Lentis M plus

[youngchaz]

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.

[Ray T Oyakawa, MD]

Who is the manufacture of the IOL?

Dr. O.

[Ben8]

Mplus is manufactured by Oculentis GmbH Germany. www.oculentis.com

[hugh007]

Hi , I am 51 and had a deterioration in eyesight in my right over what seemed to me to be a relatively short period, this was  due to posterior cataracts. My eye surgeon recommended the Oculentis Mplus multifocal IOL.I had my first eye done last week (25th May) and my second done yesterday (3rd June). My right eye had deteriorated over a 6 week period to the point where I could not read with it prior to that I was able to read with glasses and if I held a book at arms length without glasses. The change to me appeared to be sudden , my eye surgeon said that in the case of posterior cataracts this can be the case. After having the right eye done there was a big difference in sight and it highlighted to me that my left eye was far from normal even though I thought it was. Even though the op was only yesterday for the left eye I can read small print using it. My near vision is very much improved over a short time period and colours are far more vibrant.Distance vision during the day is improved and I can easily perform the minimum driving test visual test. I do notice a blurring as the level of light reduces at night. You have to bear in mind though that my brain has only had a day to get used to both eyes being done and my right eye is only a "week" old. It was a bit confusing when only one eye was done as the colours were different in both eyes. The operated eye saw bright vibrant colours and whites the other eye saw pastel shades of the same colours and magnolia rather then white. I have been told things will get even better over a 4-6 week period.


Regards
Hugh

[hugh007]

this link has some details of the patients views of this lens.

http://www.oteurope.com/ophthalmologytimeseurope/CatRef+features/A-new-approach-to-multifocal-lens-technology/ArticleStandard/Article/detail/626897

[birdy001]

Hi Hugh, I hope your eyes are continuing to go from strength to strength. I had mplus lenses put in in Mar 2010.  I have a few problems that I am still hopeful will be resolved but at present glare and lack of contrast are hampering the effectiveness of these lenses.  The frustrating thing is If i squint or partially cover my eyes the clarity and contrast comes back and the luminance that edges everything goes away.  The luminance makes things look blurred although I can see the detail within the target.  Because of the glare and lack of contrast I cannot see computer or reading well between 40-80cm and as I work in an office this is difficult.  This is because the lettering is pale.  Distance vision is excellent as regards contrast, but this luminance causing a blurred effect around the edges does marr everything.  I don't drive at night now as the huge skirts of light around traffic lights, car headlights, cats eyes, street lights etc is very unnerving.  If I look at people in the street, they are shrouded with ghosting.  In shops the lighting affects vision too.  When I read the rave reviews about how great these lenses are designed to be, I long to be singing their praises too.  I still hope upon hope that a remedy will be found but for now I'm in limbo not knowing if it will improve or if this is as good as it gets.    

[Lynda199]

Dear Birdy,

I am going through the same problems as you are experiencing.  The ghosting effect is always present for me, and it is dreadful when I drive at night and makes me lose concentration very easily.  I find that I can only drive a couple of miles before I start screaming!  Also, I too have noticed that if I cover partially cover my eyes, as you have done, this ghosting goes away and my vision is clear.  I have tried this whilst watching TV, especially when words come up on the screen.  The ghosting is always at the base of bright lights (not above), other objects, or words and figures (on, say, the TV screen).  When it comes to reading, I have to give up after ten minutes, and even then I have to read in my conservatory where the light is far better than indoors.  I have an old pair of +1 reading glasses, and these help for a while longer (say 30 minutes), but then everything starts getting blurred again, no matter how near or far away I hold the newspaper.  By the end of the day, I have a headache and eye-strain.  I was told by my surgeon that I wouldn't be able to read with Crystalenses, which was definitely my first choice, but they could not surely have been as bad as the Lentis M-Plus lenses he advised me to have.  I wish to God I'd never had the surgery!  

[birdy001]

I'm not sure how to send a message to you.  I find this site very confusing to navigate.  If you get this and want to talk more let me know.   Birdy

[Lynda199]

Thank you very much, Birdy.  If you wish to communicate with me, my e-mail address is ***@****.  I am going back my surgeon tomorrow for a 5/6 week check-up after the second eye was done (on 1st Sept) and will tell him I am far from happy with the eyesight have been left with!  I will keep you posted.

Lynda

[shindi441]

I had cataract surgery just over 3 months ago with Lentis Mplus implants and having same problems as yourself and birdy001 but I cannot find you on the medhelp forums/ community. I can only reach you after googling the name of this lens. I am Shindi441 from the medhelp.

[fufu640]

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

[shindi441]

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.

[Lynda199]

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.

[GammaT]

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.

[Aicha1]

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

[47avictoria]

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.  

[RealityEngineer]

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.

[tyrotrainer]

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

[tyrotrainer]

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

[DrShaunBrown]

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.  

[MikeSearle]

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.

[tyrotrainer]

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

[Wellydog4]

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

[younger21]

Could you please tell me which surgeon did your eyes as I am having mine done soon. My e-mail ***@**** Thank you

[Wellydog4]

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.