The BEST Lens Implants for High Quality FAR Vision

The BEST Lens Implants for High Quality FAR Vision - Day & Night

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Күн бұрын

www.EyeOC.com
/ doctorkrad
During Cataract Surgery your ophthalmologist will remove your cloudy natural lens and replace it with a lens implant. There are many different types of lenses, and patients often ask which one they should get? Which lens implant provides the highest quality vision after cataract surgery. Which lens is best? There are many good options, and in this video, I'll discuss my favorite lens for people who want the best far vision without glasses, day and night, so long as they don't mind reading glasses.
My first place lens is the Light Adjustable Lens (LAL). It provides the highest chance of 20/20 far vision without glasses compared to any other lens. This lens is adjustable and your prescription can be adjusted after surgery with the Light Delivery Device (LDD).
Second place is a basic monofocal if you don't have astigmatism, or a Toric Lens if you DO have astigmatism.
If you have any questions, feel free to leave them in the comment section below!

Пікірлер: 32

@111msw 25 күн бұрын

Great information and you are right, which one would you choose if they were FREE and probably it would be the LAL……please can you provide some future videos of those who have had the LAL+ and what they thought of the outcome? 👍

@hananamaira82 5 ай бұрын

I ask God to bless you and protect your great work

@otiebrown9999 6 ай бұрын

An great review of this difficult subject. We may agree in some details, but this is valuable. Science, is disagreeing on the details! I am an EE, but I learned to make my own refractive measurements. I chose the FIXED lens, (15 years ago) and my Snellen is now 20/20 -- my refractive STATE is +0.5 Diopters each eye -- and my near vision is clear at 22 inches, no glasses. I recovered from -8 Diopters -- so I am totally impressed by you. I do use a plus lens on my cellphone. I am very lucky to recover from -8 Diopters. Thank you!

@JayJay-dr2lo 6 ай бұрын

Great information Dr Krad, very well explained that made me decide which lens to choose for my cataract surgery.

@TattooedGranny 5 ай бұрын

Great video. I have just been through multiple opinions and am going with the LAL+ on March 5th. I am excited. The new version gives more close vision without compromising the distance.

@beneato12 6 ай бұрын

Hello Dr. Krad, Please tell me what your opinion is about the Rayner lens Ray One EMV. This lens was developed by Graham Barret. They call it Mono focal plus as it provides extended depth of focus by providing a wide slope of light. It is receiving great reviews from Doctors and patients.

@rosalinegajadar5796 5 ай бұрын

Thanks for the info.Great video. Had no idea patients could actually make their own decision about the lens they would prefer. I had my cataract surgery done a few weeks ago,no question was asked,it is apparent that the doctor who did the surgery, made the decision for me.Is this a normal occurrence ? Is it a case where the doc knows best? Would be glad to hear your views on this matter.

@DoctorKrad 5 ай бұрын

All surgeons should discuss your lens options. Some old school doctors don't, but the vast majority of younger surgeons will. The lens you choose will impact your vision for the rest of your life. There are situations where a patient says they only want what their insurance covers, and that closes the door on most lens implants.

@TattooedGranny 6 ай бұрын

When I saw that study I began leaning heavy for the LAL.

@mthw 5 ай бұрын

Please view the recent Shannon Wong MD KZfaq video on his experience with fitting LAL lenses. They are great for distance vision, but having them implanted in both eyes results in monovision which a lot of people really don't like. The best result if considering LAL seems to be to have one eye LAL and the other a multifocal lens such as a Panoptix. I am not a doctor, just passing along the evidence as found by Doctor Wong. His video is titled "Light Adjustable Lens (LAL). Truth v Hype. Patient & surgeon perspective" if you are interested.

@DoctorKrad 5 ай бұрын

Thanks! I checked it out. Excellent video as always by Dr. Wong. But his message is not that LAL shouldn't be implanted in both eyes. Rather, its that *monovision* with the LAL can be unsuccessful if the patient doesn't have good experience with monovision prior to cataract surgery. Also, it is possible to have success with the LAL in one eye, and another lens such as the Panoptix in the second eye. But he's not saying he would do that, or recommend that as best, for all patients. His particular patient is more comfortable with both eyes seeing well far away, and mixing the lenses worked for her. Similarly, I also prefer to avoid monovision when patients haven't had previous experience with it. That's why I think the LAL is the best lens for far distance vision (in both eyes) for people who don't mind readers. It is NOT a presbyopia correcting lens.

@mthw 5 ай бұрын

@@DoctorKrad thanks for the reply and clarification

@dickstenabaugh2852 5 ай бұрын

After a LAL implants, how long would I need to wait to wear contacts to trial mini-monovision? Thank you Dr. Krad for all your videos.

@DoctorKrad 5 ай бұрын

Great question. Each patient is different. It's ideal when patients have experience with monovision prior to surgical monovision. If not, I typically target both eyes similarly. However if one wants monovision in order to be glasses-free, but they do not have experience with it, they need to try it long enough to know they'd be comfortable with it in the long term. For some patients, that means a couple hours, while for other patients, they need more time (a few days or a week).

@alisoylu4034 6 ай бұрын

Very important question: I am 37 and have mid-level stable( for more than 8 years) KC and PSC at the same time. Is it possible to correct my vision caused by corneal irregularity of KC? Thanks...

@gussoidarg3956 2 күн бұрын

Would you compare lal+ vs clearview 3, please, thank you.

@timmccarthy5782 6 ай бұрын

LAL Plus ? Tell me more.

@irisgustafson4720 5 ай бұрын

Doctor Krad, thanks for your post. I just had my cataract surgery 40 days ago with the Clareon® PanOptix® trifocal lens, but my vision is not improved at all. My near vision is what I do concern but it is horrible. And, I did not have presbyopia before surgery, but now I am having it after surgery. My doctor recommended me to replace the monofocal lens this Feb. If any chance you could respond to me I would be appreciated. Thank you.

@babybear4524 5 ай бұрын

Your post scares me because that's what my doctor recommended also. What did your doctor say when you said your vision is no improving?

@haroldsingh7713 6 ай бұрын

I am leaning to LAL even though some surgeons may feel there’s not much difference from the results EDOF lens would give you, considering the extra costs, extra visits and care to avoid UV lighting before “ locking in.” Would you agree with this Dr. Krad? Also, please state your views on the LAL + against the Lal’s. Thank You again.

@DoctorKrad 4 ай бұрын

It's certainly more visits and cost. Perhaps one can call it a hassle. But for myself at this moment, I would take the LAL+ over any other EDOF considering what is available now. For me, even 1 line of better vision makes it worthwhile.

@maimaiprincess1 5 ай бұрын

I have astigmatism and early stage age related macular degeneration. What’s the best lenses for me?! Ty

@DoctorKrad 4 ай бұрын

Astigmatism can be corrected with glasses, lens implants, Laser, or LRI's. If correcting with a lens implant, the top 2 choices IMO would be light adjustable lens (either original LAL or LAL+) or a Toric Monofocal Lens. Based on your measurements, your surgeon should tell you what they recommend is best. With macular degeneration, it's best to avoid multifocal lenses. Best of luck to you! :)

@maimaiprincess1 4 ай бұрын

I don’t think I could use LAL with my AMD condition due to my research.

@bruceryan5919 5 ай бұрын

What would be best for tennis, watching the ball?

@DoctorKrad 5 ай бұрын

For tennis, far vision is the priority. As long as the far vision is good, you should be able to watch the ball well. During gameplay, the ball is traveling too fast to focus on it when it’s near you. Intermediate & Near vision would be useful for reading the text on the ball or checking your phone during a break so you don’t have to carry readers with you.

@hyndry 6 ай бұрын

Is the residual astigmatism on a monofocal lens, correctable by glasses?

@DoctorKrad 6 ай бұрын

Yes

@hyndry 5 ай бұрын

Thank you@@DoctorKrad

@babybear4524 5 ай бұрын

I don't really understand the numbers you refer to in your video but I did ask my opthomologist if a light adjustable lens was an option to consider when I spoke to him yesterday and he didn't go into detail as to why not but said it's not a good choice or even an option. Why was he so dismissive and also dismissive of the Vivity lens claiming that the Panoptix multifocal lens is the only lens to consider other then a toric monofocal iol ?

@DoctorKrad 5 ай бұрын

Most ophthalmologists can't offer the light adjustable lens because they haven't bought the light delivery device (LDD). It's very expensive. It costs the office about $150,000. I suspect that's why the LAL option was dismissed

@11111Rich 4 ай бұрын

You don't explain what you cannot deliver. I bet he does not use LAL