ClearView 3 Multifocal Lens - Final Review. 👍? or 👎? Shannon Wong, MD

I implanted 210 ClearView 3 multifocal lens implants between April and October 2024. Initial results and patient satisfaction with the ClearView 3 were outstanding with most patient able to see far, mid and near without glasses and with excellent night vision. Unfortunately as we learned through the experience and feedback from our patients, 13% or 28 of the 210 multifocal lenses that I placed ultimately required intraocular lens exchange to enable patients with the clearview 3 lens to achieve satisfactory vision.
The most common complaint that patients noticed with the clearview 3 lens was blurry, doubled or shadowed vision when reading up-close or looking at text on a screen.
While 87% of patients achieved great visual results, we felt that the 13% patient dissatisfaction rate was too high and therefore elected to stop offering the clearview 3 lens to our patients.
No financial interest.

[@JustinHEMI05]

The fact that you're willing to come back and follow up, and speak the truth about your findings, solidifies that when it's my time, I'm flying to you.

[@donnaarchibald7037]

I agree! It speaks volumes to his good character. We need more Doctors like him in the world!

[@dcav8tor66]

Nice to see a Doctor who listens to their patients and fixes the problem. I love it

[@danivision261]

Always learning from your videos Dr.Wong! Thank you so much for posting them!

[@walterski8377]

Kudos to you Dr for being transparent in your results. You are doing a great service!!

[@ShannonWongMD]

Thank you so much 🙂

[@davidcrocker4276]

Dr. Wong, thank you for your candor and clarity.

[@t34bravo]

Based on your earlier advice, I had Panoptix lenses inplanted in 2021. Best decision I've ever made. I see perfectly at all ranges and for the first time in my life, I'm totally free from glasses and contacts. Night halos were apparent to a small degree initially but as of today, I don't even notice them. Literally a life changing experience.

[@ariplatt8192]

Ophthalmologist here. I love your candor and skills. God bless.

[@ShannonWongMD]

Wow, thank you!

[@ariplatt8192]

@ you becha!

[@hhad580]

I just had my left eye cataract surgery with you 6 days ago, I received soft port lens, I am very very happy, thank you Dr Wong and your staff, you exceeded my expectation, I can’t wait to do my other eye, Hadivin..

[@02Caos]

You're wonderful mate. You should be very proud of yourself. Thank you for all you are doing for people.

[@ShannonWongMD]

👊

[@dbd73310]

Thank you for sharing these stories. I also did a trial of Clearview 3 multifocal for my patients and had a similar experience to you in that the ones who did well were extraordinarily happy, but some had some blurring at near. My own concern due to the sensitivity of centration, and the results you shared in your update videos on it helped me anticipate that it might be an issue and so I limited my trial to a very small cohort. I since came to the same conclusion you did and no longer offer this lens as other lenses offered more consistency in full range vision with less complaints.

[@ebenlaubscher4153]

I don,t have access to Clearview 3 IOL . I was one of or the first surgeon in my country to use Restore and now Panoptix lenses . Since the Rayone EMV was launched i have used plenty of them . Aiming for mini mono-vision gets excellent results ,with many happy patients . I have only removed one from one patient’s dominant eye .Panoptix is still a first choice as a multifocal .Any of the other Edof lenses i don,t use any more .

[@irenblomstervik5738]

Rayner galaxy the new iol?

[@dr.gustavovelaoftalmologo9174]

What multifocal lenses are you using now?

[@junk3386]

Wow, fantastic data points that are so much more scientific than all the other "hearsay" opinions! Please share more of your experience! Thank you!!!

[@dislikebutton6074]

Dr. Wong you really are an inspiration to me I at first wanted to become an optometrist but then I relized I wanted to go into this field to help people and save their vision and I feel as if I could do that more as an opthalmologists. Im an aspiring opthalmologist from The Bahamas currently looking at two medical schools which are UWI and St Georges univerity im currently in highschool

[@ShannonWongMD]

Wishing you success. Keep grinding. It's a long path.

[@dislikebutton6074]

@ShannonWongMD Thank you so much 🙏🏾🙏🏾

[@Stevethesearcher]

Thank you for this review. It confirms what I already suspected about the Clearview. Personally the two lens which interest me most at the moment are the Puresee and the Galaxy IOL. However I am still collecting feedback about those IOLs. I look forward to seeing more reviews such as this.

[@toddstewart767]

Hi Dr. Wong. So thrilled and extremely satisfied I am with the Odyssey. Best decision to have this completed by you, & feel fortunate to have your expertise. Want to visit Austin again as really like area. Todd Stewart.

[@soccer24six]

thank you for this Dr.Wong 🙏

[@grantstitt9515]

Doc thank you these videos are informative as I am researching this procedure for me I am in the Dallas area and hope to find a dr is passionate about his work as you are

[@Indyophtho]

Grateful for your comprehensive reviews and how forthcoming you are with the challenges of providing the best solution for full range of vision. I'm also looking forward to your insight into the Envista Envy. To date I've implanted approx 30 or so over the last 3 months, and it has been a pleasant journey with happy patients thus far. Eager to see your impressions🙂 Thanks again for all that you contribute to our field.

[@ShannonWongMD]

Good to hear that your experience with the Envy has been positive! I am implanting Envy as well. When I hit 200 Envy implanted, I will share my observations.

[@Elizabeth-gl1uy]

Thank you for sharing your initial and longer term outcomes. Much appreciated.

[@9megir]

Thank you for sharing this, Mr Wong. Very valuable information from first hand experience.

[@Gearset807]

I had the same experience with the Tecnis multifocal lens. I get halos around lights at night time. I also get shadows around printed letters on paper. I also have no intermediate focus. My ophthalmologist recommended this lens and to be honest I wish he hadn’t. I would’ve been much happier with just a good quality monofocal lens. I wish he hadn’t painted such a rosy picture for this lens. I really applaud you and encourage you to continue to be honest and transparent with your clients.

[@cmspearman]

Always enjoy your content! FWIW, I've been extremely pleased with my results with the B+L Envy IOL. Looking forward to your video update on your experience with it!

[@ShannonWongMD]

Glad to hear that your envy patients are seeing well! I am using Envy and odyssey mostly currently. Will share envy videos when I have something useful to share.

[@disqusrubbish5467]

Props for keeping track, and taking care of the issues.

[@SourabhPatwardhanPhacoTips]

Thank you for sharing

[@bblv2]

Thank you for your videos. These are helpful for both patients and ophthalmologists. I like to check your opinion on your channel before I implant a new IOL on my patients.

[@pamelamower-conner5436]

Hi Dr. Wong, Thank you so much for your amazing videos. I am scheduled for cataract surgery in March. After researching I decided on the Panoptix premium lens for at least one eye, and maybe a monofocal distance lens in the other depending on the halos at night issue.

[@RoyBluemel-z2b]

I find this information very disconcerting. I opted for the ClearView 3 based on Dr. Wong's recommendation last year. The ClearView 3 has been used for over 10 years in other countries. I am rather surprised that based on the previous 10 years of time that these issues were not already brought to light. I myself have gotten used to the shadows and don't notice them now. I do wish that my reading vision was clearer as I do wear 1.50 reading glasses. But, I can still read J1+ when I focus. Overall, I am quite satisfied with my vision, especially at night, because I would say that my night vision is just as good as before the lens replacement. Still, I guess I should have gone with the J&J Odyssey instead. I don't think my night vision would be as good as with the ClearView 3. But you can't argue with only a 2% dissatisfaction rate.

[@bluebonsai999]

I'll be contacting your office sometime. This video transparency put my decision over the top.

[@reneesam6963]

Thank you doctor , you are so awesome honest wonderfull youtube doctor ever , I wish if I have enough money to fly to your office to fix my eyes , thank you for updating us with all new informations

[@donnaarchibald7037]

I don’t like to comment; however, I had the Clearview 3 lense put in on Jan 4th at Petelin Vision based on your raving reviews. I was their first. My experience with the new lense has been awful. I am having all the sside effects you mention in this video. Thank you so much for communicating the negative results of Clearview3. I meet with my surgeon tomorrow and I will share this video and hopefully they can correct this. I am a CPA and need my eyes. Currently I am trying to get by with cheaters but far and night vision isn’t good either.

[@ShannonWongMD]

Good luck!

[@milenabellotti9771]

I have trifocals left eye for good reading /close up - synergy lens and right eye puresee for long distance. They work brilliantly compared to my vision pre-surgery. Sight is not what it was up to age 42 but much better than it was from age 42 to pre-surgery.

[@briandesmond5132]

Thank you for your unbiased thorough comparative evaluations. This effort is of significant value to patients and ophthalmologists alike. How did you align the ClearView3 with the visual axis. I have implanted about 50 aided with Alcon’s DMM and I rotate it so that the visual axis is just inside the distance zone. We have not had the kinds of negative issues you report, at least so far.

[@ShannonWongMD]

All clearview 3 that were implanted had the distance segment aligned with the visual axis at the time of surgery. I did not notice any postop IOL rotations.

[@escherstyle]

We've seen various models of assymetric segmented lenses over the last 10+years years in Canada.The SBL-3 had nowhere near those explant rates. Neuroadaptation was resolving almost all issues within 3-6months and some 180⁰ IOL rotation in cases where "ghosting" wasnt resolving had good success too.

[@lroberts4162]

Dr Wong thank you. I am a future candidate. Your videos are extremely informative and beneficial. I look forward to your results on the BL enVista

[@racheyyjoy]

Go Dr. Wong! 🎉

[@cotescunicoleta1052]

Hello, I’m from Europe.I had Zeiss AT Lisa implanted in both eyes in November 2024 and I’m amazed. I wonder why it is not used by sergeons in USA.

[@RaizenFenix]

Please do a follow up on the 13% after a period of time. I love your videos and plan to get IOC when I reach 45yr old.

[@TonyDL]

Really interesting info you shared about Lasik correction not matching the trial frame. About what percentage of patients were unhappy after Lasik correction do you think? I recently had RLE surgery with Odyssey and I was told by the surgeon "We may have missed the target" after measuring my vision. I am now 1 week post op and still I see a hazy view of the world where vision is lacking sharpness. So now I may be facing either a Lasik correction or IOL exchange for a different lens power. Any advice for me?

[@abull9579]

Than you. That was very sincere and useful. Do you charge the surgeon fee or the facility fee to the patient or insurance for a iol exchange if patient is unhappy? Meaning is the patient charged anything at all for the second (lasik) or third surgery (iol exchange)?

[@ShannonWongMD]

The fees we charge for premium cataract or lens replacement surgery cover the surgeon’s fee, operating room/surgical center fee, anesthesia fees, and additional refractive surgical procedures (Eg YAG capsulotomy, LASIK, intraocular lens exchange not including the light adjustable lens) for one year after the original surgical date

[@billchen5892]

@@ShannonWongMD：Hi Dr. Wong, I watched many of your videos and really appreciate the facts from your experiences. I am found cataract only with one of my eye , what is the best solution? If I am willing to have glasses as I normally do, and considering only do surgery on one eye, will mono oil be safer, higher satisfaction rate than multi focal iol? Thank you.

[@donnaschindlbeck7457]

If only there were more surgeons like you. Thank you for being upfront regarding the Clearview lens and taking such good care of your patients.

[@mioopcontrolmiopia8641]

​@ShannonWongMD Thanks For all the great stuff you share. I Wonder if it is important for you to choose ab Hidrophobic or Hidrophilic iol material to select an iol in each patient, or what criteria you use in case. I am a Spanish optometrist. Thanks

[@khalidal-sayed2559]

In a patient who is HLA-B27 positive and has experienced two episodes of acute anterior uveitis-currently in remission and asymptomatic with respect to ankylosing spondylitis or arthritis-would it be appropriate to proceed with trifocal intraocular lens implantation, such as the Odyssey lens, for cataract correction?

[@HD24680]

Just curious as to whether there were any commonalities (physical, activity levels, health issues, etc.) between the people who did or did not find satisfaction with these lenses?

[@GeorgeFisherMD]

Dr. Wong, thank you for your videos. I am looking forward to your future video comparing Envy vs Odessey. What has been your conclusion on the light adjustable lens? It appears that you are still using multifocal technology as the best option for presbyopia.

[@ShannonWongMD]

Odyssey works in my experience better than Panoptix. I am implanting mainly odyssey and envy multifocals currently. I have found the LAL to mainly be a niche lens for mono vision patients or patients who have very specific visual needs.

[@GeorgeFisherMD]

@@ShannonWongMD Are you still at a 0% explant rate on the Odessey lens? I know in your first 200 lenses, you didn't have to explant one Odessey lens. Also, do you find that the Odessey lens is as forgiving as Panoptix? In older videos, you preferred the Synergy lens initially over the Panoptix but pivoted due to the high LASIK enhancement rate with the Synergy lens. As always, your videos are fantastic and very much appreciated for the young refractive cataract surgeon.

[@ShannonWongMD]

Of the 450-460 odyssey placed thus far, I have removed 4 due to unwanted visual side-effects (mostly halos at night).

[@ishyrivera4229]

I hope you can talk more about the new Bausch + Lomb enVista Envy in future videos. From what I've seen, it has the potential to be one of the best available.

[@ShannonWongMD]

Message received.

[@johns2590]

What did you think of the lenses that are in clinical trials like Juvene, Omnivu and others? How soon might the FDA approve?

[@mguerramd]

My patients have excellent vision far and near, day and night, some wearing glasses, some not, on top of a B&L LI61AO. 😅 I have explanted exactly one. The patient was very successful with CL monovision but didn’t like it surgically. So we swapped out the reader IOL lens for a distance. That was the only problem ever with an LI61AO. Spending hours of Chair time trying to placate unhappy multifocal IOL patients is history for me. No longer doing it.

[@ShannonWongMD]

Love the LI61AO! kzbin.info/www/bejne/mKWrqoqMaNZ2irM

[@irenebencomo3621]

I got the distance lens. Far away only from J. And J. I lost my good close-up vision!

[@markherring3404]

For those still researching. Other than the time commitment I am very happy with the LAL. Took a while to get used to monovision.

[@paddiman772]

Dr. Wong, I'm not your patient, but I certainly wish it was so back when I had Cataract surgery on my right eye. Perhaps I would have been one of your success stories. But I'm still living with dissatisfaction of "two" outcome(s) for this eye. And no, I've not had C.surgery for the Left eye yet. I'm scared to do so after what I went through on the first one. And yes, there was an exchange performed for the Right eye. But it was because the the doctor that did the prelim plan missed the most important notation by my Optometrist, that I had very strong Astigmatism! So they installed a general-type of lens. Upon which I faced a second surgery for an exchange. But my main reason for writing is, that I do not believe the subsequent implanted brand of Toric lens was the right one. Since I'm just a lowly patient, could you elaborate on types of lens implants which are useful for my situation? The attending surgeon who did the exchange was pretty adamant, that I wasn't a candidate for any further surgeries on the R-eye! But I can tell you, the eye is no where near what it used to be before the first surgery. I have extreme light sensitivity, and blurring which is on again, off again all day long. And I was left with a huge floater which refuses to dissipate after more than four years! I have an office visit with another surgeon in March. I'm realistic but hopeful for something to improve my current vision. There's more going on with this eye than I'd like to relate on this forum.

[@Tee-duck]

Did I miss your review of Light Adjustable Lens?

[@ShannonWongMD]

Yes.

[@StevenGSafran]

I’ve already removed quite a few of these lenses, referred to me or who came to me unhappy with them. Ghosting of images seems to be a common complaint. In addition, this lens is made of hydrophilic acrylic and you can expect that many of these will calcify over the years and I’ve already removed many calcified hydrophilic acrylics from patients had no secondary procedures done that would increase the risk of calcification

[@ShannonWongMD]

Steve, I never imagined that I would be doing as many IOL exchanges as I am doing now. Fortunately, the more we do, the easier and more routine it becomes.....as I am sure you understand!

[@StevenGSafran]

@@ShannonWongMD Shannon I do about 5 IOL exchanges on average a week but they are for a variety of reasons and 99.9% are referred to me. I have learned a lot what NOT to do by what other people have done and I have to fix. I agree that a routine IOL exchange in a patient who doesn't have a lot of capsular fibrosis and hasn't yet been Yagged is for me as routine as primary cataract surgery and a low stress, enjoyable case but that's not what usually gets referred to me. On another note I think your channel has excellent content because of you vast experience, your ability to communicate and your honesty in revealing what you've learned.

[@irenblomstervik5738]

What about rayner galaxy iol?

[@aniketnavalkar5974]

Has Clareon stood the test of time with glistenings?

[@ShannonWongMD]

"Clareon" is the acrylic material that Alcon uses to manufacture its single piece acrylic lenses. The clareon material has been in use for about 2-3 years. Over that span of time, it appears to age better than Alcon lenses made prior to clareon.

[@TracyMcclellan-l3b]

❤

[@braddunbar5976]

Odyssey is the BEST

[@toddstewart767]

Yes so happy with mine as well

[@braddunbar5976]

@toddstewart767 i have not done it yet. I had a regular monofocal lens put in and I hate it. I will be doing a lens exchange soon with Dr. Wong. How's the near vision ?

[@toddstewart767]

@ top! J1 up close . currently on tread mill typing this no glasses. 🤓

[@braddunbar5976]

@toddstewart767 awesome

[@sandrarivera2861]

What about the light lens

[@johnsnelgrove7874]

Is it uncorrected astigmatism

[@ShannonWongMD]

No. Unfortunately.

[@virtuasurfer]

Premium lens surgery + intraocular lens exchange + Lasik It is going to cost a fortune.