Hello Dear Dr. Cohen, Could you please recommend the best convenient intra ocular lens for a monocular patient who has high myopia and his retina had argon laser because of tears? Thank you very much. Best regards,

I had LASIK when I was 25, but I am 43 now. Right eye is still perfect, but left eye drifted to -0.50 which makes distance vision ever so slightly blurry especially at night. But my mid and close up vision is still perfect in both eyes. I dread the day when the presbyopia hits cause I'm at that age. It would be a dream come true if they ever invent an IOL that truly "does it all" but probably won't happen by the time I need them and I'll just have to choose the best one out at the time. I don't have a question, but only the comment that I hope better IOL's are in the pipeline even though the ones out right now already seem like a miracle of modern-day medicine.

Good luck😊

Hi..im in difficult situation hope you can help me and give me an opinion..i implanted a trifocal lens caleron panoptix toric..i had posterior polar cataract my capsula is open and the doctor fix the lens with optic capture..the lens is perfect in place said my doctor but i see blurry..i have 21 days that i did the surgery..form that he says and i have undetstand near i can see well and clear far away blurry ..this lens is not fixing my astigmatisem and is supposed to fix it..before surgery he misure my cilinder and order this lens ..he controll again now my ciinder ond probalbly the lens parameter is not correct to fix my astigmatisem..he said to me we wait 3 or 4 month and then we see id can use lasik but even this can garanted that the blurry will gone ..he say my number astigmatisem is now 1.5...i dont now the trigocal lens has other problem colors and night problem...give me an opinon what to do if this doctor could not use a trifocal lens in my case and did a mistake..after 3 months i change lens and impland toric monofocal lens..or keep this and use lasik but dont garante me the blurry will go ..after a lasik is possible again to do something if things dont fix..pls i need an opinion

Hi..im in difficult situation hope you can help me and give me an opinion..i implanted a trifocal lens caleron panoptix toric..i had posterior polar cataract my capsula is open and the doctor fix the lens with optic capture..the lens is perfect in place said my doctor but i see blurry..i have 21 days that i did the surgery..form that he says and i have undetstand near i can see well and clear far away blurry ..this lens is not fixing my astigmatisem and is supposed to fix it..before surgery he misure my cilinder and order this lens ..he controll again now my ciinder ond probalbly the lens parameter is not correct to fix my astigmatisem..he said to me we wait 3 or 4 month and then we see id can use lasik but even this can garanted that the blurry will gone ..he say my number astigmatisem is now 1.5...i dont now the trigocal lens has other problem colors and night problem...give me an opinon what to do if this doctor could not use a trifocal lens in my case and did a mistake..after 3 months i change lens and impland toric monofocal lens..or keep this and use lasik but dont garante me the blurry will go ..after a lasik is possible again to do something if things dont fix..pls i need an opinion

Nice watch

Must I take the advice and options given to me by my ophthalmologist based on possible lenses which are appropriate for my eyes based on astigmatism and on the availability of lenses offered at this well respected eye center where I have recieved treatment for many years. When I asked about other lenses offered, which I saw discussed online many times, they either said it's not an option or something they offer or it wouldn't be recommended for me. Basically I am asking if I should just accept the 2 or 3 options given which do not include adjustable lenses or different lenses in each eye or many other manufacturers lenses with good reviews, and instead just choose for the options they tell me are best for me? Sorry I didn't work this too well. Last year I went in with lots of questions and different lenses to ask about and ended up feeling that my research was a waste of time cuz the bottom line is that I either get full insurance coverage on the standard distance lense combined with close up glasses. Or I buy the toric lense and use it for either close up vision which would require distance glasses. Or I pay even more and get the multifocal and supposedly improve close up and distance vision but also I would see halos and may still need reading glasses. I felt very scared and overwhelmed at the thought of surgery which is so final and life changing because I was afraid to make the wrong decision and afraid I wouldn't be able to see very fine detail or read the computer afterwords without glasses. I have only worn distance glasses and worry that I can't adjust to close up glasses especially to see the phone and computer. So they recommended the toric lense to improve my close up vision but I'm worried that I still won't be able to clearly see distance especially at night even with glasses after the surgery. I can't visualize, no pun intended, how much improvement or less blurry my vision will be if I only improve my close up vision. I know this is a less common option. Can you please help me better understand what to expect if I get that lense. Can you help me figure out what to ask the doctor when I go to see him in 2 days. I really can't put this surgery off any longer. I feel like I'm going blind. Thx so much. I didn't give you any specific lense names cuz I wanted to know what you suggest. But I can look at my notes from last year and let you know. Also have any new lenses come onto the market in this past year that I should be aware of. Thx again.

I love being myopic. I don’t understand people that want to wear glasses while reading, on your iPhone or watching TV. That’s half your day. I’m 68 and don’t wear any glasses. Also, Distance is still 20/40 . I have minor cataracts according to my Dr. but vision is clear. She’s says I could need surgery in 5 years, 10 years+. She said no idea how fast they progress.

hi ..just a quick question I'm short sighted and booked in for surgery next month to get mono lens replacement ( both eyes) , my question is that my vision up close and probably arms length is excellent ..will this change after the lens is put in or will i need weak glasses to see up close ? the whole point of me getting lens replacement is to get away from glasses but only wear these for driving and long distance.

Hi, I'm turning 15 years old in a couple months, I have 20/20 vision but I have an astigmatism (Can't see far but i can see close). I want to be a fighter pilot and I don't know if I need to have lasik. By the time I'm old enough to have it, what are my chances of having 20/20 vision without glasses or contacts?

Hi DOC. I HSD coARAC 🎉DE

Very good presentation

Great suggestion!

Transprk for the win

Lasek is the safest way to 20/20! Just say no to the flap.

Aging sucks. I cannot believe I got this when I had a 20/20 my whole life. I’m so depressed

Great video Dr. Cohen. Have you implanted a monofocal lens paired with a Vivity Lens. Would that help guarantee great distance and mid range or can I get that with monofocal's alone?

I took flomax for prostate enlargement issue during passing a kidney stone and got a strange eye effect. I Stopped flomax immediately and the eye effect also stopped. Flomax can cause floppy Iris and you should tell your eye doctor before cataract surgery.

I wish I had a doctor like him during my surgery; my experience was pretty traumatic, and the post-op recovery was terrible. I had an injury in one of my eyes, and the pain was very intense. The next day, the doctor placed a contact lens to help my eye heal faster. Just when I thought everything was over, the doctor noticed a problem with my other eye 😅, and they had to repeat part of the procedure. Luckily, everything went fine the second time, but I was really anxious. It would have been amazing to have a doctor like this one, he inspired confidence. My doctor, on the other hand, seemed clueless. I’m happy with the results, though!

I did prk 3 years ago. Got a retinal detachment 4 months ago and had a surgery with silicone oil in left eye. Got to know in turn that I have glaucoma now in both eyes. Dn’t know when this developed. And there is already 40% nerve damage. Does glaucoma happen because of prk? I have no family history of glaucoma. I have just 26 yrs old.

I was born like this

I have pretty nasty astigmatism. I’m near sighted too, but one eye has worse astigmatism, and the other has worse vision. I’m glasses for life. With the horror stories I’ve heard about Lasik? Absolutely not.

I would need special lenses for mine in particular. However, when the doctor put them in for me, he almost immediately came to the conclusion they don't fit, my eyes are too messed up.

I’m -2 in both eyes I can’t see far and I’ve been approved for smile or Lasik ??

@cohenlaservision cornea thickness is 480nm something I am selected hospital in india Dr.Agarwal eye hospital?? I have one more question sir epi Lasik is a future side effects yes or no??? Sir plzz tell me

Sir my eyesight is -1.50 epi Lasik advanced is better.... like a my dream job army and police officer (cops officer) so no medical issues???

Sir my eye sight is -1.50 epi Lasik advanced is better.... like a my dream job army and police officer (cops officer) so no medical issues???

Sir my eyesight is -1.50 epi Lasik advanced is better.... like a my dream job army and police officer (cops officer) so no medical issues???

Adjustable Lenses (LAL) - My Personal Experience - No prior issues and or surgery’s.. As someone in their 50s who still snowboards in the BC mountains (big falls, rapid impacts), weight trains (heavy) four days a week, and spends significant time working on my laptop and dual screens, it’s important for me to understand the nuances between the different IOLs. Also worth noting, that I have been deemed a candidate for the Light Adjustable Lens (LAL). Since then, I have been desperately seeking an alternative point of you regarding this technology. While it sounds groundbreaking at first, I’ve come across some significant concerns that I think more people need to hear about. Let’s uncover what I call “the dragon in the details” when it comes to this lens. The Adjustment Process: The Hidden Catch The adjustment process isn’t as simple as it sounds. Most surgeons start by setting both eyes to Plano, meaning they initially prioritize distance vision. Then comes the tweaking stage, which involves multiple UV light treatments to refine your vision. In my case, what wasn’t fully explained, or what I may have misunderstood, was how significant these tweaks can be. More specifically, some patients end up with mini-monovision, blended monovision, or even full monovision during these adjustments. Why? Because the adjustments can range anywhere from 0.25 diopters to 1.50 (or more) per eye. For anyone unfamiliar, mono-vision, it means one eye is optimized for distance while the other is set for near or intermediate vision. And here’s the kicker: Approximately 20-30 percent of patients struggle to adapt to monovision. Some can’t tolerate it at all, experiencing issues with depth perception, eye strain, and overall discomfort. This is definitely me, so no monovision. However, I’m not clear on whether blended vision will work. The Dragon in the Details: My Expectations vs. Reality For me, the biggest issue was not fully grasping how much the adjustments could impact the final outcome. Even with the adjustability that makes the LAL unique, achieving balanced vision across all distances-near, intermediate, and far-without glasses often means embracing some level of monovision if I understand correctly?? (Hopefully I’m wrong). Additionally, while the promise of adjustability sounds fantastic, the process can be tedious and involve multiple visits. You might find yourself chasing a vision goal that feels elusive, all while unknowingly being nudged toward monovision, even if that wasn’t your original goal. The Alternatives: Are There Better Options? This brings up an important question: with so many advanced lenses and technologies available today, is the LAL really the best choice for most people? The real question here is this particular lens already outdated simply because of the sophisticated testing equipment? More specifically, with pre-op testing being so good these days are we able to get the testing right or is there truly a need for this Len ? I’m currently also considering the Johnson & Johnson TECNIS Odyssey lens that you mentioned in this video. Additionally, I’ve been told by another ophthalmologist, who has performed over 100 surgeries on his own colleagues, that 95% of them opted for monofocal lenses ( very interesting )rather than more advanced options like multifocals or the LAL. I’d love to hear your thoughts on why that might be and how this fits into the broader conversation about these newer lens technologies. Since I know you’re unable to evaluate my specific situation, I’d still appreciate your general opinion on what lens or approach you think might be best based on what you’ve seen with patients who have similar needs or lifestyles to mine. Disclaimer These comments reflect my personal opinions and experiences as a candidate for the Light Adjustable Lens. It is not intended as medical or professional advice. The views shared here are based solely on my perspective as I navigate this process and may reflect misunderstandings or unique aspects of my experience.

I have absolutely no memory of what happened during my recent surgery - all I remember is lying down and being given warm blankets. The anesthesiologist told me beforehand that she would use versed and fentanyl or rarely propofol. Would those account for loss of memory?

My father in law is going for his final appointment with regards to cataract surgury. He is 84 and I had recommended that he goes for the upgraded IOL lenses. He is not sure which set to get and I get the strong feeling that he doesn't want to spend too much money. He recently bought a really nice suv, he enjoys driving, but has had to greatly reduce the amount of drivng due to vision. What lenses would let him enjoy extended driving at his age and beyond? I need to convince him that the extra cost will be worth the benifits of being independent for his future. Thanks for the video.

Can you please advice on corneal neuralgia?

Prk ya icl m best kon sa h

Well made educative video. Super . One question what about bi segment progressive lenses ? It comes under which category bifocal or mutifical ? Is it too expensive ? How about its performance compared to all other type IOL s

Doctor i am 38 y old i have cataract please suggest me best iol which best day/night vision cristal clear or no problem lifetime just like glsitening,pco ,glare,rings,halos,or dryness i want the best distance and intermediate and functional near vision which lens is suitable for me please dr kindly sugges me if the patient is from you family which lens. You suggst i wait for you answer some doctor go to clareon, some says techness eyehance some says bause and lomb LI61AO which one is best in your opinion ot you suggest some one other i confused please guide me

The nostalgia is hitting hard

Hi, why non-Contoura if astigmatism is greater than 4 diopters? I have -2.75 CYL in the right eye and -1.5 CYL in the left eye. My right eye has -0.5 SPH and left eye has -1.0 SPH. What is my best option? I'm considering contoura vision. Waiting for your response, thanks a bunch!!

My doctor suggested prk or smile after doing various tests. I am very confused.. pls suggest which is best.. my power is -6.. Thanks in advance doctor

Sir can you tell me between Acriva trinova (sinusoidal trifocal) made by VSY biotechnology and Alcon panoptix which one is better ? Couldnot get any review for Acriva trinova intraoccular lens on youtube. My doctor has suggested it for my mother.

If you get one type of implant lens for one eye (e.g. EDOF or multifocal) is it best/recommended to get the same type for other eye?

I'm about to get one eye done that has a mild cataract. I'm told I have a .75 astigmatism (I only wear reading glasses so far - mid 60s) so while I'm considering the basic, the doctor is suggesting the Toric monovision, but with LRI because the Torics he has used only treat >1.0. There are recently approved Torics that go lower but he hasn't done any. I prefer not to have the extra cut in my eye because I have Sjogren's Syndrome with mild eye dryness, and don't want any additional risks to make it worse. More cuts, the more risk...? I'm not sure what I'd even gain with the old Toric since I don't currently wear glasses for mid or distance vision and my vision will change for the worse with more age anyway. Do you think the newer Torics for <1.0 are worth trying or stick with basic? Should I be concerned that my doctor hasn't done one yet? I am a photographer and prefer more accurate vision. I use the close-up diopter in my camera presently. I also use a shotgun for sporting clays, so accuracy for distance matters, although that's just for fun - less crucial than photography. ALSO, have to mount the gun along my cheekbone, and the recoil can be rough, so how long shall I let it heal before resuming that activity afterwards? A week, or a month? Thank you!

Can toric lenses nor only correct astigmatism but also give a choice to be either monofocal, multifocal or EDOF.

Hi my cornea thinkiness is 458 micro m and suspect keratonoeus what is the test suitable for me and what are the side effects of icl surgery with compared to prk

Dr can I have prk after CXL, am -3 myopia, and a VA of 20/10 glass best corrected visual acuity.?

This has been around for quite awhile. I e been an ophthalmologist patient since I was born. 3 cornea transplant later and other surgeries

THANK GOD

Eye butcherer with big nose.

Cohen...jewish butchurers as usual ...

I chose monofocal lens. I wanted 100% light going to retina. As you age (73) less light reaches retina. I have sharp distance and contrast vision. Night driving is so bright. I don't mind readers. Very happy with monofocal lens

Sir i have lazy eye with eye sight -0.75 can i get this clear and get 6/6 vision by using laser treatment