restor/rezoom combo

I have had a Restor lens in my left eye for approx 4 months.  My distance and near vision is 20/15 each in that eye. I am very pleased with those distances.  However, covering up my dominant right eye provides a somewhat blurry intermediate vision.  I am concerned that if I have both eyes with a Restor lens that my intermediate vision (conversing with people, shopping, eating ,etc) will be blurry. I have never worn glasses in my life but developed cataracts in both eyes.  My vision is excellent now because my dominant eye gives me the majority of good sight along with the clear Restor.  Though my excellent sight is failing as the right eye cataract progresses. I am afraid of losing it with  the second surgery with a Restor lens.  I understand the Rezoom from all my reading is better at intermed and distance vision. What has the majority of data shown concerning the Restor/Rezoom combo? And is it better for the Rezoom to go in the dominant eye?

[ace399]

Jeff,
There have been a lot of problems cited in this Forum on the Rezoom....and my Dr. will not use it.  I appreciate your concern with intermediate vision (2 ft to ~6 ft).

I have a Crystalens HD in my right eye (implanted 8 weeks ago) and the latest Restor in my left eye (4 weeks ago).  The new Restor is supposed to extend the near vision out to ~ 2 ft.  I have found that the Restor vision is not good from 2 ft to 6 ft, whereas the CL HD is excellent in this intermediate range.  The CL HD also has good far vision and is exceptionally clear.vision.  But, the Restor allows me to read the monitor without glasses.

Although my left eye is dominant, I have observed that in binocular vision, I cannot tell which eye is seeing at what distance.  It seems that the brain chooses the best vision at each distance.  Another member "bstaggs" has the same experience with this combo.

Ace399

[jeffD53]

My brothers sister-in-law has just recently had the same operation with the ReStor and HD implanted. She says so far so good- 2 weeks.  My concern is the implanting of the HD in the ciliary muscles and problems if it had to be extracted. How is the combo for night driving? How about post op training for the HD?

JeffD53

[ace399]

Implanting the HD is a bit trickier and requires a surgeon with experience with it.  Even trickier to explant.  I am still doing the B&L word puzzles to exercise the ciliary muscle in my right eye (eye patch over the left).  I don't get full accommodation, but enough to have excellent vision from 2 ft out.

The only problem with the HD is looking at bright sharp lights in a dim environment.  I see "spider web" flares.  But, the Restor helps to offset this.  Otherwise, the HD is exceptionally clear.  I occastional see halos around head lights in the Restor eye.  Overall, I am happy with this combo.

[John C Hagan III, MD, FACS, FAAO]

I think you have got good advice. Any "combo" that includes the ReZoom "Rhymes with DOOM" is a bad combo.

JCH MD

[cdn_glenn]

Yes, ReZoom has definitely gotten a bad set of reviews on MedHelp.  And for the matter, my surgeon recommended I DON'T get ReZooms when it was my time for new eyes.  Definitely mixed to favourable reviews for ReSTOR/Crystalens (not HD at the time) combinations.  Most of the issue was getting used to the different functions of the lenses.  Use the search function at the top-right of the page.

When I was researching I was interested in the ReZoom/ReSTOR or ReZoom/Tecnis (multifocal) combination.  I ended up with two Tecnis multifocals and had the same issue as you.  You're four months in to neuroadaptation.  I found at that point there really wasn't much, or only minor change up to one year.  The Tecnis multifocal has a smaller "soft focus" zone than the ReSTOR (4.0) starting at about 18" going to about 48".  It still wouldn't meet your needs.  I did find in time (1-1/2 years) that the borders to the mid-vision zone became clearer and daytime mid-vision greatly improved.  But it's older technology.

Do some more reading on MedHelp.  If you feel you can adjust to different vision handling different tasks in each eye I would be more inclined to the accommodative Crystalens.

[jeffD53]

has anyone had a ReSTOR in one eye and a regular monofocal in the other?

[John C Hagan III, MD, FACS, FAAO]

Restor set for reading to mid and other eye Monofocal aspheric set to "Plano" (no correction) works quite well for many and there are discussions of that here also.

JCH MD

[ace399]

Since you already have a Restor set for distance, the concern I would have with a monofocal IOL also set for distance in the other eye is that you will lose intermediate and near vision.  Whereas a Crystalens HD set for distance should give you intermediate and possibly near depending on your ability to accommodate.  Read the postings by Joy225.

[jeffD53]

My Restor is a SN6AD3  with power 16.5 , length 13mm and optic 6 mm. Would a Monofocal aspheric set to "Plano" (no correction) work well to where I would have good (normal) intermed and distance vision?  If I can read well with the Restor at about 12-14 in, would that work with the monofocal or would I need glasses to read?

[John C Hagan III, MD, FACS, FAAO]

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[JodieJ]

At plano, a monofocal IOL would give you good distance vision only.  Combined with your current ReStor, you would be lacking good intermediate vision.  The above suggestion of a Crystalens HD might be a much better bet for your second eye.

[John C Hagan III, MD, FACS, FAAO]

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[jeffD53]

I guess what I really meant to ask was.... is there a normal lens that could provide me intermediate vision to go along with my restor that now gives me reading and distance vision?  I am concerned about the Crytalens HD placement in the cilary muscles and the risk of extraction if the cilary wont respond.  

[JodieJ]

I'm not an eye care professional, but I suspect that your fears about the Crystalens HD are groundless.  The advantage of a Crystalens in your situation is that it would boost your distance vision AND provide excellent intermediate vision.  I suppose that a monofocal IOL set for intermediate vision would be an alternative.  I think that it would be very important for you to get feedback from a surgeon who is very experienced with both the ReStor and the Crystalens HD before proceeding.

[jeffD53]

thanks to all for responding.  this forum has been very helpful to me.  I plan to use this information when I go see my surgeon. thanks again