PanOptix or Vivity | Which Lens Implant is Better For Cataract Surgery?

[@jgriffin282]

I had Vivity lenses implanted 5 months ago. I had a lot of dysphotopsia especially at night. I couldn’t drive at night for a few months. It has gotten a lot better now and I feel fairly comfortable driving at night. At first I questioned my decision, but am actually very happy with my vision now. It took a while though. I wasn’t one of those people who was ecstatic right off the bat. I’m 20/25 in one eye and 20/20 in the other eye. If you’re having problems maybe give your eyes and brain some time to get it together.

[@histubeness]

I'm surprised you had as much night driving sight issues as you did with Vivity. The consensus opinion seems to that's mostly with the Panoptics. Do you find you need reading glasses for small print with Vivity, like they said?

[@jgriffin282]

Yes, I was surprised and very disappointed too. It’s quite a bit better now, hopefully it will continue to improve with time. Yes, I do need reading glasses for fine print and I use reading glasses in the evening or when the light is dim. I find light makes a big difference as to how I can read small print.

[@zztops4504]

​@@jgriffin282 Can you read comments with Vivity without reading glasses?

[@ghostrider7104]

Thank you for sharing

[@dfonta07]

@@jgriffin282 Hello! Can you read your cell phone without glasses?

[@huseyinbayramlar3773]

Useful video. That’s right. I have been doing Vivity in dominant eye and Panoptix in the other in some of maya patients for a while. My patients are highly satisfied with that.

[@michaelmcginnin1126]

I was all set for my cataract surgery electing to go with PanOptix in both eyes. After doing a marathon session on KZbin videos of all available premium lenses at the time (two years ago), I decided to do Vivity in my dominant eye, PanOptix the other eye. My surgeon supported and commended my decision, as a way to minimize halos at nighttime. Very happy with the results! I’m now lamenting that I had not waited for the new Clearview lenses that came out this year, which virtually eliminates halo effects, because they have no rings in their design…😢😅

[@simonblunden2151]

This is exactly what my surgeon recommended for me. I am scheduled for RLE surgery Jan 15, 2025

[@michaelmcginnin1126]

@ Best of luck, I’m sure you’ll be happy with the results!

[@llk3763]

I have vivity - moderately happy. My eyes have gotten more dry and from what I understand vivity depends upon moisture for good focus. That is a problem with dry eyes, that's been my experience. Didn't know I could mix/match lens. Wish I had done PanOptix in one eye, or both, but halos at night would not be good either. I paid an additonal $4K - that's part of my dissatisfaction with the results.

[@bestcataractsurgeons]

Dry eyes will limit the performance of any lens implant. There are a variety of reasons why dry eyes & the tear film can worsen after any eye surgery -- but the good news is that any worsening related to cataract surgery is usually temporary.

[@SSPshooter72]

I had no cataracts but wanted to get out of glasses and paid $7k to have PanOptix implanted in my right eye in Oct of 2022 and was planning to pay another $7k for PanOptix in my left eye 1 week later. I was not happy with the PanOtix at first and felt that it was a substantial reduction in my vision quality. Halos were a bit overwelming at times but have gotten better. I have gotten by for a year and a half with PanOptix in my right and and a contact in my left eye corrected for distance. I'm pretty happy with PanOptix now and considering Vivity in my left eye. I would do PanOptix in the left too if it wasn't for the halos at night. The Vivity/PanOptix combo seems to be the way to go IMO. It takes time for our brain to get used to the lenses. I also believe that folks that have cataracts and go to PanOptix or Vivity would be blown away but I had crystal clear vision with glasses and therefor saw this as a downgrade at first until I got used to it. I do LOVE not dealing with glasses.

[@bestcataractsurgeons]

Good points. Everyone has glare & halos after cataract surgery... For some patients it's bothersome for a few weeks. For others it can last months. In the vast majority of patients any long-term residual glare & halo symptoms are mild. However, every patient is different, and comes into surgery with different risk factors, such as dry eyes, corneal scars, irregular astigmatism, and more. Important to discuss your personal risk factors with your surgeon. Lastly... Yes! Many patients love the combination of PanOptix in one eye, and Vivity in the other.

[@Ntsu345]

I just had the panoptix put in

[@davidgroncki2240]

If I am a pool player who really needs to see between say 2 and 10 feet crisply, are either of these lens better than the other? Does intermediate distance cover the 2 foot starting distance?

[@bestcataractsurgeons]

"Intermediate" typically means the distance of a desktop computer monitor or the dashboard in the car. This is usually a bit closer than most pool players would like. Let your surgeon know, and they can set your vision a little further out, if that's your goal. Please like & subscribe :D

[@damtse5595]

If you choose vivity in one eye and panoptics in the other, halos will still be seen right?

[@bestcataractsurgeons]

Halos may be less noticeable and less bothersome (if they're bothersome at all) with this strategy. This is the sort of nuanced questions that should be discussed directly with a surgeon who has experience using this strategy. Of course, all of this depends on the unique characteristics of your eyes, and how your eyes may differ from one another.

[@stanleygabrel1045]

How about monovision.

[@stanleygabrel1045]

@@sagnaik Thank you very much for your comprehensive respond.

[@nonamuss9991]

I was considering monovision correction … until I had retinal detachment in one eye … then I’m thinking … which depth of field range could I lose and still be okay…:-:

[@earistianreyes9830]

What happened if you Choose both of one for the left ang one for the right

[@bestcataractsurgeons]

There are many patients who do that. PanOptix in one eye, and Vivity in the other.

[@damtse5595]

Don’t you still see halos because of the panoptics even if it’s in one eye?

[@Deepak-zn6tb]

Is Vivity a EDOF lense or a multifocal lense? Does Vivity have rings in it?

[@depharmboy]

The background music so noisy 😢