Anyone else adapted to Lentis Mplus lens after two months?

[hankhill23]

I originally posted this as a reply to another thread but thought I'd start my own as I'd like to get some opinions.   I had the Lentis M Plus lens implanted into my right eye 6 weeks ago.  The left eye implant that was planned for a week later was postponed indefinitely as I had massive ghosting/double vision and glare in the right, which caused me enormous distress and concern.  I have since had two other checkups, one was unscheduled as I was so worried, and my one month post-op was l2 weeks ago.  I was convinced that the lens was decentred but the optometrists say it’s perfectly centred.  It feels like I’m forcing my eye to see distance through the close up part of the lens.

I won’t name the clinic yet as I’m undecided whether I’m happy with them or not.  I’m trying to convince myself it’s getting better (but I don't think it is) so I’m keeping an open mind for now.  It’s only been 6 weeks, but they are easily the longest 6 weeks of my life!  As things stand, if my left eye had been done after a week and had the same effect, I would be almost housebound, I certainty would not have been able to drive.   I’m only a young 53, so I’m glad I still have a good untouched left eye (with a contact lens).

I have been assured that the eye/lens will “settle” and my brain will adapt, so I guess only time will tell.  The clinic will happily explant the Mplus lens (so they say) and replace with a monovision lens, but that really defeats the whole exercise, so I do want this to work.

Has anyone had experience of these bifocal type lenses being de-centred and re-positioned?  if not, I’d love to hear from anyone who had the same ghosting/blurred vision which lasted at least 5-6 weeks then cleared.

Anyone tried exercises to help with Neuroadaptation?  This company in the US will happily sell me their program for $500… http://www.revitalvision.com/

[Jo000]

All I can do is offer sympathy I'm afraid Lynda. My surgeon wanted me to explant earlier this year (just to stop me complaining about the M-Plus I think) but I decided against it. If I was you, I'd go back to the original surgeon and ask for detailed explanation as to why he can't replace the monovision. I'm guessing it's something to do with the length of time that's passed since your explant. The lenses bed themselves into the eye and when everything's healed up it's very difficult (and very risky) to remove them. However, I did see a surgeon at OE in Nottingham last year who did say he had successfully performed an explant after nearly two years - but if you go down that road you'd have to make absolutely sure that the surgeon was very experienced and had done such an op before. Good luck.

[Lynda199]

I have read with interest all the posts on this thread.  I had my MPlus lenses explanted just over two years ago, but very much wish I hadn't had the first one (R/E) explanted.  I contacted my surgeon at the beginning of the year to ask if he can put the MPlus back because my vision was nowhere as good with mono-vision lenses.  He said he could not do this, but didn't give me a specific reason why.  I therefore tried to find another surgeon in the London area who could do the surgery for me, but no-one was interested because they didn't perform the original surgery.  Can anyone suggest anything, please?  Am I really asking for the impossible?

[DaleDietrich]

Hello All:

I had my follow-up appointment (2 months post procedure) with surgeon yesterday. I had personally observed that from my last appointment on August 6, my distance vision has become clearer while the ghosting on the left and light bleeding in from the right has remained largely unchanged. I had also noticed ghosting as close as 18” in the last two weeks - ie: when looking at the computer screen there is ghosting of the black letters on the white background and bleed of the white background into the right of the black letters. This is new. I hadn't noticed that back in August.

Here is the results from my visit with surgeon:

- My eye has measurably improved despite continued ghosting and glare (ie: my prescription has improved)
- On August 6 he had measured some near sightedness and a slight stigmatism in my right eye. He said both of those have improved in the last month and have measurably dissipated (ie: my prescription has improved on both fronts). He verbally told me the numbers but I don’t remember them.
- As a result of the eye improvement, Dr  is even more optimistic that my eyes can be corrected without harm to my newly MPlus-improved near vision.
- Dr. believes PRK tweaks should correct both near and far ghosting and bleeding
- Dr. wants to see me again in a month (I have an appointment for October 8). He wants two visits in a row where prescription doesn't change before doing PRK.  He wants to be sure eyes have settled.
- He still believes the problems I am having are a result of my 1999 Lasik. He will be doing PRK correction instead of Lasik correction because he said it is unsafe to do a second Lasik procedure on the same eye.
- It was a very positive visit and he was even more optimistic than on the last visit that I will achieve a good result after PRK (ie: ghosting and bleeding should be history).  

I'll report back after my October 8 appointment.

[sunnygirl0858]

Hi all
For what it's worth I have booked an appointment at Optegra (recommended by my Optometrist) to consider my different options for my right eye. For new readers I had mplus in left eye a year ago because I have cataracts. I get the afore mentioned halos and glare, but vision is so much better than with cataract, and I have no regrets. Optegta is twice the price of OE, and I have the same budget issues as anyone else. However they offer choices that OE seem to prefer not to get involved with. I am hoping to learn that they do not operate along the same production lines as OE. I will report back following the appointment on 25 September.

[joojeh]

It might be a matter of timing.  I think the MF20 with the +2.0 near ADD is fairly recent.  

[Jo000]

That's interesting - the bit about the MF20/MF30. I asked what lenses had been put into my eyes and was told LEFT- Power 15d MPlus Add3, and RIGHT - Power 16d MPlus Add3. In light of what you've written here, that translates into them both being MF30. Why on earth have my surgeons not mentioned an alternative MF20 to me I wonder? They offered only a monofocal explant.
Anyway, please let us know how you get on - though I'm more than a year post-op now and it's probably too late to do anything.