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Avatar universal

Restor Lens IOLs

Hello, I sure hope someone out there can answer some of my questions.
Two weeks ago I had Restor Aspheric IOL lenses implanted into my eyes and small slits made to correct the astigmatism. I was told the lenses would give me almost perfect near & far vision and good intermediate vision. They did warn me that I may experience rings and halos around lights at night. (I had no idea how bad this would be)
Since I love to spend all my free time outside and on the waters fly fishing the thought of being rid of my progressive glasses was a dream come true.
Right now my distance isn't too bad but not nearly as clear as it was before with my glasses. My near and intermediate vision is terrible. Everything is a blurr. I can't read anything unless its about 10 inches away and working at the computer is really difficult. Text on a white back ground looks as if someone has taken a light grey highlighter to it and white on black is almost painful. I work as a draftsperson for a busy engineering firm and if I can't see I can't work! My right eye is the worst as far as pain goes and I always have a dull headache which seems to be from eyestrain or bright lights.
What I need to know is:
Is this normal?
How long does it take for the lenses to "shrinkwrap" as they say to the where they're supposed to be?
Do most people have good results immediately or are they just as scarred as I am in the beginning?
I look forward to any advise you can give me.



43 Responses
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Avatar universal
Dear Blurr,
If you check the archives of the Expert forum or click on my username, you will find a thread entitled "Which monofocal lens is best (after multi explant)". It documents my own experience, as a patient like yourself, with the Restor lens.  I started the thread after I had made the decision to have both Restors removed and replaced with monofocal aspheric lenses.  You will find quite a bit of info there, and my opinion of the Restor is also in some of my other posts.

From the moment I opened my eyes I felt absolutely stressed and dismayed with the horrible effects (and they are indeed horrible) that you describe.  I just wanted to tear my head off my shoulders, and this went on for nearly 4 months.  Some patients say they did not have these effects, or that they were minimal.  Others suffer a much worse reaction.  You are not alone.  This I can tell you with certainty - the quality and clarity of *correctly inserted* monofocal lenses beats the Restor hands down, and you do not have the brutal and awful period of "adaption" (if you ever manage it) that noone ever seems to mention truthfully when touting the lens.  There is no perfect solution, so with the monos people most likely need glasses for some things, or risk binocular imbalance with each eye set for a different focal point.  There is no free lunch.  I am totally delighted with the quality of one of my eyes set for distance, the other eye (also set for distance) is having complications unrelated to the lens, but I would be in heaven if it were as good.

Like you I am a very active person, and value my distance vision most, therefore I am more tolerant of needing glasses for close up such as print, computer, and on occasions to polish up the intermediate vision to about 3.5 feet such as when in bookshops.  Once the glasses are on, the clarity of closer vision is excellent, no penumbral blur or bleeding of colours, no sense of strain - I had those same effects with the Restor.  I see very well for all practical purposes, and find pulling glasses on and off my nose to read print, find coins, and get that extra bit  texture occasionally to have mere nuisance value, just as it did pre-cataracts, and well worth it for the overall quality.

Because your eyes have their own unique configuration, I would not state that your vision would be the same as mine with monofocals, and there are different ways of setting them up.  You might perhaps be more or less glasses-dependent, I don't know.  However the downsides of multifocal lenses have been experienced by many other patients on this forum.
I was a cataract patient, half blind, but with very good pre-cataract vision, only a little middle-aged nearsightedness, so this may have helped my good outcome.

My own choice (in Australia) was a bilateral explant, which is a *very* serious decision carrying it's own risks - and only the individual person can ***** if this is a risk worth taking.  If you are so unhappy I would seriously suggest getting additional opinions from other surgeons who do monofocal lenses, and doing this *quickly*.  The awful catch-22 with multi lenses is that they "supposedly" come good for most (but not all) people after 12 months, but the consensus of Dr's opinions to me was that if you want them out, the sooner the better.  I didn't think I could live with them, and into the bargin the lens power was incorrect.  Is your's correct?  I would (and have) begged others not to get multis, but once they're in, the whole picture becomes much more complicated.

I hope this has helped you.  Search this site on keywords such as Restor, explant, monofocal, modified monovision etc, but remember we are mostly just patients like you - so you do need the expert advice of an ethical surgeon who will try to give you the best possible results and will be able to advise what you could realistically expect.  Be wary of recommendations to get YAG or Lasik until certain you want to keep the lenses, as this configures your eye to the Restor!

Best regards, Restornomore
Helpful - 3
Avatar universal
Hi blurr,
I had both cataracts removed in the past 2 weeks.  I too, had great reservations about the multifocal lens vs. monofocal lens. My optometrist recommended monofocal lenses and my surgeon acted like there really wasn't a choice but the ReSTOR multifocal lens. I decided on the ReSTOR lenses.  After the first surgery I could almost immediately see distance well.  There were faint pink halos the first night.  The post-op instructions indicated that the pink tint was from the bright lights of the operating microscope and that they would fade away.  They did, and were gone by the second day.  Close up and intermediate vision returned 3 days after surgery.  I'm now 2 weeks and two days post-op and can see extremely well.  Results were pretty much the same for my second eye except that the distance vision did not clear quite as quickly.  Reading vision and intermediate vision were noticeably getting better much more quickly than the first eye. Distance vision now great in the second eye and reading and intermediate vision is now crystal clear in both eyes. Distance vision is crystal clear in the my first eye. I'm extremely pleased with the results so far.  When eating out I can read the smallest print ifrom the menu even in dim light.  My wife is jealous that I can see objects and read signs at great distances when driving.  I don't quite understand what you mean by "shrink wrap"  but this is what I have experienced since my operations.  I do see slight halos from oncoming cars, but they seem more like "fish eyes" to me. For me they are more pronounced in daylight than at night. I asked my Dr. about this and he said that they are normal and will go away by the first year.  He said that the brain will automatically learn to ignore the optical abberations with time.  We'll see.  I did not have any astigmatism problems though, and could be why I am experiencing good results. Summing up, I am extremely pleased with the ReSTOR lenses.

I wish GOOD LUCK to all!

Helpful - 2
574673 tn?1234125978
To alicia606
I have not read your original thread but it sounds like your Restor implants were fairly recent? It is possible that your cornea is still stabilizing which could account for fluctuating vision. I know other people who had good vision in the morning which deteriorated and eventually improoved when their cornea healed. I agree eye drops could help. At any rate a second or even third opinion is important before taking a drastic step such as an explant. I know it is hard to be patient but it is important to weigh all of the options carefully. My Restor was explanted successfully a full six months later.
To blurr
Thanks for the information about eye drops. I never considered the effects of the ones that have preservatives. I do use the refresh individuals which seem to help alot.
Helpful - 2
Avatar universal
Hi, I'm the other ReStor sufferer.  I was wondering what your doctor said at your most recent appointment.  I have my appointment today and I'm planning to be tougher this time and show him some of my research.  I have an appointment for a second opinion tomorrow.  

Of course, all these doctors promote these lenses so we'll see what the second one says.  I was never told anything about the possibility of waxy vision.  Yet, in my research, I found that doctors are talking about it so I find it hard to believe that my doctor had no idea about it.  

I found an article in Eye World by a doctor who started his article by stating, "Many of my patients who have received one of the 300 ReStor multifocal lenses that I have implanted experience mild to moderate "waxy" or "hazy vision."  He goes on to state that almost 5% of his patients experience a severe form of waxy vision  (VVD).  These cases require explantation and iol exchange to relieve their symptoms.  I'm not sure if mine qualifies as severe, but to me it is unacceptable.  Were it not for my other eye, I wouldn't be able to see street signs.  I have to sit about 5 feet away from the TV because everything is blurry.  If I had been told about the possibility of waxy vision, I wouldn't have taken the chance.

I'll try to post what my doctor and second opinion doctor tell me.  
Helpful - 2
Avatar universal
You are yet but another that has experienced the results of the Restor lens and they are not good.  I had the  dreaded Restor implanted in July and it was a horror.  I had it explanted  in August and had a monfocal lense exchanged. Quite a dramatic improvement. Do some research on Restor, iols and multifocal lenses in the forum and archieves.  You will find a lot of information.  Good luck.
Helpful - 2
Avatar universal
Hello Everyone.
It's now been 5 weeks since I got my Restor implants. Things do seem to be improving a little each day. I'm wearing 1.5 strength readers most of the time while working on the computer. The grey ghosting around text seems to be diminishing and I can now read clearly at about 13 inches without them although I still feel some eye strain. Night driving is also getting better. The halos aren't bothering me as much as they did at first. I'm probably just getting used to them or my brain is finally doing what it's supposed to and ignoring them. The worst is outside in the daylight. I still feel like I'm looking through a plastic bag. It almost seems surreal. Hopefully this will improve over time as well.
I'm to see my surgeon again on Nov. 20 and I really hope to be able to tell him that I love my new eyes and all is well with the world. We'll see.....
Helpful - 1
517208 tn?1211640866
MEDICAL PROFESSIONAL
Dear blurr,

I would recommend that you speak with your eyeMD about your symptoms. It takes about three months for people to adjust to some of the changes you describe.  Not everyone adjusts perfectly.  I would speak with your doctor clearly about each activity and whether a prescription, light or reading distance can be adjusted to obtain clearer vision.

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
Helpful - 1
Avatar universal
I feel for you having to make such a tough decision as I'm torn also.  I'm not sure what effect the slight fold in the capsular bag means.  How is the other eye that doesn't have the fold?  What does your doctor recommend?  My understanding is that it wouldn't make much difference if you waited an additional month or two.  I'm waiting at least another month before deciding.  Londonbridge I believe waited quite a bit longer than that and had successful explants.  It may make sense not to act in such haste and wait to see if the ReStor lenses can be made to work.  There are definite advantages to having near vision.  My right eye with the contact leaves me with no near vision.  If I had both eyes like that I think I'd have to have readers around my neck at all times.

Roncun, you are lucky to have such good results with the ReStor, and according to my doctor representative of his happy ReStor patients.  Obviously, they work for a lot of people or I can't believe all these doctors would continue to implant them just for the money.
Helpful - 1
Avatar universal
Hi...I've read your story Londonbridge.  Glad it has worked out for you after explanting the ReStor.  

I'm not sure what to think now that I've seen my doctor again.  He dilated my eye and he said everything looks great.  He is very convincing; even convinced my husband who was ready to blame him for everything.  He said that the blurriness was more with the earlier ReStor and my case is very different.  I do see clearly every early morning upon first awakening.  It lasts a couple of hours and then the blurriness starts.  I fell asleep on the sofa the other night in the evening and when I awoke, my vision was improved.  In addition, I had perfect vision for a few days after the surgery.  

He's never seen nor heard of anything like this and suggested that I could get a second opinion and suggested I try Restasis to see if the tear film has something to do with my problem.  My eyes feel fine so not sure that I have dry eyes. He said he could explant the ReStor and put in a monofocal but given my fluctuating vision, he wouldn't know what power lens to put in.  I might still have the same problem afterwards.  I'm going for an independent second opinion tomorrow so will get another perspective.  He said I could wait a few months before explanting to see if the Restasis works.

Now I'm more puzzled than ever and unsure what to do.
lurr.  At least your symptoms aren't as strange as mine.
Helpful - 1
574673 tn?1234125978
Sorry you are both experiencing Restor woes. The same was true for me and I was grateful for having one unoperated eye -8.0 with a contact lens to depend on. Do read all of the posts mentioned and find a trustworthy eye surgeon, they are out there, who will explain all of your options. Most of the people who posted on this forum who had their multifocals explanted and replaced with monofocals have been very satisfied, myself include. It is distressful to have to go through all of this but there can be a good resolution eventually.
londonbridge
Helpful - 1
Avatar universal
I should've said in the post above  that I have to sit 5 feet from the TV when the contact is out of my other, unoperated eye (-5.50 myopia).  In other words without my unoperated eye, my life would be pretty unlivable thanks to this ReStor lens.  I don't think I'd be able to drive or pass a vision test for driving.
Helpful - 1
Avatar universal
You are not stupid .I juimped at the chance not to have to wear glasses and my dr juimped at the chance to make money.  It was up to the doctor to fully inform us. Maybe we were lax in asking more questions. If I was told more I never would have had that Restor implanted in the first place.I was told very little and I believed what I was told.  I stopped at the first  eye but the doctor was pushing me to have the other eye done right away.Thank goodness I found this forum  I went to another surgeon for the explant. .Search the forum and you will see the post between me, londonbridge,restornomore and Jodie J. I got such encouragement from them. Good luck, There  definitely is hope.for having good vision again.
Keep us posted disappointed66   (no more)
Helpful - 1
574673 tn?1234125978
Sorry you are experiencing such distress and poor vision with Restor.
While some people do adapt and this can take a while, some of the problems you are experiencing are common with Restor lenses.
I had one Restor implanted and then explanted after six months last December. I replaced with a Toric Monofocal by Alcon and wear a contact lens in my natural eye.

Definitely check the forum both experts and patients in the archives.
You may find some relief with glasses over the Restors. Under no circumstances agree to a YAG lazer procedure until you are completely satisfied that you will keep your Restors. A Yag will make an opening in the back of the capsul and explant will be difficult to do and many doctors will not do this after a YAG.

Good luck and try not to lose hope. You will eventually find the Road to good vision.
londonbridge
Helpful - 1
Avatar universal
check out the info on this forum befor seeing the doc,
Helpful - 1
Avatar universal
A related discussion, Natural Remedies Work? was started.
Helpful - 0
Avatar universal
A related discussion, Don't do it! go with regular lens Period was started.
Helpful - 0
Avatar universal
It has been one week after my cataract surgery with the restor lens, my up close vision is pretty good, however my distance is same as before surgery(other words no better) my understanding was the monofocal and the restore would correct my distance vision the same,. and the restore would help my upclose.  Does anyone know how long it will take for my distant vision to improve..
Helpful - 0
Avatar universal
Hi Alicia,
Just wondering how you are doing now? We had our surgerys at about the same time. Are things improving for you too? I would really like to know.
Blurr
Helpful - 0
Avatar universal
Thanks guys, I'm trying very hard to make this work.
blurr
Helpful - 0
Avatar universal
It is great to hear some good news about Restor. I hope you will "love" your  new eyes real soon!  Good luck. Keep in touch.

Regards,
disappointed 66
Helpful - 0
574673 tn?1234125978
Your news is encouraging and i wish you the best.
londonbridge
Helpful - 0
Avatar universal
I hope that you continue to see improvement each day.  Good luck with your appointment in Nov.  Please keep in touch and best wishes for good vision.
Ron
Helpful - 0
Avatar universal
Wow, doesn't it seem more logical to fix the problem rather than jeopardize another structure of the eye?  I have to argree with all of you.  Maybe this doctor is not confidant with going inside the eye again and is more comfortable working on the outside.  The DVD of my surgery shows that the doctor rotated my lens almost 180 degrees after it unfolded.  The outter clips didn't fully deploy at first and he kept pushing and turning the lens until it was in place. Here's my question. If the lens is sized properly, and manufactured with the correct power can it be repositioned rather than explanted?  Wouldn't it be less risky than explantation.?  If replaced with a new lens it would have to be positioned properly anyway.  It makes perfect sense to remove a lens that is defective in some way, or unacceptable to to the patient, but is there a way to salvage a perfectly good lens with minimal risk to the patient?  Has anyone hear of this?  Best of luck.... princetonart            Ron
Helpful - 0
574673 tn?1234125978
Please read my threads under londonbridge. I concur with all of the others. I would not do anything to my pupil.  Having an off center Restor would definitely worsen the problems since you are already trying to look through a narrow band of focus. My Restor lens was the wrong power and left me farsighted, thus no good vision at any distance.
Get several expert opinions. Your best option may be to explant eventually and go with a monofocal. At least you will have good vision at some focal point. I have one Monofocal for intermediate and a contact for distance in my dominant eye. I use prescription no line bifocals to correct astigmatism and for close tasks over by contact. Eventually I will get a distance monofocal in my contact eye.
My vision is so much more normal feeling with a monofocal. No problems with glare, halos, ghosting etc.
good luck and don't despair.
londonbridge
Helpful - 0
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