RsStor vs Resume IOLs

[toubledeciding]

Faced wtih question of Restor or resume.   How can I compare the two, to help me decide?  Is there a web site with a comparison chart?   Thanks

[Bill in JAX]

Thanks for in-depth explanation posted on 2/10/06 of the various options now available.  I asked my surgeon about a ReZoom/Restor combo in my case after doing other research and and reading recent threads.  He recommended based on my lifestyle and station in life that I stay with a ReZoom/ReZoom.  He offers all three of the IOLs as options to his patients but likes the results of the ReZooms for us mature folk that are 60+. Overall, I got the impression he favors the ReZoom over ReStor. My first ReZoom in L/E was done on 1/25/2006 and my vision continues to improve at intermediate and close.  Distance vision is spectacular with clarity and color I haven't experienced in years.  The IOL was a ReZoom Model NXG1, Diopter 19.5D, SN 4109700512.  I am scheduled for surgery on the R/E (My Dominate) on 2/15/2006 where a ReZoom Diopter 19.0 will take the place of an old cloudy cataract.  Will let all know how things are going by the end of the week.

[bjbinfl]

Update:  My distance vision still has not shown much improvement, (but only three days).  However, my eyes are really working well together with the left Rezoom and the right Restor.  The only way I can tell that the right eye does not see distance is when I shut the left eye, otherwise, I can see distance just fine as if I were using both eyes to see.  I can see well at all distances.  I only require glasses if I want to do close intense work like sewing.  BB

I just wonder how this compares to monovision.  Anyone know?

[bjbinfl]

the chart that the doctors use for reading has those numbers...J1 is the standard for normal reading.  I will keep you updated..bb

[eyecu]

paulb-it looks like bjbnfl is going to give you a first hand experience on the combo.There are two theories. Put the same lens in both eyes for a stereo effect. The other theory is that if you put a lens in an eye and the patient complains of halos than if you put another one in it compounds that effect. If you put two different systems in than it offsets and you don't have the problems.One well respected surgeon says to implant the Rezoom in the first eye, if the patient likes it implant it in the second eye, if he has halos than implant a Tecnis monofocal in the second eye, if he wants better near implant a Restor. There are just so many opinions. I know a few surgeons that have Arrays themselves and they implanted alot of Array lens because they could explain and relate to the patient. But most surgeons have to go by results and listening to what patients tell them and describe to them as this board does to form opinions. It is exciting yet confusing. This is what I will say, the ReZoom is great for distance and intermediate. It can also provide good near vision. Not as good as the ReStor maybe because it has a 3.5 diopter add and the Restor a 4 diopter add. You have trade offs in life. If you want to read better, than you give up some distance acuity. The Crystalens had great distance but you give up near. Technology is advancing to try to mimic the crystalline lens and will get better. But the technology today is excellent and has brought youth back to many people. With a monofocal lens, the outcome is presbyopia. YOu will love the colors and be happier and have great distance and even some intermediate and will notice a great improvement over your vision with a cataract as you have had a gradual deterioration of vision over time until it gets to a point that it bothers you. When you have surgery, the vision is so much better you wonder why you waited so long. The retrospective quality of life studies report that patients are happier with multifocal lenses because they mimic normal vision. They are willing to deal with a few visual disturbances such as halo that diminish over time as you adjust. These are really only at night as the pupil enlarges and have to do with ligthing conditions.But they say, hey I can deal with that for what I get during the day. There are some patients who cannot seem to deal with it but it is a low percentage. They end up with lens exchange. But there are even patients who once they have had the exchange want to go back to the multifocal. It is up to the surgeon to explain and deal with that and that is why it costs more becaase they have to spend more time with you both  pre-op and post-op. It comes down to patient education prior to surgery which puts you ahead of the game because you are trying to get the answers now instead of jumping into it. I personally would opt for a multifocal lens becuase I want to have pseudo accomodating vision like when I was in my 30's and have a chance not to have to wear readers if I forgot to bring them to the restaurant. I want the freedom. But, if I was used to wearing glasses all my life, then that would not be the case. SO you can see all of the factors involved in the decision. The surgeons that have used the Array and do lasik and are refractive surgeons have more experience than the ones that just came on board. They are ahead of the game. They also might be hesitant to jump on ReZoom because they think it is about the same as Array so they try something else for a while and then realize that it is not perfect as well and then try ReZoom and find out that it is better than they thought. They then try mixing technologies and find out that works pretty good as well. The bottom line is what are you looking for, what is your occcupation and hobbies and what are you trying to obtain. If you both go in with a postive outlook and try to achieve that outcome to meet your needs, and he or she hits the refractive goals and accuracy, you will be very happy. Sorry for being so verbose. I feel you are just lucky to have more options today to find what you want.

[paulb]

BB
Glad to hear your operation was a success and you're pleased with the R/R combo!!  Sounds like you are having NO problem with the "brain control" of complimentary focusing from near to intermediate (left to right eye or right to left eye).   I'm thinking of Rezoom in the Dom eye and Restore in the NonDom eye, and my ability to accomodate the "switching" at near and intermediate is the big fear.  Your results are giving me more faith / courage!!  Let us know how you're progressing!  PB

[bjbinfl]

It has been less than 24 hours since my surgery.  I had a check at the Doctor's office this morning.  With the Rezoom in the left eye I have 20/15 (brightly colored vision) and with the newly implanted Restor in my right eye, I can read J2 with the right eye alone and J1 with both eyes working together.  If I shut my left eye and look off in the distance, my vision is not that great with the right eye Restor but with both eyes open, I have no problem. I am using the computer with my flat screen monitor about two feet away and I can see the small writing with both eyes working togehter or seperately.  My Doctor feels that the Restor distance vision will improve over time but will never be as good as the eye with the Rezoom.  I am amazed that I can see close so well so fast because of the Restor.  I am curious and I ask the Doctors on this thread, how is the intermediate (1-2) feet vision with a regular lens implant?  

I would never want to give up the crisp wonderful distance vision I have with the Rezoom.  So far, I believe that I have made the right choice.  BB