Toric lens complaints

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Toric lens complaints

Posted 3 years ago58 users are following. For those of you that have the Tecnis Symfony lens or lenses, can you read your iPhone? If so how far away and how clearly?

I'm 32 years old and had my right lens replaced with a monofocal lens two years ago. My left eye has a cataract that has formed and I'm looking into the Tecnis Symfony in order to still keep some of my near vision without having to use reading glasses. Any information would be greatly appreciated. Posted 3 years ago. I'm sorry I can't help you. I've never heard of Tecnis Symfony lenses. I lucked out and didn't require glasses after my surgery, in spite of the surgeon tellig me I most likely would need them.

I too had the monofocal lenses. Good luck. Do you due diligence and research, research, research. Posted 2 years ago. With Symfony IOLs I am able to use a smartphone without any trouble with its usual fonts I've never changed, held at what seems like a normal distance don't have a ruler handy to measure.

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On sites with multiple columns like some newspapers, the print may be a bit small in multicolumn mode to where I'd need to adjust where I hold the phone and concentratebut usually that isn't how you'd read those anywa. The other eye was on target at 0D, so its mostly that one eye being used for really near distances so I'm mostly reading the smartphone with one eye I suspect like you would be though the other eye still has better near than you would with a monofocal so it may be contributing some.

I do need to use reading glasses for rare closeup tasks like threading a needle. Its often suggested that people get micro-monovision with the Symfony, with one eye adusted slightly nearer in like If you have good distance vision with your monofocal eye then you might consider getting the Symfony with a bit of micro-monovision to ensure you have enough to read your eyephone.

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Unfortunately everyone's results differ depending on the rest of their visual system and so even studies on lenses merely give guidance as to average results.

I haven't checked into the issue, but I have to wonder how much of a difference age makes, if younger patients are more likely to have more sensitive retinas and higher quality visual systems to get better results.

I'm not as young as you, but I got my surgery at age 52 which is still atypically young for a cataract patient by a couple of decades or so. I went for the Symfony due to its lower risk of visual artifacts compared to a multifocal. The risk is lower in the newest multifocals than it used to be, but not as low as with the Symfony.

I'd initially planned to go outside the US for a trifocal, but decided the lower risk of the Symfony was a good compromise, though more importantly its better intermediate vision since I use that more. Occasionally I still wonder if I should have gone for a trifocal for a broader range of vision since I could have gotten a lens exchange to the Symfony if I had issues, its hard to know if I'd have noticed the difference with the intermediate or not.

My night vision with the Symfony is better than I can remember it being before surgery with contacts or glasses. If you have a monofocal IOL already, you will be functioning as a "monovision" patient and will rely on one eye for reading. I'm finding the range of intermediate vision to be about from 14 inches to I wear readers to get close near vision. It's my feeling that the Symfony is functional as a monovision but would work better if in BOTH eyes.Posted 3 years ago33 users are following.

I have been short-sighted and astigmatic for most of my life. Finally cataracts meant an operation. Before the operation my myopia was I agreed to have a Symphony Toric lens - ZXT - and this was inserted into my right eye four days ago.

My vision began to recover from the anaesthesia after a few hours. Other than a dull ache - which lasted no more than 24 hours, there has been little pain. I have been prescribed antibiotic and anti-inflammatory drops four times a day for the next month.

I did not expect that this lens would allow me to read without glasses and at the moment it looks like my expectations will be proved right. I have previously experienced halos around car headlights and this is unchanged. In addition I can now see starbursts around some street lights. I removed the right hand lens from my glasses after the surgery but, having worn them for a short time, found the distortion to be too great.

Other than for reading, the vision in my right eye is so much better than it was when I was wearing glasses.

How to Satisfy the Unhappy IOL Patient

For the first time in over 60 years I can walk around without them - though I have to be very careful about judging distances on my left. The clarity, the light and the colours I experience with my enhanced right eye are nothing short of remarkable.

Posted 3 years ago. I'm wondering if they may have corrected part of the astigmatism via incision, in addition to the part they correct via using a toric lens. The specs for the ZXT only shows it correcting 2. Any residual astigmatism may interfere with vision at all distances, and account for your inability to read with that eye. Your high level of astigmatism does make good results more of a problem than for most people.

toric lens complaints

Its possible if they corrected part of it via incision that your eye needs time to heal and reshape, and its also possible the toric lens may not be rotated correctly and they need to adjust it.

Its also possible the lens power was off a bit, there is more of a risk the lens power will be off in highly myopic people. If that is the case, they could target the other eye to be a bit myopic, a bit of micro-monovision, to make up for it and give you better near. Your case is atypical in terms of how large your refractive error was beforehand, increasing the risk they won't precisely correct your vision.

Most people who get the Symfony don't need glasses, and those who do usually only require low add readers at times though there is no harm in using readers to get crisper vision even if they aren't needed, to increase reading speed.Written by Dr. Nearly 25 percent of Americans over the age of 40 have cataracts, a condition marked by vision-impairing clouding of the lens.

As high as that number is, consider that the American Academy of Ophthalmology estimates that prevalence will increase to 50 percent by the time they hit After a clouded cataract lens is removed, it is replaced with an artificial lens, called an intraocular lens or IOL.

There are a number of great IOL technologies out there that your eye doctor can discuss with you, but my interest is admittedly piqued by the Symfony lens. Traditional IOLs are effective, but only correct near or distance vision. Most people opt for correction of distance vision and use reading glasses to see things up close. Newer, more advanced multifocal IOLs are able to provide vision correction across multiple distances. But they come with increased complaints of bothersome side effects such as loss in contrast sensitivityhalos, glare and nighttime dysphotopsia.

The first reason is important because the new lenses reduce or eliminate the typical side effects normally associated with multifocal IOLs. Standard multifocal IOLs cater to distinct focal points for varied distances. They offer correction for near and distance objects, but for all the points in between, they are not quite as adaptable.

The Symfony lens boasts no drop off in vision regardless of the distance, meaning that the quality of vision should remain consistent over a wide range of viewing conditions. Multifocal IOLs are considerably more expensive than traditional IOLs meaning that the out-of-pocket cost of cataract surgery will go upand patients often must pay out of pocket for the higher performance lenses. Cataract surgery using traditional lenses is covered by Medicare or insurance and all patients pay are their deductibles, like any other procedure.

The higher cost for the newer technology IOLs is why many people still opt for the traditional technology and simply use reading glasses after the cataracts are removed. But for those who are interested in a multifocal solution after cataract surgery and the potential freedom from all glasses or contact lenses, the Symfony lens could indeed be a game changer.

Check out our article on multifocal IOLs to learn more about this vision correction technology. One of the common questions we get from people is whether or not they can have cataract surgery if they've There are many factors associated with cataract surgery recovery.Posted 2 years ago9 users are following.

Surgeons Share Their Views on IOLs

Hello all, I am scheduled for a cataract surgery in both my right and left eye and am very young 17 years old.

I am very nervous about the type of lens going into my eye due to the possible need for reading glasses at such a young age. Each lens my eye doctor explained to me there may be complications with distance or reading. I was curious about the outcomes any one had based on the Symfony Toric lens. Posted 2 years ago. Hi Casey.

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I'm in the US too and I'm I'm really worried though reading through these forums about glare, and Not being able to see At night etc. I don't know what to do either and I'm l leaning toward monofocal with corrected distance vision. Would love if more would advise about their experience with the topic lense.

I have to admit I know nothing about types of lens, the Optician told me I had cataracts and referred me to the GP who then referred me to a Consultant at the hospital, nothing was ever mentioned about types of lens, they simply did the op and sent me home. Having to be going through such an op is so awful at one so young, first of all the Consutlants must be able to advise on which option to take, I dont think anyone on this site would be able to advise you, if you can get fitted with lens that will cover both long and short sight vision, that will be perfect and surely the Surgeon will know, but if you have to choose then long sight would be best so you dont need to have glasses for driving and if you have to have glasses for reading that would be best, but we all have our fingers crossed that they will fit lens that will do both.

toric lens complaints

You could ask if you can wear contact lens for reading again I dont know if you would have to remove them to drive, They told me before my op that there could be complications, they have to say that to cover themselves but you are young and will come through with flying colours, you didnt say why you were having to have both eyes done, do they both have cataracts and is that the only problem with your eyes.

Please let us all know what they say and further how you are after the op, are you have an op soon. Hi Agnes, this was why I asked what country Casey was in because I believe there is limited availability of Symfony lenses in the UK, though I read that they now use them in Private clinics. I was so happy to hear that it wasnt discussed with you about types of lens, they also told me there could be complications and I had to sign a form or they wouldnt have operated, fortunately there wasnt much of a problem, I can see fine to drive but have to wear glasses to read small print, but I did anyway before my ops, most of the people on this site were told about lens and I find that really strange because they do all the tests on your eyes and they have the relevant information they should then know exactly what would be the best to put into your eyes, obviously everyone would like to have lens inserted that would cover both driving and reading vision but only the consultants would know from whatever test and information they had about you, did you have both your eyes done and is your sight ok, would love to hear.

toric lens complaints

I have now had both of my eyes done, with 30 years in between! They were both steroid induced. I have no problems with that eye. Where people talk about the type of lens implant that they are going to have, or have had, they tend to be in the US or other countries where they don't have the same sort of Health Service as we do.

So in UK do you have to choose either private or public health for cataract surgery. If public no lens options are even discussed or do they assume if you are doing under public health you wouldn't be willing to pay for a different lens?

Toric IOL Cataract Surgery Complete from Marking to Alignment

Or if you go private is the surgery and the lens at the expense of patient? In Canada cataract surgery is covered regardless of your lens selection. We pay only if we want a different lens other than monofocals. We can also take out Private Health Insurance too if we want to, or just pay to go Privately each time we need a procedure. There could be a difference between hospitals in different areas,I haven't looked into it.

Each area has a budget to work to. For any other premium lens which is anything other than a non-toric monofocal lensthey have a pre-set cost for that lens which includes extra payment to the surgeon, hospital, and lens manufacturer above what the medicare or another plan will cover for the simple monofocal lens. An Posted 2 years ago. I thought I'd respond since I've just had one eye done. The NHS in the UK only supply monofocal lenses at the moment, unless there is a medical need for anything else.

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Sorry there was also an option to just get one eye done but then I will have to wear a contact lens in the other since my myopia is too high to allow me to wear glasses. There are a few NHS trusts that allow patients to select a premium lens and pay the difference but not many of them allow this, including mine. I'm still deciding what to do, stay with the NHS or go private for a premium lens.

I could postpone the second surgery as I'm finding I can tolerate using a contact lens in my left eye, which I was surprised at because I never could when I tried them in the past. It's a real shame a 17 year old has to go through this and I wish him all the best in the future.

Thankful Canada's Medicare system pay for the entire cost no matter your age. You pay out of pocket if you want a different lens.Read our important medical disclaimer.

I had a toric Symfony lens implanted in both eyes. In one eye I still have the same astigmatism I had before the implant. The surgeon is recommending a limbal relaxing incision surgery. I am having a lot of night aberrations.

He thinks this could help. Is it possible for LRI to help the night issues and is this the best approach to correct the astigmatism? I'm confused why the toric lens did not correct the astigmatism in the first place. A toric lens implant is an excellent way to correct limited amounts of the most common type of astigmatism an irregularly shaped cornea that distorts vision in a patient who is going to have cataract surgery.

The implant lens must be positioned exactly for your astigmatism. One of the problems with any toric lens is that they might shift position in the early days after surgery, reducing the desired effect.

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LRIs or limbal relaxing incisions— incisions made between the cornea and white of the eye to correct astigmatism were used before toric implants were perfected and are another method of treating astigmatism. LRIs can be used without entering the inside of the eye, but work best for fairly small amounts of astigmatism.

LRIs don't rotate like toric lenses can do. Sometimes we use both toric lens and LRIs at the same time when the astigmatism is greater than what the toric lens can correct. If you want to avoid glasses or contact lenses, the solution your eye surgeon advises is your only option without going inside your eye again. When weighing the risks and benefits, it is recommended that the surgeon not go inside the eye again and instead have the LRI.

Ask a New Question. Not every question will receive a direct response from an ophthalmologist.

Toric IOL Problem

However, we will follow up with suggested ways to find appropriate information related to your question. Medical disclaimer.If you have cataracts as well as an astigmatism, new premium lens implants options are available to help minimize or even eliminate your dependence on eye glasses after cataract surgery. The recent advancements in intraocular lens IOL technology have now made it possible to provide an effective solution for patients that have astigmatism.

Until recently, patients that were IOL candidates and had astigmatism, had no option that would correct the astigmatism aspect of their visual condition during cataract surgery. With advancements in the optics of IOLs the manufacturers have now been able to accommodate for astigmatism.

Many patients suffer from this common eye condition known as astigmatism. Often this astigmatism can lead to blurred or impaired vision if it becomes moderate or severe.

Cataract patients now have an option to see at both near and far distances after cataract surgery!

To toric or not to toric? A cautionary tale

The Cleveland Eye Clinic has six different offices and conducts surgery at 4 Surgery Center locations. The Cleveland Eye Clinic takes almost every type of insurance. We also offer convenient patient financing programs to help patients with out-of-pocket fees.

A Cleveland Eye Clinic counselor can help you to be approved. It only takes minutes! Avon Detroit Road Avon, Ohio Brecksville S. Edgerton Rd. Cleveland Carnegie Ave. Cleveland, Ohio Elyria E.

Broad St. Elyria, Ohio Schedule your eye exam. Wiley, M. Shamik Bafna, M. Thomas M. Chester, O. O Bryan Costin, M.Problems associated with toric lens implants include rotation of the lens after implantation and ineffectiveness arising from placement of the lens in divergence from the axis of astigmatism, explains the American Academy of Ophthalmology.

Occasionally, the implants may fail to fully solve vision problems even when they are correctly placed. The complications of toric lens implants tend to be few and are typically similar to those associated with cataract surgery, suggests the American Academy of Ophthalmology.

The twin problems of rotation after implantation and poor placement are generally easy to correct. Infrequently, properly placed toric lens implants may fail to fully rectify astigmatism; in such cases, laser vision correction and other forms of visual enhancement procedures may be required. Because toric lens implants are only effective for a particular cadre of patients, a stringent assessment and selection process typically precedes treatment, explains the American Academy of Ophthalmology.

Patients likely to benefit from toric lens implants include those suffering from regular astigmatism; the implants are ineffective for treating irregular astigmatism.

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While both types are effective, Alcon's AcrySof, manufactured from acrylic, is preferred for its stability and resistance to rotation, suggests Dr. Ralph Chu, a cataract and refractive surgeon practicing in Bloomington, Minnesota, in an article for the American Academy of Ophthalmology.

Home World View. What Is "rotational Motion"? How Do Day and Night Occur?


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