The Vivity and Panoptix - How do YOU choose the best premium lens implant?

The Vivity (extended depth of focus lens implant) and PanOptix (trifocal lens implant) are the two most commonly used premium lens implants that we use for premium lens replacement and premium cataract surgery. I share my analysis of the strengths, weaknesses, pros/cons and differences between these two great lens implants.
Financial disclosure: I have no financial interest in any of the products presented in this video. My goal is that we deliver the best technology for each patient to help them see their best.

[@MonicaC-nt7vv]

Thank you very much Dr Wong! Your presentation is very helpful ! my Dr ‘s office has not provided enough information for me, these doctors should pay you for the work you have done for them!

[@Nonessential888]

I am so grateful for Dr. Wong’s honest and thorough analyses of the different lenses. I don’t see this up to date comparisons anywhere else. After watching this i feel much more confident about making a diligent choice. Thank you so much Dr. Wong.

[@ghlocal1]

One day post op with the vivity lens and I’m blown away at how amazing my vision is. I was apprehensive about this surgery but now I can’t wait to have my second eye done in a few weeks!!

[@johnschannel449]

l plan to get vivity in a few months, my only concern was l read it has low contrast level , is your vision and constrast still good on overcast and low light days.

[@adventureairinc7355]

great to have someone with first hand experience. Do you have any concerns with the contrast vision? seems to be one of the drawbacks of the vivity. I do not want to see halos no matter what. I can live with a ok vision closer than 15 inces. But what is your real near vision range where you are ok with?

[@edwinshank7865]

Thank you Dr. Wong for this candid and thorough discussion of the two Alcon lenses. It confirmed my decision to opt for the Vivity lens over the PanOptics lens my Dr first suggested. One month now past my lens replacement and I feel I made the right choice in the Vivity lens. While I do see some minor halo effect at night compared to my natural lenses, it’s certainly acceptable and I’m sure I would not have been happy with the PanOptics halo effect. I shoot night time and early morning landscape photography and I’m sure the halo effect would have been unacceptable for me. It’s taken several weeks for my “neural adjustment” to adjust to my choice of medium to far vision in my left eye and medium to near vision in my right eye. It’s working out well, and I have yet to need readers of any kind for near vision. The IOL procedure is nearly miraculous in my opinion, as I now see colors in their true vibrant colors and certainly at least a 20% improvement in the amount of light reaching my 71 year old retinas! Thanks again for your wonderful videos. I watched most of them while I waited for my surgery appointments. 👍

[@alexzapassoff1005]

Sorry but my experience is that a Vivity sucks !!! No focus at any distance... fuzzy and useless

[@frzn9856]

Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc. So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near. Pls pls could you let me know?

[@jamesw1659]

@@alexzapassoff1005 Then something else is wrong. Vivity is excellent, just like the other choices mentioned here.

[@francoisenorwood5899]

Hi Edwin, I have a Panoptix in right eye. While I see very well 20/20 it feels like through fog. Images lack contrast, black. As a photographer do you experience this with Vivity? Thank you

[@nataliyagrant671]

@@jamesw1659 Hi James. Do you see sharp with vivity? I see shadow to the left and right from everything, especially letters on digital devices. It’s a fraction better with texts in paper, but still there. Drives me insane. Doing makeup is impossible, can not see me fingernails, food on my plate is blurry. Terrible to be honest.

[@denizcop9386]

Greeting from Istanbul/Turkey! I must say I am a big fan of your videos. I had PanOptix on my left eye due to a cataract 2.5 yrs ago. Now it's time for the right (dominant) one again due to a cataract. My Dr. was opting in for Synergy. I asked him strictly to have Vivity instead because I want no more or I should say fewer halos/glares etc. and better intermediate with higher contrast quality. The surgery is planned for next week. I am 53 yrs old, still very active in sports (lifting, basketball, running), 6'2 with long arms, and very excited to have Vivity. Thank you Dr. Shannon for your all-educating videos which help globally for your kind information )))) You touch many people without knowing...

[@ShannonWongMD]

Good call.

[@johnget8410]

Hope your surgery was a success, what is your vision like with the vivity, are you happy with it l am thinking of going with vivity for my surgery

[@denizcop9386]

@@johnget8410 Hi. It went very well. Couldn’t be happier than this. The difference between Panoptix and vivity is amazing in the contrast and halos. The combination (panOptix in left, Vivity in right which is the dominant one) works very well for my reading. Far and intermediate distances are excellent. No need for glasses so far. My aim was achieved perfectly. I’ll see the Dr. tomorrow for regular check up.

[@barrykross6079]

@@denizcop9386 I am due for eye surgery May 5th. The plan is for the PanOptix in my left eye (which has the worse vision of the two) and then to have the vivity in my right eye in 5 weeks time. I have had some concerns about the halo effect with the PanOptix lens, but wonder if the vivity lens in my other eye will balance or cancel out the halo effect, once my brain neuro-adapts??

[@DrSameerKalaniya]

Many thanks Shannon Being a doctor, I was so confused in selecting the correct lens for my self. I am in my late 40s and have steroid induced cataract due to a corneal injury in the past, going to surgery next week,------ wish me good luck Was able to select my option after watching this video

[@johnschannel449]

Hi what Lens did you decide to go with? did you choose Vivity .? l'm also in my late 40's and having surgery in a few months and thinking of going with vivity but havent made my mind up yet

[@DellAnderson]

@Sunset horizon studios It's very confusing, right? What lens did you choose and why? Does your outcome meet your expectations? Did you have laser assisted surgery or not?

[@SpencerParkCityschannel-vr3cs]

@@johnschannel449, did you go with Vivity? I see that no one responded to your comment here but I am in the same boat and getting surgery next month.

[@johnschannel449]

@@SpencerParkCityschannel-vr3cs yes l got vivity last year in both eyes and happy with it, l have great vision from distance and can also read and only need glasses for small print'. l went with minimonvison where one eye distance and the other very slightly near for reading ,There was an adjustment period for the first 2 or 3 months but after that it was great

[@user-pu6sg7ih8r]

Any updates? I am in the exact same boat after taking steroids for Bells Palsy.... are you happy with the vivity or do you wish you had gotten the PanOptix?

[@miszced]

I'm in central Florida & about little over 90 days since my left eye cataract surgery with the Vivity lens. Great lens over a wide range of vision including night driving. The surgery method was laser with astigmatism correction at N/C. Pre & Post eye drops were with IMPRIMIS. There was a day after post surgery return visit & about 5 day clinic examination. Must say they were very insistent you maintain the regiment of eye drops per their recommended written spread sheet. Next follow up was 60 days. Impressed & satisfied with the results. Next is the right eye which has a mild cataract compared to the left, first quarter of 2022. After some 50yrs plus no more wearing glasses on the nose!

[@jimrogers4809]

Are you happy with contrast level in low light

[@user-ik4br3nk2w]

I'm in Orlando, which facility or doctor did you choose?

[@miszced]

@@jimrogers4809 yes, happy & satisfied. In my younger years my mother was always insistent the lights be on while reading in low lit areas & I have automatically continued the practice to this date. As a point of interest during my last detailed evaluation the optometrist ask I read out loud 3 short paragraphs each with a declined font size. As I was reading the second paragraph he stood up to turned on the room light. He stopped me from further reading the 3rd paragraph. He commented he was more than satisfied in my ability in reading, in low light. Lighting always makes text bounce.

[@miszced]

@@user-ik4br3nk2w MidFloridaEye @ The Villages. You may need a referral from your regular optometrist. Once you have an appointment you'll go through a battery of tests to determine if you're an eligible candidate & possible options (consultation). The premium multi-focal lens (Vivity) & laser surgery cost is $3100/eye.

[@user-ik4br3nk2w]

@@miszced thank you so much!

[@edogle8163]

Thxs Dr. Wong I just had the Vivity lens in my right eye and must say it looks good....I am 80 yrs old,this was cataract surgery...Thxs again....

[@elberthiggins6667]

This video should be the standard for most patient education.

[@scottedgar2856]

Thank you for explaining the differences between the Vivity and PanOptix lenses. The video was educational and easy to understand. The images showing the holo effect and the light transmission was also very helpful. I'm in my 50's and I'm in the process of deciding which lens to go with. Your video has given me more information to consider.

[@alexzapassoff1005]

Stay away from Vivity ! I am 78 and I wish I hadn't been talked into this ridiculous fresnell lens !

[@WysteriaGuitar]

@@alexzapassoff1005 So one should get the Panoptix instead?

[@VgVi13]

@@alexzapassoff1005 I have been scheduled for Vivity but it is so much more expensive. I'm still researching. My appt. is end of month.

[@principalabapuragovtssscho3754]

​@@VgVi13 hey what iol did you go with and what results are ?

[@bebyjohn4582]

How much all these lenses coast. Can you please explain

[@coopdeer]

There are some good information that I’ve gotten online about lens. However, unequivocally by far, this was the most concise explanation of these two lens and I know exactly what I want. I’m truly excited about my choice. Your honesty is immeasurable. Thank you Sir 🙏🏿

[@cgreen6369]

These charts are etc. are the best I've seen in comparing lenses. Thank you for helping make an informed decision on my upcoming cataract surgery.AND I would advise anyone considering monovision to try it out first using contacts. I did, and I was continually nauseous; I never got used to it. And contacts are much easier to remove than cataract lenses!!

[@ryanperry3798]

Excellent video and went with vivity mid vision absolutely superb can't complain about distance and as I am typing this I have no problem in reading it😊won't be needing glasses at all. Good luck everyone and its a massive V for me

[@markhollingsworth9496]

Thank you very much for an outstanding comparison and your professional thoughts. I am scheduled to have cataract surgery on both eyes in April 2022. My optometrist recommends that I use the vivity lens which is what I wanted to use also.

[@KMG68]

Thanks for all of your cataract videos. They have really helped me understand the different lenses and decide what I would like to go with.

[@10Tuxedo]

What did you go with, and was it what you expected?

[@OzFrog48Z]

I had the Vivity lens put in one month ago with the laser procedure. I only needed one eye done. The other is still perfect. There was a learning curve, but the results are excellent. I have 20/15 vision close and far away. Colors are crystal clear. No glare or halos at night. The only problem is focusing clearly in a room that has florescent LED lighting that's very dim, But as time goes by that is also improving. At first my eyes would get very tired as the day went on, but not anymore. Things take time to adjust. Hope this can make someone more at ease making a choice.

[@alexzapassoff1005]

I wouldn't ever recommend a Vivity !

[@slm90293]

@@alexzapassoff1005why?

[@frzn9856]

Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc. So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near. Pls pls could you let me know?

[@OzFrog48Z]

@@frzn9856 It took about a month to adjust to the new lens. At first I had trouble focusing in certain light situations, especially in a building with LED lighting. It has been 6 months since the surgery. I am very happy with the results. My vision is absolutely perfect faraway, and close up is also very good except for extremely close. I have no problem reading or using a computer at normal distance. No problem adjusting from close to far away. The only problem at night is tail lights in the far distance and a red traffic light in the distance look fuzzy. Some LED displays at night at close distances are somewhat fuzzy. There is no problem with glare from oncoming lights at night, which is a problem with many premium lenses. If my eyes are really tired it's not 100% clear, but resting my eyes for a few minutes brings things back to normal. The only negative is I have eye floaters, and they seemed more visible at first, but I've gotten used to it. I think the results people achieve are dependent on many factors, including general eye health. From my own point of view, if I had it to do over again I would stay with my choice. My latest eye test showed 20/15 vision at distance and close up in the eye I had done. (The other eye is still free from cataract symptoms so far.) Hope your situation turns out well. There is nothing better than being able to see clearly.

[@jayholiday256]

@@frzn9856I have Symfony and there’s no learning curve, they work automatically, and settle in over time. Your surgeon should be able to select the right lenses for your eyes anatomy etc.

[@martinsnitow544]

I’ll be 75 next month, one day after a first exam for cataract surgery. Based on Dr. Wong’s information and other web sources, I’ll talk to my doctor about Vivity and PanOptix, or one of each. If I choose just one, I think it will be Vivity. Thank you for helping so much.

[@martinsnitow544]

I’m also interested in the RayOne EMV, which is newly approved by FDA.

[@Honesty001]

I live in another part of the world 🌏, soon inshaAllah visit you for my cataract surgery

[@1brotherlove829]

My eye doctor said at 55 I need my cataracts removed and he could change out the lens with the monofocal, he didn't even mention Vivity or Panoptix, so I mentioned it to his scheduler and she said that because of my eyes the monofocal would be better because it see's clearer but you would need glasses to see up close.After pushing more they said the first eye could be the monofocal and the second could be Vivity. So my next question is having two different lenses cause long term problems ?

[@jmwood697]

Would you update me on your decision and the outcome, as I am faced with a similar situation? Thanks.

[@loveishope4406]

Wow you're such an amazing educator. I learned so much. Thank you.

[@stephenkitcoff9177]

Certainly appreciate the discussion and the options available, Thank you.

[@bluemoves]

Thank you for your detailed explanation. I’m much more confident in my choice of lenses now.

[@letranger5]

"Vivity and Panoptix"?? Forget it, choose SYNERGY! I did on 3/22/2023, and am thrilled!

[@elizabethhensley2332]

I had the vivity lens due to clarity mid range and night vision. I love the outcome! I feel like I have high def eyes ! Watching movies on my tv blows me away with the beautiful brightness and clarity. I can read easily books and texts on my phone. I’ve found the gray background with white letters works best with iBooks. It is only very very tiny print that I need reading glasses. It has not been a week yet so that may even improve my dr says. She says some never need the reading glass and others do.

[@johnschannel449]

l read vivity has lower contrast then a monofocal. have you noticed lower contrast on low light days

[@TuyenNguyen-fc5pc]

How much did you pay for vivity lens? Thanks

[@shwetambari2085]

Thanks a lot for covering all the practical points..excellent talk..✨

[@djtrevizo2845]

Thank you for your continued in-depth and tremendous analysis!!.. I had Panoptics placed in my right eye almost a year ago, But It Is driving me Crazy and depressed! Like you I had more excellent long distance in my left, and loss of reading in both. Like your patient that had his Panoptics replaced with Symfony, he said it felt like something was in his eye, with that lateral crescent over-shadow, slight blurriness at most ranges of vision, and my two eyes having difficulty working together creating balance and reading issues; Thank you again, it ways so eye opening and that I wasn't crazy! In the past, I had Lasix monovision surgery and had No problem accommodating both eyes, but with the trifocal Panoptics, my brain just can't accept. Finally, my doctor concurred to perform a lens replacement. Your patient went with Symfony, the latest of the times.. What do you think of the new Symfony II compared to the Vivity, which I'm leaning towards? Telling all my cataract-aged patients about your videos!

[@barbaramendola6125]

Am wondering the same..How Vivity stacks up against the latest Symfony Blue lens?

[@mrunderhood]

I had the Vivity Lens installed in my right eye months ago by Texas Eye and Laser, paid almost $5,000 for what I believed was a lens that would not require glasses except for very close work or small letters. A year earlier my vision in my right eye was 20/15 and it was great. I did have to wear 1.5 readers but everything else was awesome. Now $5,000 poorer my vision is 20/30 and I will still need to wear glasses for almost all distances, very disappointing at all distances. Had I done the basic Lense, it would have been fully paid for by my insurance company and would still need readers. So why go to the extra expense for disappointing vision at all distances.

[@VgVi13]

Thank you so much....This is the dilemma I'm facing. was wondering why the vivity was so much more expensive. I know the optometrist gets a kickback because the surgeons office wanted to know who refereed me so they could THANK him. That's just wrong.

[@dondgc2298]

@@VgVi13 that’s a ridiculous comment. You are making claims of a kickback simply because the office wanted to thank the person who referred you? Wow.

[@mrunderhood]

@@VgVi13 I understand your feelings about kick backs. But due to the kick backs, gifts and spiffs from Pharmacitacal Companies years ago, I believe such businesses practices are now illegal. The mark up is pretty significant on these lenses. Referral fees between two offices "might" be legal with restrictions.

[@VgVi13]

@@mrunderhood Thank you mrunderhood. I know in the real estate industry, kickbacks/gifts were made illegal back around 2010 because it was so prevalent among vendors and I think it mostly stopped but not entirely. The surgeons office asked not just once...who referred you so we can thank them...sounds like they plan a gift of some sort but I'll hope not. Either way I did schedule for a second opinion here in a couple of weeks and may still use the first depending on what the second opinion comes back as. Thanks again.

[@shashikantpatil3612]

I am a teacher of 58 years old.I have operated my right eye cataract with Acre-soft IQ Toric(2.5 cylinder) Monofocal of 6D. can I implant Alcon Vivity EDOF Toric( 2.5 cylinder) IOL of 8D for my left eye and how it will be suitable for me?.Please guide me as early as possible. I will be very thankful to you.

[@frankb1]

I've seen in other videos that the Vivity lens has problems with contrast. Is that a problem?

[@nshah3101]

Thanks Doc. This video is very helpful and educational.

[@dougsheely7061]

What is your experience with the reported contrast sensitivity reduction of the Vivity? My surgeon is recommending the Vivity but another person in the industry has told me to reconsider due to the low light contrast issues and Alcon even states on their website that the Vivity has significant contrast sensitivity issues in low light. I can’t seem to find much written about it though. Thanks it’s my last hurdle before making a decision.

[@robmeyer7985]

Good question. As a half-baked watercolor artist I am concerned about too much loss in contrast sensitivity. I don't want to paint a pitcture that to me looks great, but to the rest of the world seems tonally overcompensated and garish. Perhaps the key words in describing the Vivity contrast issue is "low light," meaning If well lit the contrast loss may be minimal. True? BTW, kudos to Dr. Wong. He's an invaluable resource to thousands of prospective patients.

[@kevinmccloskeyAuthor]

​@@robmeyer7985 Rob I am an illustrator, got 2 Vivity lenses. After the first surgery I felt I had contrast loss. At night I could barely see pedestrians crossing the street. After the second lens I feel that is not much of an issue if I work under bright light. I do need readers for close reading.

[@obabas80]

In my early 40s my cataracts were getting bad. I looked into panoptix but at my age my doctor actually suggested the vivity. I do now need +1 readers for small text but overall I’m very happy with the vivity. Distance is great and very, very happy with intermediate vision (computer work) because that was a no go prior to the surgery. The halos at night I don’t think I could’ve lived with and didn’t want to risk. The readers were a bummer as well but it’s all about what you’re willing to put up with.

[@johnschannel449]

l'm thinking of going with vivity. With you distance vision does it seem as good as your vision was before you had cataracts? Vivity has lower contrast then standard monofocal lens, have you noticed any low contrast or lower sharpness , escpecally on overcast days or days when there is not much sunlight or in the 'late evening

[@obabas80]

@@johnschannel449 no, I’ve not noticed any problems with contrast. Even minimal lighting walking around the house is good and driving at 1am in the morning is what makes me happiest as I can see what’s going on in the road no problem. Distance is just as good as 20s if not better since I got a vivity toric which corrected minor astogmatism. Intermediate is perfect too. Doc said I’d see 20/20 and I am. Clarity and sharpness is amazing too. I actually got a vivity toric to correct some minor astigmatism in my dominant eye and a regular monofocal in the other and they basically are both the same except the vivity eye allows me some near vision. I’m typing this in my phone about 8in. Away from my face. It’s not perfect like before surgery but it’s workable and for long reading or very small print I use +1 readers. My main goals were good distance, intermediary, and some close but most importantly no loss in distance (like panoptix) or contrast compared to monofocal and absolutely no halos or artifacts of any kind.

[@johnschannel449]

@@obabas80 sounds like a success story, my surgeon says l should go with vivity. Did you have laser assisted cataract surgery ? l wonder if that gets better results.

[@obabas80]

@@johnschannel449 no, I did not have laser. It’s a great IOL so far. Ask your doc how many he’s put in since it’s relatively new. If you get it let me know how you like it and of course, good luck to you!

[@user-pu6sg7ih8r]

Greco are you happy with the vivity? I'm 44 and I cannot decide!

[@14guitars67]

Thank you so much for this discussion. And I very much appreciate your candid reference to how good the human lens of a 20 year old person is compared to synthetics. I'm scheduled for Vivity lenses in a couple of weeks. Hopefully they will be better than my 60-year old lenses. :-)

[@14guitars67]

Well, I went with J&J Tecnis Eyhance lenses instead. This was to keep maximum contrast sensitivity since I like to night hike, hunt, and camp a lot. Fantastic result, with no glasses needed...FOR ANYTHING! I expected to need them for reading, but not so. I can see everything from the hair on my arm to heaven.

[@alexzapassoff1005]

Don't do it !!

[@alexzapassoff1005]

@@14guitars67 You made the right decision, you are lucky !

[@frzn9856]

@@alexzapassoff1005 I keep seeing you talk bad about vivity but can you give more info on how your experience is so bad, when others are good, you might have just gotten a bad draw for the IOLS. Please lmk more!

[@gary24752]

I got the vivity lens and I cannot say I am happy with the outcome. Anything at arms length back is blurry and requires the use of reading glasses. I am constantly taking them on and off just to be able to do the things I need to do.

[@johnschannel449]

How is your distance vision and everything past arms lenght? is it only your near vision thats blurry? is everything else good

[@gary24752]

@@johnschannel449 Distance is fine. I have trouble watching tv and reading the closed captions at about 8 to 9 feet away. It also depends on the day and how bad my dry eye is as to whether or not things will be blurry. Reading magazines, cell phone is impossible on any day. I am constantly taking readers on and off which is a real pain. It was a catch 22 situation. I had no one to depend on to run me around so it was necessary that I be able to drive afterward. I just wasn't prepared for the difficulties in seeing up close. I was told I would need readers to read fine print but never connected the dots that anything within arms length was going to be difficult if not impossible. Normal readers from the stores are worthless to me as I need to be to be able to focus at any distance at any point in time in order to function wit the things that I do. It just never occurred to me that I would have to carry glasses around in my shirtpocket just to get groceries or supplies.

[@user-pu6sg7ih8r]

Any updates or are you pretty unhappy with vivity?

[@gary24752]

@@user-pu6sg7ih8r Not unhappy with the vivity lens themsleves. It was just that the doctor decided to go with distance for me and his assistant underestimated just how much I depended on my near vision for everyday living. I am guilty of not thinking it thru. Near vision for me at 71 impacts everything I do during the day where long distance is mainly driving issues. From fixing things, wood working, house projects, gardening, cooking, reading things like recipes and medicine labels, cell phone, computer, drawing with cad, etc. Basically anything within arms length I need glasses full time. Watching tv the picture is not sharp and reading the closed captions is difficult. On top of all that I ended up with one eyelid drooping and the doctor offered no reason for it only giving me the name of a plastic eye surgeon. It wasn't until I asked my neurologist about it I found out it was ptosis. Then I found out a coworker who had the same eye doctor did her eyes had the same problem. Now I am stuck with it.

[@ayhantemursehirdenkacanlar1327]

Greetings from Turkey, my teacher, I am 35 years old, I had a lasik laser in one eye so that I wouldn't wear glasses, an alcon IQ single-focus lens was placed in one of my eyes, but my eye with lens has not been cleared at any distance for a month and I see objects bigger, closer and more diffused blurred than my other eye, what could be the problem? I want to get information from you and if change is necessary, is it difficult to do, is there a certain period of time, which lens would you recommend, my profession is truck driver

[@yamunajolicoeur2807]

Fantastic video! You are incredibly smart and very talented ❣👌

[@dmcgauley]

Will there eventually be a perfect lens if we wait long enough?

[@msanders6863]

Thank you, doctor, and also patients for all the info. I'm wondering if there are any women out there who wear makeup, and how has it been to apply makeup since you've had an eye lens replacement, and what lens did you get? I'm having trouble deciding which lens to get due to this issue - thanks in advance for any help!

[@natasha83196]

I really appreciate your videos. I'm 50, with lifelong near sightedness and now I have presbyopia as well. I spent the past two years discussion LASIK with my opthomogist. The best he could do is monovision. I tried for months to adjust to monovision contacts, but realized I just can't live that way. He never suggested lens replacement, and I never heard about it until coming across your videos. I am now searching for an opthamologist that is knowledgeable in this area. Any tips? I live in Philadelphia.

[@ShannonWongMD]

Richard Tipperman, MD

[@sharmahw]

Dr. Wong, have you done a Panoptix (non dominant) and Synergy (dominant eye) combo? How was the night vision of the patient? Thanks much.

[@bestcomment3589]

Are the Halos reduced if you Squint or use other techniques with the Panoptix lenses.

[@SuperF117nighthawk]

I currently have a monofocal can I get panoptix if it’s been 2 years?

[@ShannonWongMD]

In order to have an intraocular lens exchange (IOLX), your surgeon would need to examine your eyes to determine the pros/cons of performing the procedure for you.

[@tanyarudy1300]

This was so well done, thank you.

[@thaddeusbruno426]

Thanks so much for your clear & concise explanations dealing with surgery & the lenses. Do you do muscle eye surgery at all? Thanks again!

[@rfisher7199]

Is is possible to use Vivity Lenses adjusted to a monocular configuration with one eye focused for near vision and one eye focused for distance?

[@NicoTineman]

My vision problems seem to be more with the haze and double vision than with the focus. For instance, my near vision is fine when looking through a pinhole - which eliminates the double vision.

[@estersantiago4238]

I am 74 years old, my right and left eye has glaucoma my right eye has cataract my Doctor told me that an eye surgery is no longer necessary because it will mot restore my vision in my right eye anymore. My vision in my right eye has deteriorated and resulted in visual impairment, then my left eye has cataract also and he was recommending cataract surgery. I am hesitant to undergo the recommended procedure. I'd like to seek your opinion Is it ok for me to undergo cataract surgery? Will the procedure be beneficial to glaucoma patient like me? Your response to my concern will be highly appreciated. Thank you so much and God bless!

[@bakervinci163]

What is best for a patient with no previous surgery , good health, that only needs reading glasses ?

[@SuperMarcus2323]

I have the PanOptic lenses and was just wondering if it was possible to have a Vivity in one eye and PanOptic in the other? I suspect the brain would adapt to choose which eye to see through for best vision.

[@ShannonWongMD]

Patients with a vivity in one eye and panoptix in the other do well as long as we inform them before surgery of what to expect from each lens.

[@sonogirl12345]

What will they expect after surgery?

[@davidlarson4422]

When are liquid vision and juvene accommodating lenses going to be the market?

[@ShannonWongMD]

IDK.

[@JeremyCouch]

Not soon enough I'm afraid. Juvene is expected in 2024 last I saw. Liquid Vision info has gone dark since Alon bought it. If anyone has any info please share!

[@grudajeffrey6228]

Are there glasses or some other device to help the haloing with either lens?

[@ShannonWongMD]

Not that I am aware of.

[@saurabhbaranwal1844]

Got vivity implanted no halo no glare till one month but unable to read without specs I think may require 1. 5 + power for reading distance vision still neads more time to stable

[@adelalsilimi2010]

doctor Shannon can you talk about the Zeiss trifocal IOL implant

[@barbaramendola6125]

Wondering how the Vivity lens compares to the newest version of the Symfony lens.....OptiBlue?

[@debrajones8194]

Thank you sooo much for this!

[@pauls3423]

Is it possible to achieve Vivity focal range with a basic lens used as monovision (right - distance; left - near)?" Do you ever use basic lens or only premium?

[@roziehere]

thank you so much, very good information!

[@dapinkcat]

Dr. You're Awesome! I'm doing this at 53. I don't have cataract issues, I wonder if these are the lenses that will be presented to me upon my visit? If I go with Vivitiy, will I really have to use reading glasses to read my phone?

[@honeybadgerhikes]

What is the cost of the lenses excluding the surgery?

[@ALCV11]

Hi doctor. I wonder whether you would recommend Clareon IOL over the AcrySof IQ now?

[@shev1970]

Would you recommend having both lenses put in form get go I’m planning to get surgery in July

[@dreznik]

Dear Dr Wong -- can you review the Eyhance as well?

[@sidewinder3434]

look at video kzbin.info/www/bejne/eoawf3ylr8x4h5o and kzbin.info/www/bejne/Y3eldH6YipqjbdU

[@deniselanglois6193]

I’ve had left eye done 1 week ago with Panoptix still getting used to it will need right one done but thinking of doing a Vivity lens but will I need reading glasses

[@BMW48is]

I'm going for presbycia soon and my surgeon suggest Bausch and Lomb micro-s lenses. I don't find any reference online. Someone knows about them?

[@iamsaood]

very useful video. very well explained.

[@janestone4073]

Can you do mini monovision with the vivity lens so that you can enhance near vision in one eye?

[@ShannonWongMD]

Yes. But from my current understanding, the eye for near should stay in the -0.50 to -1.00 range and not more myopic that that.

[@michaelcascio8856]

Dr Wong - what do you think about using a panoptic lens in one eye and a vivity lens in the other eye? I’d really appreciate knowing your experience.

[@ShannonWongMD]

We use the panoptix in one eye and the Vivity in the second eye of the same patient with regularity. This combination of lens implants works well overall.

[@michaelcascio8856]

@@ShannonWongMD thank you Dr Wong! It seems from what I’m hearing that the vivity does give more visual acuity, more contrast and less halos at night when driving. Since I wanted to be able to read without glasses, I chose the pan optics for my left eye and thinking it might be an advantage to use the vivity in my right eye. Do you recommend that over using the panoptics in both eyes?

[@rangell021]

Do you have any feedback about the ocumetics lenses?

[@davidwayne9982]

Would REPLACEMENT of panoptix with VIVITY cost the same as regular cataract removal and lens replacement??? I can't see with this panoptix aand after 2 months I 'd think It would be a LOT better-- I don't expect perfection- never have--- but I'd be afraid to go driving where i haven't been- because I can't read the road signs tll it's too late.. I"m 65 and had panoptix put in over 2 months ago.

[@jerrywebb3223]

We are in the same boat. I havent driven anywhere except to post office which is just by my house. 4 weeks since surgery and I am miserable.

[@davidwayne9982]

@@jerrywebb3223 Yeah- everybody you see says- I could see PERFECTLY same day and it only got better-- well those must have been "ads" in disguise.. is all I can figure.

[@davidwayne9982]

BEEN a while now- and I STILL can't see sh... with this panoptix.. was reading up close just fine- now that's getting so I need a magnifier and a light... distant is a tad better- but still blurry past around 50ft... and it's going on 4 months.. I am NOT happy at all... would the Vivity help me??

[@sarahgavaghan5588]

Is the vivity lens an option for uveitis patients?

[@mpower3144]

hello , is it true that vivity lenses you loose a lot of contrast?

[@pernel48]

Thank you very much Dr Wong for your superb explanation between the two lenses. I have a Technic ZMB00 in my left eye done 3 yrs ago which troubles me a lot due to the smudgy image I am getting and I have been given the option of explanting it and replaced with either a Vivity or Panoptix but I m deeply concerned about the fibrosis that may damage the capsular bag and my doctor said he may have to leave the haptic inside. I note from your video that are 1 in 300 patients do lens exchange but as for me; do you do consider it safe to do lens exchange after 3 years - may I have your short and precious opinion.

[@ShannonWongMD]

In my experience, intraocular lens exchange can be performed indefinitely if the patient and surgeon have the will and ability to go through the process together.

[@pernel48]

@@ShannonWongMD Thank you so much for your prompt reply. Have been pondering about it for quite a while. My right eye with panoptix is great. Your input has me closer to an explant decision. Greatly thankful for your input. God bless.

[@stevew9769]

@@pernel48 Do you have halos at night with the PanOptix?

[@tom95521]

I hope you do another comparison with Clareon versions of the lenses.

[@ShannonWongMD]

Will do.

[@tom95521]

@@ShannonWongMD I have the new Clareon Vivity lens in my right eye for a few days now. I don't think the 20 year old version of my eye was as good as my new eye. No more glasses 🤓except 😎. Left eye surgery in 3 long weeks from now. Thank you Sir Harold Ridley and others who invented IOL implant technology.

[@ShannonWongMD]

this video does a great job: kzbin.info/www/bejne/a5PbpqN7mb1or6c

[@iitpmt6399]

Can please compare Physiol,Alcon,tecnis

[@markklimek635]

Hi Mr Wong do you use LAL and what do you think about this type of lens?

[@ShannonWongMD]

We do not use the Light adjustable lens. In my opinion, it has limited benefit over other lens implants in a small subset of patients.

[@Ntsu345]

What is the cost of these lens

[@raznologija745]

Is there toric vivity lens?

[@ShannonWongMD]

Yes.

[@raznologija745]

@@ShannonWongMD great

[@robtoulany7313]

Dr. Wong Would you recommend a mini mono vision -0.50 vivity lens in both eyes or a panoptix in the non-dominant eye and a vivity in the dominant. Which combination in your opinion will provide more superior vision free of glasses and halos. Currently I have a panoptix in my non-dominant eye and I’m not happy with my intermediate vision and halos. I use concat lens in my non operative eye and with both eyes I see no halos. However when I cover my non operative eye and only use the panoptix eye I see massive halos. My near vision in the eye with the panoptix lens is 20/20 So I am debating doing one of 2 things. 1- place a vivity in the dominant eye and keep the panoptix in the non dominant one. In hopes that I’ll have 20/20 near 20/20 far and minimum to no halos. 2- exchange the panoptix to a vivity and have both eyes with vivity with -0.50D in the non dominant eye as a mini mono vision. Which is in your opinion will be the better choice to achieve best far and near independence of glasses and little to no halos. Best regards

[@ShannonWongMD]

I vote for option #1.

[@HoaVu-cb8fs]

@@ShannonWongMD Thank You Dr Wong. Your responses are a BIG help.

[@robtoulany7313]

@@ShannonWongMD Thank you Doctor Wong, Your videos have been huge help.

[@BL-rb7jm]

Is it possible to pay up to $20,000 $10,000 for Islands replacement I've never ever heard of such a ridiculous high price is that true even if you got government Medical

[@BL-rb7jm]

It's amazing what they can do now with cataract drops for Animals such as dogs I wish they had drops for humans

[@VgVi13]

They do. It needs to have NAC in it. I've been using them for a couple of weeks and no difference yet.

[@BL-rb7jm]

@@VgVi13 I hope you did your research. There's a few out there that do nothing. I hope this one does something for your dog. We have to be very careful

[@melodynyc4251]

Dr. Wong, thank you so much for your excellent videos. I am currently contemplating between the PanOptix and Vivity. My question: If someone has a high far-sighted prescription, does this affect if a person sees halos/starbursts with the PanOptix - or needs reading glasses for reading with the Vivity? .... (My contact lens is +6.0 in the left eye and +5.5 in the right. I also developed a posterior sub capsular contaract in the left eye (and astigmatism) and a small regular cataract in the right). So I'm wondering if my far-sightedness would impact how well each lens works. ...... Second question: Some people made comments (below) about using the PanOptix in one eye and a Vivity in the dominant eye to avoid halos and improving reading ability without glasses. Do you agree with this strategy especially for someone with a high prescription? I would greatly appreciate your insights on this.

[@ShannonWongMD]

The combination of vivity in one eye and panoptix in the other seems to work well thus far in the patients that I have created this combination for.

[@melodynyc4251]

@@ShannonWongMD Thank you for your reply. But can you please tell me if you've noticed any trends when it comes to benefits/risks that someone with a high far-sighted prescription faces using either the Vivity or PanOptix lens. ie. Does someone with a high far-sighted prescription tend to face more halos/starbusts with the PanOptix lens vs a near-sighted one? ..And does someone with a high far-sighted prescription tend to have better "reading" ability with the Vivity than a near-sighted person? Or the opposite? Or no difference at all between high far-sighted & near-sighted people?

[@patrickmouton2179]

​@@ShannonWongMD So I had the PanOptix lens exchange for the Vivity lens on 5/16/2022. My PanOptix had been in my right eye for 9 months and the Doctor had a hard time getting it out. A surgery that should have taking about 15 minute took about 3 to 4 times longer and while the doctor was trying to get the lens out he trauma my eye and damage my eye. He damaged the zonules they are the tiny thread-like fibers that hold the eye’s lens firmly in place. So this on 6/1/2022 he tough me he could not center the Vivity lens in my eye, because of the damage. But he said that it will not hurt my vision because I have small eyes and that the lens is over my pupil. But I still have blurred and cloudy vision and I cannot see well out of my right eye. So I can say if the two lens will work out as I had hope for. I'm going to get a second opinion. The lens not being center has me thing, is that the problem. Second opinion doctor said that my eye will not get any better or any worse. I can't read with out closing my right eye on small print. Doctor said to give some time and I might not have that problem reading. Am I going to see clear ever again in my right eye. Dr. Wong what do you think?

[@tarheelhistory3390]

@@ShannonWongMD Thank you for so many informative videos! Do you ever put Panoptix in one eye and Monofocal in other eye to reap the benefits that both lenses offer? Would it matter which of these lens goes in dominant eye?

[@traciewilson1941]

​@@melodynyc4251Hi, did you ever get an answer or have your surgery? My prescription is similar to yours and I can't decide which lenses to get.

[@kandiecandelaria3134]

Can you change out premium lenses if they don’t seem to be working as described?

[@ShannonWongMD]

Yes. But it depends on a lot of variables.

[@kandiecandelaria3134]

@@ShannonWongMD i got the synergy toric in my left eye. Vivity toric in the right because I have a little glaucoma. I really can’t seem to see clear out of the left one. Not close nor mid or far.

[@robertgreen2658]

Thank you

[@juanperez-yu6du]

Hi doctor. Is vivity lanse covered by my insurance?

[@shrikantvaidya208]

Very good video sir

[@IMadeOfClay]

I have been watching Dr Wong's videos for a while and have found them very helpful. Can anyone help me understand how the rings work in the Panoptix lens. The centre bit of the lens is presumably for distance viewing in both eyes. Are the next few rings for intermediate vision and the outermost rings for near vision? I have heard there are lenses where the centre part is for distance viewing in one eye and for near viewing in the other eye - this doesn't seem like somethink I would like. I would love to have this PanOptix lens but would like to know that both eyes will be seeing the same rather than one eye being dominant for distance viewing and the other dominant for near viewing. Kind regards

[@patrickmouton2179]

I have PanOptix's in both my eyes and they are the same for Far, intermediate and close vision. Right eye with a Panoptix Trifocal 24 Diopter intraocular lens implant on 8-16-2021, left eye with a Panoptix Trifocal 25 Diopter intraocular lens implant on 8-2-2021. Right eye is the dominant eye.

[@jimd7241]

@@patrickmouton2179 you have alot of glare??? Did they use ORA system at time of surgery

[@nealspeiser6721]

I had a pan optix lens installed in my left eye . Greatly improved my vision . The only issue is about 8 months later have developed the most annoying floaters in my left eye which makes it very difficult as I work on a computer. All I’m told is the floaters are due to age, is a victrectomy a safe option ??

[@ShannonWongMD]

Here is my video on floaters: kzbin.info/www/bejne/Z4Glh4SlrLSgpqs

[@sushileye]

Thanks

[@26julydablu]

In vivity after 8 days of surgery still not good for distance

[@larryseidel8249]

U the man ty

[@trudewhite876]

I had laser surgery on my right eye ten days ago and on my left eye 3 days ago. I have a Vivity lens in my right eye and Panoptix in my left. I am very pleased with the combination. I can read small print close up without glasses and mid and far range is very clear as well. I haven't done much night driving yet, but with the little I have done halos don't seem to be a problem.

[@JustinHEMI05]

Trude, would you mind giving an update? I have the option to get one of each as well. I'm strongly leading towards two vivity's but would love to hear your experience with one of each.

[@francoisenorwood5899]

Trude if by chance you read this my ophthalmologist recommended a Vivity in my second eye as I see ghost images with Panoptix in first eye. Images lack contrast which is my biggest disappointment. Black is missing Panoptix when looking through one eye. were you ever aware of this with either lens? Thank you.

[@colinalton]

Hello Trude Six months since your surgery. Can you give an update please? What is your night vision like? Halos? I’m scheduled for a PanOptix IOL on 26 June & either a PanOptix or Vivity IOL on 3rd July. Thank you. Colin

[@colinalton]

@@francoisenorwood5899 Hi Francoise. Can you give an update (the good & bad) on your IOL surgery please? Thanks Colin

[@irajtadjalli1318]

Thanks

[@elmono3939]

I went with PanOptix lens and I am very happy with my decision. I never knew about presence of any "halos" until people kept asking me if ".. I see halos...". So I started paying closer attention to it - and yes, I can see a very light halos. But... I would never notice them on my own. Now when my brain was conditioned into "seeing halos", I am aware of them. But, if you don't think about halos, you don't see any. I see well at all distances, including reading up close. No need for glasses at all. I am very happy with PanOptix, and ready to do my other eye with same lens. Thank you Dr.Wichterle, thank you science !

[@cathy3864]

Do you see the rings around bright white lights? If you did, how long did it take for you to neuro adapt? I do and I am unable to drive at night. How long have you had the PanOptix lenses in? Thanks.

[@elmono3939]

@@cathy3864 Hello, I have had my PanOptix lenses for almost 5 months. No, I don't see rings around white lights. Doctor told me it is a 12 month healing process and quality of vision may, and most likely will change during healing time. So far, so good. My post-surgery tests are coming in as 20/20. No glasses needed. Thank you

[@WysteriaGuitar]

I have cataracts and astigmatism - torn between getting the Panoptix or Vivity. I am a bit concerned about Halos at night but at this time I do not do a lot of night driving. I mostly need to see computer screen and far. Thoughts?

[@ttownsend3252]

I have two PanOptix trivia-focal lenses as well and love them. The "halo" effect of lights at night for me is a non-issue. I noticed it the first month or so and I think my brain has now tuned that effect out. Love the range on these lenses and the fact I no longer needs any corrective lenses at any distance. My vision went from 20/60 to 20/15 after the procedure.

[@rajpadhi1]

​@@WysteriaGuitar From my experience, I can safely say that 30 days after the operation with Vivity EDOF lens with Torric, I have no such issues of halos & glares now. In the 1st week after the surgery, I did see some halos(Rainbow coloured Rings), but this was resolved in 2 weeks. Able to read from PC too.

[@reyesk12]

Amazing explanation doctor! I work at an ophthalmology clinic and this helped me understand the options patients have and the benefits! The human eye is truly a miracle.

[@wtoddland]

A comparison of competing medical solutions is something a patient almost never gets. Dr. Wong's presentation is refreshing.

[@carolcaruso6641]

Almost one month post vivity in both eyes. Wanted no halos and I do have functional near vision--- am typing this text with no glasses. But to settle down and read a newspaper I definitely use cheaters! But as someone who has worn glasses or contacts since the age of 7 this 65 year old is thrilled. Well worth the extra cost as nice glasses cost that much. Thank you for your comparison video. I think I chose well for my needs!

[@rajpadhi1]

I have had the Vivity EDOF lens with Torric inserted in one of my eyes last month. The doctor had also done some LRI surgery, and the post ops after 30 days, the results are excellent. Distance Vision is 20/20, and the near vision acuity is N6. I am able to read on mobile at a distance of 35-40cms. No or minimal night time glares & halos. May need a glass to read smaller fonts. Highly satisfied with the Vivity lense. Colours are vibrant. It cost me around INR 105000 in Mumbai. The GST invoice for the actual Vivity Torric lens was Rs.40k. Operated Pheco surgery without lasser or AI assistance.

[@Methodical2]

Nice video. I went with the Panoptix. I can seeeeeeeee (20/20 in both eyes but believe I could go lower). I wore glasses since I was in the 5th grade (about 46.5 years) and now I don't need glasses. This is a whole new world for me. I can wear any pair of shades I want now. However, I no longer have what I called the macro vision where I could clearly see within 5" of my eye. The Panoptix pushed that out to about 12" (or the natural reading position it seems). My prescriptions before replacing both cataracts for D.V. were -5.0 (O.D.) and -5.25 (O.S.) and for N.V were +2.0 for O.D and O.S. if that helps. I am happy with the new cataracts (1st in May and 2nd in June this year). On my last week of eye drops.

[@wilc4u]

Hi Doc - First, thank you for all your very informative videos. I have had Lasik for monovision, near vision on my left, distance on my right eye, and extremely happy with the results and my vision (as I'm approaching age 60). As I see these 2 IOL implants (as well as the Symfony IOL), I wonder if you have performed or have considered different implants on each eye (ie Vivity on the right, PanOptix of the left) to address patients like me that are used to and happy with monovision? What are your thoughts on such an approach? TIA

[@rette2901]

I have actually heard that they can mimic your monovision with IOLs

[@peterh1984]

Thank you very much! We even thought about coming to TX to have you do the surgery because of the clear and knowledgeable explanation and how easy you made the lens removal seem. You represent yourself and your facility very well! Our potential surgeon did not explain anywhere near this much and so we needed to do outside research. We did check and our surgeon has 12 years experience at our local facility and experience before that so he should be well qualified, just maybe "too busy" to use his time to provide all the information we want.