The world's worst IOL ever. The truth and the myth of IOL replacement surgery.

[@iol-adviser]

👉 Uncover IOL truth at IOL-adviser.com 👈

[@Fireneedsair]

No other surgery requires the patient to make SO MANY CHOICES and do their own research

[@iol-adviser]

that's why I am here to help patients :)

[@babybear4524]

I agree. Its agonizing.

[@Fireneedsair]

Really there is NO other surgery where the patient has so many choices to make. It’s overwhelming and surgeons often try to push premium lens because they make more money

[@iol-adviser]

it is true, that patient has a lot of options to choose from. but I am not agree with the point about pushing the patient to premium. yes, it brings more money and same time it brings a significant value to the patient sight. in my experience surgeons rather reluctant to push to premium - it is more complicated to "sell" and patients in many cases are not fully happy with the visual acuity at distances the patient wants

[@stevenswann2835]

Welcome back! I was worried about your safety. Glad you're back and providing great IOL advice.

[@iol-adviser]

Many thanks! All good, working on a new IOL selection tool helper, and will announce it soon :) Stay tuned!

[@dathyr1]

It is now Oct 2024. Well, there maybe several choices of IOL Lenses, but for the majority of us that are retired and on Medicare and a Supplemental in the US, Lens and Surgery is only covered for the Mono-Focal type lenses. All the other Lenses/procedures are out of pocket costs and can be very expensive which I cannot afford. I am 75 years old and in the process of getting both eyes taken care of because of having Cataracts - right eye is worse than the left. I will probably go for the "Distance" Mono-Focal lenses and then wear glasses for seeing things closer to me. I have always been near sighted and wore glasses most my life. Right now I am not sure what the "Distance" Mono Focal lenses will give me. I go in for measurements on the 18th of Oct and will ask the Doctor what to expect with these lenses for both eyes.

[@iol-adviser]

as a nearisghted person you may discuss either mono-vision or both eyes calculated for near focus and distance glasses use.

[@walterski8377]

So confusing!! I have been to 4 Eye surgeons, each Dr was offering all products from 1 manufacturer, each one recommended to me different types / brands. 1 monofical distance, 2 multi focal, 1 light adjustable that he doesn't provide but the 1 multifocal Dr does do LAL but he didnt recommend LAL me.

[@iol-adviser]

that is pity to hear that. Do you have an understanding more or less what do you need? I'd like to help you, if you wish. can you. To help narrow down the best choice for you, I'd like you to share more about your day-to-day activities, hobbies, and work requirements. Specifically, how you use your vision throughout the day can give us good insights. For example: Close Work: Do you often read, sew, or engage in activities that require good near vision? Computer/Intermediate Vision: Is much of your time spent at a computer or tablet? Outdoor Activities/Driving: Do you drive frequently, especially at night? Are you involved in outdoor activities that might require sharp distant vision? And any additional detail such as a desire to reduce dependence on glasses or specific visual challenges you face would be highly beneficial. This information will guide us to define your needs effectively and then select the best IOL option based on those needs. Then your medical status may play a role in selection, but we shall start from your lifestyle. It is the base of IOL selection

[@nahkanukke]

After more than one year ago with IOL lens replacement i am so happy until today. I started a hobby making some detail jewels and couldnt´s see all the fine details. IOL was designed for 20-30cm-> infinity. I did know that but hopefully i had old glasses to see even the smallest hair when working with small objects. Generally IOL is a good choice for me. Thanks for the video

[@iol-adviser]

thank you for sharing your experience! yes, as I explained - no IOL will give this extremely crisp fine details close-up vision, unless you select a monofocal IOL and discuss with the surgeon to aim a target refraction to about -3D. but in this case far vision will be too blurry without glasses for far vision. I believe that in your case the best way to use glasses for that tiny hobby. Wish you a good sight and enjoy the new hobby!

[@Rita50]

I wonder what IOL gives 20-30cm???

[@Rita50]

@@nahkanukke fantastic hobby! Enjoy!

[@john-mh8tt]

Maybe you can answer my question?.. 4 months ago, I had Panoptix IOL and the vision outcome is very blurry. What's more is that objects that should be perpendicular to the horizon are slanted off to the right. The surgeon also talked to the girl in the room about what she should have done with her own IOL or lens exchange, throughout my surgery, even while vacuuming and placing the lens. Is it dangerous to do microscopic surgery while being distracted and talking? Could that have caused my bad outcome?

[@iol-adviser]

sorry to hear about your experience.. No, generally talking during the surgery is a common practice for experienced surgeons, however that is no direct sign of the surgeon's professionalism. the situation you experienced might be related to number of issues like IOL tilt, wrong axis of toric lens, retinal issues and so on. The best way to identify the source of the problem is to discuss it with your surgeon and look for a second opinion in case of unsatisfactory results. Vision shall be relatively sharp and visual acuity shall be in normality range for far and shall allow reading at about 40cm in good lightning conditions with that lent, if everything done properly

[@epaminon6196]

31 (m) here. Minus 2.25 on both eyes. I'm getting ICLs implanted next week. My current corrected vision with glasses is 20/10. I'm looking forward to seeing without glasses after the operation but I'm afraid of losing uncorrected visual acuity due to the fact that getting 20/10 vision out of ICLs is almost unheard of. I hope I'll be able to adapt to 20/20 vision.

[@iol-adviser]

Good luck. 20/10 is an incredible sharp vision. I guess you are talking about far with the best correction and your aim is to be free of glasses. Please share your experience later.

[@epaminon6196]

@@iol-adviser Thanks. It's only corrected 20/10 vision if I use both of my eyes together. Each eye has only corrected 20/13 vision on its own. Statistics show that I'll most likely be able to keep my corrected 20/10 vision if I choose to wear new glasses after the implantation. I'd be able to drive a motorcycle, look at TV screens and do sports without glasses with 20/20 vision, so I hope ICLs will get me there. I'm gonna get my ICLs next Friday, so I'll try to write to you how it went in a month or so, once my vision has stabilized.

[@iol-adviser]

@@epaminon6196 I wish you a great visual outcomes and will wait for your feedback!

[@lisar3944]

*Quality* of vision: this is so so so important. I have struggled with this just over the course of worsening presbyopia - I literally have not been able to see anything clearly at any distance for years now. The fact that our vision is "tested" using only black letters on a white background, as if this has much to do with how let alone what we *really* see on a daily basis is ridiculous imo. Yes it measures something which a I understand it, is labeled "acuity", but come on - how often do we encounter this level if visual contrast in daily life? Just because I can manage to make out what a letter is, doesn't mean I see it *well*. Yes I can read that last line, but it looks horrible! Yes with progressive lenses I can kinda see at all distances, but none of it actually looks good. It's functional, at best, but not "good" at all, which is hard to explain but if you've experienced it you know exactly what I mean. Yet the optomotrist is happy to usher me out the door, claiming great success with my new prescription :/ I now have a cataract and I'm very concerned that I won't be able to find a doctor who understands that I care about being able to see really well again, at any distance! ETA I don't mean all distances, I mean any of them :D I'm hoping it's possible to stretch that a little bit so I can get top notch distance vision but also comfortably cook or shave my legs with just a bit of blur, similar to how it was when I first started developing presbyopia (with micro mono vision? and/or an enhanced mono lens?) but I'm not cool with gaining a wide range of mediocre visual quality. It's what I've got now and I genuinely hate it.

[@lesiasologub9376]

Great video, thanks!

[@iol-adviser]

Thank you for your support!

[@whatdoyouthing8845]

Hello, is the sifi mini well toric lens a quality lens or is the SİFİ company a reliable company with quality lenses?

[@rogerwalter2500]

Hi, My age is 49 (Type 2 diabetic) and I have been recommended to go for ED IOL Impress or ED Vivity - IQ for my left eye. My primary work is on PC monitor and soldering / repairing electronics. I don't drive and do basic news paper / magazine reading . Can you please advice what's good for me. Thanks

[@iol-adviser]

Hi. Having your age and diabetic condition and visual needs I'm not sure that Vivity is a good option. I suggest to discuss your case in more details, feel free to contact me : www.iol-adviser.com/consultation

[@alisoylu4034]

I have a very important question for you and I wish you will reply. I am a 37 yo PSC patient and will go under a catarct surgery. I have -2.5D myopia and -0.75 astigmatizm. I definitely want sharp and clear vision on my eyes. It is not important for me to see close distances with eyeglasses or lenses. I just want sharp & clean vision even with glasses. I went to a op. doctor and he adviced Alcon AcrySOf IQ SN60WF for my eyes but as I make some simple search it is said that while SN60WF cause glistenings while the new generation of same brand Alcon Clearon monofocal lenses has no glistening, less surface scratching possibilty, less posterior capsul opacification possibility and provide more clear vision. What might be the reason that my doctor did not advice me Clareon? Could you please tell me the comparison of these two lenses with cons and pros? Which other lenses would you advice me to have sharpest and clearest vision even with glasses?

[@iol-adviser]

Hi. Your doctor's recommendation for the SN60WF could be based on their familiarity and comfort with it. However, if you have concerns or preferences, such as the potential advantages of the Clareon lens, it's advisable to discuss these with your surgeon. They theoretically may provide a personalized advice considering your visual goals and the specific characteristics of your eyes.

[@kamilcopur6513]

​@@iol-adviserIs the Clareon something like J&J eyehance which has additional close focus? or a simple unique focus like SN60WF?

[@iol-adviser]

@@kamilcopur6513 no, Clareon is a material, the lens is nonofocal. Eyhance is a better option in terms of material (to Acrysof) and in terms of intermediate visual acuity.

[@kamilcopur6513]

@@iol-adviser Than clareon monofocal must definitely be a better option against AcrySof IQ monofocal. Right? What about J&J ZCB00 ? İs ZCB00 better than IQ & Clareon?

[@iol-adviser]

@@kamilcopur6513 Clareon is a new material, claimed to be similar in quality to ZCB, thus theoretically they are similar, but ZCB has about 18 years of safety records.

[@terryjross1184]

Do not replace natural lens ever it's a nightmare esp pcb00

[@iol-adviser]

sorry to hear that... I will explain how IOLs may ruin the vision soon, but spoiler - it's not IOL itself.. exception is wrong IOL type for parcicular patient in terms of visual needs

[@terryjross1184]

​@iol-adviser thanks - is it possible to change to correct one ?

[@iol-adviser]

yes, it's possible to exchange an IOL, but surgeon shall be experienced in that type of procedures.

[@ZZ-ff1tp]

Dr: has to explain this you are talking about to the patient

[@iol-adviser]

Do not understand the idea what you mean. Could you please clarify?