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Restor Lens: Potential problems
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Restor Lens: Potential problems

I am now 1 year Post-op from insertion of a Restor-lens.Vision
was 20/60; now 20/200 or worse. Essentially, nothing focuses at
at any distance. We've flattened the retina with a hypo injection
and a few zaps with a YAG. No noticeable change.

Is it even concievable the lens could be manufactured incorrectly
or inserted backwards???Is there any way to "test" this idea??
Related Discussions
Avatar_n_tn
most likely not inserted incorrectly, but i am not a surgeon.  maybe one of them will post...
15 Comments
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Avatar_m_tn
Sounds like you have a retinal problem. Inserting the lens upside down would only make you a little over minus. You also said you had a YAG which does not have anything to do with the retina but clears up posterior capsule opacification. If you had a YAG it will also make the lens harder to remove which it would be at one year out anyway. I would work with you retinal vitreous doctor and ask him more questions on what they are specifically treating and why did your vision deteriorate.
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Avatar_n_tn
Another "hurry up and wait" month. Dr actually said today just
wait a few months more, let's see what happens???No meds, nothing. Everyone expects my retina is going to fix itself with
time...approaching one year now since implanting the ReStor lens.
My vision has been 20/200 since I got off the table..and has remained unchanged since. I could see 20/50 before with spots of
maybe 20/30 around a corneal scar. I didn't really expect to get up off the table and see 20/20...but I didn't expect to be "blind in one eye" a year later either.
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Avatar_m_tn
Get another opinion. You need get some answers other than just wait. I am not that versed in the retina aspects of what you have going on or have enough information. But if it is the retina, there should be a diagnosis of what it is and what is going on and what the percentage chances are that you have for recovery.
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Avatar_n_tn
Feedback appreciated! Two wks ago had cataract removed in left eye, paid add'l $2600 for "delux" reSTOR lens with the understanding my distance vision would be corrected AND I would be able to read without glasses. Post exam(day following srgry)vision was not great..First Dr. said I would use corrected eye for distance and right eye for reading... I expressed concern & Dr. claimed vision would improve both by 'the hour & by the minute' I return for 2/wk followup this week my .. CANNOT read with the corrected eye & distance is not as sharp as r/eye w/glasses. How can I have this corrected?
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Avatar_n_tn
Re: previous post
attempting to avoid 'hurry-u-and-wait situation.  Is it possible mfgr sent incorrect lens script or tech read incorrectly? Feedback appreciated...must return to Dr. this week
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Avatar_n_tn
don't judge your vision until both eyes are done. you just invested in a high tech "stereo" system and got one speaker. Also, the apodized diffractive optical system is very sensitive, and you may need time, and possibly a surgical enhancement, to tune any residual astigmatism or prescription power. This is common. Don't be concerned about not getting immediate eagle-eye vision- you chose the highest technology available today, and it will be worth your wait. Your doctor is your best advice.
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Avatar_n_tn
'One Speaker' concept... something I missed??  Discused prior to surgery...no plans for second lens... r/eye is cataract-free and am ok w/r/eye vision....
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Avatar_n_tn
BTW  ...did not invest in a high tech 'stereo' system... the option was an upgraded eye lens which would allow me to read and also see distance clearly
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Avatar_n_tn
attn: hud .. after reading numerous posts it appears you have an 'interest' in the ReStor lens.  Possibly you are a rep or marketing agent commenting under the guise of a forum contributer...Please identify your connection/and/or experience with the ReStor lens

Awaiting response
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Avatar_n_tn
I certainly hope you are mis-informed about the ReStore IOL
being part of a "dual-set"...The only reason I had the implant
was to remove a damaged lens from an accident, the remaining
eye has always been 20/20, thank God!!! I could see "around" the
scar by moving my head and see spots of near clarity. Now, with the IOL, I can see colors, BIG shapes, etc; No letters or signs,
maybe a semi-truck. If something happened to my good eye I would
not be able to drive. There is NO FOCUS, near or far. I can tell
this has also caused my good eye vision to diminish...some of
that dominate eye stuff I presume (damaged eye is dominate).Boy,
what I'd give to have my OLD, original equipment lens back!!!!
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Avatar_n_tn
I am a post-cataract surgery patient with ReSTOR lenses in both eyes. I am also a financial analyst specializing in the ophthalmic industry. I interview surgeons every day about multiple products, trends, as well as the various companies' fundamentals and execution. Alcon is on track to sell $150M worth of ReSTOR lenses this year, way more than any other PIOL in the world. I am happy with my result as a patient, and I hope you will be also. I was not aware that you did not have bilateral cataracts. My stereo comment is because the product insert does not recommend unilateral implantation, but I know it has been done with success.There is no implant available that will match your human lens, so keep that in mind.It took some adjustment for me as the optical system is unlike the natural system.  Some healing, astigmatism, spherical error, or even dry eye can complicate your early result, and your doctor can dial you in. You will notice that your sharpest vision may be at a closer distance than with your other eye. Best of luck.
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Avatar_n_tn
As for Alcon, go the the finance page of Yahoo to see the drop in stock last ($13 in one day) week when Alcon announced their Q1 earnings to Wall Street. Alcon missed the mark and overprojected their ReSTOR sales. ALcon stock bounced back, but read what the 3rd party analysts have to say.....very interesting......We look at the stock routinely of all of the ophthalmic companies of the products we use for our patients on a quarterly basis. ReZoom sales are going up and ReSTOR sales are going down, across the country. We talk to our colleagues around the country every week. We find that the ReZoom IOL is the most versatile, most facile premium lens of the three. We find that many MDs that are still using ReSTOR will only use it in one eye. They have stopped using it in both eyes because patients are happier with either 2 ReZooms or 1 ReZoom / 1 ReSTOR, but not 2 ReSTORs.

As for having an IOL (ReSTOR or ReZoom) in one eye where the fellow eye is healthy. This is an entirely different scenario that when 2 cataracts are present. When 2 are present, Hud is right (for once)...the entire system works better after the 2nd eye is done. However, in these cases as you have here, with only one eye needed surgery. most of the time have a "pseudo-accommodative" IOL like ReZoom, matched up nicely with the fellow normal eye. It does take some getting used to. We have found that ReZoom is better for this scenario than ReSTOR or crystalens. --> because the ReZoom seems to work better, faster for ALL ranges than ReSTOR. ReSTOR gives too close near vision, very little,if any intermediate (computer) vision, and sometimes fuzzy distance vision. Most likely, ReZoom will can have more "fuzz" around lights at night than ReSTOR and we tell our patients this up front, so they know what they are getting into. You may say, well I will just have a regular IOL (monofocal) Even if you do this, you will most likely need readers, even if you are very young. Lastly, we tell this subset of patients if they find they really cannot tolerate the imbalance of difference between the eyes, they could have the option to have lensectomy in the fellow eye to match them out; otherwise they wait until that eye has a cataract.
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Avatar_n_tn
Absolutely, Alcon overestimated the premium IOL market. It is new ground, and the expectations were set unrealistically. Wall Street takes no excuses. ReSTOR is still perceived as the highest technology available, and the market share bears that out. One question for the AMO advocates....If ReZoom is so much better than ReSTOR, why then is AMO coming to market with a 4 diopter add diffractive lens like ReSTOR (Tecnis Multifocal)?
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Avatar_n_tn
Good Question hud, and my question would be that after you were slammed for your comments, why hasn't anyone asked Eagle Eyes who he is affiliated with... seems obvious...
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Avatar_n_tn
Check out the goings-on in Europe for the answers. No doubt there is not one IOL that fits all... It all depends on the variables that I have mentioned, as others, on this website.

The +4 add gives that up close, NEAR NEAR reading. ReSTOR does that beautifully. Tecnis MF will too. ReSTOR is diffractive/refractive. TMF is 100% diffractive. ReZoom is 100% refractive. Each has it's place.

Why is ReSTOR making modifications to have a lesser add?

Answer remains the same --because no IOL is perfect.
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Avatar_n_tn
I clearly stated my place when I began on this thread....May I suggest you read all the threads before making comments, as some people are only interested in one thread or subject. This makes it easy to take a comment out of context. Since you are a late-comer to this, get yourself caught up before diving in.

I love the fact that patients that read this website are savvy, discerning individuals. I will save you some reading time and state again...as a nurse that has been in this business for almost 3 decades and work for ophthalmologists,teach courses to my peers and sometimes even ophthalmologists, I have alot of experience with all types of IOLs in the cataract and refractive areaa - including ReSTOR, ReZoom, and crystalens. I talk to alot of surgeons all across the country and compare notes from my PERSONAL EXPERIENCE with dealing with this every day of the week, with our patients, and others' patients. I love what I do and am blessed to have gained the experience I have over the years. I learn something new everyday, and have an open mind to all products, recognizing their worth.

I personally believe that if we are in the eye industry and are going to post comments that affect life-altering, lifstyle-affecting vision decisions, then we have a moral obligation with our comments and answers.
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Avatar_n_tn
again, what is your source of the Alcon information of a proposed ReSTOR lens with a lower add? I have direct contact with Alcon R&D and have not heard any of this. I would love to talk to your source. Please advise.
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Avatar_n_tn
This info on ReSTOR making a weaker add came from a fellow ophthalmologist. A local Alcon rep who has been in the business for >20 years confirmed it about a month ago. I do not know the time frame. If you find out, let us know as you are closer to inside info.
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Avatar_n_tn
Why is Technic coming out with a 4 diopter add?????

And you should be ashamed of yourself talking about moral obligations, you have no right. I help doctors all around the country everyday, and sometimes outside these borders. Most of what you post is ridiculous and totally opinionated. You should stick to the facts.
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Avatar_f_tn
A related discussion, Crystal lens vs ReStor was started.
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Avatar_n_tn
A related discussion, Crystalens HD IOLs for cataract surgery? was started.
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Avatar_n_tn
A related discussion, ReStor lens was started.
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Avatar_n_tn
A related discussion, restor lens was started.
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Avatar_f_tn
A related discussion, ReStors was started.
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Avatar_n_tn
A related discussion, Restor lens was started.
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Avatar_m_tn
A related discussion, restor lens was started.
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