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ReZoom Lens - Will It Work with a Patient with Limited Pupil Dilation?
Would someone with a pupil abnormality (limited dilation due to childhood trauma) be a candidate for the ReZoom lens?
I had my lens implant two weeks ago. The halo effect is gone. It took about a week for me. I love my distance vision, but my close vision is still blurry. My doctor feels that my astigmatism is the problem. I have another check in a week. At that time, he will determine if a correction on the astigmatism is necessary. I am holding off having my right eye done until the left one is the way it should be with the rezoom lens.
Nursept;
I did not have my pupils measured prior to surgery. My surgeon did measure my eye dimensions twice (6 weeks apart) to get accurate numbers for the lens power selection.
Last night I went to a restaurant and can read fine. In the place I was, the multiple light bulbs on the ceiling did trigger halo rings but only from the right peripheral vision. As I stated previously the rings jump and because of the multiple lights, I was experiencing an interesting light show with any movement of my head.
I am starting to wonder if my ReZoom lens may be just a tiny bit off center. I will have that checked on my next visit this week.
Anyone else have this type of halo effect (not when looking directly at lights but when the lights are of to the side-my right side of my right eye only)?
I did not have my pupils measured prior to surgery. My surgeon did measure my eye dimensions twice (6 weeks apart) to get accurate numbers for the lens power selection.
Last night I went to a restaurant and can read fine. In the place I was, the multiple light bulbs on the ceiling did trigger halo rings but only from the right peripheral vision. As I stated previously the rings jump and because of the multiple lights, I was experiencing an interesting light show with any movement of my head.
I am starting to wonder if my ReZoom lens may be just a tiny bit off center. I will have that checked on my next visit this week.
Anyone else have this type of halo effect (not when looking directly at lights but when the lights are of to the side-my right side of my right eye only)?
Cataract49- forgot to ask, did your surgeon test your pupil dilation prior to surg? With the great vision you are having you might have to change your name to "Cataract29" LOL.
My ReZoom surgery went extremely well yesterday. The procedure itself went very smoothly and the improvements to my vision were wonderful. I was able to insert my multifocal contact in the non surgery eye shortly after. Yesterday my vision was good but I did have some fuzziness to my vision at all distances (surgical eye), which my surgical team told me I should expect.
One of the surgical team commented that starting today expect improvements as the eye heals from the trauma of surgery.
Upon waking this morning, I was very pleasantly surprised to have EXCELLENT vision at distance. Even with my contact corrected eye my distance hasn't been this crisp for some years now.
I just returned from my post op check up where my doctor was himself just amazed at how well I am progressing less than one day post op.
My distance is 20/20 and I am reading down to J1 (the smallest print) at 14 inches!!!!!
I am seeing the computer screen very clearly as I type this posting.
My surgery was done yesterday afternoon and my night vision was OK. I did NOT see halos when looking directly at lights last night but I could see the optical rings from my peripheral vision. As I focused on distance and then focused in on closer objects the rings would appear in a stepping stone fashion. I was not bothered by the rings and I am convinced that they will diminish as they did get better as the night went on. It was interesting the way they occur though as they appear and then get larger in steps. I knew I was actually seeing each ring as my brain changed focus. Already today (as I stated above) my vision is much crisper and in dark rooms the rings are not appearing.
Nursept: I can tell you in confidence that I already consider my surgery a success.
Today the weather is sunny, with a bright blue sky, and I am seeing things better than I have in years! It is almost as if the weather has cooperated to try out my new vision system!
Good luck and if I can answer any more questions, just ask.
One of the surgical team commented that starting today expect improvements as the eye heals from the trauma of surgery.
Upon waking this morning, I was very pleasantly surprised to have EXCELLENT vision at distance. Even with my contact corrected eye my distance hasn't been this crisp for some years now.
I just returned from my post op check up where my doctor was himself just amazed at how well I am progressing less than one day post op.
My distance is 20/20 and I am reading down to J1 (the smallest print) at 14 inches!!!!!
I am seeing the computer screen very clearly as I type this posting.
My surgery was done yesterday afternoon and my night vision was OK. I did NOT see halos when looking directly at lights last night but I could see the optical rings from my peripheral vision. As I focused on distance and then focused in on closer objects the rings would appear in a stepping stone fashion. I was not bothered by the rings and I am convinced that they will diminish as they did get better as the night went on. It was interesting the way they occur though as they appear and then get larger in steps. I knew I was actually seeing each ring as my brain changed focus. Already today (as I stated above) my vision is much crisper and in dark rooms the rings are not appearing.
Nursept: I can tell you in confidence that I already consider my surgery a success.
Today the weather is sunny, with a bright blue sky, and I am seeing things better than I have in years! It is almost as if the weather has cooperated to try out my new vision system!
Good luck and if I can answer any more questions, just ask.
Cataract49: I am so happy for you! You've ALMOST got me excited to have surgery! LOL I cannot wait to see clearly again, after 2 years of blurry, halo vision. Thanks for being so specific about the rings you are seeing now. I guess those disturbances kind of go away or a person adjusts to them. Perhaps the MD can comment on that. Please continue to post and tell us of your progress as you heal. Thanks for letting us all know how you did.
BJBINFL
GOod for you. Suggestion on the small pupil that may be affecting your near or up close vision. Have your MD on next visit, test your near vision with no correction and measure it. Then dilate your pupil with a short acting dilating drop like Mydiacyl!% or New-Synephrine 2.5% (he will have these in the office). then test your near vision same as before. If you notice dramatic difference then he could do a pupil repair with the argon laser (very simple procedure) We have done this on our patients in this scenario. If you have astigmatism (eye like football instead of baseball) this also cause near vision to be blurry. That can be fixed too.
Yes waiting on Contact lens until eye heals is best.
Let us know.....
GOod for you. Suggestion on the small pupil that may be affecting your near or up close vision. Have your MD on next visit, test your near vision with no correction and measure it. Then dilate your pupil with a short acting dilating drop like Mydiacyl!% or New-Synephrine 2.5% (he will have these in the office). then test your near vision same as before. If you notice dramatic difference then he could do a pupil repair with the argon laser (very simple procedure) We have done this on our patients in this scenario. If you have astigmatism (eye like football instead of baseball) this also cause near vision to be blurry. That can be fixed too.
Yes waiting on Contact lens until eye heals is best.
Let us know.....
Trust what your doc said. You do not want to wear a contact on the surgical eye. It takes time to heal and you should not need it anyway. The correction would be in the nonoperated eye to bring them both into focus if need be. The measuring of the eye, the newer formulas used and astigmatic correction are more accurate today and more hit the mark than miss.
The ReZoom eye should continue to get better and adjust. Pupil size is important for near and you might still have some miosis after surgery which is keeping it restricted. It sounds like your surgeon knows what he is doing. You can also turn the lights down to enlarge the pupil and find out that reading is better. Instead of a 100 watt bulb use a 60 watt if need be. You are still just out of the shoots and everything should still improve.
The ReZoom eye should continue to get better and adjust. Pupil size is important for near and you might still have some miosis after surgery which is keeping it restricted. It sounds like your surgeon knows what he is doing. You can also turn the lights down to enlarge the pupil and find out that reading is better. Instead of a 100 watt bulb use a 60 watt if need be. You are still just out of the shoots and everything should still improve.
Thanks for the support. This is a wonderful service.
Forgot to mention. I had a mild astigmatism in the left eye prior to the lens implant. The Doctor corrected this during the surgery by making small incisions in the eye.
Okay, a couple of you asked for more information. Here goes:
Before my Rezoom lens implant in my left eye, I was nearsighted since childhood. I am now 61. I wore contact lenses most of my adult life. For the last ten years, reading with contacts became increasingly difficult and bifocal contact lenses never really worked for me, so I got used to monovision, using my left eye without a lens for reading and my right eye for distance with a contact lens. In the last year, my left eye became increasingly useless as the cataract developed. I could no longer see far or close with my left eye and I was needing more and more light. So, I was using my right eye for virtually everything. If I did not have my contact in, I could read with it, but if I wore it for distance, I needed reading glasses. I was hoping that the Rezoom lens would help me see far and near. I have seen my opthomologist twice since the surgery. He is a wonderful doctor and I have a great deal of confidence in him. Apparently, my pupil is not opening enough at this point to enable good close vision. When you ask about intermediate vision, I am not sure what you mean...I cannot see the computer easily and I sit about 1.5 feet away from it. But, if something If I move about 3 feet away from it I can read, but it is a little fuzzy. The doctor said he will do whatever it takes to make sure I have the best vision possible. Right now, he is watching it...yes, I am taking the pred medicine right now and I no longer take the antibiotics. I feel very happy with the distance vision this provides and would not want to compromise this by getting a different lens that would help me see close but not so well far. For now, the contact lens in my right eye is working out with the IOL in the left eye. I have no idea what would happen if I put a lens on the left eye, nor would I be interested in trying one. Maybe others know something I do not, if so, please let me know. One more thing...I never realized how white my kitchen cabinets are...I see color so much better and there is a difference in my right eye...things look like they are a bit brownish yellow with that eye but nice and clear with the left eye!!! Very exciting. Also, I have no glare at night.
Before my Rezoom lens implant in my left eye, I was nearsighted since childhood. I am now 61. I wore contact lenses most of my adult life. For the last ten years, reading with contacts became increasingly difficult and bifocal contact lenses never really worked for me, so I got used to monovision, using my left eye without a lens for reading and my right eye for distance with a contact lens. In the last year, my left eye became increasingly useless as the cataract developed. I could no longer see far or close with my left eye and I was needing more and more light. So, I was using my right eye for virtually everything. If I did not have my contact in, I could read with it, but if I wore it for distance, I needed reading glasses. I was hoping that the Rezoom lens would help me see far and near. I have seen my opthomologist twice since the surgery. He is a wonderful doctor and I have a great deal of confidence in him. Apparently, my pupil is not opening enough at this point to enable good close vision. When you ask about intermediate vision, I am not sure what you mean...I cannot see the computer easily and I sit about 1.5 feet away from it. But, if something If I move about 3 feet away from it I can read, but it is a little fuzzy. The doctor said he will do whatever it takes to make sure I have the best vision possible. Right now, he is watching it...yes, I am taking the pred medicine right now and I no longer take the antibiotics. I feel very happy with the distance vision this provides and would not want to compromise this by getting a different lens that would help me see close but not so well far. For now, the contact lens in my right eye is working out with the IOL in the left eye. I have no idea what would happen if I put a lens on the left eye, nor would I be interested in trying one. Maybe others know something I do not, if so, please let me know. One more thing...I never realized how white my kitchen cabinets are...I see color so much better and there is a difference in my right eye...things look like they are a bit brownish yellow with that eye but nice and clear with the left eye!!! Very exciting. Also, I have no glare at night.
To Bjbinfl: Thanks for the good report. How is your intermediate vision? Is it as good as your distance? Thanks for posting. To EyeCu: I was told it is not a good idea to wear contacts in the "cat. surg. eye" even after the month of healing due to increased risk of infection. Is this true? I am asking because if they don't hit the mark on your distance or near vision, I thought a person could wear contacts on the "surg" eye after the IOL implant- if a person did not want Lasik/Lasex . Is any of this true? Thanks.
I hope this response is not too late. I just got a rezoom lens implant in my left eye last Monday. I LOVE the distance vision. I have not seen this well for years!!! My close up vision with it is not great, but it is gradually improving. I am wearing my contact lens in my right eye and am having no trouble whatsoever using the two together. I was planning on having both eyes operated on, but now, I am going to postpone the right for the time being. I think if you are willing to make the adjustment you should do fine with a contact in one eye and the rezoom in the other.
I am happy for you. Give your near some time. It has been only 6 days for you and you usually have a little corneal edema after surgery. Everyone tends to forget that they have had major surgery after eye surgery because it does not take that long for the procedure. But it is invasive even thought minimally. You are probably still on a steriod like Pred Forte and are tapering off your antibiotic drops. The near vision comes in more gradually as you heal and adjust.
Bjbinfl;
Glad to hear things went well. Would you be able to share some info like; were you nearsighted or farsighted? Do you know your diopter pre surgery? Did you have any astigmatism?
Did you need reading glasses prior to surgery?
Are you wearing a standard contact in the other eye?
Any info you would like to share would be welcome.
Glad to hear things went well. Would you be able to share some info like; were you nearsighted or farsighted? Do you know your diopter pre surgery? Did you have any astigmatism?
Did you need reading glasses prior to surgery?
Are you wearing a standard contact in the other eye?
Any info you would like to share would be welcome.
To all: Thanks for your comments. Cataract49- we are looking forward to a good report! Eagle Eyes: thanks for your input. I DO intend to have a dialogue w/ him re: why he sticks w/ ReStor lens. I spoke also, w/ a surgical instrument company educator and they leaned toward the ReStor lens vs. ReZoom.They do not sell either lens. They have heard MD's and patients discuss their results w/ both lenses. Everybody has an opinion, huh?
I found out only the Crystalens accommodates but it is only good for lower powers. (myopia)
I found out only the Crystalens accommodates but it is only good for lower powers. (myopia)
Nursept;
I will post next weekend if I can. My surgery is scheduled next Friday. Like you I am a -5.5 myopia in the first eye to be operated on. It is also my non-dominant eye. My left eye is a
-7.5 myopia an I have no Astigmatism to deal with.
I must admit I am a little nervous and you are correct in stating that this is a big decision. Chosing the right lens is important. If it is any comfort to you, I have been following the progress of and researching these lens for well over 8 months now. I am very comfortable with my choice of the ReZoom and I am now to the point where I can not wait any longer as my cloudy vision is effecting my daily activities.
Good luck in your decision and subsequent surgery.
I will post next weekend if I can. My surgery is scheduled next Friday. Like you I am a -5.5 myopia in the first eye to be operated on. It is also my non-dominant eye. My left eye is a
-7.5 myopia an I have no Astigmatism to deal with.
I must admit I am a little nervous and you are correct in stating that this is a big decision. Chosing the right lens is important. If it is any comfort to you, I have been following the progress of and researching these lens for well over 8 months now. I am very comfortable with my choice of the ReZoom and I am now to the point where I can not wait any longer as my cloudy vision is effecting my daily activities.
Good luck in your decision and subsequent surgery.
Nursept
When you see your doctor in a few weeks, let me make sure I understand the situation. He was the one that did the Array initially and then stopped and now uses ReSTOR only right? If that is the case, definitely ask him why he doesn't use ReZoom.
FYI, when the Array first came out, 1. we did not have as good of technology to do the measurements for the IOL so it was more challenging to pick the right lens and this is huge for the success of all of these new lenses. 2. we didn't understand that the brain has to get accustomed to the new vision (now called neuro-adaptation or cortical summation) These are big words that mean the brain has to get used to the new vision. This occurs with all of these new lenses (ReZoom, ReSTOR, and Crystalens.) 3. If he were to try ReZoom today if he is having success with ReSTOR, he will love ReZoom, I guarantee. The new technology that assists him to have success with ReSTOR will do the same for ReZoom. Plus both ReSTOR & ReZoom have much less halos/glare than Array. The one that seems the easier for most people to adjust to is ReZoom. Keep us posted.
When you see your doctor in a few weeks, let me make sure I understand the situation. He was the one that did the Array initially and then stopped and now uses ReSTOR only right? If that is the case, definitely ask him why he doesn't use ReZoom.
FYI, when the Array first came out, 1. we did not have as good of technology to do the measurements for the IOL so it was more challenging to pick the right lens and this is huge for the success of all of these new lenses. 2. we didn't understand that the brain has to get accustomed to the new vision (now called neuro-adaptation or cortical summation) These are big words that mean the brain has to get used to the new vision. This occurs with all of these new lenses (ReZoom, ReSTOR, and Crystalens.) 3. If he were to try ReZoom today if he is having success with ReSTOR, he will love ReZoom, I guarantee. The new technology that assists him to have success with ReSTOR will do the same for ReZoom. Plus both ReSTOR & ReZoom have much less halos/glare than Array. The one that seems the easier for most people to adjust to is ReZoom. Keep us posted.
HI Nursept,
I do have a cataract in one eye and coming on the other soon I am told so I didn't have surgery yet. I also had RK done years ago, so for me it gets complicated as to which lens is the best and which surgeon to go. After you have had LASIK,RK,or PRK it makes the cataract surgery more challenging to select the correct power of the IOL (Intra-Ocular Lens). Because I am a nurse and work in this field by talking to our patients that have received all types of IOLs, regular monofocal, Tecnis monofocal, ReSTOR in both eyes, ReZoom in both eyes, Crystalens in both eyes, and combinations of mixing and matching all of the above, I get a nice view of what works best and when. How fortunate for me!
I do have a cataract in one eye and coming on the other soon I am told so I didn't have surgery yet. I also had RK done years ago, so for me it gets complicated as to which lens is the best and which surgeon to go. After you have had LASIK,RK,or PRK it makes the cataract surgery more challenging to select the correct power of the IOL (Intra-Ocular Lens). Because I am a nurse and work in this field by talking to our patients that have received all types of IOLs, regular monofocal, Tecnis monofocal, ReSTOR in both eyes, ReZoom in both eyes, Crystalens in both eyes, and combinations of mixing and matching all of the above, I get a nice view of what works best and when. How fortunate for me!
EyeCu: Thanks. I am scheduled to see Surgeon #3 in 2 weeks for his ideas on the subject. He did the initial studies on ARRAY and has opted NOT to use the new gen. REZOOM. I want to know why. He uses ReStor. My understanding is that currently, there is NO accommodating lenses out there, is that correct? Everyone just gets your RX as close as they can and then adjustments are made with either Lasix/Lasex or glasses/contacts. Sorry I sound alittle negative. After 5 MD's in 2 years who could not figure out my problem, I am alittle discouraged with the whole process. Educating myself helps me deal w/ it all and then take responsibility for my decision-whatever the outcome. I will keep you posted on what I choose and my progress. THanks for donating your time to this forum. It is very helpful.
nursept: sorry for the delay in gettng back with you. I really do not think you have to worry about your vision being blurry. The ReZoom is designed to get you 20/20 distance. Some surgeons do surgery one to two weeks after the first eye and some wait. I think you will be fine. Go in with a positive attitude. There are even patients who had the Array lens and came in two years later to have their second eye done and did just fine. It is your call. You might even decide you want it done earlier. This tecnology just keeps getting better. Trust your surgeon. You might have halos bother you some at first and you might not. The brain adapts and the younger adapt quicker. Some even find it overstated as they have had side effects anyway during their life and have adapted to them. Let us know how you do.
HI Cataract49
Well, if your surgeon is doing LASIK by creating a flap, he will probably wait at least 2-3 (prob 3 mos) or so. If with IntraLase where there is no flap made, it can be done sooner. Wait and see how things are after surgery. You should be able to go back to contact lenses if you want. By telling you this up front, it gives you realistic expectations that so you don't expect "perfect" vision, especially immediately following the surgery. Keep me posted.
Well, if your surgeon is doing LASIK by creating a flap, he will probably wait at least 2-3 (prob 3 mos) or so. If with IntraLase where there is no flap made, it can be done sooner. Wait and see how things are after surgery. You should be able to go back to contact lenses if you want. By telling you this up front, it gives you realistic expectations that so you don't expect "perfect" vision, especially immediately following the surgery. Keep me posted.
Thanks Eagle Eyes;
I will post after surgery with results.
For Nursept, my extensive reasearch has pointed me to the ReZoom. Like you I am still very active in my career and plan to work for some years to come.
My thoughts are that I want good distance, better low light vision, good intermediate, and if I end up wearing reading glasses then at least 95% of the time I will be without glasses.
As per the halo possibility, my multifocal contacts now give me a halo at night with lights, but i do not even realize it.
Although it may not be true for everyone, for me the ReZoom seems to make the most sense.
My only trepidation is that my surgeon (very experienced at cataract and lasik surgery) has calculated the correct power of my lens. He is telling me that there is some chance that I may not get 20/20 at distance initially, but if that occurs then he can easily fine tune with the laser.
Eagle Eyes; Any thoughts on how long I must wait to do the lasik if fine tuning is needed? Or am I better off to correct with contacts?
I will post after surgery with results.
For Nursept, my extensive reasearch has pointed me to the ReZoom. Like you I am still very active in my career and plan to work for some years to come.
My thoughts are that I want good distance, better low light vision, good intermediate, and if I end up wearing reading glasses then at least 95% of the time I will be without glasses.
As per the halo possibility, my multifocal contacts now give me a halo at night with lights, but i do not even realize it.
Although it may not be true for everyone, for me the ReZoom seems to make the most sense.
My only trepidation is that my surgeon (very experienced at cataract and lasik surgery) has calculated the correct power of my lens. He is telling me that there is some chance that I may not get 20/20 at distance initially, but if that occurs then he can easily fine tune with the laser.
Eagle Eyes; Any thoughts on how long I must wait to do the lasik if fine tuning is needed? Or am I better off to correct with contacts?
Cataract 49 and Eagle Eyes: Thanks so much for your information.It is a big decision. Eagle eyes: Do/did you have cataracts yourself? Which lens do you have? Cataract 49 please keep us posted on your progress. I am not planning surg. until Feb/March. Thanks again
Hi Cataract49
Yes....WIth any cataract surgery (Even with standard intraocular lenses, the two eyes work better together when matched or both eyes done. This is why your surgeon is recommending this. He is right though, if you tolerate the CL in the non-operated after ReZoom in 1st eye, you can postpone the surgery on 2nd eye until you want. It is elective and won't hurt anything to wait. With that said, I think you will find that you will be eager to have 2nd eye done sooner rather than later. Multifocal IOL is not equally compared to multifocal contact lens in that the contact is on the external eye and therefore other factors can affect vision (dry eye, movement of contact, fit of contact, allegies, etc.) Best of Luck,,,let me know how you do!
Yes....WIth any cataract surgery (Even with standard intraocular lenses, the two eyes work better together when matched or both eyes done. This is why your surgeon is recommending this. He is right though, if you tolerate the CL in the non-operated after ReZoom in 1st eye, you can postpone the surgery on 2nd eye until you want. It is elective and won't hurt anything to wait. With that said, I think you will find that you will be eager to have 2nd eye done sooner rather than later. Multifocal IOL is not equally compared to multifocal contact lens in that the contact is on the external eye and therefore other factors can affect vision (dry eye, movement of contact, fit of contact, allegies, etc.) Best of Luck,,,let me know how you do!
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