Is Laser Cataract Surgery BETTER than Manual Cataract Surgery? The final answer.

2012: 1st Laser cataract surgery in Austin, TX: • First laser cataract s...
2021: Complication management related to femtosecond laser cataract surgery: • Goretex suture fixatio...
Disclaimer: I have no financial interest in the products discussed in this video. Laser cataract surgery and laser lens replacement are safe and highly effective. In my hands and in my experience, manual surgery is safer and more effective and more cost effective than laser assisted lens or cataract surgery.
00:53 Background and experience with cataract surgery
1:25 Femtosecond laser assisted LASIK surgery
3:00 Femtosecond laser assisted cataract and lens replacement surgery: Why use it?
4:52 Downsides of laser cataract surgery and laser lens replacement
6:13 Scanning electron micrographs of femtosecond laser vs manual capsulorhexis
6:55 How we made the decision to choose manual surgery over laser surgery
9:08 Is laser cataract surgery better than manual cataract surgery? My answer.
9:30 Laser vs manual pros/cons chart
11:11 Changes to our practice since transitioning from laser to manual premium lens replacement and premium cataract surgery

[@barbarasquyres9563]

I was under the impression by my ophthalmologist that the laser was far superior to manual because the laser type cost $2000 out of my pocket and the manual type is free this was an eye-opener

[@EyeBalz93]

We looked the at the Femto years ago in our practice and decided it was too expensive (for us and our patients), too time consuming, and provided little, if any, benefit to the patient. Good surgeons don't really need the laser to get good results. Cudos to Dr Wong for stating it like it is. Sadly, many eye surgeons use Femtosecond laser assistance as a way to charge more for the same surgery with little to no benefit to the patient....in my opinion.

[@manuellactaotao5364]

@@EyeBalz93 m

[@freethot333]

I'm 71 years old and will have my left eye repaired with the Symfony lens after an Amazing result with my right eye surgery 2 weeks ago. My doctor had also abandoned the laser cataract method some time ago for the same reasons explained here. I now have sharp clear and almost "shockingly vivid" color vision from 32" to infinity in the right eye. I feel as if I've never seen as well in my whole life! Cheap reading glasses (+2.50) gets me sharp vision at 12 inches (although until I get the left eye taken care of, I've popped the left glasses lens out to balance both eyes :) This is "life-changing"! Thank SCIENCE! :)

[@summersez1673]

Giggled while reading this as I did the same thing. I sit here now missing the left eyeglass lens so that I can see out of my right eye with glasses on. It's funny how people look at me when we go out to eat or to the grocery store as if maybe I don't know I've lost an eyeglass lens. 😂😂😂

[@johnhaggerty8023]

Thank you so much. I’ve recently had this done. In my mind it is a miracle, and I can’t thank my surgeon enough. Thank you for your honesty and your search for a better, more efficient and safer way of doing the procedure. John Hudson, Wi

[@norama3998]

مُريح جدًا الاستماع إلى طبيب فيه أمانة و صدق في كلامه و نصحه للمرضى .. شكرا دكتور على اهتمامك بمرضاك ..

[@miriamamie8721]

Much appreciated honest assessment of FemtoSecond Laser vs Manual cataract surgery. I look forward to your updates.

[@TorontoRealEstateAgent]

Thank you very, very much Dr. Wong for putting out such honest, transparent video comparing laser and manual cataract surgery 🙏🏼 I found your video through a reddit forum and your in-depth explanation of both procedures along with their pros and cons has tremendously helped our family in making a decision for my Dad's upcoming cataract surgery. Our family felt very pressured by the ophthalmologist referred to us, to go with a laser procedure as claims were made by the clinic that the laser procedure is safer, quicker, and more accurate method. I wish there were more doctors like yourself who offer transparency backed by the research and experience, rather than the generalized (false?) claims that are likely made in order to drive more income to that clinic for a specific add-on procedure that is not necessarily beneficial to the patient at all. Thank you again Dr. Wong 🙏🏼

[@prashantpanda5736]

Salute to u sir for your open and honest statement. At the start of video, I thought it would be another advertisement for going for FLACS, but I was blown away by your honesty and truth. I have also felt the same but couldn't comment on this matter as I do not have femto setup with me. So all my comments doesn't matter as it would seem to be prejudiced. But coming from your mouth, I think it's a great boost for us new surgeons with limited resources to do well in cataract n lens replacement field in ophthalmology!!! Thank you for elevating our confidence with your kind and unbiased videos Regards, Dr Prashant Odisha, India

[@dionst.michael1482]

Thank you. Just had the traditional surgery on my first eye. It was covered by OHIP. Doctor talked me into getting a better lense and was able to get it covered through a 'compassionate care' program. I thought I was missing out but you make me feel much better about the future. Will have the second eye repaired in a month. Can't believe how this experience affected my life. You guys don't get near enough credit and praise for giving folks their lives ans careers back. God bless every one of you for what you do. I'm truly grateful. And thanks to my surgeon and his amazing team, Dr Buhrmann-Ottawa General Hospital

[@everythingviral972]

How much of your vision did you get back? I have to get cataract surgery at 34 because of diabetes, which I only got a year ago. I'm only on ODSP. I don't know what type of surgery I'm going to get, still haven't even seen an opthalmologist, just an optometrist who told me I had cataracts I've lost so much of my vision! It's scary. I want the surgery yesterday! The manual one makes me cringe. Apparently you can't feel anything? Any answer would be appreciated.

[@dionst.michael1482]

@@everythingviral972 Oh, my vision is perfect. Better than perfect. If I had to do it again it would have been nice to afford the option of getting the bifocal lense so I could have had completely free of glasses vision but as it is (needing vision correction just for reading or for things close up entirely) my vision turned out amazing. And the extra for the better lenses was well worth it. I noticed how much more brilliant colours appeared to be right off. It was a real novelty at first although that has worn off but my vision itself is great. I’m grateful for it too. A new appreciation for it it.

[@monicahurley2224]

Thank you for sharing your experience ❤

[@steveandtammyb]

Thank y’all for sharing! I’m about to have my cataract surgery in three days and I was worried because I knew that mine was not going to be laser. This video and the comments help allay my fears some.

[@omerhanif9358]

Thanks for such an honest review! I always look forward to your videos!

[@mikehenry89]

Will definitely recommend you and your team to friends and family in Austin. Love the videos. Keep up the great work!

[@CheeseMaster524]

Agreed

[@Anco3496391]

Thank you so much for this video. Presently, I am struggling with blade and bladeless cataract surgery at 74 years of age but your video and the reasons you presented made me decide to have manual surgery. Now, my challege is to identify a surgeon who can perform such surgery. Thanks again.

[@siliveliosakalia6397]

This is a great video for the people of the world to see especially the people who suffer from eye surgery. Your explanation I think helps both parties in the service of archiving and healings process accuracy. Thanks very much sir. God bless you and your service.

[@davidwayne9982]

THANK YOU for this--- I greatly appreciate the honesty... I thought it would be better too-- but now that I saw this- I'm changing my mind and going with STANDARD surgery... PREMIUM lenses but manual surgery!!! THANK YOU AGAIN... and I checked- my doctor uses one of the TECNIS lenses-- and I think I'll go with the best on of those.. I've talked to several of his patients-- and they all LOVE it...I found NO negatives ANYWHERE... THANK YOU AGAIN. Dr. Reeve is VERY well known in this area--

[@janetphillippe5217]

I can't thank you enough for your honest opinion Doctor. I have catterachs and glaucoma in my left eye. My doctor is treating the glaucoma for two months then I see her again. I have very little vision in my right eye so it is absolutely imperative that this surgery be successful. I have been reading every thing I could find relating to both surgeries but was still confused. Now I know for certain my choice is premium lenses but manual surgery. I am ever so grateful doctor for your honesty and guidance. J.Phillippe

[@billygross1597]

I can honestly respect a cataract surgeon who can give unbiased data reinforced answer , putting it all on the table, by watching numerous videos from you ,my apprehension and anxiety for my pending cataract surgery has gone from high of 100% to a comfortable 1 % now , I thank you for your layman's terms of what to expect,how it's done and what to look for post surgery, I have type 2 diabetes, and suddenly my vision drastically changed within 2-6 months from my last vision test, it was rather odd though ,for years pre diabetic I could only see fine print with the aid of # 4 magnification dollar store reading glasses, then 1 day I could read fine print without glasses! Then I started noticing more & more floaters, some short,some long that I truly thought were spider's webs that were longer,thicker, and would go from 1 side of my eye to the other,all that lasted for 1-2 months the the scary part made its appearance known ,the cloudiness , which is getting thicker daily, I got tested 8 -30-2022 and it was confirmed cataracts, my next appointment with the surgeon is 10 -11-2022 which is frustrating as I caught my spouse cheating after 20 yrs,but Dr's orders not to drive any more till my vision is better, my ex has done an excellent job of separating me from family,friends and any support, I just can't go get groceries,Dr appointment 's,pharmacy ,I can't locate my new checks as I can't see them, so I have to get money orders to pay rent,back rent,& lawyer fees from a permanent injuction, because I couldn't see well enough to paint the exterior of my house and they knew I was struck with heat stroke 2 times within a 2 month period, on an extension ladder is the last place I should be , I'm on a fixed income ,so there nothing to give to some one to incentive them to take me where I need to go,and bring me home, in calif everyone is only concerned with them selves, neighbors won't make eye contact out of fear, so I'm left to blindly fend on my own,after I see the surgeon it could be another 30 days before I could get the surgery, which could realistically be 90 days from diagnosis to surgery, there are 3 facilities here operated by the same company and I was given the earliest appointment, and as my eyes get progressively worse daily , and with no help, you can see my problem, on a previous Dr appointment I found a guy where I live & bought him lunch in exchange for his trouble of taking me to an appointment, he leaves in my car and gets a spare key made, and after I go to sleep ,he comes by unlocks the car ,puts it in neutral and pushes it down the street, so my car was (borrowed )from 8:30 pm till 5:30pm the next day, my car was brought back with the check engine light on,no oil ,no transmission fluid, the passenger window won't roll down ,the drivers window is off the track, so I had to end that situation, I pressed charges , but due to overcrowding he was let loose after 1 day, gotta love our justice system.

[@samipforreds]

Appreciate your honest review.

[@hokw8882]

Thank you Dr Wong for your candid and honest discussion on the issue. I will certainly refer my patients to this video the next time someone ask me about "laser cataract surgery". kudos to you!

[@karenconstantine334]

Great video… thank you I feel so much better because of you. My insurance only covers the no laser surgery and I was afraid of that

[@tqkirk]

Nice analysis. One issue not addressed in your analysis is any comment regarding the differences in the femto laser platforms. I used LensX for several years and had many incomplete rhexis and issues with a few wrap arounds. I've used the Catalys laser for the past 4 years. I have not had any significant issues with the capsulorrhexis quality with the Catalys even in very mature 'catarocks.' We also have the Catalys in a modified clinic room where the doctor in clinic can do the femto so that the surgeon in the OR can remain efficient and OR flow is not impaired.

[@zentex8877]

Very good explanation, well reasoned and clear. I’m sure this will help many patients with their cataract surgery decisions.

[@popogejo7245]

That's it! I'm going with the manuel, never did trust the hi-tech anyway

[@mydoghitler]

i appreciate that you share so much knowledge as if I am one of your patients. My own Ophthalmologist could learn a lot from your "bed side manner." He spends no more than 5 minutes with me (2 visits so far and surgery is scheduled next week) and his staff appear to be very low level knowledge or at least it seems that way to me. A very important point you made in another one of your videos is to consider the type of practice - I sure wish I knew that before signing on with him. If he sucks doing my first eye, I will look into finding a private practice doctor to do the other. Thanks for caring and sharing

[@SiggyMe]

This no pun intended an eye opener you have convince me that I could save a lot of money and invest that into a better lens. Now I have to determine how to pick a surgeon that has excellence manual skills. Thanks so much!

[@dintoons1]

Excellent explanation and comparison! Thank you, doc!! :)

[@StevenGSafran]

Glad to see that you have created this video and I am of course not surprised by your conclusions. This is the direction I always thought that this technology would go once people realized what a ridiculous waste of time, money and resources femtosecond laser for cataract surgery is. The only thing I would disagree on is the role of astigmatism management where I believe that the laser arcuate cornea incisions for astigmatism over time are less safe and more likely to create problems and overcorrection (or no correction) than limbal relaxing incisions placed at the limbus with a blade by a skilled surgeon. I have seen many patients on referral with wild over corrections and irregular astigmatism due to laser arcuate incisions that are causing microdehisence patterns like a cornea laceration would. This is very difficult to fix. You simply do not get this with incisions at the limbus with a blade because of the presence of a circumferential reinforcing ring of collagen there that is not present in clear cornea. We learned this a long time ago and it's why most surgeons abandoned cornea arcuate incisions and RK in the 90s. The laser turned a lot of people back to doing cornea relaxing incisions which we KNEW were not stable, accurate, predictable or safe long term and I am seeing the consequences of that now in my referral practice. Seeing Doctors with great influence with your peers like you have Shannon...who are willing to realize the truth about this technology and share it....even after tremendous personal investment and commitment to the technology is very heartwarming and gratifying. Thank you for your honesty! Respect!

[@ShannonWongMD]

Steve, We agree!

[@jgunther3398]

About a year ago I had surgery the old-fashioned way and it was truly life-changing, from living in a dust storm, to the sharpest vision of my life which almost seemed supernatural. My only complaint is macular edema as a side effect which is about under control now but could have been caught earlier. I was treated by a retinal specialist in a different office. I had the distinct feeling the office that did the surgery actually did not want to catch complications, would prefer to sweep them under the rug, and did not follow up as thoroughly as they could have. Something to avoid trending toward. P.S. Dr. Wong, I lived in Austin 10 yrs ago. It's on my short list of great places to live!

[@shelleydee6217]

Hi Doctor! I had LASIK done some ages ago. I am now diagnosed with cataract on both eyes. Is doing the manual cataract surgery still safe for me? Since this is my first year, is there an eye drop that can prevent it to get worse? If can’t be prevented, how many years do I have to wait to avail such medical treatment such as yours that my insurance will cover? Thank you in advance.

[@StevenGSafran]

@@shelleydee6217 Manual cataract surgery is as safe or safer for cataract surgery and it really doesn't matter if you hae had previous Lasik in this regard. The only real issue with having had previous Lasik is with the accuracy of the intraocular lens calculations which requires some special formulas and measurements with adjustments made for the cornea having had Lasik but that does not really affect the surgery itself. As far as the time frame of needing cataract surgery, that would need to be determined by examination and discussion with you based on the rate that you are getting worse and your desire to see better which is on an individual basis.

[@superquig7068]

Excellent, thoughtful analysis and discussion! I had PanOptix lenses installed in December 2020. It was an elective surgery for me (I did not have cataracts - it was a lifestyle choice - for vision improvement). After researching manual versus laser assisted surgeries, I also came to the conclusion that the outcome depended most on the surgeon. To control cost, I elected to go the manual route which saved me $3000. My outcome has been great. That said, I have always wondered if my vision could have been even better had I gone the laser-assisted route. Your excellent discussion has allowed me to move past such thoughts! Thank you.

[@Allan-et5ig]

What would have been "even better?" 20-15?

[@superquig7068]

@@Allan-et5ig Yes. They are often hitting 20-15 with the latest high-end LASIK surgery.

[@argon805]

Yes, very helpful, thank you. The last opthalmologist I went to is old school and outrightly said he does manual.

[@rustyboy46]

Wow excellent analogy of these two quite different procedures. Having cataract surgery myself at the Magruder Eye Clinic In Florida .

[@FrugalAggie]

Thank you for a very honest review. I would trust you with my eyes.

[@balloney2175]

I just hope you are still practicing/around by the time I needed your expertise.

[@DeahCurryPhD]

Just have a cataract eval 2 days ago and left totally freaked out when the surgeon recommended the traditional method because, he said, my astigmatism wasn't bad enough to warrant a Catalys procedure. He didn't explain anything about the difference and the idea of having a manual method with a human poking sharp instruments in my eyes sent me into a panic attack. This video has been very helpful in calming me down. Thanks for such a thorough and easy to understand explanation.

[@michaelcoady828]

D0es it hurt

[@terrymccleery3497]

Thank you very much for your time and sharing your knowledge and calming us down.

[@nancywong2532]

Thank you very much Dr. Wong

[@michaelmcginnin1126]

Super helpful!! Thank you Dr. Wong.

[@curtispierre3018]

"Our vision? Perfecting yours!" Love it.

[@glendaamante9002]

Thanks for the info regarding the advantage of manual cataract surgery.

[@Lipurl73]

Thank you for your video. It is very helpful in our decision to see which is best.

[@glendakeglovitz2838]

So glad I watched this..my surgery is August 8th 2o22 Thank you so much..my insurance only covers manual..

[@davidwayne9982]

Wish I were close enough to come to you for my surgery- but can't. But- Ive' researched a LOT and Dr. Reeve in tihs area is virtually FAMOUS for being the absolute best anywhere around here.

[@johnroy9654]

I had my premium cataract iols done 5 months ago in Florida. The practice I went to made a HUGE deal about the fact that they used the Femto LASER and used it to sell the procedure on me. They strongly pushed the idea that it was superior to the manual method. HOWEVER... when he did the surgery, I know that he did NOT use the Femto LASER. In fact, I could feel the pressure of the sapphire tipped tool making the incision into my eye. He also said he did PRK to eliminate the astigmatism that I had, which I know was a lie, because I've had PRK done twice in the past, and PRK involves 3 days of agonizing PAIN. There was NO pain after my cataract surgeries. I am not upset that he did not use the Femto LASER, I am upset that he lied to me and sold me on his higher than normal fees based upon the premise that he was using the Femto LASER.

[@regal953]

Was it Florida vision?

[@pradipmohanta9321]

Thank you, it is a bold statement, in favour of manual cataract surgery. My respect to you doctor, Pradip Mohanta

[@ShannonWongMD]

Thank you Pradip!

[@thomasca7606]

@@ShannonWongMD Thank you very much for your video. I also have great respect for you doctor Wong. If I have a white cataract, please advise whether I should go with manual or laser surgery? Thanks so much again, and I really appreciate your help.

[@CATownsend777]

Thanks for this info. Now if Medicare will only go the distance, covering the cost with the best lenses, i.e. toric lenses, Multi distance lenses, then many Americans could get the best outcomes. Instead, only the upper class can aford the additional costs for the best lenses. Seniors are already short changed on their monthly dividend payments as it is. There is not enough money for the surgeries. Its pathetic what Medicare will not cover.

[@VanLe-ex8hr]

This is a a real n respectable doctor who is more confident in manual procedure. It's understandable because machine is driven by s/w programs developed programmers based on predefined scenarios/possibilities. How can we be sure all possibilities being catered for, and this is the problem when a new condition is encountered.

[@UdayDevgan]

great video Shannon! well done.

[@ShannonWongMD]

Thank you Uday!

[@zack_120]

A very responsible professional 👍👍👍

[@damonmelendez856]

Thank you Dr. Wong, excellent presentation

[@KrystalClark-bz1yx]

I am so glad I found this video. My ophthalmologist prefers to use laser surgery, but when I realized that no insurance pays for it, I could not understand having to pay so much money out of pocket for the procedure. After looking at this video and researching further that the outcome is pretty much the same, I did do with the manual procedure using the Limbal Relaxing Incision. I had my procedure this morning. So hopefully everything continues to get better. So far everything seems to be going well.

[@naticeja8849]

How has it gone? My fiancé is debating on doing manual or laser but the cost for Laser is ridiculous

[@phenomenalfemale524]

This Doctor stands out for all the right reasons. I wish there were more doctors (and dentists) like him who offer transparency. I want the truth from healthcare providers!

[@valanaschomer221]

This was REALLY helpful.

[@shooshenchula692]

Thank you Dr Wong for your expertise and doing this video. Im having surgery on 12/19/2022 on my left eye.

[@HeyitsDee]

Tomorrow I'm going to a new ophthalmologist after being diagnosed with heavy cataracts last August by a sketchy ophthalmologist who scared me to death. Laser surgery isn't covered by health insurance, so I'm glad you aren't recommending it, but because of you, I now have tons of information going forward with this new doctor. Thank you, Dr. Wong.

[@ShannonWongMD]

Use of the femtosecond laser for cataract is safe. In my hands and in my experience, manual surgery is safer.

[@HeyitsDee]

@@ShannonWongMDIf only you were closer to Connecticut: I need a knowledgeable, honest, and calming doctor like you. Thanks again.

[@myobmyob2215]

So manual surgery itself is covered by ins, and the special lens are not, right? Thanks

[@thomasca7606]

@@ShannonWongMD Hello Dr. Wong, please advise which method is better to avoid retina damage? Thank you so much for your help.

[@dennislee3399]

I can not agree you more. Thank you for your sharing.

[@oseasviewer7108]

This video was very informative - and has given me confidence in the manual procedure of lens extraction - having had LASIK surgery 18 years ago I was very aware of risk on multiple levels. The outcome was relatively positive at the time achieving monovision - nature however determined that reverting back to previous status quo was in order progressively undoing the correction over a period of 5 years.

[@gerardlunow567]

Great information. Trust a human more than technology for this particular surgery.

[@TheRandomDave]

Excellent evidence based information. Thank you for presenting your experience in this video.

[@ShannonWongMD]

My pleasure!

[@paul8888888888]

As a fellow cataract surgery, I appreciate you having the courage to give an honest opinion which goes against industry and many of your fellow surgeons. The Oath we took was "first do no harm." I feel that the use of laser cataract surgery causes both medical and financial harm to our patients. As I explain to my patients, "Laser-assisted cataract surgery may help bad surgeons have less complications, but in the hands of a good surgeon is completely unnecessary." It serves as a way for some to counter the ever declining insurance reimbursements, which should never drive our decisions in patient care.

[@ShannonWongMD]

Posting this video required no courage actually. I just had to share the evolution of my thought process and what I believe to be in the best interest of all today. "It's always better to know and see the ugly truth than the believe the beautiful lie."

[@YellowSock66]

"laser cataract surgery causes both medical and financial harm" .. what is the medical harm that laser surgery causes ?

[@shivyadav2458]

@@YellowSock66 I am not able to decide as to what I should do.One dr. has advised me that FLACS will be better decision than phaco because previous dr. who did phaco in left eye either did something wrong or it was bad luck but that eye surgery has been managed with multi lense.

[@katec4096]

@@YellowSock66 He said what the problems were at 13:27

[@Allan-et5ig]

@@shivyadav2458 Thank God there was the multi lens to at least, help you manage! Sorry to hear you encountered bad luck or surgical error...

[@randyk7699]

Excellent comparison.

[@monicahurley2224]

Thank you so much for your information it was a great help ❤

[@vinlu2909]

thank you doctor Wong

[@julierawlins5984]

Thank you for this post

[@rockyveniegas9882]

thanks for my decision to go with Manual cataract surgery

[@JP-pf1nj]

I just came across this video....it would be great to see if you have any new data over the last year on complication rates or anything else you can share. Thank you for sharing your expertise.

[@ShannonWongMD]

Over the past year, patient results with manual surgery are as good as laser surgery. More importantly, complications using manual surgery are far less frequent than laser surgery.

[@unavitadellamusica]

very informative - thank you for creating this video for our information! Unfortunately, I don't live inthe USA, and anyway, I don't have the funds, even though I will soon need catharact surgery.

[@marjorieportee3406]

I just had surgery five days ago, someone at the clenic told me about the double lens to see far and near, the cost of 2.400. 00, I did not see the Optometrist before surgery, no one explain anything to me, but I paid and had it done, seeing far is ok, but seeing near is not good, but I'll give it a week or two, sndgive an update my advice to anyone having eye surgery demand talking with the docter doing the surgery.

[@sudeepbrar6206]

This is such good information, thanks for saying this out loud. Eye surgeon from India

[@ShannonWongMD]

Glad it was helpful!

[@aniketnavalkar5974]

@@ShannonWongMD when will you be able to start implanting synergy?

[@ShannonWongMD]

@@aniketnavalkar5974 Soon...It's FDA approved....best estimate would be July....only an estimate.

[@jhansen389]

With the improved efficiency of manual only lens replacement for premium lenses, have you lowered the prices for custom lenses??

[@paddiman772]

Firstly, I really appreciated your presentation. Wish that I had had a better outcome from my cataract surgery. I've only had the R-eye done. And it was a fiasco! The attending Ophthalmologist failed to read the Optometrist's diagnosis of bad astigmatism, and request for a Toric lens. The surgeon did what was mandated by the Ophtha, not the Opto. So a second surgery was scheduled for an exchange. And this time it was a premium Toric lens. This eye had been physically damaged years before by a tennis ball moving at spirited speed and a mean topspin. I scooped it up with my racket only to have it careen into my eye. I was left with internal scaring and about 20% loss of power in an eye that was characterized by a previous doctor as a "ruined Super-eye." Since the surgeries, I've been plagued with what I describe as, "white noise" or a blinding fogginess topped off with huge floaters from shedding vitreous. A YAG treatment has been performed on this eye to alleviate this white noise, but it's still there. I'm going for yet another YAG treatment to poof the floaters somewhat. We'll see. My left eye has a developing cataract. But my current doctor agrees with me to leave it alone until it's absolutely necessary. They had measured the rare 20-15 to near 20-10 for the L-eye. If I lived in Austin area, or anywhere in TX, I'd be asking for an appt. But I think my current surgeon in Knoxville, TN is fairly competent. Says he has done well over 20k cataract surgeries. So when it comes time, I will consider his skills.

[@larrybegnal2251]

Hi. I am due for a cataract surgery soon. It has occurred in my right eye. I have no vision in my left eye due to a retinal tear which tore the macula. So I was told to wait as long as possible to do this because if something goes wrong I will be blind.what is your feeling on the panoptic lens? Larry Begnal

[@mrdrejonn]

Dr. Wong im 52 i had cataract surgery in both eyes in 92&95 now i had Lasek surgery distant in my right eye and monovision in my left eye its been three months in both eyes i have blurry problems and i didnt have problems with nearsightedness in my eyes before surgery i wanted just distant Lasek surgery any advice cause im not able to handle not able to see clear.. Thanks!

[@sanderscupac7829]

Would you say Lazer with mono lens replacement is ok then???? I had the Femto Lazer cataract surgery mono lens with the ora machine also on my right eye about 1.5 years ago in Las Vegas and am very happy. I am 68 yr. young male. I am looking to have my left eye done.

[@user-qu2ol7vz2e]

I really appreciate these videos. I actually feel more comfortable with the surgery. However, I have a question. I have severe anxiety do you give anything for that? If I am a type 1 diabetic do you do anything different?

[@mazdajay55]

Great job thank you 👍

[@ShannonWongMD]

Thanks for watching!

[@zarefmesood3773]

Really your videoes always give the best the greatest the true honest perfect knowledge We love you ,We wish you the happiness and success always

[@sherrynalder1567]

Thank you so much for the information. The IOL/ICL coordinator at my eye center in Utah really pushed the laser. I was given the whole sales pitch which gave me the ick. I had my right eye done a month ago and am still experiencing flickering and blurriness along with the halos. I was told I still have inflammation. I feel like I just threw a couple thousand dollars away for nothing. You can visually see the lens in my eye bouncing around and I can feel it. I am nervous to get my left eye done that is already scheduled. l want the traditional way if they will even do it.

[@vikassalkade3661]

Thanks!

[@raphaeladegoke3657]

Thanks. This has helped me to make my decision to do manual surgery

[@aniketnavalkar5974]

Tecnis Synergy has received FDA approval.

[@sandiprane9571]

Great information sir,I have a patient 34 yers old having RE subcaspular cataract ,refraction -2/0.50×180=6/9,but quality of vision is poor with glare .LE lens is clear having refraction _2/0.25×180=6/6.no prep astigmatism,retina ,iop is good ,can we implant RE panoptix with experienced hands in this young patient having unilateral subcaspular catarct,

[@sarahplainandtall9877]

I just had eye surgery (cataract removal) and it was a LASER ASSISTED surgery, on July 18th and August 1st, 2023. Medicare covered most of the expenses but NOT the Laser assisted and my out of pocket was $1,500 each eye = $3,000 for both eyes. The reason why, my astigmatism needed to be corrected. Now I have 20/20 vision and reading glasses are as needed. I had an excellent Ophthalmologist who did the Laser Surgery to my eyes. Thanks to him.

[@jonnarobinson7541]

Eye Doctor is calling me at $4000 per eye for laser. This is an Southern California.

[@RamiAboShasha]

Great video

[@ShannonWongMD]

Thank you Rami!

[@sutonomardi4445]

Dr. Wong, is it true that many patients regretted after implanted the trifocal or multifocal lense IOL ? cause their vision does not smooth ?

[@zoozolplexOne]

very helpful

[@ranjitdhiraj9974]

Thankyou👍👍👍👍

[@jimraney4061]

My question is can you have the premium lenses installed with the traditional manual surgery??

[@normanplotkin8105]

I have had astigmatism in both eyes and lazy left eye as a child with one eye weaker than the other. My doctor recommend the laser because he said he could get a better outcome in correcting my astigmatism with a distance toric lense. Is this correct? BTW, my brother is a retired ophthalmologist living in Austin.

[@zarefmesood3773]

Really you ate honest the greatest doctor wishing you always happiness success and long life

[@summersez1673]

What are "premium" lenses? Also, I just had my first eye surgery and opted for manual surgery. Second eye will be done on Monday. My question is this: I noticed on the paperwork I signed at the time of the first surgery that it said "laser assisted" even though I had requested manual surgery. Does this mean femtosecond laser was used to assist?

[@mannmeinhaimojmks]

Thank you so much...I am planning for surgery...I was confused which one I should not. I am going for a manual surgery

[@suhaimiseliman8593]

U MODIFIED THE CORNEA TO IMITATE THE FUNCTION OF CONTACT LENSE. GLARE WHEN THE LASER VARIED THE SHAPE, THICKNESS & SURFACE CONDITION OF THE CORNEA😂

[@MrPetrvershinin]

Intraocular lenses become dislodged due to scarring of the lens capsule, trauma, lens ligament atrophy, and laser treatment for secondary cataracts.Secondary cataracts (opacity of the posterior capsule of the lens) sooner or later develop in almost all patients who have undergone lens removal.

[@shariward7733]

I have had Rk 8 cuts in 1993 now need cataract surgery is the laser safe ?? I am already having a wavy cornea from the RK so worried about outcome.

[@janecollettcollett862]

Thank you for the plain truth.

[@StephanyinIowa]

Dr. Wong, I am four months post DMARK for a birth injury 73 years ago, and getting ready to have cataract surgery for that eye, which also has 5cyl. Next week is my consult at U of I, and I am wondering about the use of a refractive toric lens such as you have discussed, and whether or not I should expect laser to be best for this reason, or should I depend on the surgeon’s skill at manual? The surgeon is the same one who did my DMARK, and the results astounded both of us. Thank you for your in depth discussions. I am a retired optometric technician and looking forward to this surgery both for the vision, and for the discussion.

[@allenletizia321]

I am in middle trying which way to go. After listening to you I don't think going use laser. Still trying decide lens to use. Ur saying go premium ?

[@martinbecklen6486]

I will need cataract surgery in the next 6-12 months, and am wondering how one goes about finding cataract surgeons who share Dr. Wong's philosophy and conclusions (and experience) and practice in another part of the country.... specifically in Illinois (ie, greater Chicago area). What is the best way to identify such doctors? Thanks you for an interesting and valuable video.

[@ronaldkehinde252]

Hi, Dr. Wong. Are you in New York area? Do you have locations in Westchester county, NY? Thanks

[@rickkyp4065]

Only one thing matters with cataract surgery.. That is the outcome. Patients are more concerned with outcome than cost. Ideally Surgeons should rank outcome number one leaving speed and cost to trail behind.

[@alittlepastmidnight]

Hello Doctor Wong. I have a Question. I had YAG laser treatment years after my cataract surgery on the advice of my doctor. it did not go well. I keep getting what I can only describe as "a whitish fog" that comes and goes in my vision in that eye. my doctor says my eyes are healthy and there is nothing that they can do outside of some kind of major surgery. this is really affecting my quality of life. do you have any suggestions. outside of the "fog" my eye sight is Great. Please Help. Thank You Kay

[@YakAttack915]

Thank you very much for this video, and your honesty. I have been struggling with this question. Need cataract surgery, and went to two places highly reviewed. One said using laser is best, other said not necessary. Relieved that in your expert opinion, manual is still a great option. One suggested mono focal lens, other said it was up to me, but said mono focal usually gives you better overall vision (with glasses to assist with near and mid level viewing / reading). For those out there, would you still prefer multi focal lens or mono focal? Thank you again for the video, it helped me a lot to understand my options!

[@officialdandaman]

(☞ ͡° ͜ʖ ͡°)☞ I'm in Hawaii and I'll share something with you; my Medicare covers ALL COSTS on manual cataract surgery but NOT laser, and the EXTRA cost for laser per eye is $1,725, was told the Dr gets just over a $1,000 per eye from that so go figure the business side of this. Glad I saw this video because I feel better I'm getting manual for the safeness and the cost. (⌐■-■)🤙

[@EdwardAmesCastellano]

Just wondering about the clouding of the vision after the lens implant where the back of the capsule is cleared using a laser and the outcome seems to be, by the patients own experience a vast improvement in their vision. Two questions come to mind. Is this the same technology? And also I assume this wouldn't show any improvement in vision by performing this procedure first, before a lens replacement?

[@kaly422000]

This is also my query. Why it is not tried as a trial instead of cataract surgery

[@eno5094]

Good mornig doc how are you doing? In my eyes i can read close i need no glases to read but i see blurry from far anything write from a didtance i see blurry like every letter is double do you think that cartaract please

[@amybradley5821]

What about not having to use all of the drops after surgery? That has made me opt for the laser. Big advantage to me. Hate even the idea of cataract surgery, dreading it sooo much.

[@normaharris5224]

Norma Harris 1day ago AMEN GOD BLESS YOU AND UR TEAM.🙏🙏🙏

[@angelwings7930]

When you say “premium lens” what is that ? A brand of replacement lens ? Confusing with knowing what it is.

[@manugautam9344]

sir i am from india . should i go for mics 2.2 mm with premium lenses. should I go for alcon iq multifocal lenses