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Avatar universal

Rezoom both eyes or Rezoom/Restor Combo?

I had cataract surgery in my right eye on 11/7/06 with a Rezoom lens implanted.  I have surgery for my second eye scheduled for 11/28/06.  I also have astigmatism in both eyes, and my treatment plan includes follow up Lasik surgery two months
after each cataract surgery.  My goal is, of course, to get the best possible outcome and independence from glasses.

At this time (6 days after my first cataract surgery),  I have much improved distance vision, but some fuzziness at both intermdiate (computer) and near (reading) distances.  It's
almost like I had a monofocal lens implanted.  I have had no serious issues with halos.  The Rezoom was Model NXG1 and my right eye measurements are Diopter 14.5 D, Phi T 13
mm, and Phi B 6mm.  I spoke to my eye doctor today, and he said that the correction for astigmatism should sharpen my intermediate and near vision as well as the distance vision.

My main question/concern is which lens to have implanted in my left eye (Restor or another Rezoom).  I currently have about 20/25 vision in my uncorrected left eye and want no poorer near vision than that.   My eye doctor said that picking the lens for my left eye is a bit of a shot in the dark.  Restor would likely give me the best close vision but having different lens in the eyes has drawbacks.

I welcome your input.

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Avatar universal
Emily, new kid on this block, here.  Late January is set for a ReStor implant in my worse eye, with ReZoom or ReStor following
2-4 weeks later in the dominant eye.  Goal:  independence from
glasses (which I've always hated) and contacts (which are no longer strong enough for use without magnifying glasses added).  BUT I don't have cataracts, so this is purely elective surgery.
I am very excited about it and have only good feelings even with the understanding of having to go through the whole process.

I'm in my early 50's, no medical conditions, no astigmatism, went into glasses for reading about 10 years ago...then 4 years ago into monovision contacts in anticipation of an under-and-over correction Lasik procedure which I never bothered with since the contacts were acceptable.  I'm thinking that I should get the implants taken care of now - before I develop medical contraindications, and when I have the time.  Any input?  Anybody out there who has had this procedure without cataracts?

In north NJ and have selected a surgeon after seeing three... Hoddy,did you see anyone in my neck?

Thanks!
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Avatar universal
Thanks Hoddy44 and JodieJ,

Your comments give me increased piece of mind.  I'll keep everyone posted following surgery next week.
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Avatar universal
Laser vision correction is supposed to be the most predictable way to correct astigmatism.  And despite some advantages of the Tetraflex lens (e.g., lack of halos), results of the clinical trials suggest that ReStor gives better reading vision.  Best of luck with your second eye, and let us know how you're doing.
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Avatar universal
Hi Everyone,

Just wanted to update you concerning my trip today to the eye doctor.  Recall that I had Rezoom implanted in my right/dominant eye two weeks ago and needed to decide about what to do with the left eye.

I read the previous comments about the Tetraflex lenses with great interest.  Unfortunately, as was just pointed out, these lenses will not be available in the U.S. for at least a few years.  They sound like something close to the Holy Grail for those of us with cataract problems.  Hopefully, they will hold up well after clinical trials.  I had rejected Crystalens as an option due to limited purported accommodation and safety concerns I had about possible extraction.  The Tetraflex lenses appear to have remedied some of these issues.

Fortunately, for me, I have not had serious problems with halos in my Rezoom eye.  The main issue with me is the limited improvement in intermediate and close distance vision in that eye.  I also have a 1.5 issue with astigmatism in each eye.  

During my eye evaluation today, I learned that I currently have 20/20 distance vision in my Rezoom eye.  Simulated glasses correction designed to fix the astigmatism improved my vision at various distances, but not enough at close range for me not to benefit from the Restor lens.  My doctor felt that the Rezoom/Restor would be the best way to keep me free of glasses under different lighting conditions.  I should have excellent continuity across lenses for distance vision, and my brain should adjust to accommodate for the differences in vision at other distances.  Both lenses are uv protected.  He did not think that the Tecnis ZM900 lens was a better choice than the Restor for me.

I asked him about whether my pupil size was limiting the effect of the Rezoom lens in my right eye.  He said that my pupils were a bit on the small size but not enough to negate the benefits of the Rezoom lens.  He also said that potential halo issues should be of even less concern when both lenses are implanted.  

My doctor also pointed out that astigmatism correction would still be needed to get the best possible results and recommended that this be done at least two to three months after lens replacement.  He saw no compelling reason to delay the cataract surgery for my left eye.  Fortunately, for me, Lasik surgery for astigmatism was included as part of the extra money I paid for having the multifocal lenses.  My doctor said that postoperative Lasik surgery is much more accurate in eliminating astigmatism than are muscle relaxing incisions during or after cataract surgery.  I checked out various clinics before having my surgery done.  Most included the muscle relaxing incisions as part of the deal but not the Lasik surgery.  That was a big factor in me choosing my clinic along with the good reputation of the doctor.

So, at this point, I'm putting my fate in the good doctor's hands and hoping all goes well.

    

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Avatar universal
Your results are marvelous!  Apparently your lenses don't require the 9-month adaptation time of the multifocal IOLs.  Unfortunately, even though the Tetraflex was invented here in the USA, it's not expected to be available here until 2008.  I guess if money was irrelevant (ha!), we Americans could take a little trip to the UK or Australia and pay for the surgery and IOLs out of pocket.
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Avatar universal
K-D
No Halos?  More than a little envious.
Helpful - 0

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