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Crystalens HD vs Tecnis Multifocal

I am 36 years Old and have had perfect vision until now. My doctor recently discovered I have a cataract in my right eye due to injury. I can still see perfect out of my left eye. I am so confused on which way to go with this. I have seen two opthamologists and here is what each of them told me.

They both have said because of my lifestyle ( i work with computers all day, I am very active..ski, play softball etc) that they definitely recommended the multifocal lenses.

One recommended the Crystal Lens HD because he said this works the best with a one eye cataract. This dr also said he hasnt had any experience with the Tecnis Multifocal.

The other one recommended the just recently release Tecnis multifocal because he said he has had excellent results and it is by far superior to any other multifocal lens...but didnt say if it was good for just one eye like the previous dr.

Any information or help on this would be greatly appreciated..

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Avatar universal
I'd be very interested in knowing if you do have the exchange. My doctor says he will do it if I insist but he says he won't be able to say that the focus will be as good.  

I really dislike the huge halos at night and the halos even during the day.  Vision indoors is not good either unless under a very bright and direct light.  As I mentioned before intermediate focus indoors is bad no matter how bright the light.  In the center of a 12' by 12' room everything at arms reach and beyond is out of focus.  It's funny in a way because I test at 20/20 for both near and far and yet in the real world I cannot see clearly. If the eye chart for distance was white letters on a black background I don't think I would test at 20/20 because of the bright halos.

I wish I knew what to do.
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Avatar universal
hi, could you update your situation? How is the Crystalens HD doing in your op eye?
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Avatar universal
If you have your Tecnis lenses exchanged I'd be very interested in the result. I have terrible halos at night and bad  halos during the day. At night I can't read anything on my radio controls in the car and indoors at night I have very poor focus from about 2 to 6 feet out no matter how bright the light. I have talked to coworkers who have had the monofocal lens installed and their vision is much better tham mine. I really dislike these huge halos.
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Avatar universal
Continuing - more to TechnisDave - Regarding your description of your vision as "shimmering," I would use the word "pulsating." -- Another weird thing about the Tecnis lenses: If I glance in a mirror I often momentarily see my face with my right eye and the reflection of whatever is showing farther back in the room (like the opposite wall) with my left eye. -- I can then consciously cause my eyes to just refocus on one of the images.

To go to a library or grocery store is a trying experience. -- I cannot distinguish among the many items on the shelves. I have to focus precisely on a specific book or other item. "Scanning" doesn't work. Similarly, I can no longer riffle through a stack of papers or flip through pages in a book to find information; I now have to stop and carefully examine each page in order to see what it is. Similarly, I cannot quickly scan the items in a supermarket freezer to find what I want; it is necessary for me to pull out each one and inspect it.

I have tried two pairs of progressive lens eyeglasses. Finally I had to settle on bifocals for reading. Wearing the glasses, I have to be very, very careful when moving around because of dizziness. Therefore, I usually do not wear the glasses while I am walking.
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Avatar universal
To TecnisDave - My experience with Tecnis lenses is very similar to yours. I've had mine three years. I'm thinking about having mine changed to single vision lenses. (I paid out of pocket megabucks -- far more than your report -- for my Tecnis!)

One of my biggest complaints with Tecnis is my lack of depth perception. Stairs are very scary to ascend, and especially, to descend. And I wouldn't think of driving at night. Do you -- or any other readers -- have these depth perception problems? Have you had the Tecnis lenses removed? If so, was the change an improvement? (I would feel really bad if I had the lenses replaced, and my vision was even worse than with the Tecnis lenses which have already made normal life impossible. My best description of my vision with Tecnis is that everything is "posterized.")
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Avatar universal
I had the Tecnis Multifocal implanted 6 months ago in both eyes. They were pitched as the best on the market.  Bull. They SUCK.  Halo's, ghosting, contrast problems, SHIMMERING, unequal focus between right and left eye, require glasses for computer work, driving at night is quite the experience - halos around any light source that is round. The ghosting makes the vision seem blurry unless you are exactly 16 inches from the reading material. Reading news print is difficult. I have two family members that have the standard single vision lens and they have none of the problems I have and can read everything I can without glasses.

Very disappointed, quality of life diminished, considering exchange with single vision lens. Hate the thought of having to drop another few grand after the initial 6k paid out of pocket for "the best lens available".  I think I would rather wear glasses for reading as is expected with the single vision lens, then have all the other glare, halo and shimmering issues and still have to wear glasses to read with the multifocal.  The technology is not perfected yet.  Proceed with caution.
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Avatar universal
The Tecnis monofocal lens will give you very crisp vision. Go to www.tecnisiol.com and read about both multi and mono focal lenses. Many patients do pick up some depth of focus. The optic is clear and corrects for spherical aberation in the cornea as well.
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Avatar universal
Hi, tu002

I'm also a physician needing cataract implants, starting with one eye but the other may not be far behind.

I've worn classes for nearly 50 yrs, so don't mind needing readers.  However, as a practicing physician I now use an electronic record with fine font size that canNOT be adjusted, & I have other eye issues, so need to be able to put in drops, examine my eyes for blepharitis scales, lashes that fall into eyes, etc.  Are you able to use eye drops & examine your own eyes (external aspects) adequately without the use of glasses, which would get in the way?  This is why I've been considering multifocals (and I don't do much night driving, though do some, mostly very short distances. Thank you!
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Avatar universal
I had bilateral IOL extraction (I'm > 70in age) within the past 8 months as my age-related cataracts were beginning to interfere with adequate night vision, particularly while driving.  I am a licensed medical doctor, so I may have had a jump start on research; however, I was unable to get a simple explation from my research on multifocal lenses, so I finally asked the ophthamologist: "which lens will give me the clearest distance vision"?  I was not concerned about needing reading glasses near vision.

The answer was none of the multifocals.  I had the standard lens covered by Medicare installed.  Lo and behold, I now have 20/15 O.U. and am able to see the automobile instrument clearly.  For close vision, I can read small print with 1.25 Diopter OU "drug store" glasses.  I'm very happy I did Not have multifocal lenses inserted.
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Avatar universal
I have had technis multifocal lens for two years now and they are horrible. I have a terrible greasy film in both eyes although it's much worse in one eye. I wish with all my heart I had never done this.  I am sad about it daily.
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Avatar universal
I did my lenses as a clear lens exchange. To lose my glasses. I didn't have cataracts. It was an elective procedure that my husband and I had to pay for through a pre-tax health account. It was a package deal... all tests and follow up for one year included. There were quite a few tests. I also had to sign a HUGE document that listed all the things that could go wrong. I also had to watch a movie, and was given a quiz on it. Apparently so they knew, that I KNEW that things don't always go as hoped. I'll be the first to admit, I took a gamble really. But after the reading vision went, and having 20/400 distance vision all my life, I would have been happy to lose glasses even some of the time. I was SO dependent on them.

I had restor +3.0's done in January 2010 for clear lens replacement. I love them. Vision is 20/20 reading and 20/16 distance. I have one "less crisp" spot at about 3 feet. Can't even call it fuzzy. If I move my head forward or back a couple inches, it goes away. I does not interfere with anything I do. I work on the computer most of the day, and I see it fine with no eye stress. The only reason I found it was "experimenting" with my new vision when I first got it.

Headlights and traffic lights at night, at a distance 1/4 to 1/2 mile?)look like "fuzz balls", but get clearer as they approch. At a stop light, the car lights across an intersection look like normal headlights. Actually, my night vision is better than when I had glasses. If you call fuzz balls halos, I guess I have them; I'd call them super mild.

I may have lost a little contrast sensitivity.... If there is small black writing on a red background in dim lighting for instance, it can be hard to read. If I move it into more light, it is not a problem.

All in all, it's not like perfect 20 year old vision, but the side effects are slight. I am so happy to have great vision after wearing glasses since I was 7. After the presbyopia started kicking in, my vision was very annoying (I couldn't read with my distance glasses on). I don't think an eye doctor ever pinpointed my distance vision before this procedure, but always said I was "Oh, 20/300, 20/400... somewhere in there". You can imagine my delight daily!!!!

Not sure about having it in one eye.  Difference between you and I is you still have your reading accommodation in your good eye.  I developed presbyopia, so the time between eyes was tough.  The restor eye worked great for reading, but not the unoperated eye.  Most likely you would need a multifocal in the other eye also when prebyopia time hits in order to have balance between the eyes.

The only difference I heard there may be between restor and tecnis is that on the tecnis, the rings go all the way to the edge... better reading with big pupil (dim lighting), but the chance of more night time halos because of the rings with the big pupil.  Restor's rings do not go to the edge, so you might need more light to read in dim lightinig, but there is less chance of halo's.  I guess you need to consider how much you drive at night and how much dim light reading you do.

Good luck!
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Avatar universal
did you get your Crystalens in your right eye and how is it.
I am trying to decide as well between mono Crystalens and multifocal in mt right eye which had lazic surgery done 3 years ago for monovision and  lost all my depth perception. Now has anyone had only one eye done
with Crystalens and been happy?
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Avatar universal
My 2 cents.  Crystalens HD = 1 of the worst decisions in my life.  And folks, I've made many bad decisions in my life.  The only thing that is "High Definition" in my vision with this lens are the halos, glare, shimmering, ghosting, and double vision.  I think the  "Crystal" has to do with the clanking of champaign flutes after my surgeon sold me this lens.
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Avatar universal
I had Crystalens HD 500 just put in both eyes in May / June. The right eye is messed up bad. Need to have it replaced with something. Does anyone know if the newer Tecnis multifocal has the same problem as the Restor 4 as far as intermediate slightly fog vision??? Like accross a room. Also has anyone had problems with the newer Restor 3 ?
From what I read with studies, the Tecnis multifocal seems to be a pretty good lens. But not sure.
IF Anyone is considering a Crystalens HD500,,, MAKE SURE that the surgeon has been doing them for quite some time "Experienced". My surgeon messed up my eyes to where I will never be able to have a Crystalens that works. Does not know what she is doing!!!. Would appreciate your quick response. Having surgery in 10 days.
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Avatar universal
I have perfect 20/20 in my left eye and need cataract surgery in my right eye...would you recommend a monofocal set for reading....that way i can see far with my left eye and have both eyes for reading (essentially monovision)...and eventually when i hit over 40 and my left eye starts losing the reading then i will have my left eye for seeing distance and my right eye for reading...
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Avatar universal
Hi Stuck

Wait long as possible before to do your cataract surgery . And finaly , forget the multifocal lens . You are to young for this kind of lens . HAlos, galres etc..are terrible . I had cataract surgery in both eyes with Multi OL at 37 Y old . I read an abstract that IOL multifocal are better for people above 55/60 Y old

John
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Avatar universal
Yah that's what the old doctor tried to blame it on. But it was not "adjustment" issues. Maybe yours will take time also.
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Avatar universal
How long have you had the Restor's?  It may take some time for your eyes and brain to adjust.
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Avatar universal
Yes the Restor can be exchanged. Find a teaching hospital or a very well known doctor to do this.  I've had my 2 exchanged. It eliminated the glare, ghosting, poorvision for the day.  I've not gotten out much at night. But know the giant star bursts are eliminated by l/2.  I do wear glasses to do the final sharpening of my vision.

Good luck.  
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Avatar universal
Thank you for the comments and sharing the informations.  I always had 20/20 vision in both eyes and although I just turned 36, I have a cataract in my right eye. It seems like it's one of those cataracts that developed quickly. I had some slight blurriness in September and was told I have a cataract and I started thinking about surgery in March the following year.  It's now June, as I needed to do some research on IOL lenses and I finally decided to try the Crystalens HD. I only have a cataract in my right eye.  I'll try and report back after my surgery.Thanks again all.
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Avatar universal
I have restor lenses and I don't like them...can they be changed or is it too late to have them changed...I want to be able to see at night....I can't drive anywhere and it is bad bad bad..sometimes it is worse then other times...Restor site says not for people who make a livng driving at night....what do  I do now...seems like they are getting worse...like they work and then they don't and I have a strange sharp pain in the white of my right eye..just a sharp pain..and that same eye is afways feeling like something is in it...I am not even aware of my left eye but the right drives me nuts...what do I do...hate to think of trusting the dr. who put them in in the first place...need dr. who is specialist in Houston,Texas area...any ideas?
I need help...have had black do going across field of vision lately....and I can actually see the circles of the lenses in my eyes if I focus or close my eyes to swint it is really strange...I need help
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Avatar universal
Check out this link with the FDA for adverse reactions for these lenses. Last time I checked Restor had over 800 complaints reported.

www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/search.cfm
Sometimes just clicking on this link doesn't work so you may have to do a search thru FDA Maude to find the input page.
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Avatar universal
If your work is tied to good eyesight I would suggest not putting Multifocals in of any kind. I did not have good vision at any distance. So I had IOL explants to remove these multifocal. It is too big of a chance to try Multifocals.
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Avatar universal
I had the Crystaloens HD in my right eye.  When it did not accommodate, I implanted the latest Restor in my left eye.  Over 2 months, my CL HD shifted myopic.  So, I had my Dr. just recently replace it with the new Restor.

The Restor lenses are really good.  I only see some halos at night from bright lights, but I am used to them and they do not bother me.  In good lighting I can read without readers, but do need them in dim light (e.g. restaurant).
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