ReZoom success and question

[cad2]

Hey all.  Just wanted to drop in and report that I'm almost 5 months post-op with a reZoom lens for my right (dominant) eye.  I am 31 and was diagnosed w/cataracts in both eyes in Nov 2006.  I am almost elated wtih the results (almost ;) ).  I started with significant halos and its gotten significantly better.  Now most lights 45 ft or nearer have no halo (street lights, headlights, etc) and the distance halos are smaller all the time.  I do have halos around stars which is annoying but I'm getting used to it.  They literally look like what you'd envision around an angel's head.  (maybe they're more of a starburst than a halo??).

Anyhow, I've been extremely happy overall.  My daytime distance vision is nearly perfect and the intermediate vision is also good. I can read decently at about 14".  (closer=mega blurry though).

My left eye cataract is growing quickly (I have an appt with my surgeon next week to check its progress). UGH.

I use my left eye for near vision, such as to see the fine print on a prescription, etc. and to aid in regular reading.  My ReZoom eye is not capable of reading that fine print at any focal lenght.  

Our original plan was to use the ReStor lens in my left (nondominant) eye when the cataract was bad enough but I'm concerned about losing the ability to read fine print.  So my question is (and this is loaded, I know), has anyone who was satisfied with one eye had the second eye done and continued to be satisfied.  If not, please explain.  

Thanks for any feedback. :)  

[John C Hagan III, MD, FACS]

The August 2007 issue of Cataract & Refractive Surgery today is on "Presbyopia Correcting IOLs". There are many surgeons with differing opinions and experiences on how to deal with your situation. Using a ReStor implant for near vision is something several well respected surgeons reported on in this issue and found most of their patients pleased.

Anyone that has been in the same boat is urged to post for cad2.

JCH III MD Eye Physician & Surgeon

[mdrn]

Hi. I had clear lens replacement to correct presbyopia and I could not be happier. I had a Restore lens placed in my non dominant right eye 8/29/07 and a Crystalens placed in the left eye 9/4/07. The Restore lens is fantastic! It provides very, very good fine print vision starting at approximately 6 inches from your face. No halos just an ever so slight slash of light  which is going away. If you need near vision this is the way to go. I feel like I have a a bionic eye with that lens.

[bsg]

I had Rezoom lenses placed in both eyes, one in July and the other on August 1. My surgeon originally wanted to mix the Restore and Rezoom, but my myopia was so bad he could not get a Restore lens for my prescription. I can read fine print starting at about 12", and reading a book unless the print is very small is no problem., and I am never without a book in my hand. Where iI have a problem is inputting from a written page into the computer. The lenses don't seem to adjust fast enough from fine print to the computer screen, so I use cheaters for inputting. Otherwise, I never see a pair of glasses.
I think had I been able to get the Restore in one eye, my vision would be absolutely perfect. As it is, I am delighted in spite of the cheaters for inputting.

[lksa]

I had the restor lens in my right eye about 4 weeks ago. It was successful for reading, but my doctor said distance was not quite as good as he had hoped, but that he could "tweak" it if it didn't get better after the second surgery. I had not heard of ReZoom until after the second surgery when he told me he had done that instead of the second ReStor. Now I find that I can't read as well. I was surprised that he changed without telling me, and am very disappointed right now. The second surgery was just Monday, so maybe it will improve. I really can't tell any difference with the distance, and I am very concerned that I can't read a newspaper without reading glasses. With just the one Restor  I was able to read very well by popping out the right lens of my bifocal glasses. Now I start to read the paper, but after about twenty minutes, I start to get a headache and really have to strain to continue, so I put on reading glasses.  Can anyone tell me what "tweaking" is.?

[John C Hagan III, MD, FACS]

Dr. John Doane and co-authors have produced an outstanding article in the peer reviewed medical journals on mixing and matching of accomodative and multifocal implants. For those interested in reviewing the article the reference is:  (Disclosure Dr. Doane and I are in the same practice)

Pepose JS, Qazi MA, Davies J, Doane JF,  et al.  Visual Performance of Patients with Bilateral vs Combination Crystalens, ReZoom and ReSTOR Intraocular Implants.  American Journal of Ophthalmology (AJO) 2007;144:347-357

JCH III MD

[lksa]

I'm curious as to what you decided about the Restor lens. I really think that yours would work better than mine since your ReZoom has worked so well.ReStor will certainly give you the close up vision. I am still trying to adjust, but my headache is continuing, and I need reading glasses for the computer and reading the newspaper, which means that putting in the Rezoom has invalidated the Restor I'm even wondering if the ReZoom can be removed and replaced with ReStor as I originally wanted. I think my problem is that My brain can't adjust to  mono-vision. If I had been given the option, I would have told my doctor that I never adjusted to mon- vision contacts.