken care of.

@andrewbarrett42 3 жыл бұрын

Hi there,Three month ago I used paint thinners and the fumes has affected my eyes too.I get floaters,glare,starburst and rainbows around lights at night too and also I find bright lights and sunlight a little bit brighter than usual,my vision is still perfect and I can still drive day and night.I have seen an eye doctor,I don,t have a detached Retina.What is it I,m suffering from?This has gone on for three months.

@Thefloaterdoctor1 3 жыл бұрын

I can not make a diagnosis in KZfaq comments section.

@Livingyourdreamlife7 3 жыл бұрын

Same

@annecarnaje1741 3 жыл бұрын

Sir i have double vision or ghostvision in my right eye and glares or halos in light my eyes are always in pain and red..i have tons of floaters last 10yers now

@Lizzy-ej6nt 3 жыл бұрын

Do you have pvd?

@herc2120 Жыл бұрын

This is an eye opener video. Im contemplating replacing my monofocal IOL but after watching this, Im at ease. I think Im still on the healing stage after almost 2 months post op. Im curious when the surgeon says IOLX is a risky operation. Could you elaborate please?Thanks Doc

@Thefloaterdoctor1 Жыл бұрын

The lenses are folded and squeezed through a compression plunger through a small incision to get into the eye. There is no simple way to reverse the process. They are meant to go in and not be removed. Any removal or exchange is going to be much much more difficult

@patrickquinlan7594 2 жыл бұрын

The only problem with putting a contact lens in just one eye is that one iris will then look slightly larger than the other. When it comes to looks, the human mind loves symmetry.

@Thefloaterdoctor1 Жыл бұрын

Since the contact lens correction is done on the surface of the cornea, you should NOT get image magnification / minification with contact lenses as you would expect with the spectacle correction 2cm away from the eye.

@ckp2ator389 Ай бұрын

Do you know if BLF (blue light filtering, tinted yellow) IOL provides more or less glare and how they perform with contrast sensitivity compared to a clear IOL? I have a choice for my Clareon monofocal lens implant and don't know which to choose.

@saltwalk Жыл бұрын

I'm 36 years old, had -16D in both eyes prior to ICL surgery which eventually caused cataracts to form. My new doctor really tried to push the multifocal lenses. When I told her I was scared of the same bad halo and glare I've had with my ICL lenses, she recommended lenses that could see only distance and near, but not close up. Are those kinds of lenses still considered "multifocals"?

@Thefloaterdoctor1 Жыл бұрын

I'm not sure if I follow the second hand translation from you. Lenses can broadly be categorized as monofocal or multifocal. A monofocal lens is just that, it has a single focal point. Any lens power can be replaced into the eye and there is a formula that the doctor will follow to try to predict which is the best lens for you. There are different goals that can be aimed for. The most common might be to correct both eyes for distance with monofocal lenses. This would require reading glasses for the up close. I have not had cataract surgery but I'm blessed with good distance vision and so if you see pictures of me wearing glasses these are just reading glasses. Another option is to do monofocal target which is to set your dominant eye for distance and your non-dominant eye for a couple diopters nearsighted. This would allow you to see distance and near. Just shifting your brain's emphasis from one eye to the other depending on the activity. Another option highly promoted these days is the use of multifocal lenses which are ground and designed to try to give you both distance and near vision in the same eye. The laws of physics don't care what you're trying to accomplish or what you want, but there are limitations and sacrifices involved. If you imagine 100% of the light rays entering the eye, with a multi-focal lens, maybe 50% are focused for distance vision and the other 50% are focus for near vision. That means if you're looking at a distance object such as the visual acuity chart, you will be able to read that 20/20 probably, but there will be a soft glow around it. When you try to read up close, you'll be able to read that as well, but there will be a soft glow around it. Things will never really be perfectly crisp and sharp. That is the sacrifice you have to make when you go with multifocals. Now that might be fine if you just want to be functional, but if you are expecting crisp clear vision and or that's what you've been promised, you may be up for big disappointment.

@Chinmayeep10 2 жыл бұрын

Hey! I was curious to know if refractive errors can cause all these visual issues and any harm to the retina?

@Thefloaterdoctor1 2 жыл бұрын

No. The retina doesn't care whether the projected image is sharp or blurry. It just passes that info along to the brain without judgment.

@vijaynaresh9215 3 жыл бұрын

Hello Doctor!! I'm glad that I saw this video, otherwise my perception still be like monofocal lens are mainly for older people not for younger. BTW I'm 30years old suffering from traumatic cataract on my right eye. My opthamologist suggested for Synergy IOL lens.. my left eye having eye sight I'm already using spectacles from so many years. Now I'm planning for my cataract surgery and confused to choose which IOL. I need quality of vision. My requirements as follows. 1. I'm okay to wear glasses. 2. Day and night drive 3. Have to work on laptop. Can I go with monofocal lens. Among the varities of monofocal IOL's available in the market which are best... Your advice means alot for me. Thanks in advance.

@Thefloaterdoctor1 3 жыл бұрын

A caveat first: I have not performed cataract surgery in a long long time. I can only go with my understanding of optics, the principles of the differences between monofocals and multifocals, feedback from many of my patients, and not least the STRONG FINANCIAL INCENTIVE for cataract surgeons to recommend the multifocal lenses. My own criteria would be similar to yours. You will see me wearing glasses in my videos...those have no power in the upper section (plano) and a little progressive reading power in the lower area. Essentially reading glasses. I do not need glasses to see super sharp at distance, and I can not imagine trading that away for the convenience (and vanity?) of the 'promise' of not needing glasses at all. If and when it is time for my to get IOLs. I'll go with monofocal lenses (both eyes) set for clear distance vision, and just wear readers as I do now.

@vijaynaresh9215 3 жыл бұрын

@@Thefloaterdoctor1 Thanks for the response.. my left eye is having -ve power. I believe reading glasses would be +ve(PS: I have zero knowledge on optics)..If I opt for monofocal lens, Post surgery will the opthamologist suggest reading glasses considering my left eye power. Is that feasible for better vision in short distance to work on laptop(with glasses)...

@anneharmon9799 3 жыл бұрын

i have iol lens both eye 5 months ago right eye is fine i see floaters in my left eye in corner of my eye they are clear light catches the corner of my eye like light from windows light etc my dr states my retina is fine its just the gel peeling i see halo at night and star effect streaks i told my dr all this he dilated my eyes he saw no problems when i went to bed that night my eyes were still dilated when i woke up all the glare vanished and floater moved away from my corner of my eye and never returned how did this happen?

@rayboyer5677 3 жыл бұрын

I think it's called a miracle. God says your welcome. ok, I'm being funny but be happy Anne. As you can see by all the comments nothing is perfect for everyone. Best wishes to you.

@Janhoy723 Жыл бұрын

Awesome content. Thank you. I started seeing halos and starburst after a multifocal lens implant. Night driving became very difficult and ended up having YAG laser procedure. As a result I now have floaters which is annoying.

@TheBakingDiva 3 жыл бұрын

I had cataract surgery on my right eye about two weeks ago. When I look in the mirrors in my bathrooms I see blue on my face. A week ago it was pretty dark… It look like a mask. Now it’s still there but it’s much lighter but it’s still blue. I never heard of anybody talking about this. What can you tell me? I’m having my left eye done tomorrow and I’m concerned. Waiting for a callback from my doctor. Never expected to see blue!

@Thefloaterdoctor1 3 жыл бұрын

Cataracts usually have a yellow/sepia tint to them. Much like the "Blue Blocker" sunglasses you used to see advertised. One possible explanation is that the new lens, being perfectly clear, now allows better perception of blue tones. Things may seem more blue relative to what you have been used to, a yellow-toned world. I would bet that when (if) you have the other eye done with a lens implant, the color temperature differences with normalize.

@chanwad5042 Жыл бұрын

dr I had multi focal lens inserted a month ago , I suffer the same , is it possible to revert back , any solution, wish I had seen this video before, wish my dr was more honest

@Thefloaterdoctor1 Жыл бұрын

This is a common comment here. There is a way to exchange the multifocal for a monofocal lens, but it is complex. The lenses were designed to go in, but not come out easily. You surgeon will be very avoidant and resistant to offer that if you bring it up.

@surdanoz 2 жыл бұрын

Hi Doc I have PVD in my left eye and now the same eye has got cataract. I have to undergo cataract operation asap. I want your recommendation whether I should go for trifocal or monofocal. I want to be specs free. Awaiting a quick response from you as it will help me decide my choice if lenses.

@Thefloaterdoctor1 2 жыл бұрын

I can not make a specific recommendation for you. There are tradeoffs if you go with any type of multifocal lens compared to a monofocal lens. I discuss some of these issues in the video

@NostradAlex 2 жыл бұрын

Do Toric monofocal lenses that correct astigmatism introduce glare or starbursts? I've recently had a cataract surgery and picked the monofocal toric lens that they said would also correct my astigmatism which it didn't. Premium lenses are the best. /sarcasm And now I still see everything multiple times and when I look at lights I see like a glare combined with a starburst. I still have to go for the final checkup and I'm afraid I'll still see the glare/starbursts. From what I gathered while researching the rest of the astigmatism can be corrected with glasses. But I'm afraid even if they correct the left over astigmatism, I will still see glares. Do you know if that's the case? Thanks in advance.

@Thefloaterdoctor1 2 жыл бұрын

I am probably not the ask about the use of toric lenses as I now longer do cataract surgery and do not have experience with them. They should not be a much a problem as the multifocal lenses.

@NostradAlex 2 жыл бұрын

@@Thefloaterdoctor1 I understand. Thanks for the answer.

@barbaramartin6347 3 жыл бұрын

Aaa! I have surgery scheduled in 2 days. Does this apply to Toric lenses which are expensive, but are said to be “a type of mono focal”. Pls help! Thank you!

@Thefloaterdoctor1 3 жыл бұрын

Toric only lenses are considered a monofocal lens, not a multifocal. If you have an time-urgent question, it should be directed towards your surgeon.

@nsp1234 2 жыл бұрын

Hi, appreciate if you can share your experience with these lenses.

@solysayeg261 3 жыл бұрын

Very useful! I just would like to know your opinion between the j&j tecnis and tecnis eyhance IOL ? I know that the eyhance has less brightness, but do you think it's significantly to consider? Also, one is spherical and the other is aspherical, which is more accurate?

@Thefloaterdoctor1 3 жыл бұрын

I can't really speak to very specific differences between lenses as I no longer do cataract surgery and just don't have enough feedback from the patients to give you an intelligent and experienced answer.

@solysayeg261 3 жыл бұрын

@@Thefloaterdoctor1 thanks anyway!

@solysayeg261 3 жыл бұрын

Ok, I understand. Thanks anyway!

@stevec8836 2 жыл бұрын

I wish I had watched your video prior to my left eye synergy multi focal implant yesterday.. I’m scared stiff by my results . Going for my post op today. I got severe halos which look more like two rings around even the most slightly bright light sources along with glare coming off tv and iPhone even in fully lit conditions. Admittedly my left pupil is still dilated from yesterday’s surgery . I’m 54 age .

@Jaloja 9 ай бұрын

OOo my, you just confirmed the logic of standard lens selection that I had formulated based on my uneducated gathering of "facts". I will end up with glasses regardless. May as well go with both set for distance and correct with progressive lenses that I have worn for almost 50 years. If the glasses need new lenses every few years its a easy change. I have found glasses are a safety feature and have saved my eyes. I don't "see" them as a negative at all. My interpretation of the logic makes the decision on my preference not on a desire for higher sale price. I did feel the "need "to reject my own logic to not feel cheap. Not a good reason to except the down side.

@Thefloaterdoctor1 9 ай бұрын

There are a lot of regretful patients in the comments.

@Jaloja 9 ай бұрын

I don't want to think it but it seems some practices want the up sell even if the patient pays for it in cash and forever in the "Glare Tax" to no real advantage.

@solysayeg261 3 жыл бұрын

Hi, can you please give me your opinion about glistening, which IOL has more postpone to have more of glistening Alcon Acrysoft or Johnson Tecnis? Thanks in advance!

@Thefloaterdoctor1 3 жыл бұрын

I don't have a good opinion or answer to this question. I haven't done cataract surgery for a long time and so I don't have my own patient feedback dataset.

@marcusaurelius2988 3 жыл бұрын

Good question!

@WarrantCWO 28 күн бұрын

I have cataract surgery coming up in 3 weeks. Tentatively chose the PanOptix. They will start with the left eye first. I have had a few small black speck floaters for many years, and after a 50 lb weight fell from the garage overhead and hit me on top of the head recently I've had blurry areas that move left and right and back when I move my eyes. I also intermittantly have flashes of light in the periphery that go up or down depending on whether I move my eyes far left or far right, especially at night. After viewing your video I assume that means vitrious detachment but my opthamologist has not told me so. I'm beginning to think that a new lens will do nothing to improve my vision ala the blurry vitrious floaters. I need help to make a final decision on the lens. The thought of not wearing glasses is wonderful, but I also want crisp, clear vision, which means no vitrious floaters. I use my smart phone a lot, and watch tv a lot. I drive a little after dark but not a lot. I'm 70 and retired. Help?

@davidwayne9982 2 жыл бұрын

I had a cataract like a ROCK (actually black and looked like a rock) removed- vitrectomy, and a "special lens" put in with single vision and have a detached and torn retina to be repaired on DEC 7th- and also the iridotomy (hole made in my iris for fluid drainage).... and that was all in my left eye-- right eye supposedly good-- and got a panotptix lens Sometimes i see shaprly for a blink or two- then it's blurred. I can see the dashboard of the car fine- but everything out ahead is blurred... and it was over 3 weeks ago.. I thought it would be clear by now.. Can't tell on the left- still have the retina repair stuff coming up on that one. I didn't mind the halo- thought that was kind of pretty- not bothersome!! :)