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Eye Care Archive (Expert Forum)
crystalens..restor..rezoom..question?
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
crystalens..restor..rezoom..question?
by kanga-roo, Oct 24, 2006 12:00AM
I am scheduled next week for crystalens surgery.
I just found out that my doctor does not do restor or rezoom and yet many of the doctors in my area have dropped doing crystalens and are opting to do the other two.
I have been searching on the web for answers as to why all three would not be offered to patients by an experienced eye doctor.
So, my question would be, are they finding out that one is a more difficult surgery or results are better for one over another?
I may just be a little nervous about next week..
I just found out that my doctor does not do restor or rezoom and yet many of the doctors in my area have dropped doing crystalens and are opting to do the other two.
I have been searching on the web for answers as to why all three would not be offered to patients by an experienced eye doctor.
So, my question would be, are they finding out that one is a more difficult surgery or results are better for one over another?
I may just be a little nervous about next week..
Doctor's Answer
by Forum-OD-MP, Oct 24, 2006 12:00AM
no. just different opinions and experiences. crystalens is a good product.
I have heard good and bad about all the implants, but I will eventually have to choose one.
I am not as concerned about the cost as the product itself, but I am comparing that also. My doctor was charging $5200 per eye for the Crystalens. I have heard that the others are a little cheaper.
Thanks again.
Be absolutely sure of what you want to do. And even then, nothing is for sure. Read everything you can about all the lenses, and then hope for the best. Also, your surgeon is very expensive, compared to others. But don't look for discounts where the eyes are concerned. I would find a surgeon that is very skilled with ALL the lenses, not just the crystalens. Best wishes.
The Restor shifts to distance as the pupil expands in low light to cut down on unwanted visual sensations. In bright light it is great for reading, the ReZoom is not. It is great for distance in bright light. As the pupil expands you get to the second ring which brings in near and the transitions between the rings give you intermediate. With the Restor you cannot read as well in dim light as you can with the ReZoom. One patient mentioned this on another thread saying he could read better in low light and did not know why.
Astigmatism wreaks havoc on all multifocal lenses and vision in particular but it can be corrected with LRI and laser. This could be a big problem for you. There are surgeons who implant a multifocal and monofocal with good results and there are surgeons who mix. This is not an exact sciecne and there is no one answer. Obviously the more refractive surgeon does and the more experience he or she has with these technologies, the more attuned they will be to fix a problem and hit it right the first time.
There have been patients who say they don't like multifocal lenses and then have them taken out, have monofocal lenses put in and then want the multifocal back because they did not realize what they were losing. By putting glasses on a patient that have a +2.50 add on which takes on the near point of the multifocal and showing them what they will see with a monofocal, they can determine if the visual disturbances are or side effects are worth the trade off.
Opinions change as well. The original studies that were done were done with a multifocal in one eye and monofocal in the other eye for the control group. There were happy patients in those studies that had both. The original thinking was that the same system was better in both eyes. At that time there was only one approved multifocal design. As more designs came approved, surgeons could obviously try both and now that has come into vogue with good results for many. Surgeons like Kevin Walsh who the one patient went to have been working with all these technologies for year and more and more are getting educated.
The only that is certain is change and everything will continue to get better for all. You just have to define your problem and either live with it or do the research, talk to a few surgeons who are experts in the field and make a decision to pursue an alternative.
Your PVD happened due to surgery and the anatomy of your eye would be my guess no matter what lens you would have had. That is a risk you did not have much choice since the anatomy of your eye and age just creates that risk. My unlce had a RD due to being a high myope after surgery but he could have had that walking down the street one day due to the anatomy of his eye. Luck fo the draw.