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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.
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.
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
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
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.
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.
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.
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.
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
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
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.
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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