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574673 tn?1234129578
Explanting ReStor IOL
After going through three months of blurry vision at all distances with my left eye ReStor IOL., I took the advice listed on this forum and submitted an Adverse Medical Report to the FDA. Imagine my surprise to find 50 pages of reports, over 500 of them associated with this lens. Most of them were for my model lens as well. All had similar problems to mine and none were resolved by Yag laser capsulotomy or PRK lasix to fix the power. I understand once they do the Yag it is much more dangerous to explant. Three doctors have confirmed that my capsule does not look blurry and contrary to the typical events, my vision after surgery hasn't changed, verses becomming blury later like most capsule problems. My current doctor recommended a piggy back lens for the power, which he claims is off due to measurement error. This type of procedure is not recommended by the manufacturer of the lens. I sought the opinion of MASS Eye and Ear, a world renowned facility and they said that there were risks in explanting my lens.
So now I am faced with a life of blurry vision that can't be corrected with contacts or glasses. I currently wear a contact in my "good eye", which is -7.5 with a small cataract, a +2.5 in my operated eye to even out my vision so my mid distance isn't half in and half out of focus and reading glasses! My visual handicap was better before the surgery when the only thing I couldn't do was drive at night, which I did any way.
The other alternative appears to be an explant of the left eye, continuing with the right eye wearing a contact. What are the risks of an explant? Would you replace the Restor with a monofocal for far distance and get a far-intermediate contact lens for the right? Acylic verses silicone, which is better?
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574673 tn?1234129578
The link for the adverse reports for the FDA is: www.fda.gov.medwatch, I believe. I sent them a report and also reported my problem to the Alcon Corportation, makers of Restor.
Good luck. I do think as many people as possible should report problems they are having so that the company and FDA are aware of these issues.
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www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/search.cfm

This might not automatically get you there by clicking on it.  If you have to type in the name be sure to put the www. in front of it.  Once in it just put in the Mfg. name and the brand   and widen the dates fron 2000 to 2008.  .
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233488 tn?1310696703
I was asked to comment you your discussion. I will tell you right off I have not read the entire discussion thread. I will make some comments.

1. Ask yourselves: If I was told BEFORE SURGERY that I might need glasses some or most of the time even with a ReStoR IOL and I was told that my night vision would be bad and that optical abberations might be a big problem (dysphotopsia) would I have had the surgery ?   If the answer is yes then you knew what to expect, if the answer is no you were not informed (or forgot that you were informed). Remember many studies show that patients remember very little of what they were told about complications, side effects or dangers of surgery. This has been proven with taping informed consent at the Mayo Clinic then asking patients a week after surgery to mark on a chart what they had been told).

2. At present my opinion is that everyone should know what's noted above in #1.  Many people remember being told this and accept it as the price of less glasses dependence.

3. I think it unlikely that you will get the ReStoR removed from the market. The ReStor works well for many surgeons and many patients. Not so good for patients with small pupils.

4. I'm starting a study here on MedHelp.com Eye Forums on ReStoR, ReZoom and Crystalens.  In doing so I spoke with the editor of a medical journal. I told him from my prespective there were more complaints about ReZoom IOLs than ReStor and Crystalens. The Editor said that he heard more complaints about ReStor than ReZoom.

5. It certainly doesn't hurt to post all your problems and complaints with the FDA. I think what will happen is that better and better accommodating IOLs will come out over the next 5 years like the new Crystalens HD and ReZoom and ReStor will increasingly be viewed by the public and surgeons alike as antiquated technology.

6. I realize that doesn't help people with ReStors in their eye now that are having problems.  For severe problmes ReStor removal with insertion of a aspheric hi quality monofcal IOL and use of glasses will take care of the problem.

That's about it.  Would I put a ReStor, ReZoom or Crystalens in my eye if I needed cataract surgery. NO WAY.

7. Is their heavy economic pressure on eye surgeons to have patients "upgrade" to the more expensive "premium" (misnomer) IOL. Absolutely.

JCH MD
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Here's a little extra comment I have.  When I was considering the type of Lens (multifocal) I was told the possible problems of surgery.  I specifically used the words FDA and Adverse Reports asking if there were any.  The surgeon and her staff told me "No".  I had been thru previous FDA unapproved joint implants in the 1980's so I knew to ask with these words. The joint problems are still haunting me daily.

Being a little compromised with the internet I couldn't find the correct page on the website with all the reports.  Things would have gone differently if only...Now I will try to help inform others.
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662703 tn?1226275028
Thank you for your post. I too, have a "past" experience that had made me want to inform others. Patient activisim, done the right way CAN help others, and CAN change the way things are done. This forum has been a real help to me going thru this. Alief
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662703 tn?1226275028
Thank you for donating your time and your thoughts to clarifying about IOLs.  Yes, antiquated technology is our impression from discussion with doctors.The thread went a bit off course, I am wondering  about the risks of explant, particularly after YAG. We are trying to find our way AFTER only one ReStor. Remove it after YAG? Do LASIK? Be happy we have one natural eye, although filling with a cataract? Are the risks more significant than the benefits? Opinions seem to vary about the risks and I cannot seem to find “the middle ground” on this subject. This long thread is very helpful to patients! Aleif
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233488 tn?1310696703
"Answers" will vary. For some time will take careof the problem, for others glasses some or all the time will help. For others the IOL will need removed.

JCH MD
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574673 tn?1234129578
I agree with Alief, this long thread and the forum has been a lifesaver for me. It is a place to explore the complex realm of seeking good vision.
At this point I have some questions as I am leaning once again toward and explant of the Restor and my surgeon is more willing to do this now.

I am in a similar place to Alief, except I did not have laser vision correction prior to my cataracts and I have not done the Yag.
For the past month my surgeon at MASS Eye and Ear and the associated optometrist had me try contacts over my Restor with the purpose of assessing whether or not I can correct my vision adequately with refraction to give me an approximation of what the Yag and subsequent lasix might accomplish. I tried both a +2.50 for mid distance and a +1.25 astigmatism lens in my Restor eye (which is now moderately farsighted) and a -7.5 in my non Restor dominant eye, without an astigmatism correction. That eye has a small cataract.
After all of this I was able to achieve about 20/40 best correction. While the two eyes seemed to function okay for distance, the Restor eye alone was pretty much the same, maybe a little better having better focus. Ghosting is less than six months ago, the implant was July, but still present. Night glare is bad, but compensated by my non Restor eye.  My surgeon said if done by January he would attempt to remove the restore and place an aspheric monofocal in my Restor eye. We would then wait to decide about the other eye.
Here are my questions.
1. I have read about the "new technology status" technis. My surgeon is considering a toric lens to correct my .75 to .100 astigmatism. (he does not recommend limbic relaxing incision). What is your experience with toric IOL's and does technis have them available in the "new technology lens" ? Would I be better off not doing a toric IOL. My other eye has a similar astigmatism and I don't mind wearing a regular contact in it.
2. I would like to capture some intermediate distance for seeing things on my counter top, etc. (I am almost there but not quite with my -7.5 distance contact) However I don't wont to sacrifice distance. Would blended mono vision give me enough distance and a little better intermediate ( I don't mind reading glasses). ?  If I go straight distance in both eyes  would I will still be unable to get progressive glasses for intermediate and near given that my unoperated eye is very myopic -7.5.
3. Would you do the first eye (non dominate) for far distance instead and leave the intermediate distance until later or change my contact in the dominant eye to an intermediate distance? (I am pretty happy with it for distance now)
4. My surgeon is world renowned but honestly does not do very many explants of restors. He is however conservative and I trust his judgement. Would you seek out someone who has done many of these instead?
Obviously I realize these decisions are mine and my doctors to make. I know I have asked some of these same questions before at different times. It is just that I am becoming more "focused" excuse the pun on my solution.
With regard to the consent issue. It might be helpful for patients to view a video of the effects of these premimun IOL risks, benefits etc and sign off that they have seen this, such as what we did when my children had their wisdom teeth removed. There are so many questions that patients may not know to ask.
Thanks again.
londonbrideg.
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662703 tn?1226275028
Thank you for posting. I have been waiting for your post! They seem like they are trying to help you and are competent to do it. Just let me know if you can get those questions answered, as I have the very same ones and I am too having a hard time getting an exact answer. At least they are giving you some lenses to try out.
As I posted earlier, I changed to another practice group. I have not seen their optometrist yet. They are leaning towards LASIK because the refraction for me is not off by that much (.75) If that fails, they gave the OK for an explant with their explant surgeon. My understanding is that without YAG and other retina/disease problems the explant is not that difficult a surgery when done by an expert.
The new practice divides the process into many different specialists, good but time consuming and requiring great insurance coverage or a trust fund! One is expert on putting in IOLs, one on removing them. I know that sounds odd, but the DC metro area is very large, so they get a concentration of patients from all over.
The initial intake/consent form divides vision into zones 1-5. I think zone 1 is tiny close up thru 5, which is very far. I am finding it difficult to get info on the specifics of what each lens does b/c still trying to solve the ReStor issues. Monofocals: no intermediate vision, or fixed with glasses?  I notice that the consent form (long and detailed) says, “Chose ONLY 1 zone” so it may be that “blended” (choose 2 zones, one per eye?) + glasses/contacts may be the way to go. Technology seems to be best in Zone 5 (far). They admit that IOL technology is flawed, but all we have at present.
I was exploring this with the retina doctor (not his area) but he warned to consider the remaining cataracts development. “Don’t make a decision based on your present vision with the cataract. No one can predict how fast a cataract will grow. Make a decision based on the fact that SOME form of technology will have to be used for the cataract.” The retina center is one sobering place.
Right now, I am leaning towards Lasik the ReStor eye, make a decision then, and a monofocal for the other one. I lived for years with blended vision due to my correction with large difference between the eyes. Lack of intermediate vision is problematic—I knew I had a problem when the grocery clerk followed me around picking things from the shelves for me. Blended vision is odd, but do able.      
I hope this helps and do keep me up to date on how you are doing. Aleif            
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574673 tn?1234129578
It was good to hear from you. Thanks for your support. I am feeling more comfortable with the idea of an exchange. My eyes are 9 diopters apart at present and my Restor eye is moderately farsighted verses -8 in non operated eye, so I obviously must do something!
I scheduled my exchange for January 7th and plan to meet prior to that with the surgeon to discuss a new IOL. Presently think I would not do torric, rather have the astigmatism (although the surgery could change that also). Mulling over whether to go for a little near sighted in the Restor eye (non dominant) or straight distance with glasses always for intermediate and near ( I wore glasses for years without much complaint, but somhow being dependent on glasses full time, the opportunity to only use them for reading is appealing, that is what got me into trouble with the premium lenses however and I wonder if I should cut my loses and go for just distance in both eyes.....decisions, decisions. I am quite anxious about the surgeon a. not being able to explant the lens properly and b. ending up with the wrong power again (however a single wrong power has got to be better than the Restor)
Well good luck with your lasix. I think if my IOL wasn't so far off, I would have done the YAG and lasix as well, and still may, but probably going for the exchange.
Take Care
londonbridge
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Unfortunately, the formulas used for IOL power predictions are much less accurate for people at the tails of the bell curve (i.e., the very nearsighted and very farsighted).  However, your new surgeon will have the benefit of having your ReStor calculations and result, so he could make adjustments to your new calculations as appropriate.  Given your preferences, I'd go for an exchange and good intermediate vision--why not try for what you want?  (You could either have a LASIK touch-up or wear a contact lens if your results with both eyes were much less than perfect.)  BTW, Dr. Hagan has posted elsewhere how he would eliminate mild astigmatism at the time of surgery.  And he recently responded to another post by stating that IOL exchange is not considered "high risk."  
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574673 tn?1234129578
Thanks for your suggestions. It is strange that when you must wear glasses all of the time as I did for many years, it seems easier than taking them on and off nearly all the time. Since I will need glasses ( and contact lens in one eye) at least for a while I do prefer limiting when I need them i.e. reading. I suppose this is a process and I could eventually touch up my final results. My biggest concern is ending up far sighted again where nothing is in focus. That is probably unlikely and I am leaning toward trying for my non-dominant eye with intermediate.  
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662703 tn?1226275028
Yesterday I went to the doc who did my LASIK for a consult. This is the only practice that was able to find a refraction I could see in a normal way—the best by far. At other places, they would just look at me when I told them I could not see with the chosen refraction. Ghost images—gone. Double images—gone or reduced.   When the doc rechecked the refraction (done by the tech), he seemed very surprised when I said, the correction was “just fine, not a problem, looks great.” I think there has been astigmatism after the surgery and no refraction used for it. He was confident he could make the ReStor lens work correctly, or certainly much better. That was a BIG relief.
He said, “The ReStor lens is well placed, perfectly healed, but the wrong power.” I asked him about explants. He said, “With your result, it would be insanely medically irresponsible—out of the question.” (He is a bit colorful in his speech) I was all ready to do the Lasik when he rechecked and said, “No Lasik, and PRK better for you.” He was very firm about this and gave medical reasons-- adamant. I trust his judgment here, BUT…He was frank and explicit that PRK is different than Lasik, and particularly in the recovery phase. The recovery phase is long and somewhat painful/sightless/problematic.
When a doc says something is painful, they are usually NOT wrong, in my experience. I am a bit scared. I made an appointment for the PRK, and plan to have my sister come to help me. It  takes courage to face eye surgery—at least for me. Hope everyone is well, and Happy New Year.
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Good luck with the PRK!  My cousin had that procedure, with excellent results, and she didn't not find her recovery to be terribly long or uncomfortable.  Let us know how things work out.
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That's great to hear that you should be able to get good vision without explanting. My wife is happy with her Restor lens. I wonder how many unhappy Restor users have uncorrected astigmatism and/or an incorrect power.

I am going with IOL + LRI myself, but if I were going to have a laser procedure it would be PRK. The recovery time is longer, but the eventual outcome is at least as good, and it's a bit less structurally intrusive to your eyeball. Plus the idea of scraping away the outer layer of the eye is less icky to me than slicing a flap.

Local eye docs here claim the all-laser lasik has its own problems, and that many docs who were using it are reverting back to the blade. Don't know if it's true, but I heard it from two unrelated offices.
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Wearing a trial pair of glasses with corrected lens will give you some idea of what Prk and Laser will do for you.  Search the archives for other patient results with the additional procedures.  I tried the eyeglass lens correction and it did nothing for my vision.
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574673 tn?1234129578
I am glad alief that you found an answer and a way to correct your Restor Problem. It does sound like if you can get a refraction that will correct your problems it will simulate what the PRK will do for you. I wish you the best.

As for me, I had my Restor lens explanted yesterday at MASS Eye and Ear. All went very well with no problems. The surgery was tricky but I was in good hands. I worked with my surgeons and trusted his advice. I now have an Acrysof Toric monofocal in my left (former Restor Eye) that will be corrected to approximately -.75 to -.1.25 for mid distance when the final results are in. Today my stitch was removed and I had 20/40 vision for distance and that was less than 24 hours with still some higher pressure, swelling and dilation so I expect to see more improovement. Even if there is no more improvement the halos, glare, ghosting, double vision are gone. Furthermore my eyes are no longer 9 diopters apart with one moderately far sighted (wrong power Restor) and my natural eye a -8.0 near sighted. I feel like my eyes are working together again not fighting eachother. I plan to continue with a contact in my dominant, natural eye for distance and use reading glasses over top when needed. I find I can even get around the house with only my IOL eye corrected and since my natural eye focuses about six inches from my face, I may even be able to read without my contact in, but we will see.
I am grateful for all the support I have received from all of you my forum friends as well as the advice from the doctors. I don't believe I would have survived this ordeal without you and I plan to keep watching the forum.
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Glad to hear another Restor IOL exchange story with good ending. I too had this done with the exchange in Nov. .  2 weeks ago I got my glasses to further compensate and my vision in the surgery dominate eye with glasses and the new IOL exchange AMO aspheric lens is almost perfect.  I am so grateful for this miracle after the nightmare.
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574673 tn?1234129578
Thanks. It is sooo good to be on the other side of this "nightmare"  I could not have gone through with this without the support of folks like yourself , JodieJ, Dr. Hagan, Aleif and all of the others. My eye is still healing and vision is still a little blurry but a definate improovement. Already better sharpness than the Restor with a contact over it. I am already dreaming about a new pair of glasses. I plan to continue to wear my distance contact in my right, dominant, natural eye with the minor cataract and get glasses to sharpen up reading etc. My hope is that I can also use those glasses or another pair for when I am unable to wear my contact also. Anyway no more double images, ghost images, no focus at any distance, and two eyes that were fighting each other.
Glad to hear things are looking up for you too.
londonbridge
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londonbridge – since I am having the same procedure at the same hospital by the same doctor, can you tell me what it was like? How long did it take? Was it painful? Did they treat you well? I wouldn’t object if you didn’t spare any details ………..LOL
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My IOL exchange went quick less than 30 minutes I think.  I was awake, the eye was numbed by injection and I didn't even know it as they gave sedative just before. Told me I wouldn't be able to move the eye or see because of the way it was numbed. Right before the surgery I told them they better check that as I thought I was moving the eye  but wasn't. That was funny.  It wasn't really painful the next day but a little uncomfortable so I took pain meds just to be sure that first day.  I was real apprehensive the few weeks till I got the glasses but everything was cleared up with the glasses.  Right after the surgery I knew the ghosting was gone along with the glistening.

E verything was so professional and of great care for me as a patient. Emory billed the insurance correctly and was paid promptly by the insurance co. I highly recommend Emory University Hospital.

It wasn't like with the individual doctors which really tried to pull a fast one with billing and charging me. But I caught them and won out.
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Lerbea -- Thanks so much for the input. It helps a lot. Many, many thanks........I'm glad you're doing well.
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574673 tn?1234129578
Hello  John0123
I was very pleased with MEEI and Dr. Melki. There was an intial delay in my surgery from 7:30 arrival time to 9:30. I think they were back logged because of the snow. Fortunately we stayed over night at the John Jeffries House owned by the hospital so we could be there on time, but I believe you said you already lived in the Boston Area.
One thing you may wish to be aware of, although it could be different for you, is that I did not receives any sedatives before going in to surgery and the preference was to use topical numbing drops verses an anesthesia local block and no IV sedation. In otherwords they preferred you to be awake and alert so you could follow instructions. They do imobilize your eye. I felt some pressure and tugging no pain. I think it took about 40 minutes. I was not prepared for this. It was a little unerving, even though I have had 9 other surgeries and am a very calm person able to detach myself from these situations quite well. Still I was anxious because I waited a long time and it was such a difficult decision. My blood pressure went a little high so the anesthesiologist asked to give me very light IV sedation to take the edge off during the procedure. That helped some but I was very aware. I believe if I had know that prior I would have been more prepared and thus more relaxed. The plus side is that I was not groggy or ill after the surgery only craving my morning coffee!!
Right after surgery my vision in my new eye was pretty blurry. The next day at the post op done by Dr. Melki's assistant, Dr. Patel my vision was 20/40 so I could pass a drivers test. ( I also requested my vision be set for mid distance and Dr. Melki recommended a -.75 target which I think was a good choice being that myopic people often can wind up a little more nearsighted so I don't expect far distance to be as crisp) Three days out and my vision is definately improoving but still a little blurry and variable. Last night I noticed some ghosting around street lights but with my contact in my right eye the two eyes worked very well together. I expect more improovement over the next few weeks. I have no pain or discomfort (unlike my Restor surgery where I had a huge corneal abrasion in the middle of my eye requiring a bandage contact, I guess the whole thing was a mess from the beginning!) I have no more ghosting around letters and no more reflections of those darned Restor rings on everything. I am no longer moderately farsighted in my operated eye and the two images going to my brain are much closer together and in harmony.
Overall I am pleased and feel the hospital and surgery staff are first rate. You are in good hands. Feel free to ask me anything you like about my experience. I am glad to help.
londonbridge
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londonbridge – Thank you so much for sharing your experience. It sounds almost exactly like mine in October when Dr. Melki put in the Toric in my right eye. I stupidly went elsewhere (Scooby Doo Eye Care) for the left eye and had ReZoom with the promise of no glasses anymore. They put the wrong strength in besides ReZoom being a poor choice to begin with and now I am left with hideous blurriness and night misery. So now I have gone back to MEEI kind of hat in hand asking them to take this piece of garbage lens out and put in another Toric. I’ll have to wear glasses to read, but so what? The things I like most in life – running, golf, hiking, concerts – won’t need glasses. I am really beating myself up for not going to MEEI but there’s no looking back, as they say…….

In October, I was scheduled for 7:30 surgery and didn’t get on the table until noon. That was a little unsettling being left to sit all that time with no explanation but the medical side was awesome and the time on the table was about what you explained. I have only had this beastly implant in my eye since December 30, so I am reading that being such a  short time should be less tricky. Yours was longer, right? What do you think on that? I just want this thing out and am miserable waiting until February 2. I guess he’s only at MEEI the first Monday and Wednesday of the month for surgery.
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574673 tn?1234129578
Glad you are able to go back to MEEI and Dr. Melki. Having the Rezoom in such a short time should be a definate advantage. My surgery took a little longer but fortunately my Restor was not as stuck in the capsule as we thought and the capsule was not stuck to itself. Dr. M is only there a few days per month for surgery I believe because he has a busy private practice in Brookline plus teaches at Harvard Medical School. He is a wonderful, skilled and caring surgeon in my opinion. Very lucky to have found him.
I agree with you regarding only needing glasses to read. With my unoperated eye having a distance contact and my new toric four days out I can already see the computer, though readers help sharpen and I could actually wash dishes without needing the readers. So sad that so many people including me are so wowed by the claims of these lenses. After 40 years of glasses it all seems so tempting, but soo not worth it for me.
Live and learn I guess.
Take heart that your ordeal will soon be over. I wish I had not waited a full six months before making the final decision to explant, but I am so happy that I took the risk and did it.
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Hey londonbridge – I thought you’d get a kick out of this. I was at MEEI yesterday for pre-op stuff and they were telling me that they do not do exchanges much but had a woman last week that they did and it went so well and she is really satisfied. I wanted to say “yea, I know all about that” but didn’t. Dr. Melki said my ReZoom piece of garbage (my words, not his) is situated in such a way that the removal would be tricky. He laid out the risks and I almost spilled my cookies but when I asked him if he thought it being more than 50/50 chance of it being successful he quickly said “oh yea”. I guess they have to lay out the risks so if it does go bad, they can’t say I wasn’t told and come after them. I understand that but I have to sweat this out until February 2.

Anyway, I thought you’d get a kick to know they were talking about your case (it had to have been you) so positively.
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574673 tn?1234129578
Thanks for the update and for not saying anything too. I think it is good that they don't automatically say they can explant anything with no problem. I have talked to other practices who were willing to try anything and I did not choose those practices. I prefer someone to be conservative. Ironically I was also there yesterday at 1:00 for my second post op. I again expressed how sastisfied I was to them. I still have some blurriness due to the medications and some high eye pressure so I have a new medication. I trust Dr. Melki absolutely and I know he would be completely upfront about the risks and benefits. So it sounds good. I will keep you in my thoughts.
My vision seems to be coming in right on the money. I wanted mid distance in my nondominate, former Restor eye and leave my dominant eye for distance, with a contact for now and if needed down the road another monofocal. The blended vision gives me a nice range without glasses so I am happy with my decision. Their measurements and choice of the torric Acrysof lens for me seems to be just right. Once you have a surgeon and a practice you trust it I think it is best to express your preferences and then let them do the choosing.

My best wishes to you. Keep me posted.
londonbridge
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I am looking for some advice from someone who has had their multifocal lenses replaced. I have a Restore in my left eye and Rezoom in right. I now have astigmatisms in both eyes I didn't have before and my left is 20/100. I feel like I'm blind, I can't work (I'm an RN) or drive. The sugeon says it's these "finicky lenses", I would like him to try to do his job with this eyesight he's left me with! How did you end up with deciding what to do?
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I'm sorry to read about your poor results.  In your place, I'd waste no time getting additional opinions from the best cataract/refractive surgeons in town, especially those who are very experienced with multifocal IOLs.  You might try calling the ophthalmology department at a major medical center and requesting an appointment with their senior staff member who specializes in cataract surgery.  If you're considering explanting your IOLs, don't agree to a yag procedure--it will make the explant more difficult and risky.
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I'm not a doctor, so you should definitely discuss options with yours, and probably get a second or third opinion as well.

You didn't really describe your symptoms. If your only problem is astigmatism, I would think that you should be able to wear glasses to correct it. If that works, you could get LRI's. They are a quick and relatively painless, low-risk procedure. Or you could wait a few months and get a PRK. Astigmatism could be causing or enhancing other visual effects with your lenses.

Definitely don't let yourself get pushed into a yag. And you should quickly but carefully evaluate all of your options before going with the relatively drastic explantation to switch to another lens. It may or may not be your best choice.

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To Gina00
I had the dominate eye Restor lens replaced with the AMO astigmatic lens.  Immediately I could tell the ghosting was gone.  I still had misalignment of some images i'd guess to say but with the new glasses it is all cleared up in the new surgery eye.  My left eye still has the Restor in it.  I'm waiting to see if the dominate eye will compensate for this.  

Night driving is out of the question for me. The lights are so bright and I can't judge distance.  Still it's the restor that's giving me problems.  
If I think I can live without having to drive much at night I won't have the other lens replaced.  
I was scared for a few weeks after the replacement exchange but glasses cleared it right up.
If I'd known about the Adverse Reports with the FDA I would not have had the Multifocal used for my eyes.  My old doctor and staff told me there were none.  HA.

My vision in the dominate eye with glasses is almost perfect.
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574673 tn?1234129578
Glad to see you found the thread I started about Restor.
I posted a comment in the expert forum as well.
Like Lerbea, I did notice that the ghosting, double images, contrast sensitivity and large halos and glare were gone once I got rid of the Restor. The quality of vision is much improoved and feels more natural. I am planning to correct any remaining vision with glasses. Since I did not do my dominant eye at all, I need to continue to wear a contact lens in that eye, because I can no longer wear glasses without a contact lens due to the big difference in my two eyes, my original eye still very myopic, -8.0 and my new eye slightly near sighted (my choice).
Good luck. Consider all less invasive procedures carefully. Weigh the possible benefits and whether these will be sufficient to give you the quality and quantity of vision you need and deserve. Be aware of the risks of explanting and find a surgeon who will give you an honset evaluation of whether this is a reasonable option along with any risks. Good luck!
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662703 tn?1226275028
Londonbridge and Lerbea, I am so glad you had good results!
I am trying to use glasses to see what vision would be like if the ReStor worked correctly. I have glasses for far that vision work pretty well. The image is a bit too sharp, and now that both eyes are working together, I really notice the highlight problem—on ALL light sources, including rings in very dim light, and the light of white paper around type. In bright light, they work all right but in dim light, they are a problem. There is still a strong dependence on the cataract eye, which is progressing steadily, unfortunately.
On order are glasses for reading—the ReStor has never worked well for that, but maybe with a new, stronger prescription they will work better. I have drugstore readers but I am trying to make both work together, which means different corrections for each eye. My doctor recommends COMPLETE satisfaction before going forward with the PRK. He is conservative, which is good.
I am torn…I cant help but feel that I am going thru a lot of expensive invasive surgery to make a product that doesn’t work well, work a little better. If this were a car or a dishwasher, I would have protection by the “lemon law”—this way, we put our eyes and pocketbooks on the line to correct design flaws. It is not a good feeling. Sorry, I am a bit discouraged today. It is good to hear that others are solving the problem—that always gives hope. Aleif
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Your feelings make complete sense to me.  What is your doctor suggesting in the event that you don't attain complete satisfaction with your ReStor vision?
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574673 tn?1234129578
I have been wondering how you are doing. It sounds though that you have found a doctor who is logical and methodical in helping you explore and weigh all of your options. That is important and why I ultimately went with MEEI. They did not have only one answer but let me evaluate all of the possibilities.
Believe me I understand and feel your frustrations. I think no option is perfect and one has to weigh the risks and benefits obviously. I am happy with my choice, but I still do not have a perfect situation. My new eye works great at one focal point, (about 14"- 3')which I am most grateful for. There is still some blurriness (could be the capsule, but not significant enough to warrant doing anything). I still need a contact in my dominant eye and I plan to get glasses over top to hopefully sharpen up reading for both and distance for the IOL eye.  So I guess what I am saying is that even if you decide to live with the Restor eye, do not regret making that choice either.
Best wishes and keep us posted.
londonbridge
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Dear Dr. Hagen, You said:
"Ask yourselves: If I was told BEFORE SURGERY that I might need glasses some or most of the time even with a ReStoR IOL and I was told that my night vision would be bad and that optical abberations might be a big problem (dysphotopsia) would I have had the surgery ?"

I just stumbled upon this website yesterday! I would not have selected ReStoR implants for my eyes if I had been told this by my ophthalmologist. Because I had nearly mature cataracts, I would have gone ahead with cataract removal but selected single focus implants for both eyes. I am a retired M.D. (family practitioner) who , 5 years ago, switched from my previous ophthalmologist to my current one after reading a newspaper article (it may have been an advertisement) that the latter's clinic was inserting multifocal implants that often eliminated a patient's need to wear reading glasses after cataract surgery. Before the surgery I do not recall my surgeon's mentioning of the likelihood of bad night vision problems and dysphotopsia postoperatively. He did mention that some patients saw halos but that these usually were transient side effects. His staff provided me with literature that discussed the side effects of ReStoR implants. The literature did mention that some patients experienced halos and discussed the usual major side effects such as eye infection and retinal detachment. In retriospect, as a physician I should have done more research on the ReStoR implants before slecting them for my own eyes.Right after surgery I noticed large halos and long radial rays/light streaks emanating from the light sources. My ophthalmologist assured me that these side effects would lessen with time as my brain adjusted to them. He has told me this several times on followup visits. With time my mind apparently converted what used to be halos to large circular ghost images (having a radius of about 4 to 5 times the diameter of the light source, for example) Now, after 5 years there has not been any significant reduction (at most, 5 to10%) in the ghost images and long radial rays. I feel that the overall result of my cataract surgery has been a loss of at least a third of my visual acuity at night. I've continued to drive some nights but have almost collided 2 or 3 times with other oncoming vehicles. For me, the worst driving conditions may occur at dusk when most vehicles have their headlights on but some have not turned them on. On an out-of-state trip 2 months ago, for example, while driving on an unfamiliar highway, I made a left turn at an intersection after carefully looking several times (as I always do) to ascertain that no vehicles were approaching. A little into the turn my right seat passenger yelled out a warning. I hit the brakes and stopped in time. I think that the light streaks and ghosts from other vehicles may have partially obliterated my view of that oncoming one.
Following this recent close call I decided to return for another consultation with my surgeon. Last week he did an extensive exam, refracted my eyes and ran several tests, which included a retinal scan. He assured me that everything looked fine (from the outside looking inward, that is! - not from the inside looking out which is what matters most to me). He told me that there was not much that he could do to correct my nighttime impairment. He also stated that removal of the ReStoR implants might result in considerable permanent damage to my vision because the implants were cemented into my eyes. By this I understood that they were cemented to the insides of the capsules. My daytime vision also is not all that acute. With eyeglasses my distant vision is 20/40. I do not see well at any distance and must wear separate eyeglasses and other glasses for reading and working at the computer.

Although I presently am 76, I am in relatively good health and anticipate that I may have 18 to 20 years more of life (My parents died in their mid 90s and their parents lived just as long if not longer than them. I have no chronic illnesses at present and have neither smoked nor consumed alcohol or other harmful drugs. After confessing to my wife of my nocturnal impirment, she insisted on being my chauffeur at night. I've also given up flying airplanes. This was due to being afraid that I would not be able to spot other airplanes while in flight. Night landings also might be extremely hazardous for me.

Reading this long thread about explanting ReStoR implants has given me some hope that my vision may be restored to a near normal state - instead of having to live with my visual impairment for another 20 years. I live in California, several thousand miles away from the experts in Massachusetts and Connecticut who were described to have successfully removed some ReStoR implants. I am, however, 3 or 4 hours drive away from Stanford University, UCLA and Univ. of California, Davis. Might I be able to find ophthalmologists at one of these institutions with the expertise to successfully remove my current implants and replace them with single focus ones? I know that I should be able to pose this question to my ophthalmologist during a subsequent visit. In the meantime, however, I am going to be trying his suggestion of wearing polarizing lenses with two-surface anti glare coatings. I am going to comply even though I had to suppress myself from stating that I really need the polarizing, anti glare lenses between my fresnel implants and my retinas. Thanks for any comments or suggestions you might have.
Larry L, M.D.
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I a male age 46 and was diagnosed with a cataract in my right eye at age 42. My vision was better than 20/20 in my left eye at age 42 (20/17). My right eye was 20/20 at age 38 before the cataract and 20/200 at age 42.

My problem is this. I have a terrible phobia of having my eyes "probed". Some conditional things. I take Synthroid and Allopurinol. I have very pale blue eyes and have always been very sensitive to sunlight.

Is it possible to take anti-anxiety drugs like Halcyon before these procedures?

Given the good state of vision prior to cataract is there a predisposition to a negative outcome with a Multifocal lens?

Any known drug interactions with the above listed drugs?

Thanks in advance for any help.
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RESTOR HAS BEEN THE WORSE MISTAKE I HAVE EVER MADE. I WOULD ADVISE ONLY A PERSON THAT IS DECLARED LEGALLY BLIND TO ATTEMPT IT. I AM SCARED TO DEATH THAT MY EYE'S ARE PERMANENTLY RUINED. I HAD A RENOWNED EYE SPECIALIST THAT HAS PERFORMED THE PROCEDURE FOR 10 YEARS IN CHARLOTTE NC TO PREFORM THE RESTOR PROCEDURE ON MY EYE'S. I HAD IT DONE OCT.13, 2012 - YAG NOV. 7 I HAVE SEEN NO IMPROVEMENT AT ALL ! I SAW  20/20/ DISTANCE VERY CRISP AND CLEAR IN BOTH EYE'S BEFORE THE PROCEDURE AND 20/100 - 20/150 IN CLOSE UP IS WHY I HAD THE PROCEDURE GOT TIRED OF READERS, BROKEN ARMS ON GLASSES, SMUG ON GLASSES, COULDN'T KEEP UP WITH THEM.  MY EYE'S ACHE, WATER, AND I WISH I COULD GO TO BED AND NEVER WAKE UP. I AM A POSITIVE PERSON AND LOOKING TO WAKE UP AND SEE IMPROVEMENTS AND THERE ARE NONE. I CAN SEE WITHOUT READERS BUT IT IS FRUSTRATING WHEN YOU LOOK AT THE WORDS YOU HAVE TO FOCUS LIKE A LENSE ON A CAMERA.. THEY PUT TUBES DOWN MY TEAR DUCTS AND THEY ARE UNCOMFORTABLE.I WOULD DO ANYTHING TO HAVE MY EYE'S BACK THE WAY THEY WERE BEFORE THE PROCEDURE!      
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4420448 tn?1354314796
I too am very unhappy with my RESTOR lense. The doctor now wants to do the YAG surgery, but, I am very concerned that this will not bring any relief. And I am very concerned about having the RESTOR lens removed and  having a mono-focal inserted instead.
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ARE YOU SAYING ONCE YOU HAVE THE YAG YOU CAN NOT HAVE ANY OTHER PROCEDURE? CAN YOU TELL ME ABOUT THE PROCEDURE YOU ARE TALKING ABOUT HAVING AND HAVING RESTOR LENSE REMOVED?
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Gina, i do medical records and coding for a hosptial and i was duped into getting the Restor lens and i was BLIND like you afterwards.  It was a disaster and nightmare.  prior to that "lasic consult" I wore monovision contacts with great succes. was just getting tired of the gas perm contacts and wondered about lasic correction  INSTEAD  the schisters told me i had cataracts and the RESTOR lens would make me see near and far perfectly.   After one job loss and 4 months of the place telling me to be patinet, I went to a specialists in Indianapolis in, price vision group and they explanted the restor and with great success put in monovision lens and restored my sight..... I wish you the best - i understand your difficulty... i urge you to get them explanted before they scar into your eye,  mine were nearly too late.   nyoka
i dont know where you live but Dr Price is the best in Indiana
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Dr Price in Indianapolis Indiana was awesome for explanting my Restor lens (which had me blind)
He corrected my vision that the other screwballs destroyed
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i still recommend Dr. Price in Indianapolis Indiana - he successfuly explanted my restor lens and restored my vision with monovision lens implants.  He is a world renouned eye surgeon.  
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What type of lens was put in your eye after removal of the RESTOR? Is ReStor a mulitfocal lens? I have a cataract in left eye and I thinking the ArcySof monofocal with blue blocking light. Arcy IQ?

Thanks for any information you can give.
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Also what is your vision now? 20/20 ? Do you need readers and how is your intermediate distance/long distance. thanks again.
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My husband had cataract surgery, one eye in June, the other a month later. He is unable to see below eye level, has been continually dizzy and nauseous and is unable to step up or down a step without holding on to me. He is constantly miserable. We have had second, third and fourth opinions, all of whom said they will not install this type of lens in their patients' eyes. Of course we paid almost $5000 over and above Medicare and United Health. We are going to Bascom Palmer in Miami to see what they recommend. We welcome any suggestions. Has anyone gotten their money back?
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I am sorry about your husband's problems with his cataract surgery.  If you provide a bit more information someone here may be able to give you an opinion.

-  What kind of IOL did your husband have implanted in each eye ?
-  Were there any complications during the surgery?
-  Has he had any other complications in his eyes aside from the change in vision from before to after the cataract surgery?  
-  Did any of the second, third and fourth opinion doctors have suggestions what what options there might be for your husband to improve his vision?

Good luck with your visit to Bascom Palmer.  
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Your advice is always measured and sound, and it's appreciated.

I have a dense nuclear cataract in my right (dominant) eye.

Although there are signs of cataract in my left, I don't care because I get  very good corrected vision with specs or contacts.

I have been living with the condition for two years now.

But now the cataract in the bad eye is very troublesome - best attempts to correct are a -11.5 contact lens, but now this only improves it a little.

I am 49 and have been myopic (-7.0 both eyes) all my life. Needless to say, I am well conditioned to the world of correcting vision.

I am at the stage of being saturated with information.

I am a scientist and engineer and understand optics, but have yet to be convinced about "multifocal" IOLs - the physics doesn't add up in my opinion.

Accommodating lenses make sense if they actually work. But do they work when put in the eye?

I am fastidious and love detail and color and contrast and clarity.

I can't get unbiased or measured advice from any professional, which disturbs me as I view the eye as a true wonder of the universe and it should be treated with the utmost seriousness.

I have now really got three main questions:
1. Cataract surgery bladeless by laser  OR manual phakoemulsification?
2. Consider trying an accomodating lens (still new technology I think) or abandon my eyes focussing muscles forever and insert a simple monofocal aspheric?
3. Acrylic or silicone?

I see that a lot of issues with multifocal lenses is now over 5 years old. Have things changed now in 2014?

Your comments would be most welcome.

There may be an accommodating lens in the future that truly works. Or there may be a cure for cataract by somehow bleaching the lens to restore clarity (research into this area seems to be minimal - a disgrace).

My advice to anyone is to be sceptical first and foremost.
And do not have anyone perform surgery on your eye unless absolutely necessary.
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Hi, I am new to this discussion but just came from my ophthalmologist who wxplained that I was not "crazy" but all my vision problems are truly from my restore lens. He did not recomend explant though because of the risk of worsenning vision. I am in Norhtern Va. Where did you go for your explant? How did you research it. I really do not want to live this way but am terrified of making a bad situation worse!
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Hi, I am new to this discussion but just came from my ophthalmologist who wxplained that I was not "crazy" but all my vision problems are truly from my restore lens. He did not recomend explant though because of the risk of worsenning vision. I am in Norhtern Va. Where did you go for your explant? How did you research it. I really do not want to live this way but am terrified of making a bad situation worse!

I would not ever again chose a multifocal lens. I wish there were glasses that could help me but once you have a restore lens you are stuck. Glasses do not work or help.
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