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Lentis M plus

I have recently seen a prominent eye surgeon who has recommended the lentis M Plus lense.
I am minus 9/10 with floaters and aged 50.
He assures excellent results howevere I can find very little information about this lense or anyone who has used it.

can anyone pass an informed opinion before I decide to go ahead.
33 Responses
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Avatar universal
The biggest variable which impacts outcomes after the MPlus is the pupil of the patient, and the second is the motivation of the patient to ignore the visual disturbances that occur.

So, what about the pupil?
The position of the lens after implantation is governed by the capsular bag left behind after lens removal. The pupil position and size are different in different people and change with different lighting conditions and activities such as reading (centroid shift).

The crux is how the lens is positioned with respect to the pupil after surgery.

If the pupil happens to shift a little to the distance zone as it dilates, and then it shifts a little to the near zone as it constricts, the patient could be pretty happy with far and near vision, with mild if any side effects.

But not all people are like this. Their pupil may mainly cover the distance zone, leaving poor reading, or vice versa. Their pupil may not shift much and/or merely dilate a lot with darkness, leaving problems with halos/ghosting around lights in the dark.

The problem is that the doctors who use this lens mostly do not pay attention to the pupil characteristics, and may not even understand its significance. For all of you prospective MPlus patients, ask your doctor about your pupil and see what he/she says. That could be quite illuminating.
Helpful - 0
Avatar universal
Hi, sounds familiar. I had oculentis mplus 1.5 implants at Moorfields in March 2012 and the decision to implant multi-focals was a mistake. I was -11.0 in both eyes and had used the entire range of GPs since 86 moving on to the SOClear lens 14.5mm semi-scleral. I have largish pupils which although the implants work well in bright sunlight, indoors, reading only with glasses and they too are multi-focal. Contrast is never as good as gps. In 2.5 years my brain has not adapted. At night, the left eye which is deficient by 0.5 suffers from aberrations due to a 7mm pupil and the right although now lasered to correct a residual -0.5 suffers from lower right coma. A bad side effect is far worse dry eyes. Worse than ever. Overall, the oculentis mplus is not a good choice. Better a mono-focal. As for phaco-emulsification which cuts the cornea nerve endings thus causing dry eyes, a tough call. When you reach the end of the gas permeable road, an operation seems like the best thing to do.
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Avatar universal
How did you get on ?
I've read so many bad reports on Mplus and only ONE good one. You could say that only the bad reports get published. I've also read that the NHS do not support Multi lenses. I cannot believe their decision is based solely on costs. Procedures have to be well  tried and tested before they are adopted.
My surgery is in two weeks time and after reading many reviews, I have chosen the mono lens understanding that I will still need reading glasses, as I did with RGP contacts.
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Avatar universal
I am due to have this surgery at Westfields in February but am really scared things might go wrong - what surgeon did your procedure and was it sore
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Avatar universal
I am due to have this surgery at Westfields in February but am really scared things might go wrong - what surgeon did your procedure and was it sore
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Avatar universal
Hi, If you do go for it, please let us know how you get on.  Personally, if you have been actually warned that you may not be suitable, I wouldn't do it.  (see my other threads)  Like you I use Optical Express; the surgeon (Prof Venter) is one of the best and most experienced, but as a company theirs is a high volume commercial operation and you are made to feel a bit like a part on a production line.
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Avatar universal
hello, could you tell me if you are now happy with your eyes. I am about to have the surgery in a couple of weeks. I have been told that I have large pupils which means I will experience night vision problem's, with glaring and halos. i was told that some people can adapt but some don't. I really am questioning now having it done. I am with Optical express.

Many Thanks
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Avatar universal
Hi
Sorry for delay in replying but yes I have the halo badly in right eye but not left.
I have a problem with reading in my left eye and will have to have laser treatment.
I don't know what they will do about the halo as sometimes it never goes.
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Avatar universal
Hello I had Lentis Mplus sergery back in Feb and am experience very bad halo effects at night (seeing to halo on each side of the moon) my surgeon wants to rotate these lenses which I am stressing about.  Do you still have the halo effect at night or has is gone now.  

Thanks in advance for your response.

Kind regards
Kristina (Sydney Oz)
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Avatar universal
Hi
My surgeon was Prof.Venter.
I have since had the second eye done and I am delighted with the results. I still have some flickering but I am assured that this will go in time.
I am still getting used to mid intermediate vision as this is a little hazy.
Night time vision can be a little ' glary' with halos around car lights but I just ignore it. The brain will get used to it in time.
I am glad that I went ahead with the op.
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Avatar universal
Could you please tell me which surgeon did your eyes as I am having mine done soon. My e-mail ***@**** Thank you
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Avatar universal
I am two days post op and experiencing flickering in the eye.
This seems to be when I am standing next to a window or under lights.
I know I this is very early to start worrying but did you experience anything like this?
Is this one do the dreaded symptoms that we are warned about?
The optical team at Westfield are brilliant so I can only hope they have an answer when I return on Thursday for my second eye
Helpful - 0
Avatar universal
Hi Mike I just read your post, I think your attitude is identical to mine - I am determined to persevere with these lenses because I love being spectace free and my sight is the best it's ever been - in good light conditions.

I have found a temporary (I hope it's temporary) solution to the psychedelic effects and blurred vision. Pilocarpine drops. These cause the pupils to conract thus increasing the visual depth of field - downside is, just like in a camera a smaller aperture results in less light getting to the retina, so the dark looks very dark (for a short while) - but the drops enable me to drive at night safely.

I was using a 1% solution (reltively weak) but they stung a bit and made my eyes red - plus I got headaches. I switched to 0.5% drops and I have found if I apply one drop I get some improvement, then if I apply one more drop an hour later I get the results of  a 1% drop but no soreness or redness and no headache - the drops are effective for me for a good 3 hours or so - so I just plan when to take the drops according to what I intend to do in the evening. Roy
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Avatar universal
I had both eyes fitted with Lentis mPlus lenses two weeks ago, left eye one day and right eye the following day.  Since then I've been slowly adapting to my new vision.  I can best describe it as getting used to wearing varifocals for the first time.  

It was certainly not a miracle as my vision is now worse than it was before with my glasses on, however on the whole my near vision is very good.  My distance and middle vision is not so good and I am suffering with Halos etc and in low light levels I'm struggling a bit.  I'm an optimist and i firmly believe that my vision will get better it just needs time to adjust.  

I'm going for my follow up in a weeks time and I'm going to resist offers of any Laser surgery to 'tweak' my sight as I'd rather try to get used to what I've got over the next 6 months and see how it works out.  I also find that the more i think about what I can and can't see the worse my vision seems to be, when I just get on with it I seem to be able to read everything I need to read and see everything I need to see.  

I have read here on several forums that people hate these lenses and can't live with them.  I'm very sorry for those people but there must be an equal number of people who are absolutely delighted with the outcome.  I'm determined to be one of those people who is delighted with the outcome and I will work on whatever is necessary.   I work in the computer industry and I'm sat here (and have done all day) working on my computer WITHOUT GLASSES!

Now the thorny question of whether I would recommend the procedure?  If I knew before what I know now I would not have gond ahead with it but this is a one way trip so I just have to get on with it.  In six months time I may (and I hope I am) able to report that its the best thing I ever did but I have a way to go yet.

Good luck to everyone who is experiencing problems.
Helpful - 0
3161979 tn?1343738548
I had multifocal MPlus intra-ocular lenses implanted just over a month ago by Optical Express at their Westfield clinic in London. I am 45 years old and a software developer. Before surgery I was long-sighted (left eye: +4; right eye +5) with moderate astigmatism in my right eye and mild astigmatism in my left eye. I also have a lazy right eye (squint) and had several operations in my youth to try and correct it (with limited success). Last year my reading vision started to deteriorate rapidly with onset presbyopia. So it was either very expensive multifocal glasses / contact lenses or RLE. I went with the latter to rid myself of glasses (I do a lot of sport).

I was very clear on the pros and cons before I had the surgery - my surgeon, Professor Jan Venter and the optometrist team made it clear that the lenses were not suitable for frequent night-time drivers due to ghosting around bright lights in low light (a side effect that can but not always reduce over time as the brain adapts). They also told me that since my eyes don't work together well due to my squint that I would have reduced intermediate focus. The MPlus left and right lenses work together to "generate" intermediate vision. On the plus side they were confident that I would have good reading and distance vision and that I wouldn't require glasses after the procedure.

I had my weak right eye done first. The day after surgery was truly astonishing. I had never experienced such sharp vibrant vision out of my right eye. After one week I had 20/20 vision in my right eye. I returned to work two days after the procedure and no-one could guess which eye had been operated on! My dominant left eye took longer to settle down. I had blurred vision for a few days and the eye was quite red due to a reaction to the anaesthetic injection. But again after one week I had 20/15 vision in my left eye - that's one line below 20/20. The daily improvement in the quality of vision was very noticeable - so make sure you give yourself time for the vision to settle down. The results may not be instant.

After 1 month I now have a combined vision of 20/10 - two lines below 20/20. I am absolutely overjoyed. I spend most of my day in front of computer screens and have no problems at all with reading. These lenses really come into their own in bright outdoors sunlight. Yes, the vision deteriorates in low light conditions due to ghosting in high contrast conditions (e.g., bright lights or text against dark background have blurry smudges below them). Driving isn't easy - but it's improving all the time. I find it helps to focus on the road, an non-illuminated objects, rather than street lights, traffic lights and vehicle lights. I believe your mental approach and outlook is crucial here. If you fixate on the ghosting it stays with you and becomes bothersome. If you ignore it and concentrate on those things that are clear, the ghosting gradually reduces. I still notice it but it is definitely improving all the time. for me it's a small price to pay for excellent daytime reading and distance vision. I go to the cinema a lot. There was noticeable ghosting for the first few minutes but again, I found the effect became hardly noticeable as I got into the film and forgot about the side-effects.

The Optical Express team have been fantastic. One added plus that none of us were expecting is that the squint in my right eye has improved. It's still cast outwards slightly (especially when I'm tired), but there is significant improvement. we think this is due to the greatly improved vision in my right eye. It's basically getting used more.  





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Avatar universal
OMG - my life is transformed. Thank you to the people at Oculentis. Yes I have the night time effects - but I am only 4 days post-op second eye. Thank you thank you thank you - I have vision now I only ever dreamed of - perfect at all distances. Earlier I saw the planet Mercury - an amazing sight. I actually saw 4 planets in the one position, because of my new lenses - the main source plus 3 others below - but hey, a month ago, zero. I am a keen astronomer and now I can not believe how much I was missing before. My daytime vison has gone up ten times - my night vision is now amazingly good - I do have bad effects, like halos,but once I ignore them I am fine. My experience with the Lentis lenses is postive - but there again I had a surgeon I trusted totally. - he never BS me - he told me how it would prob unfold - and it has happened exactly as he said. He is a sound guy and I know he would not have recommended this lens if it was a dog. Don't expect perfection - but you will get perfect daytime sight - night time maybe needs some time to get used to. Roy
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Avatar universal
OMG - my life is transformed. Thank you to the people at Oculentis. Yes I have the night time effects - but I am only 4 days post-op second eye. Thank you thank you thank you - I have vision now I only ever dreamed of - perfect at all distances. Earlier I saw the planet Mercury - an amazing sight. I actually saw 4 planets in the one position, because of my new lenses - the main source plus 3 others below - but hey, a month ago, zero. I am a keen astronomer and now I can not believe how much I was missing before. My daytime vison has gone up ten times - my night vision is now amazingly good - I do have bad effects, like halos,but once I ignore them I am fine. My experience with the Lentis lenses is postive - but there again I had a surgeon I trusted totally. - he never BS me - he told me how it would prob unfold - and it has happened exactly as he said. He is a sound guy and I know he would not have recommended this lens if it was a dog. Don't expect perfection - but you will get perfect daytime sight - night time maybe needs some time to get used to. Roy
Helpful - 0
Avatar universal
I am researching what lens to use myself after cataract surgery, and I also value computer distance more than near. If I didn't need it soon I'd prefer to wait a few years for better lenses to come out.

Here is a recent article with surgeons talking about the MPlus and they had many positive comments, it sounds better than older bifocals (though no lens now is perfect and some people do have problems):
http://bmctoday.net/crstodayeurope/2012/01/supplement/

Unfortunately it is the patients who have trouble that are most likely to post so it is hard to get an idea from forums like this about the real odds of a problem.

Since you mention the MPlus you must not be in the US (we don't have the newer lenses here, which is why I may go outside the US), so you also have other options like new trifocal lenses which may give better intermediate vision than the bifocals,  like the AT LIsa trifocal surgeons discuss here:
http://bmctoday.net/crstodayeurope/2012/03/supplement/

and the FineVision trifocal:
http://bmctoday.net/crstodayeurope/2011/12/supplement/

The accommodating lenses are worth researching, the Synchrony sounds like it gives the most accommodation but is currently only available for a limited range of lens powers, which don't include high myopes like me (someone else posted they may only go up to -3 or -4, but I'd suggest confirming before ruling it out). The Crystlens and Tetraflex don't give much accommodation (and there are some rare complications with Crystalens like z syndrome) but are better than monofocals, and some monofocals like the Nanoflex may provide some "pseduo-accommodation" and may be usable for computer distance.
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3047684 tn?1340130474
I had surgery May 3rd 2012 and was informed that the M+3ADD was implanted in my weaker Right eye. In the week waiting for my second operation on the Left eye the treated eye remained blurred so I was refused the operation and told to wait a month to see if time improved it. Unfortunately the surgeon I spoke to was unsympathetic and dismissive saying I was warned of the possible problems prior to the procedure. This was not the case as the sales pitch was very persuasive and although I signed the consent form I assumed it was a formality. The glare at night and from artificial light is unbearable making driving dangerous, my near vision is good with the treated eye but there has been no improvement in the distance vision. I finally go back to Optical Express tomorrow 20th June 2012 and I hope to be met with a better response and a solution to this nightmare. Nobody warns you of the effect of the glare please question your surgeon so you don't end up bitterly regretting having this treatment.  
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Avatar universal
Hi All,
I am feeling very apprehensive right now and quite unsettled. I had an an initial consultation today at Optical Express for laser treatment.

I was told for me the laser would be a waste of time as my eyes are showing very early signs of cataracts which he said could come any time eg 5 years or 10 years and he suggested that the inicular  M Plus would be my best option. I have now to go to Harley St in London for further discussion.

I seem to be reading a lot of negative comments on here which is naturally putting me off even more especially as i drive and also do very intensive computer work as part of my job.

Would love to hear some positive feedback and reassurance from as many people as possible
Helpful - 0
1850373 tn?1319461933
I have only seen quite negative comments about the Lentis Mplus lens.   I have had both my eyes done and can honestly say that I have never had better vision.   I re-state that I have never had better vision - in my life!   I am 61 and the 2nd eye was only done last week, but after a few flashing moments on day two which quickly cleared my distance vision is better than 20/20 and my near vision means that I can read instructions on medicine bottles.   I am thrilled and would recommend these lenses.   My surgeon was with Optical Express and I had them done in Westfields Centre London.
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Avatar universal
Dear Shindi,//Thank you very much for your message - I have only just seen it after going back onto the MedHelp website (after Googling 'Lentis M-Plus Reviews').  You might see the message I have just sent to Birdy001 (via the e-mail link I received, showing Birdy's reply to my earlier message).//I am very concerned that you are having the same problems as we are after three months!//Lynda199.
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Avatar universal
Which IOL was used for your operation?  What is the nature of your problem- is it the vision or the pain and discomfort from the actual surgery.
I wish surgeons would offer to fix one eye at a time with a considerable time gap so if one eye does not deliver satsfactory results then you should be able to explore other lens and surgeon choices for the other eye.
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Avatar universal
I make opration in one eye one week ago and I have problems I dont know if I will make second  eye I  am skared help me  somebody
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