What Lens Should I Choose For Cataract Surgery? | Ophthalmologist Discusses Your Lens Options!

[@MicheleLeeMD]

Thanks for watching ❤️ If I were to get cataract surgery today, I would elect for a toric lens to correct my astigmatism and pick lenses for monovision - one eye for driving/far distance, one eye for computer/intermediate distance. Let me know what lenses you would pick for yourself (or what you have already done)!

[@ajs11201]

I'd probably make the same choice as you--except that I don't have astigmatism so I wouldn't need a toric lens. I've worn monovision contacts for about 15 years, and I love the acuity I get with them, so I'm likely a good candidate for monovision IOLs. All that said, I'm at least 5-10 years away from needing lens replacement surgery, so I'm always paying attention to new developments. I reserve the right to alter my decision based on technological advancements over the next several years. 🙂

[@auntymarushkafah]

I picked the lenses that Didn't cost four thousand dollars per eye. Oh well...

[@MicheleLeeMD]

@@auntymarushkafah Thanks for sharing!

[@auntymarushkafah]

@@MicheleLeeMD I would have chosen the toric, now, if I had the money.

[@MicheleLeeMD]

@@ajs11201 Thanks for your feedback :) Yes, definitely keep an eye out for newer, better lenses!

[@douglasburnside]

I had cataract surgery earlier this month and had both lenses replaced with the multi-focal lenses. I am totally impressed with them. Both eyes are now 20/20, both near and far distance. I can hold a finger five inches from either eye and study the fingerprint. I can look at the cell phone tower five miles away and make out the trusses and cross bars of its construction, again with either eye or both together. I have not noticed any night time flaring, but I have noticed that during the daytime everything is much brighter and more colorful with the cataracts gone. I am 77 years old and have the eyes of a 15 year old and am delighted with the results of the surgery.

[@MicheleLeeMD]

Thanks for sharing! I’m so happy for you and your brand new 15 year old eyes ❤️

[@stevew9769]

Which brand and model of multifocal lens did you get? Thanks!

[@douglasburnside]

@@stevew9769 I'm not 100% sure, but I think perhaps they were Bosch.

[@MicheleLeeMD]

@@stevew9769 Some of the more popular/newer brands in the US are the Alcon Panoptix and J&J Synergy multifocal lenses.

[@stevew9769]

@@MicheleLeeMD I know. I was just wondering which specific model Douglas received, since he got such good results.

[@MelvinHughesatp]

I'm almost 72. I had Alcon Vivity multifocal iol's put in one week apart (21 and 28 September.) I had been wearing progressive lensed glasses for many years. But finally the cataracts were affecting my ability to be corrected for distant vision. I am still working as an EMS helicopter pilot and was primarily concerned with finding a lens that would give me the greatest range of vision without glasses as well as being mostly glare free. In the US, the FAA requires a three month "adaptive period" after multifocal implants are put in place (not so for single focus.) So while I'm not flying for the next 85, I have to say that I am pleased with the Vivity lenses so far. I have no glare in the daytime and have noticed very little if any at night. My distant vision is extremely sharp in the right eye (done first,) and the left is catching up quickly. Intermediate vision is also very good in both eyes. I read my computer and most things on my cell phone. I'm hoping to see more improvement in the close vision. But I may end up having to carry a pair relatively low powered readers for small print or reading in darker environments. After wearing some form of glasses for over 35 years, it's quite liberating to only look for my sunglasses!

[@MicheleLeeMD]

Thanks for sharing your experience!

[@quasimodem5260]

I just got the Vivity IQ last week. I just came back from my optometrist. 20/20 near and far. Agreed that with small print I need good lighting. Virtually no glare, that is why I chose this option. Lights are easily 1/4 the was seeing before with cataract halos. I have to concentrate for small print but can pretty much see everything.

[@MicheleLeeMD]

@@quasimodem5260 Thanks for sharing your experience with your Vivity lenses!

[@nanaforchrist915]

Thanks, Melvin. That really helped me in my decision.

[@davidfwilliams1960]

similar experience with Vivity for me as well except the non-dominant eye was made slightly near sighted so I can read well and have excellent distance/intermediate as well. Great lens

[@jeanniewildin5583]

I lenses replicated my monovision contacts that I used for 20+ years. It’s been 4 years and my vision is still perfect. I was told I might still need readers to do things like thread needles. Nope! I can thread needles all day long with no problems. Thrilled with my results. After wearing corrective lenses most of my life, this is a true gift.

[@MicheleLeeMD]

Thanks for sharing!

[@Airpaycheck]

A suggestion for those thinking about single vision lenses for distance vision. If you are used to seeing up close without glasses, get a pair of readers and wear them around for a week or two. You will realize what you won’t be able to see clearly without glasses after surgery. Things like your watch, fingernails, toes, etc. you may choose to go with near vision and use glasses for the far stuff as necessary.

[@slundgr]

Thanks for the tips. I’d rather wear glasses for driving, walking my dog, going to ballgames, etc., and not needing glasses for seeing to read, do computer work, watch Tv, etc. I don’t like wearing progressive lenses as I have to turn my head and not just my eyes. I did have LASIK Ask

[@Hank520Tube]

At 73, I could no longer drive safely at night due to the extreme glare from headlights and even traffic lights. So I went to a recommended ophthalmologist who, after a very careful exam, told me I had cataracts in both eyes, and discussed my options very thoroughly. He told me I was a candidate for the what he called PanOptix Lens by Alcon which would enable me to see distance, arm's length as well as close-up (reading), or I could go single vision near sighted (for reading) or distant vision for things like driving a car. The single vision lenses would be covered, for the most part, by my medicare provider while the PanOptix Lens would cost me $5k out of pocket (and, I was told, may have some small glare at night). I did not make my choice that day but went home to ponder as to which option to select. I had been wearing glasses for near-sighted since I was 15. After much thought I chose the long distance vision option for both eyes because, I argued, there are a lot of things to see between 2 to 3 feet away out to infinite distance. So I still have to wear reading and computer glasses, big deal. Thanks Dr. Lee for this video! Very useful for so many people.

[@sparrowgarden1401]

How do you feel about your decision now? I am trying to figure out which option would be the best for me. I am able to read without glasses now with one eye. I also started wearing glasses at age 15, but they caused me a lot of headaches and sinus infections.

[@joanb8489]

I still don’t know what to do but will watch video a few more times and continue to research.

[@Corsairforu]

I think that was what Actress Cheryl Ladd had and she said she sees like she is 15 again.

[@kennicoulter2304]

I'm 75 and going with lens to stop glare at night. Has laser at 50 to correct seeing distance which is still good. But put me in readers. I will keep readers at my age would rather spend dollars on travel

[@Rita50]

I can see only 10cm near and 5 cm near with focus. Everywhere else is a blur (I got cataract in my right eye which is -11.5 now). I have been wearing glasses with -7.5 and -8.5 since 11 years old and got astigmatism. So I am really torn whether to chose Toric monofocal or multifocal and very confused. I’m scared that the vision with new IOLs would not be the same as now in glasses (like in my still able left eye for example). I’m really scared but planning to go to a surgery. I’m 50.

[@georgemperry]

Last year (2022) I finally gave in and got cataract surgery. My doctor took the time to explain the different types of lens replacements and in the end I knew I didn't want to wear glasses or contacts any longer and I didn't want to compromise my sight either. I had worn contacts for years and they did far more damage to my eyes than I even dreamed possible. My vision was horrible and contacts and/or glasses were doing a very poor job of correcting it. In the end I decided to take the multi-focal lenses, even though I would have to pay the entire cost out of pocket because the insurance companies won't cover multi-focals, and man am I glad I did. My vision came back so well it was staggering. The colors were vivid, the vision was crisp almost to the point that everything looked 3 dimensional. True there can sometimes be some weird glare but I consider it a small price to pay for such perfect vision. My humble advice is if you can afford the multifocals and need the surgery do it.

[@jimselvy6157]

I have worn glasses since I started kindergarten. About 4 years ago (late 50s), I was not able to fully correct my vision because of cataracts. I was on the computer all for work. My gave me the choices you outlined, and I went with the Toric because of my astigmatism. For the first time I can remember, I don't need to wear glasses all day. He warned me, and it's true, that I would need them for reading. I am ok with that as most of my peers are in the same boat. I was terrified of the surgery, I would literally be unable to work if the surgery failed miserably, but I was so amazed I could see that evening and it got better everyday. It was a great decision for me. The only issue is that without the "protective" older cataracts, I now religiously wear sunglasses because that darn sun is so bright (I live in Arizona).

[@MicheleLeeMD]

Thanks for sharing your experience with cataract surgery ❤️

[@Rita50]

Did you choose Toric monofocal or Toric multifocal or EDOF? Could you share the name of your lens, please?

[@jimselvy6157]

@@Rita50 I believe they are monofocal. Looks like AcriSofIQ, Length 13mm, Optical 6mm. Had these implanted Jan 2018.

[@Rita50]

@@jimselvy6157 Thank you so much. I am in a similar situation, got astigmatism and a cataract on one eye more. Scared, researching, learning, don’t like change, confused with all the types of lenses and what the vision would be like. Thank you for sharing with me.

[@thomasschellberg8213]

I have extreme light sensitivity. I need to wear sunglasses and ski goggles while skiing and nighttime driving is too bright with the headlights. I am hoping cataract surgery reduces my light sensitivity. I guess I have the opposite problem you faced with cataracts.

[@MsEller316]

I did monofocal lenses at intermediate distance. I have small astigmatism so I opted for glasses to sharpen distance but I see perfectly to read even the fine print and computer. My doctor definitely suggested the right choice based on lifestyle and age. She was patient and listened. I like yr channel you don't sound prideful and genuinely seem to care about ppl. Thank you.

[@MicheleLeeMD]

Thanks for sharing your experience. I also appreciate your kind words ❤️

[@Nipponho08]

@@MicheleLeeMD Hi Dr Lee, Hi Eleanor. Your monofocals are set for intermediate & distance, but not for near. Question : Why are you still able to read fine prints after lens exchange and without reading glasses?

[@MsEller316]

@@Nipponho08 I don't know why I can read near but I can..even the smallest print...it's like a miracle..even the Dr was amazed.. I just need glasses to sharpen my distance for driving and the small astigmatism correction..

[@amogh2k]

Yes

[@amogh2k]

Great same story to share. But doubtful about the arcysoft platform glistening.

[@biconguy]

Here’s my gripe about two out of two ophthalmologist offices I recently visited: they jump right to the premium lenses without THOROUGHLY discussing the neuro-challenges that those lenses entail. The cost difference between monofocal vs. premium lenses is large and the comparisons between the lenses is farmed out to auxiliary personnel likely because the doctor can do more exams, etc. while someone else makes the sales pitch. So, buyer beware…do your research BEFORE your visit so you can make a well informed choice. The savings can be monumental! Watch this candid video and be an informed consumer. P.S. a multifocal lens is actually a fresnel lens (much like lens used in lighthouses). A fresnel lens is actually many tiny lenses concentrated into concentric circles and these lens tend to intensify light and produce glare. Since, at least in my experience, seniors tend to avoid night driving anyway (even those without cataracts!) why would someone take the chance of making night vision WORSE? Part of the problem these days is the design of auto headlights by vehicle manufacturers. The headlights tend to be much brighter than older vehicles and the light beam is focused upward and straight ahead of the vehicle rather than down and to the right of the vehicle.

[@evelyndennis9199]

You absolutely right. I agree with you people going crazy . They don't care about other people. Just them self

[@munkchip9117]

Agree 100% on research before deciding on type of lens. The initial explanation on type of lens available at my surgeon' s office was done by a non-medical personnel. In retrospect, I did not understand it perfectly, and did not realize I could have asked the surgeon for more clear explantion. I chose a monofocal plus lens. After reseach afterwards, I might have choosen VIvity.

[@robin7275]

You're are right about the glares from the on coming cars. Most of the new cars have LED lights, and they can blind you , it's like they are on full beam. The glare factor at nights should be a big consideration, especially for seniors.

[@AmandaHugenkiss2915]

​@@robin7275the problem with LED lights is the glowing element itself is glaring. If you compare old headlights or halogen, you will see that the low beam bulb covers the filament. The high beam bulb does not. LEDs, typically there is a lens, but you can see the yellow of the actual LED. If I were President, I would push to mandate projector style lights in all vehicles. Aimed properly, they are excellent at reducing glare while providing excellent visibility. The low beams have a perfect line cutting off the light. That line is a mechanical shutter that moves out of the way when high beams are on.

[@michaelblodgett4704]

How much do you actually drive at night? Weigh that against wearing glasses all day every day.

[@totizabayle377]

I just had my cataract surgery but I don't know what kind of lens that I got. I am far sighted 80 year old, and i have to say that I don't wear glasses when watching T.V. or working with the computer and my cell phone. It has just been a week and I am overwhelmed with the colorful pictures I see now with my eyes. I don't remember seeing thigs tis good especially the colors. I am just happy that i agreed with the cataract surgery and refused the meniscus tear ones for both of my knees. Thank you for the good presentation.

[@rstevewarmorycom]

I had little astigmatism, so I got monofocal silicone SoftPort lenses by Bosch & Lomb which were both in the near-sighted range, though differing slightly in focal length so I can read books and computers and yet feel I have normal indoor vision. I was utterly snowblind in my right eye, but now see clear as crystal in both eyesl! I even had them done without sedation, it's totally painless and takes less than ten minutes, unless you're freaky about things in your eye! I sometimes use glasses to drive, though I re-passed the DMV test without them. I'm 74, this was 5 years ago, and I was so happy about regaining my right eye I was moved to tears many times!

[@RC-74]

Eighteen months ago I made my choice. I had been wearing glasses since I was 14 years old. I am now 73. When time for the decision came, I chose Panoptix Trifocal lenses. I absolutely did not want to continue wearing any glasses. Within a few days of each separate surgery my eyesight adjusted seamlessly. Sure, it was expensive, but I no longer have to get new glasses every couple of years. It is done! I have absolutely no regrets!

[@MicheleLeeMD]

Thanks for sharing your experience!

[@bkriegle]

Have you noticed any issues with lights at night? Have you noticed that your vision is dull or not as sharp as you would like? I scuba dive and am only 38 years old so I have been advised that the trifocals might be a better option. I fear the loss of sharpness of this option.

[@MicheleLeeMD]

@Dana Ferguson Thanks for sharing your results!

[@MicheleLeeMD]

@@bkriegle You will get some glare at night with any multifocal lens - whether it will bother your is a different story. Definitely talk to your eye doctor about the best fit lens for you. Best of luck!

[@davidandrews8007]

Nice to have done early in life and not wait until 80's.

[@jeanettekruger9007]

I had multifocal lens replacement 3 weeks ago. I was severely short sighted. I now live in a new life. Its wonderful. The procedure was painless and very quick, I had no discomfort at all. Well worth it if you hate wearing lenses or glasses!

[@MicheleLeeMD]

Wow! Thanks for sharing your experience ❤

[@user-ts2be3mw1z]

What about the halos at night and sunglare in day ? not to mention dry eyes ?

[@dharmendket]

What about the halos at night and sunglare in day ? not to mention dry eyes ? 1

[@MaryLane-y6w]

Hi, I wonder about the same. Any one ever tell you? Ty

[@akahina]

I had both eyes done this summer. Now 68, I've worn glasses for 60 years to correct -5 nearsightedness. I opted for standard IOL and my "new eyes" are -2.25 in both eyes with just cyl +0.5 & cyl +0.75. I can read just fine without glasses. I have an add in my prescription of +2.75 for closer focus, but taking off my glasses with single distance lenses works for now. My vision is better than ever but one thing never mentioned is that I sort of enjoyed a focal distance of 4 inches. It might have influenced my hobbies of jewelry making, and stamp and coin collecting. I could always see tiny things nobody else could see. Don't be scared of surgery. It is life changing.

[@MicheleLeeMD]

Thanks for sharing and glad to hear you are enjoying your near-sighted eyes!

[@thinkfirst6431]

I understand your problem. I can all most read the bar code on a nat's ass, the rest of my vision is not so good.. I am reluctant to loose that ability. The problem is my vision is getting progressively worse and I can't decide which way to go long or short.

[@suek6477]

Have you thought of monovision?

[@cherylmcnutt9905]

@@suek6477 I have some questions about monovision, if you don’t mind. 1. Does it take a long time to get used to the two different lenses? 2. Can it affect depth perception or cause balance issues? 3. Are the lenses they put in good for life, or do they have to be replaced at any point? 4. If eyesight does change, how would wearing glasses work? Thanks for your time!

[@suek6477]

@@cherylmcnutt9905 I have no answers for you for cataract monovision since I have not had that done yet. If you want to know about Contact monovision, I can answer that for you.

[@jaygreenstein3334]

Based on personal experience, my recommendation is something not mentioned in this video. The idea of one eye for distance and one for close vision may sound okay, but I've met a lot of people who couldn't handle it. And those who have it report difficulty in getting used to it. And with lenses that give fixed 20/20 vision, reading glasses are a necessity. Instead or either, my surgeon suggested using a lens that gave me 20/50 vision in both eyes, which is a perfect compromise. It's legal for driving, and, allows you to read without glasses. In practice, that means that most of the time you'll need no glasses, even for watching TV. There are some exceptions, though: At night, with your eyes dilated it becomes harder to read street and highway signs (your depth of field reduces), which is why I mostly wear glasses to drive at night. The same applies in a darkened theater, so when in a theater, I also wear glasses. But, those exceptions aside, and after more then 20 years of use, were I to do it again I'd not hesitate in asking for the same lens. If you're going for the monofocal lens option, ask about the 20/50 lens. You'll not regret it. There's also something they don't tell you: If you're nearsighted, as I was, and you're having the lens replaced in only one eye, you will probably no longer be able to use glasses to correct the remaining eye. I was having both replaced, with a gap of a month between one and the other. So, I came up with what I thought was a brilliant solution. Till the second surgery I would have the lens in my glasses for the eye that had the surgery done replaced by clear glass. But...putting those glasses on resulted in my vision breaking into concentric rings that made me instantly rip the glasses off. Perhaps I might have adjusted to it, but, were the other eye not to be operated on, a single contact lens would have been my choice. Hope this helps.

[@handyman7147]

I had cataract done at the age of 62. I opted for single vision lenses from Zeiss. Went for far vision in both eyes because I love driving and enjoy the outdoors. Wearing a glass for reading was not a bother for me. After couple of years my vision slightly changed and I now need minor correction in both eyes for distance vision too. All that precision calculated lens is good for a few years. You eye sight will change again.

[@juditrotter5176]

Were you able to change your lenses? Did insurance cover that?

[@JohnBarrow1961]

@@juditrotter5176 I think he means he now wears corrective lenses to compensate for the change in his vision, not that had to have the IOL's changed out.

[@rockn24x7goog]

I am preparing for cataract surgery to fix both eyes - one at 20/70 and the other at 20/40 with a "medium" amount of astigmatism... in my early 60's now. I will probably go with the standard mono-focal lens on each eye (no laser used), with the appropriate glasses after the fact. Been wearing glasses since I was 8 years old, so I don't mind continuing to do so. Cost beyond what Medicare pays is prohibitive to me, so I just will do the best I can. Thanks for your informative videos!

[@MicheleLeeMD]

Thanks for sharing, and best of luck with your surgeries ❤

[@jstnnixon]

I was born with congenital cataracts. On the advice of my ophthalmologist, We waited until age 17 to receive the surgery. We would have waited longer, but I pretty much had lost my ability to see in high-light situations. We ended up choosing mono-focal lenses after discussing potential issues with the other types. Yes, I have to wear reading glasses (+2.50), but more than 15 years later my distance vision is still 20/20. The nice thing is I can do physical activity, fishing, running, skiing etc. without having to worry about breaking/losing my glasses as I can see far just fine. I can still even read large print near text without the glasses depending on the lighting. I would say, you really only get one chance to choose a lens, so please take all things into consideration carefully.

[@MicheleLeeMD]

Thanks for sharing your experience!

[@f8nbethere]

My surgeon just turned up his nose to monovision, not explaining why he didn't like them. He only game me the option of distance or multifocal Zeiss lens, at cost of course. Prefer not to wear readers every time I have to look at my phone or computer. Thank you for the info, and everyone below for their experience.

[@BradHoggProfile]

I am 57 years old and had my first cataract surgery three days ago. In my right eye I had installed a Vivity Toric lens to correct astigmatism. The lens is a multifocal Vivity lens and I could not be more pleased with the results so soon after surgery. The doctor's office told me that it may take two weeks to gain clear vision. My right eye has surpassed my left (with which I wear a -6.5 dpt contact lens). Close vision is still a little worse but improving, distance is very good and night vision is at least as good or better than my left eye is currently. The Vivity toric is a 10.5 dpt power. I could not be happier with my choice in this lens.

[@MicheleLeeMD]

Thanks for sharing your experience!

[@lindaelliott1653]

I had cataract surgery a couple of weeks ago and chose Panoptix Toric multifocal lens. For right now eyes are competing with each other on which will see clear and which one is a little bit unfocused but I’m sure that will clear up with time. The day after both eyes had been completed, my regular eye doctor said I was seeing 20/25

[@MicheleLeeMD]

Amazing! Thanks for sharing your positive experiene with Panoptix Toric lenses - my favorite multifocal at the moment :)

[@jathawk101]

Everyone I know has chosen the toric or toric II the problem is it’s too expensive for most and even veterans can’t afford them so opting out for the cheap lens is the best choice.

[@bderryberry4987]

5 years ago when I had my cataract's removed, I chose the Tecnis Multi-focal lens implants. They were/are life changing! I'm 73 now and can STILL see both near and far without glasses!!!

[@MicheleLeeMD]

Thanks amazing! Thanks for sharing :)

[@dharmendket]

What about the halos at night and sunglare in day ? not to mention dry eyes ? 1

[@chasjs1]

I had cataract surgery a little over two years ago. I wore gas permeable contacts for decades and wore multifocal contacts for at least a decade. I was fortunate enough to have a great optometrist who worked with the Contact lens lab to get a great fit. When it was time for cataract surgery, I did research and my optometrist referred me to an ophthalmologist that he felt was the best for my situation. I definitely wanted to not wear glasses and I also had astigmatism in both eyes. I chose to have the multifocal, toric lenses for my cataract lens. I am really happy with the result, I have not had any problem with glare or the night time halo effect. I see 20-20 both near and far. Thank you for sharing your knowledge. In doing my research on lens options, I realized that lens technology is changing rapidly. So like you say, what is available today may be obsolete in the future. I would recommend that people do their research and work closely with their eye specialists.

[@MicheleLeeMD]

Thanks for sharing your experience!

[@trudewhite876]

I wore monovision contacts for several years, but my cataracts got worse and my eyes changed. Also had astigmatism. I had cataract surgery on my right, dominate eye, 10 days ago and left eye done 3 days ago. Have Vivity lens in right eye and Panoptix in left eye. I can read small print without glasses and my distance and intermediate vision is very clear. Have only driven at night one time since surgery, but did not have any problems. I am very pleased with the combination of the Vivity and Panoptix lenses.

[@MicheleLeeMD]

That's amazing! Thanks for sharing :)

[@stephenwright133]

I just had my second surgery yesterday and chose the Toric IOL. I'm very pleased with the distance vision it provides and can drive without glasses for the first time in decades. So far I have had to use reading glasses, but I think the tradeoff is the right decision for me. I didn't want to deal with the glare I saw on various forums with multifocal lenses.

[@MicheleLeeMD]

Thanks for sharing!

[@LBquilter]

What was your prescription before? I'm most likely going with the distance (toric). Thanks.

[@snowwhitehair485]

15 years ago I was not given a choice of lens options under the British National Health Service, but the surgery was free. The first lens replacement disappointingly produced slightly myopic vision. The second was perfect. This has resulted (accidentally) in monovision which enables me to both read and drive without needing glasses. Works fine for me. 🙂

[@MicheleLeeMD]

That sounds great - thanks for sharing ❤

[@patriciabangert5569]

Thank you so much. I'm having cataract surgery in a few weeks and this helped tremendously in knowing what questions to ask my eye doctor.

[@quasimodem5260]

Dr. Lee, I was wondering if you can comment on something because I have experienced something pretty nifty. To start I have had a horrible time with sleeping for years and I tried everything except medications. I think that is a slippery slope. What I was noticing was an increase in dreaming but then realized I was sleeping for much longer stretches in the last four days. There are two aspects I was curious about….The blue blocking of the lens and that rhythm of light in the day and darkness at night thing. Wondering too if others have experienced this. Yes I do spend a lot of time on the computer.

[@MicheleLeeMD]

There is some weak evidence that blue-blocking lenses can help with eye strain, sleep, and certain eye conditions so it is very possible the lenses are helping you. So glad to hear about your experience - thanks for sharing!

[@michaelblodgett4704]

I do really appreciate Dr Lee's videos. They are excellent presentations. I'm 64 with mild cataracts, but my vision is no longer correctable beyond 20/30, and it's declining rapidly. I've watched about 200 videos on this subject now, and I'm leaning towards Vivity in one eye and Panoptix in the other. I can tolerate some night effects. I realize all good things come at a cost. What frightens me a little is the occasional comments from a small percentage of people who have a terrible outcome.

[@-myal-8691]

Patients should be well informed that some of these upgraded lenses may not be covered by insurance or Medicare. These lenses may cost thousands of dollars extra out of pocket per eye.

[@MicheleLeeMD]

Thanks for your comment. Yes I agree. Pricing should be transparant. If you are unsure, ask your surgeon, surgical technician, and/or surgical scheduler for cost/price breakdown.

[@pttp321]

I choose the topic lens. I am facing the reality of cataract surgery - I so appreciate this very informative video. Thank you!

[@susane4078]

I have Panoptix and I’m so happy with them. Having worn glasses since third grade for astigmatism and near-sighted, it’s wonderful to see clearly without glasses!

[@MicheleLeeMD]

That's so great to hear - thanks for sharing your experience!

[@mikethomas4210]

That's my exact same story. Congratulations on your new eyesight, it is truly amazing!

[@lisag18]

My opthmologist gave me the option to get a single vision or a toric lens for my stig. The toric cost much more so I opted for SV. He said even if you get toric lenses you'll still need glasses. Vision changes over time. At some point ,you'll need glasses if needed them prior

[@nrd515]

I had my surgeries during the height of Covid. It got to the point driving at night, which I have to do for work, was scary. I went with the monovision lenses for distance. I've worn glasses my entire life and even though I have mild astigmatism, I didn't want the toric lenses, and since I could never tolerate bifocals or progressive lenses at all, the monovision were an easy choice. It's been about a year since the surgeries and I'm very happy with my vision. I had to have the YAG laser done on my right eye due to a fold in the capsule right at the worst spot it could have been at, causing rays and beams at night. It was no big deal and that was it. The other eye seems fine. My only real problems with the entire surgeries and recovery was I had some sort of minor panic attack during the second procedure for some reason, and the drops, I could taste them and that got old quick.

[@Padraigp]

Wow you tasted the eye drops? Thats wild!

[@nrd515]

@@Padraigp I'm one of those people who taste anything that gets into my eyes. I don't know how it works exactly, but every time I go to the eye doctor, I take some cough drops or candy to kill the taste of the dialating eyedrops. About 2 or 3 seconds after the drops go in, the taste hits me. Yuck is being too nice about how bad some of them taste. Not as bad as shampoo that has gotten into my mouth, but very bad, enough to make me wretch a few times.

[@Padraigp]

@nrd515 that's kinda cool. Maybe your tear ducts redirect to your tongue somehow. Awesome freak 😍

[@jaybourne1185]

@@Padraigp @nrd515 i had one done almost two weeks ago with the Synergy mf IOL. i also could taste the drops but was told it was normal

[@GR-ji9fw]

I just had cataract surgery - and I have monofocal lenses. Its only been a little over a month since the last eye was done, I still have some of the dark semicircles visible, but they don't bother me. The dry eye does, but I had that before. I use the computer a lot and don't need glasses. Some up close is the same. I still have not tested it at night, and that was the type of vision I wanted surgery for.

[@MicheleLeeMD]

Thanks for sharing your experience with cataract surgery!

[@GR-ji9fw]

@@MicheleLeeMD Thank you for this video. It was comforting. I wish I had known it existed earlier.

[@lindabotcho4385]

I had cataract surgery on my left eye in May 2022. I was told at the cataract surgeons office that I was an excellent candidate for the multifocal lens. They told me I might not have to wear glasses. Possibly might need just readers. I did my left eye first. The lens is a disaster; as neither my retina specialist or ophthalmologist warned me about multifocal lens and having a small retina scar from a prior surgery, yet the cataract doctors office recommended it, I had no reason to question the recommendation, and HATED the idea of wearing glasses. The vision in my left eye is blurred. There is concentrated blurred spot just left of center vision and the blurriness radiates from that point. However, on the outer part of the field, vision is clearer. Halo's at night are terrible, the glare during the day is constant, and the eye is sensitive to light. After seeing both the retina specialist and ophthalmologist recently, I was shocked to hear them both say they would NEVER recommend the multifocal lens; yet, neither warned me prior to sending me off to their preferred cataract specialist. The retina specialist said he would not approve the removal of the lens, as I might incur additional retina damage from the procedure. The ophthalmologist felt I could have the lens swapped out down the road, in a few years. All that said: you are the only person I have heard who referred to Toric-monofocal lenses and correcting far sightedness or having eyes set for either near or far distance. I wish any of the 3 eye doctors had brought up all the options and warned me about the multifocal. My prescription today is the same as it was prior to cataract surgery, and now there is the very evident blurry spot. I am out $3000 and extremely disappointed, and unhappy.

[@MicheleLeeMD]

I'm so sorry about your experience with cataract surgery. I hope that down the road you can experience improvement in your quality of vision. Best of luck with your recovery ❤

[@lindabotcho4385]

@@MicheleLeeMD Thank you Michele. Keep up the good work I had read at one sight that the brain can adjust to the multifocal lens over about a year, and that the problems might be overcome, but my ophthalmologist didn't feel this was likly.

[@absurdnerd7624]

In 2016 I had cataract surgery and opted for the multi focal lenses in each eye. I am very happy with the results. Prior to the surgery i was severely nearsighted since childhood and also developed cataracts at a young age due to severe JRA polyarticular systemic onset. Also I had an astigmatism in one eye. In recent years prior to the surgery I was dependent upon every increasing strength of reading glasses or a magnifying glass (this issue began in my 40s). Due to my cataracts driving at night was progressively becoming more problematic. The glare from headlights was an issue and when roads were wet at night it became impossible to see the lane markings. Since having the surgery i am extremely happy with the results. No more reading glasses. No more nearsighted issues. I am able to watch a hummingbird fly from the feeder into a nearby tree and still see the tiny bird resting amoung the leaves. I can see individual bricks on the house across the street. Yes, as some stated the halos at night are a bit of an issue. Prior to surgery I was told that they would go away over time. And it seemed to be true. At my post-op check i was told that they halos were going to always be there but my brain would tune them out of consciousness. That was the wrong thing to tell me because of how my brain works. Now I always see them at night. There seems to be a contrast threshold were the halos become distracting. For example taillights are fine, no problem. But brake lights are a problem. And yeah headlights are a problem but still is better than prior to surgery. I am very happy with the outcome with the multi focal lenses. You are a young woman so you may not yet have reached the reading glasses stage. But trust me, being freed from them is a huge blessing.

[@jayholiday256]

I'm getting a Symfony in my dominant eye, and a Synergy in my reading eye. I had success with monovision contacts, but this should be better for distance. A mild astigmatism is being corrected during the surgery.

[@MicheleLeeMD]

Awesome! Good luck with your surgery :)

[@jayholiday256]

@@MicheleLeeMDIt turned out great. No glasses ever again

[@algee8415]

if you are nearsighted get the Toric Lens. Pay the extra. get a mini monovision in one eye. Don't need any glasses.

[@bigmacntings7451]

thank you dr lee. I had already figured out that my basic choices would be either multifocals of EDOF(or similar)mono's with monovision. I do have a serious problam with halo's and glare,so which would be your choice as a best option? I do have quite a varied job to do,so 1)decent driving without visual obstructions is a must. 2)at the moderate end of the spectrum,i am reading/writing reports on a laptop on a dailly basis 3)at the more extreme end of the spectrum,i will be selecting electronic components by eye so must be able to read the values on them(like reading the ingrdients ona medical bottle) THIS IS A MUST.this is not exhaustive as I also need to do fine work under a microscope. most of the reports i've seen say eyehance set to -0.5d dominant eye/-1.25d other eye seems to work well,with little problem with glare/halo (less than -0.5 for dominant people seem to have issues with laptop reading/writing) synergy is the other option,which seems much better depth of focus,but does have the reputation of extra glare.Not something I like to be honest.I do not tolerate it well your thoughts??

[@bigmacntings7451]

I should also say I do not tolerate varifocal glasses.They make me nauseous. anything remotely balance-changing give me a sea-sick feeling. best glasses i have are very mild mono set to distance

[@ربيعالعمر-ث2ص]

انا لا اتكلم انكليزي لا اعرف في النهاية ماذا اخترت من العدسات هل اختر عدسة متعددة البؤرة ام احادية البؤرة ارجو التوضيح لاني مقبلة على عملية زراعة عدسة

[@margaretpervier8357]

I had my first surgery three weeks ago and my second surgery a week and a half ago. I am 73 years old. I chose the mono vision as that was the type of contact I was wearing. I am still putting drops in each eye, and all is going well.

[@kaplan1406]

Hey Dr. Lee. I've been told about having cataract for 3 or 4 years now. well my eye doctor recommends cataract surgery now. I've worn glasses about 2/3's of my life, I'm 65 now. I was glasses free for about 10 to 15 years after RK surgery in 1986. I went with RK over contacts because of my astigmatism. I've watched a lot of cataract videos and yours was the first to mention the glare associated with multi focal lenses. So I would probably go with the toric lens because of my astigmatism and the glare issue with the multi focal lenses. Come to think of it, when I had my RK surgery, I think the surgeon made one eye for distance and one eye for up close. I was right eye dominant before and after the RK, but now I seem to be left eye dominant. Anyway great video.

[@MicheleLeeMD]

Thanks for watching and for your comment. Speaking generally, my opinion is that RK and multifocal lenses do not go well together. RK incisions induce some glare and affect your quality of vision, and a multifocal lens will make things worse. Also, after RK, lens calculations are a bit more difficult so even if you get a multifocal lens there is no guarantee that you will be completely glasses free. Of course you should make sure you talk to your eye doctor and/or surgeon about your lens options and what would be best for you! I hope that helps, and best of luck with your surgeries ❤

[@dennymontgomery9716]

Had both cataracts removed three years ago. When selecting the new lenses, I felt like I was in a “time share” presentation. The presenter was not a doctor nor a medical professional. I had no idea what her qualifications were and she did not provide them. She basically read off the standard promotional material for the various available lenses except for the most expensive option. For that, she extolled the great experiences patients had with that lens. When I asked what the doctor would recommend for my specific vision problems, she replied “…any of those lenses would be fine, it depends what you want.” Why is such an important decision regarding my eyesight dependent on information provided by someone with unknown qualifications and who most likely is motivated to SELL you the most expensive option????

[@jetmech421]

I'm getting my first (left) cataract surgery Wednesday and I'm going with a mono lens. My surgeon advised that I have a small scar on my eye and he does not recommend any multi lens. My issues are blurriness especially in my left and light glare has gotten pretty severe. Sunlight glare can be brutal and night driving is now horrible with the halos and glare. I had great vision my first 60 years but the last few years I've used readers, and the last 2 yrs I've had prescription progressive glasses. All the new multi lens options sound pretty appealing but with my surgeons notice of the very minor scar and recommending against any multi lens, I'm feeling that a mono lens and a successful operation will be best. I can live with using readers when needed no problem. If all goes well, my 2nd eye will get the same procedure in 3 weeks. The option of a distance lens in one eye and near in the other just doesn't sound like a good idea to me because its not like you just go back and get a redo if that combo doesn't go well. I'm hoping for a 1 & done.. I've been examined by 3 different Ophthalmologists none even mentioned noticing the scar or any issues it presents for lens options other than the surgeon and in this outstanding video presentation from Dr Lee. I have been kind of questioning my surgeons conclusion about the scar and lens recommendation but after watching this video by Dr Lee, I am satisfied that my surgeon made the right recommendation foe mono lenses.. Thank you so much Dr. Lee for this most helpful video. I appreciate it very much. Best regards, your newest subscriber....

[@MicheleLeeMD]

Thanks for watching, sharing your experience with figuring out the lens for your eye, and supporting the channel. If you have a less than perfect eye, I always recommend avoiding a multifocal as well. Best of luck with your surgery!

[@clutchpedalreturnsprg7710]

Hi Dr. Lee, I would choose Mono focal and wear glasses for astigmatism & close work for auto repair. As is often shouted in Kyoto, Japan: " Hey! "

[@MicheleLeeMD]

That's great! It's always a good idea to protect your eyes when doing auto repair. Thanks for sharing ❤️

[@clutchpedalreturnsprg7710]

@@MicheleLeeMD It is. As I've aged, sometimes I can't get close enough to see what's going on. I've also threatened to get a pair of bifocals with the reading lens on top. So, if I'm under a car and looking upward while on my back I can see without raising my glasses. It was all so much easier when I had 20/20 acuity. :))

[@summersez1673]

I wore monovision contacts for quite a few years and I loved them. I just had cataract surgery on the first eye and I had decided to go with monovision lens replacements as well. At first after surgery it was like trying to look at everything through a clear shower door. So I just went to bed and slept for a while. 9 hours after surgery that haze lifted and I couldn't believe how good I could see my computer and the teeny tiny print on my water bottle. Having the other eye done in 3 days and hoping that eye does as well as the first with the distance lens.

[@MicheleLeeMD]

Thanks for sharing, and best of luck on your second eye surgery!

[@theodorejay1046]

My doctor is thinking of going with a new lense that has a black ring around the edges that should minimize astigmatism. The black edge would have a "pin hole" effect & therefore minimize astigmatism. To compound my surgery I have bad kertakonus (scaring of the corneas). In my case they will key my artificial lense to the curvature of my scleral contact lenses curvature. Also, I'm on the edge of not driving legally so I'm hoping my drivers license renewal will be the outcome 🙏

[@cha55am]

I never had any choice of lense so my cataract operation was a disaster from my point of view. I wish you the best of luck with your work. I live in France part time and I write from my experience there where ophthalmology is cheap, but not for me cheerful.

[@MicheleLeeMD]

I’m so sorry to hear about your experience with cataract surgery :( Thanks for sharing - I love to learn more about what care is like in other parts of the world.

[@ellenhofer3343]

I was given choices but my insurance only covered the basic ones so I still wear glasses ( I've worn since I was 4 years old and feel naked without them,). All the other lenses were iffered at over $2,00] per eye. So, I had to go with te badics and my eyes are back yo exactly what they were prior to surgery, except that instead of triple vision in headlights, I see star bursts.

[@MicheleLeeMD]

@@ellenhofer3343 Thanks for sharing your experience with your monofocal lenses ♥

[@Carl41able]

I had cataract surgery in 2019. My doctor never reviewed options with me. She decided what was best, given my history with her.

[@artiecisneros4691]

I recently found that I have very slight cataracts and slight astigmatism so it will be a while before I require surgery. Your video was extremely informative, and I learned quite a bit. I don't mind using reading glasses at all. Thank you.

[@MicheleLeeMD]

Thank you for your feedback, and best of luck when it is time for surgery!

[@richarddonahue3565]

I have been looking at your KZbins recently and enjoy the info VERY MUCH. Thank you. I have toxoplasmosis and have been seeing an ophthalmologist since I was 1 year old (I'm 65 now). With very limited vision, in my left eye, I think I would choose a Toric mono distance lens and just wear glasses for mid and near distance. I wear glasses for eye protection too. Dr. Lee, thank you again for these informational KZbins. On my annual visit to my retina specialist, he told me I will be needing cataract surgery in approximately five years. Naturally, things may change by then but I would still choose a lens that has been out for many, many years.

[@leslieschaffer2495]

I got multi focal and I hate it. The doctor said I would love it. I don’t wear glasses to drive anymore but I don’t feel I can see any better while driving. And what I really hate is now I can’t see anything close like cellphone, computer, books, instructions or bottles labels!! And my night driving is so much harder with all the glare. Be sure you know what you’re getting into!

[@MicheleLeeMD]

I'm so sorry to hear about your experience with multifocals. Thank you for sharing!

[@bigmacntings7451]

this is a real hard situation. I remember the opticians telling me i had cataracts and needed glasses.nobody prepared me for quite that shock.Even less so nobody was explaining to me options that work for different people,it was all very generic and none of what they brought up suited me. They were quite happy to plug the varifocal reactive glasses which cost a bomb, but the change in focus made me sick,and the reactive lenses were not reactive in the way i needed to take out the risks for driving. in the end i got mono's set for distance with polarised lenses, but that was by trial and error rather than doing proper scientifice studies or a proper consultation period.I was pretty much left to fend for myself and find out what fits school of hard knocks style. It's not the way it should be.

[@patrickostrom2762]

Thank you! For the basic 411 lens! Down to Earth language that I can comprehend! Knowledge is valuable on sight! Have a blessed day!

[@MicheleLeeMD]

Thanks for watching ❤

[@Raymond-mk8cb]

I had cataract surgery in 2015. The results were outstanding. It is amazing how much better my eyesight improved immediately after the surgery. But, a few days before the surgery a clerk was briefing me on the procedure, and she offered me an upgraded lens that would have prevented the use of reading glasses. I declined them because I felt that I was being upsold on something I did not need, such as it happens when you buy a new car and they offer you an extended warranty. I wish I had gone with the upgraded lens, but I am still happy with the results. What was the name of the standard lens they gave me, and what was the name of the upgraded one....thanks.

[@MicheleLeeMD]

Thanks for sharing your experience! I'm not sure which monofocal and which multifocal lens they would have offered you (there are several different ones). You can ask your surgeon's office which lens they implanted in your eye and they should have given you a lens card with that information after your surgery.

[@jocko_]

Thank you for this video. I will probably be having cataract surgery this spring or summer and after watching your videos I feel I will be better to communicate with my doctor.

[@MicheleLeeMD]

Thanks for sharing, and good luck on your surgeries!

[@carolineyunker9]

I want the best night and distance vision and I have astigmatism. I don't mind wearing reading glasses. Is there a premium toric monofocal glasses that's right for me?

[@MicheleLeeMD]

Hi there, I would speak to your ophthalmologist about which toric lenses they are currently offering. Lens technology changes all the time and there are some excellent toric monofocal lenses out on the market - all with their own pros and cons. Make sure you tell your ophahlmologist everything you have here - that you don't mind wearing reading glasses and you want the least amount of glare and best night vision possible. Hope that helps somewhat, and best of luck!

[@maryloua777]

I went with premium Multi-focus lenses in 2012. I wore mono vision contacts for almost 40 years and they would have been my choice had the option for the multi focals not come up. My choice was very expensive but well worth it even as I age.

[@MicheleLeeMD]

Thanks for sharing :)

[@KalCraig]

I'm having cataract surgery next week (as well as fixing an astigmatism). I am going with the multifocal lens as I really don't like reading with glasses (which I started wearing for reading a couple of years ago). I find that I read physical books less and rely more on my kindle since I can increase the font, but I still have lots of physical books on my shelf I want to get through, so I hope the multifocal is the way to go. Expensive, but I'm considering it an investment.

[@jenwoo4987]

@@KalCraig How did it go?

[@drsvs]

Your warnings about multifocal IOLs are spot on. Vision with single vision IOL plus glasses is always more accurate. Critical observers want accuracy. Also, toric lenses sometimes rotate and require surgical repositioning. Glasses are valuable adjuncts to IOLs.

[@wisecanadianwoman]

Thank you this was very informative for me as I have to make a choice and was not clear on how to choose properly. Much appreciated.

[@MicheleLeeMD]

Thanks for watching!

[@patriciaduncan2146]

I read, sew and use the computer a lot. I am happy to wear distance glasses., not reading glasses and as I live in a hot country I have always worn prescription sun glasses anyway. Going for surgery next week and will choose to have near vision. My other eye is fairly good all round.

[@PSH-pt8fk]

How are you doing now?

[@Cheungclhl]

I have cataract surgery done last Dec., just the standard lens. I’m very happy with my new eyes. I need reading glasses now. No problem at all after wearing glasses since 3rd grade & hard contact lenses for myopia 50 yrs. I got droopy eyelids after the surgery. I was so surprised i did so poorly in the field vision test. The eye doctor is very busy, my surgery was scheduled in 3 months. Then he has an emergency to take care of & my operation is pushed back 1.5 months. I’m not very happy. Just have to wait a while. Oui.

[@MicheleLeeMD]

I'm sorry you had a delay for your eyelid surgery. Thanks for sharing your experience!

[@jetmtn1]

I’m up for cataract surgery soon, I’m 59 yrs old. I will be choosing the standard lens. Eye Doc told me my eyelids were droopy ( I think its hereditary- I told him).

[@jetmtn1]

The other option for me was LAL lens. After my studying btwn my two options. I feel that standard lens is the best for me

[@ray3maxwell]

I have a pilot's license. Therefore I wanted the best, no compromise, distant vision. I also have astigmatism. I chose toric mono vision lenses. I now have 20/20 distant vision without glasses. I have worn glasses all my life so I chose to wear, full time, progressive glasses. This gives me 20/15 distant vision and 20/15 near vision. The instrument panel of most planes is far enough away that it is possible for me to fly without glasses if needed. I am very happy with my choices and the laser insertion of my lenses by Dr. Blaylock.

[@MicheleLeeMD]

Thanks for sharing your experience!!!

[@MauleSean]

Great input for my consideration! I also fly and am trying to figure out the best course of action as my cataracts take over. Thanks!

[@MicheleLeeMD]

@@MauleSean If you do night flying, I highly recommend lenses fixed to distance vision - a monofocal or a monofocal toric if you need astigmatism correction. Best of luck when you eventually need cataract surgery!

[@MauleSean]

@@MicheleLeeMD Dr Lee, I turned 60 this year. I think my night flying days are over; there’s just no need. So do you have different recommendation if I stick to daytime driving and flying? I’ve been wearing readers and prescription readers for a few years so I have no problem adding glasses to the equation. Distance glasses really don’t help me much right now. Thanks for the information!

[@MicheleLeeMD]

@@MauleSean If you don't mind wearing glasses, I would probably stick to the monofocal or monofocal toric. You could consider a multifocal lens to hopefully be glasses independent if you do not do night flying or much night driving. Make sure you discuss this option with your eye surgeon so that you understand the possible risks and to make sure you are a candidate! The side effect that unhappy patients tell me about is some glare at night. Most of the time it is nowhere near where it was before cataract surgery.

[@littlep.3079]

I need cataract surgery but I am scared. I am legally blind in one eye and it is my other eye that does all the work. I have been postponing my surgery because if they mess up my good eye I could be legally blind. Plus, I find it so confusing trying to understand the different lenses. I would not mind not having to use glasses at all or at minimum just for reading. I currently use bifocals.

[@MicheleLeeMD]

I definitely understand your hesitation to move forward on your only eye! Make sure you understand the risks and benefits, and talk to your eye doctor to make sure they think it is a good idea to proceed. If you want the safest option, I highly recommend a monofocal lens set to distance vision - this is just based on what you mentioned in your comment and my opinion, so please discuss with your eye doctor before making your decision. Best of luck!!!

[@nancykoo4156]

thanks for sharing, I subscribed right away, since 80 years old start got all kind problems, include Glaucoma, multi vision , weak nerves, problem, eye astigmatism

[@MicheleLeeMD]

Thanks for subscribing! I'll be sure to make some more videos for you about glaucoma and astigmatism soon!

[@nancykoo4156]

@@MicheleLeeMD thanks for your quick response, I appreciated very much, if you can educate me of glaucoma , thx

[@MicheleLeeMD]

@@nancykoo4156 I made a video with a glaucoma specialist here in case you are interested: kzbin.info/www/bejne/laG7nHd7hdShf5I Otherwise look out for more videos. Thanks for your support!

[@noscripthere95]

Oh How I wish you were in Florida. Thank you for all the clear info,

[@MicheleLeeMD]

That is so nice of you ❤ I very much appreciate your feedback. Thanks for watching!

[@kheongcheah6732]

I am 62 and have been wearing glasses for about 20 years. After being told I had cataracts last year, I saw a specialist who recommended cataract surgery. He suggested I consider multi-focal lenses and after thinking about it, I decided to go ahead with it. My right eye was done with the Vivity lens and the left with the PanOptix lens. Night time driving is so much easier and everything is so clear. One interesting point after the surgery was that I did not realize the stress i had having to wear glasses. Probably one of the best decisions I ever made. I am so glad I was a candidate for multi-focal lenses. There is a degree of freedom I feel not having to wear glasses all the time. Recently I am considering getting some reading glasses for small print - a small price to pay.

[@abchappell01]

This was an excellent video presentation on the topic. I need to make the decision on what type of lens to choose when I undergo my cataract surgery next week. Your information is timely and I appreciate everything you did so much. Thank you. 😊

[@eugenesu635]

Very good information, as I am considering cataract surgery in the near future.

[@MicheleLeeMD]

Thank you for your kind words, and best of luck with your cataract surgery :)

[@cherylmarshall6874]

🌸Hello Doctor. I've had a retinal tear in my right and left eyes. They were sealed by my eye surgeon using laser surgery. That occurred ten years ago. Now my vision has changed significantly due to having cataracts in both eyes. Am I limited in the choice of lenses because of my retinal surgery ? Thanks for your reply.

[@chrismiller9440]

I also had a retinal tear about 10 years ago and just had cataract surgery. I have the standard lens for distance but need reading glasses. It's so nice to be able to see things at a distance without glasses! The eye with the retinal tear also has an astigmatism so that eye has the torc lens

[@shashikantpatil3612]

I have operated my right eye cataract with monofocal acre-soft IQ Toric(2.5cynder) of 6D. can I implant Alcon Vivity EDOF Toric(2.5 cynder) IOL of 8D for my left eye and will be the effects?.Please guide me as early as possible. I will be very thankful to you.

[@MicheleLeeMD]

I would defer to your eye surgeon/doctor, who know your eyes the best. Most likely you would be OK with both a Vivity and a monofocal - that is a common combo. Best of luck on your next surgery!

[@maryr1905]

3 questions: 1) Does it make a difference with your decision on the type of lens if you have had LASIK? Had LASIK at 30 (in Canada before it was available in the US). One eye needed a "touch up" due to overcorrection during healing so I was told I couldn't have anything else done to that eye - didn't need it. 2) With the monovision option, does it affect depth perception? 3) With monovision is there the possibility of headaches having to switch eyes all of the time for near and far distances? I have problems with migraines that are at times related to eyestrain and wouldn't want to do something to make them worse. Thank you for this information.

[@radioactivelight]

Cataract surgery is the single best thing I have ever done for myself! I was really suffering from glare and poor eyesight, I assumed I would just have to live with it for the rest of my life, and I was relatively young at 53 years old My doctor was going to give me two mono lenses for far vision, I kept asking him if he could give me one for near and one for far, but he mostly evaded my question On the day of surgery for my second eye moments before the operation I asked my doctor if I could get the second eye set for near vision, the doctor made a split second and late decision to honor my request I am so happy, I can see craters on the moon and I can read fine print It was like going from my grainy black-and-white TV to a 65 inch 4K television, it was unbelievable! I do wear readers occasionally because they help, but I don’t have to, and my far vision is always perfect I can read fine print but the readers do add some additional clarity I recommend everyone get this operation if they need it In my opinion, you don’t need to pay the extra money for the expensive lenses

[@MicheleLeeMD]

Thanks for sharing ❤

[@LeighHuo]

You adjusted to the monovision quickly and with no problem? There is no depth issue?

[@harprasad4657]

Thanks for the information. Mam, I have a question. Ii is said that trifocal leses are not suitable for dibetics or those who have eye diseases. will a person who has got trifocal implanted have vision issues if he/ she were to suffer from dibetes or any other eye disease in future?

[@MicheleLeeMD]

Hi there, lenses don't "cause" problems if you have diabetes (or shouldn't) but if you have eye disease related to diabetes, like retinopathy or glaucoma, maybe best to avoid trifocal lenses. Make sure you discuss your individual case with your doctor!

[@jimcarlock1414]

A great video. I just had cataract surgery and opted for the Crystalens. It has most of the advantages of the multi-focal without the extra glare and halos. I just wondered why you didn't consider these as a separate category?

[@MicheleLeeMD]

There are so many kinds of lenses so I had to make this a bit more broad! As you say, there are so many other lenses like EDOF, etc. Thank you for sharing your results with the Crystalens ❤️

[@YouTubist666]

In other words you don’t offer this class of lens yo your patients. Just be up front about it.

[@fghtrpiolet]

The lens I chose is that I need glasses to read. If you want the lens to not require glasses then be prepared to pay approximately $3000.00 the no extra charges are the lens that requires reading glasses but no glasses for distance.

[@hondaboy2001]

It's a shame that Lenstec's Tetraflex lens is not offered here in the US. I had it installed in my eyes approximately fifteen years ago and it works great for both distance and close vision. It is an accommodating lens and has a large haptic, so glare issues are non-existant. As far as I can tell, it knocks spots off any of the other options available here. The lens is made in Florida, but for some strange reason the FDA won't licence it for use in the US. Because I had my lens replacements done in the UK, I was able to have it. I can read very, very small print in good lighting conditions and have perfect middle and distance vision. I only wear reading glasses in poor light or when reading in the evening. Even then, I have the lowest power reading glasses available.

[@MicheleLeeMD]

Thanks for sharing! Yes we do not use that lens in the US. Very happy you had great results!!!

[@hondaboy2001]

@@MicheleLeeMD Thanks, I think one of the issues with an accommodating lens is that it doesn't seem to work for people who are already presbyopic when they have cataract surgery. I was 37 when I developed cataracts so still had the ability to read without reading glasses. My father, however, was in his 60s and did not have the same success with Tetraflex, unfortunately. In any case, I enjoyed your video. Thanks for creating it. 👍🏻

[@MicheleLeeMD]

@@hondaboy2001 ​Thanks again for sharing!

[@25ayda]

I have cataract surgery last June of 2022 . My eye surgeon did not explain to me about options to choose for different lenses . Now I still have to wear eyeglass as advice by my ophthalmologist surgeon . If I knew I should request to use lens that allow me not wear anymore eyeglass.

[@lindamorgan8219]

I need cataract surgery. I am nearsighted with astigmatism. I have worn monovision contacts. I've been to two different ophthalmologist. One said Synergy or Light Adjustable Lens, the other said Pan Optix or maybe Vivity. I'm in a delima! I love my close up vision, but also want to see score board information at ball games. I do a lot of computer work. I really don't want to wear glasses, but would for hand sewing and needlework. Do you have a suggest or words of advice for me?

[@MicheleLeeMD]

Hi there, it sounds like you have two options: monovision (to replicate your vision with contact lenses) or multifocals in both eyes. Out of the two multifocals, both Synergy and Panoptix are excellent and best on the market - every surgeon has a preference based on their experiences and I have seen great results with either one. If you do not have a history of LASIK, PRK, RK, or other refractive procedures you probably don't need a light adjustable lens. If you trust your eye surgeon(s), then I would defer to their expert opinion. Of course if you still have doubts or feel uneasy, you can get another opinion!

[@MarkM58]

When I had my surgery, the insurance company would only pay for the standard lens, although I would have benefited greatly from the toric lense. I offered to pay the difference in cost and the insurance company would not allow it! I would have had to pay the entire cost myself ($4000/eye I was told)! So, I have the standard lense with eyeglasses for reading and astigmatism correction. Still MUCH better than when I was severely nearsighted, but the toric lense would have been a great thing!

[@Outcrowddude]

Why is it that a piece of plastic can replace the natural lens of the eye. But when it comes to the cornea, artificial replacements fail?

[@MicheleLeeMD]

That’s a great question. We can do artifical corneas but they fail for many reasons, most significantly because the cornea is able to promote vessels and inflammation, and that inflammation can result in lots of scars and corneal. Hopefully we will have a better option one day!

[@vahanyazarian5582]

Thank You for accurate information to assist me in choosing new lenses.

[@essoteric]

My doc is pushing me to get multi/bifocal lenses :(. I haven't fared well with bifocal glasses before, so I'm kinda nervous. And now I learned from your great video that there might be glare during the night or daytime. I definitely don't want that! Thank you.

[@MicheleLeeMD]

Thanks for watching, and I hope your surgery goes well!

[@kurtcpi5670]

I've been wearing multi-focal contacts for many years with great success, needing reading glasses only for the finest of fine print in low light. The lens I wore until recently has been discontinued :-(, and the best replacement I could find does not give me the super close-up ability I had before. I have a friend who recently had surgery to replace his natural lenses with multi-focal lenses. He's absolutely thrilled with the result. He was to the point where he was wearing progressive glasses all day, and now doesn't need glasses at all. I've been informed that my lenses have begun to slightly cloud. I don't notice it yet, but when the time comes I'll definitely go with the multi-focal option.

[@sanrongood]

I wish I had seen your videos 20 months ago before I had cataract surgery in both eyes. I’m only 60 years old and had the multifocal lenses put in. My ophthalmologist suggested it and I didn’t do my due diligence. I complained from day 2 that I can’t see because of glare. In addition to that, I feel like I’m looking through a dirty windshield in bright light. They told me I needed YAG Laser done on both eyes but had to wait 3 months till my eyes fully healed. I had the YAG done, no improvement. I use Pilocarpine during the day and I can no longer drive at night. I’ve been to 3 different ophthalmologist and all have said because of having the YAG done it’s too risky to have the lenses removed and replaced. I wish I had my cataracts back, My quality of life was much better with cataracts and glasses. I ended up not being glasses free, I have to wear readers all the time and hadn’t needed any help reading before. This was a total disaster and it seems I have no options because of the risk. Might you have any suggestions? Thank you for these videos. People listen to what Dr. Lee is saying!

[@MicheleLeeMD]

Thanks for sharing your experience, and I'm so sorry to hear you had so much trouble with your multifocals lenses. Unfortunately I agree with the other doctors that at this point taking out the multifocals is too risky :(

[@sanrongood]

@@MicheleLeeMD thank you for taking the time to respond to my post.

[@shirlita4837]

I am having surgery in 2 days. I have worn glasses since I was 13. Your videos have been extremely helpful thank you very much. My Dr several years ago suggested using only 1 contact for distance on the right eye since I could read up close with the left eye. No other eye Dr ever suggested that. I liked it. I do have astigmatism so I am going with the Toric lens in my left eye for reading, like my contacts since I can not longer read and distance is worse even with glasses. Since my right eye is developing a cataract I plan to just go ahead with that eye and get the Toric lens for distance. I'm 67 so my thoughts better to have surgery now at this age than later. The one thing that was brought up and I have not seen it mentioned. I can always get eye glasses as well if I decide I don't like it. That was a huge relief as I had not thought of that. It was actually the Dr's assistant who mentioned it. I think I will be fine with my decision. My neighbor just got both eyes done and went for the ones paid by insurance. He says now he has to use readers all the time as before he didn't have too, but his distance is great. It will cost me $2,500.00 for each eye, but then all the money I have spend on glasses over the years I figure this will pay for itself over time. Thank you your videos have been extremally valuable in my decision process and I went prepared with questions for my Dr.

[@MicheleLeeMD]

I hope your surgeries went well!

[@shirlita4837]

Thank you for asking Dr Lee. That was very thoughtful and kind of you. My surgery went extremely well. My regular eye Dr. took me and observed the procedure. I changed my mind the day before and decided not to do the mono for now with my left eye. I did pay for the Toric lens in my left eye since it would fix my astigmatism and it was worth ever penny!! I did distance and for the 1st time since I was 13 I am not wearing glasses to watch tv or drive. It's just amazing!!! The 1st 10 days my right eye compensated and I could read with it. Before the surgery I would wear only 1 contact in my right eye as I could read with my left, though I no longer can. This last week I've had to start using readers to read and that's ok. After 54 years of wearing glasses all the time I am just in heaven. My right eye does not need cataract surgery yet so I will wait, maybe do mono vision then. With changes happening so fast in the medical field, who knows what will be developed by then. I could not believe that the procedure only took 10 minutes. It did a few weeks time to completely heal. I felt for awhile like I had to take off my contact lens and then I could see the lens on the left side of my eye. I touched that white part of my eye with the bottle while inserting the drops, so I was on the Prednisolone drops about 3 days longer. I did start wiping the tip of the dropper off with alcohol Prep Pads if the dropper touched my eyelashes or hair. It was hard to find the correct position to put in the eye drops, but I finally settled on one your recommendations and it worked great. I also put the drops in the refrigerator as you suggest and that helped too. I read the instructions to make sure the droppers they gave me could be refrigerated. It has been 26 days now and I would say by the 2nd week I no longer felt like I have to take off a contact or that I have like a piece of sand in there. I no longer see the edge of the lens on the left side. My eye Dr said I was a very good patience caused I followed instructions very well. I took the drops as instructed and followed all the Dr's instructions. I AM SOOOOOOOOOO HAPPY I DID IT. I hope the information I wrote helps others. Dr. Lee your videos were really fantastic I watched them all and they where extremely informative. I really appreciate the time you took to make them and checking up on my :). I also read the comments from so many folks on your KZbin channel and found them to be helpful as well. I hope my response can help someone too. Thank you.

[@gabrielfattakhov9962]

doctor what can be done for patients that are bothered by glare and halos from panoptix or vivity iol? or only iol replacement is the treatment for that?

[@DrJeffreyTran]

I find that sometimes using a medication like brimonidine or vuity to slightly constrict the pupil minimizes that. My patients typically don’t report to much glare after the first week! Good luck

[@gabrielfattakhov9962]

@@DrJeffreyTran makes sense. Yeah I was told brimindine helps with glares from lasik and panoptix sometimes. How long would they use it for since it's technically a glaucoma drop?

[@mikeske9777]

I know that this is a year old video but I just went through having my cataracts removed and I went with the standard lens that Medicare covered. The primary reason was not the cost but the fact I was not a candidate for the premium lens according my surgeon after a complete eye exam. I am actually amazed at my new vision without the heavy glasses I had before anything more than three feet away is clear and easy to see. I was also having color vision problems that no longer exists as the colors are correct. I don't mind have reading glasses and after my final exam I did order a pair of bifocals with just the scratch coating on them that I paid extra for. Just the standard plastic lens is fine as they are at a reduced by probably 2/3s the weight of my old glasses. I am so happy with the results and the corrective lens that implanted. I have the drop less surgery and everything worked great.

[@JustinHuddlestonIsAwesome]

I really am having a hard time deciding on what kind of lenses to go with. I want to be done with glasses and contacts if I can help it. I have astigmatism in both eyes and am far-sighted. I have had a couple consultations for RLE over the past 5 years. At the first one, the Dr said they'd replace the lenses and then do LASIK to correct the astigmatism. The second one, yesterday, didn't mention anything about laser correction with the lens replacement. I wish I knew of a resource to where I could find peoples' choice to do RLE with no cataract that just have bad vision/astigmatism. Are they happier than before when they had to wear glasses? Do they regret it? If anyone knows of any resource that I can check out, I would be greatly appreciative.

[@MicheleLeeMD]

Hi there, it really depends on your refraction, the level of cataract you have, your age, and how much astigmatism you have. If you need reading glasses anyways and have a pretty significant refraction, RLE may be a good option. LASIK will have to be done afterwards and may or may not be needed depending on the amount of residual refractive error and astigmatism you have. There are always risks to every surgery, so whether or not you will regret it has to do with your expectations and how things go with surgery. Definitely talk to your doctor about these risks and make sure you are comfortable with them prior to proceeding. Hope that helps a bit!

[@JustinHuddlestonIsAwesome]

@@MicheleLeeMD Thank you. That does help. Do you know if all IOLs have an impact on contrast or is it just the multifocal varieties? Thanks again.

[@MicheleLeeMD]

@@JustinHuddlestonIsAwesome Most IOLs do a little but multifocals are the biggest culprit due to the design. Hope that helps!

[@robertplanty7856]

Hi Justin, I'm in a very similar situation. No cataracts yet and extremely farsighted (+6/+8) with astigmatism in both eyes. My surgeon is planning a laser procedure to implant the lens and correct the astigmatism at the same time. I'm struggling with which lens to choose. I'm considering the Alcon panoptix because I would like to be able to shoot by bow and handguns w/o glasses. I've never had any corrective surgery and otherwise have healthy eyes. My Dr. doesn't like the vivity by alcon because those patients also experience glare at night similar to panoptix so why not have it all if you have to tolerate glare. I hope this helps.

[@quasimodem5260]

@@robertplanty7856 I just got the Vivity and am not experiencing glare. I chose them because I play tennis and need to see at all ranges without glare plying indoors. I was shown the glare of the other lens you mentioned that touts better near vision. That glare would drive me crazy. I had glare with my cataracts and driving at night was dangerous, it isn’t now. I am one week post surgery. If I was doing extensive reading I will pick up some readers. Currently I can read the printout instructions for my aftercare easily without glasses and my intermediate and distance sight is fantastic. It’s only been a week so I am curious to see how it will be moving forward!!!!

[@psychiatry-is-eugenics]

Make sure you don’t have double vision / adult strabismus . Doctors seem to be clueless about double vision , they assume your vision problems are because of cataracts . I have cataracts , but it’s the double vision that is my main problem . Double vision is easily corrected with prism lenses , IF you have an optometrist who knows what he’s doing

[@dmcmaster3544]

Hi doctor, you mentioned you would choose a toric lens to correct your astigmatism and choose mono vision. Would you not choose for yourself a light adjustable lens? I am in a situation that you've described but I don't want to have to wear the UV protective glasses for a month. Your thoughts please! Thank you!

[@RichardsWorld]

Tough choices. I'm not comfortable wearing glasses when doing something like playing pool, but I see good to about 3-4 feet. I asked my optometrist and she said maybe try bifocal contact lenses for play playing pool. My other hobby is playing pickleball, but I do fine with glassses. I wonder if maybe I'd play better with some contacts or surgery. I guess I should try contacts before thinking about a surgery?

[@bobbyclaros1978]

Hello Dr. Lee... I am scheduled for cataract surgery next week on my right eye and have chosen a monofocal lens. I have worn glasses all my life. I have a slight astigmatism. My main reason for not getting the toric lens is that I will still need glasses anyway for reading at that additional expense. And my left eye doesn't require cataract surgery so I would still need to contend with glasses for that eye anyway. I have been using multifocal glasses for a long time and I am used to that. I just felt that the benefit wasn't really there. Am I missing anything? Thanks.

[@MicheleLeeMD]

Hi there, monofocal lenses are always a reasonable option, especially if you are ok wearing glasses. Best of luck with your upcoming surgery!

[@bobbyclaros1978]

@@MicheleLeeMD thank you!! 🙏

[@victoriaortega51]

I had RK surgery in 1996 and I’m now dealing with scarred corneas and Keratoconus. I’ve tried wearing scleral lenses and glasses and now I have an appointment to discuss cataract surgery. You mention three different types of lenses and I’m wondering which lense is best for someone with my issues. Thank you.

[@ZeeGeeSims]

SAME, would love some advice about this

[@MicheleLeeMD]

I'm so sorry to hear about all your issues - those can be tricky! The lens choice depends on the degree of your corneal irregularity. If it is quite mild, you may be able to get away with a lens like an IC-8 Apthera lens (pinhole lens) or light-adjustable lens. But if you have severe irregularity, you may end up better off with a standard lens and wearing a scleral lens on top. I highly recommend you talk to your cataract surgeon; ideally, someone who can address both your cornea issues and cataract surgery like a cornea specialist. Best of luck!

[@myramuniz584]

Thank you so much for sharing your knowledge Dr. Lee . God bless you! 🙏🏻🙋‍♀️

[@dmcmaster3544]

I chose to have mono-vision using Light Activated Lenses. I'm surprised the doctor hasn't mentioned this superb option. The light activated lens allows the doctor to fine-tune the vision in both eyes using UV light once the lenses have been placed. Truly remakable.

[@MicheleLeeMD]

I just made a video about the light adjustable lens. It is one of my favorite lenses to offer!

[@f8nbethere]

@@MicheleLeeMD my surgeon just turned up his nose to monovision, not explaining why he didn't like them. He only game me the option of distance or multifocal Zeiss lens, at cost of course. Prefer not to wear readers every time I have to look at my phone or computer.

[@raznologija745]

I have Restor multifocal toric iol in my right eye and Panoptix multifocal toric iol in my left eye

[@MicheleLeeMD]

Thanks for sharing! Hope it’s going well ❤️

[@ربيعالعمر-ث2ص]

هل نظرك جيد ولا تواجه اشكال في النظر ارجو الرد

[@mayabruno4075]

Why 2 different brands? Curious. Thx.

[@raznologija745]

@@mayabruno4075 the first surgery was 7 years ago when the Panoptix multifocal toric IOL did not exist and the second surgery on the other eye was three years ago

[@bobgutman9691]

I chose multifocal lenses because i was still working and needed to hit the ground running, without having to wait for a new prescription to be filled. They worked as advertised. There are a couple issues that did not go away. Night glare due to cataracts carried over to the multifocal lenses. One other very important aspect is Light Transparency of your lens choice. My MFL only has 80% light transparency. It was noticeable for me. Always seem to need a little more light. My close vision is in the 12" to 18" range. I have not worn glasses since the replacement were installed. Please be advised, it is extremely important to wait as long as you can before having this procedure done, you will lose all up-close vision and may require glasses. IE: Threading a needle or a fish hook could be almost impossible. The same goes for removing a sliver from your finger. It's amazing how much you take this for granted until you need to see up close. Choose wisely!

[@TM-dk7vs]

would you mind sharing which IOL you had ? A friend has the typical reduced contrast vision and rings around lights at night. Her husband with same trifocal lens has no problems and says he can thread a needle.

[@natterlynabob1472]

I developed cataracts about 10 years ago. I was seen at the eye surgery clinic. At the time I was not quite old enough for medicare, and I was reading favorable reports about the Symphony mulit-focal lenses available only in Europe. I declined surgery at that time and went back a year later. Medicare paid for the surgery, but I had to pay $5000 each for the lenses. The new lenses made an enormous difference. I still use readers for some close up tasks, but my vision is perfectly adequate for normal activities without them. There is some daytime glare, but far less than when I had cataracts. At night I see a radial star pattern around bright lights; it looks like the artsy effect you sometimes see in nighttime videos with bright lights. It is not a problem.

[@MicheleLeeMD]

Thanks for sharing!