Lentis M Plus IOL's

[philwalfc]

Hi, I am a 54 year old male. I had two Lentis M Plus lenses implanted to improve my vision. I was told I wasn't suitable for Laser correction because my cornea's were to thin. I had the first implant on May 12th 2010, in my right eye. I had the second implant on May 19th 2010, in my left eye.
From the time of the transplants up untill now, I have suffered with the normal post-op conditions. In late june I also developed Cystoid Macular Oedema. I was treated with drops (Acular) and tablets (Acetazolamide) which partially cleared the condition. I have been told the thickness of my macular is still to thick. I am still taking the tablets but no drops. I am going back to the clinic in London tomorrow to be re-assessed and may have to have injections in my eyes if no improvement.
My reading vision is really good at a distance of about 18 inches in good light. My distance vision is a little blurred which i have been told can be corrected with laser top up.

My eyes feel dry quite a lot, sometimes a little sore.

I also suffer with ghosting and really bad halo's on flourescent lights, traffic lights, car brake lights. Also, light rings and starburst effect in my eyes when venturing out at night. Can these conditions ever improve? If so how long will it take as i feel my life is on hold. I am a profesional HGV driver and haven't worked since the Implants.

Are these conditions as a result of a infection in my eyes or just a direct result of light reflecting on the lenses?

Any advice would be greatly appreciated.   Thanks

Regards
Phil

[shindi441]

Forgot to mention that I too had Lentis MPlus.It was pushed by my surgeon as the only HD Lens to correct presbyopia with much reduced bothersome outcomes associated with other multifocals.

[mum8]

A related discussion, M Plus IOLs ..are they the best? was started.

[shindi441]

Hope your vision is getting better. Have you tried the software you mentioned? Is it good?
I have been given alphagan drops to try out to deal with the nighttime light issues when driving. My surgeon said that my pupils get far too big in the dark enabling light rays to hit the parts of the IOL which should be kept in the dark! And I read on the Lentis Mplus that one of the virtues of this lens is that it is 'pupil size independant'.
Take care
Shindi

[shindi441]

Each time a new premium IOL comes in the market they have to say these exciting things about them. I am still struggling with the light effects, infact they are getting worse three and a half months post-op. I am going to see the surgeon in few days. I hate to go through another procedure even if it is a laser top up.

I would recommend the tried and tested monofocals with mini monovision.

Regards
Shindi

[philwalfc]

My vision was getting a little worse all round, especially my right eye, which I am told is a lazy eye. My left eye always made up for it.

I am starting to learn how to cope with the halo's and ghosting, although they are still there.

I have spoken to the surgeon this morning and I think I am going to elect for a laser top up procedure rather than the lense exchange that I discussed with him at a earlier appointment.

I am not afraid to have the lense replaced, but I dont want to lose the excellent reading vision that these lenses give, and hope the laser top up will correct the distance vision suitably.

Not being a expert, I think its a case that the lenses are excellent, but it may depend on if there are any other issues that are wrong with your eyes, things that you never even think about and also know nothing about. I hope that makes sense.

I also don't think the surgeons can tell you 100% if you will be affected by these side effects, as I say It seems to depend on the condition of your eyes beforehand.

Thats the way I see it anyway.

Regards
Phil

[youngchaz]

I have seen two prominant consultants who both said that this lense is the Rolls Royce of lenses.
One said he is getting very exciting results.

I am  fifty and minus ten.  I am excited at what they say but very scared to proceed.
The comments on here are very concerning and not what I expected to here.

Were you also short sighted.

[philwalfc]

Hi Shindi
Sorry but I don't know the cost of the software treatment as itis part of the aftercare package so I don't have to pay for it.
I am still waiting for it to be delivered though. I'll let you know about it when I get a chance to use it.
Regards
Phil

[philwalfc]

Hi there,
Thanks for taking the time to let us know that your lenses are ok. I'm glad you are doing ok with them. It is good to hear from someone positive about them.
I doubt that it is a problem with the surgeon,  He performs this operation on a very regular basis.
It would be nice to get over these side effects, halo's, ghosting, and back to normal though.
Regards
Phil

[iHuguette]

I had the M Plus lens replacement done in June in the Netherlands (Developed in Germany, the lenses are made in Germany & the Netherlands - www.oculentis.com). The cost is 5300 euros, all inclusive.

I must admit that all the comments would have scared me in going ahead with the operation. I feel really sorry for all of you! My transplant was a complete success.
I had halos for about 4 weeks only, I don't have blurred vision, not even at night. No dryness. My eyes were sensitive to harsh light only for about 6 weeks. Not anymore. I have perfect vision 30/20.
The only thing I can say is yes, at night, you need good lighting for reading... but that's all!

Could it be that some of the side effects depends on how the surgery was performed? In other words, the surgeon's skills?

If anyone asks me, I would recommend it without hesitation!

Regards,

Huguette

[shindi441]

Hi Phill,

The dryness is not as bad as before. I can wait for upto 3 hours now before topping up with preservative free(PF) Systane drops which I have settled down with after having tried  many different drops, These come in handy size vials with sealing caps. The vials  contain lot more drops than required for a single application-  and my pharmacist assures me that I can use these within 12 hour of opening the vials. At night I use PF viscotears. I had my op done in a private hospital in the West Midlands.

The computer software you have mentioned can be googled- Neurovision/Revitalvision software.I would be very much interested in it and the cost.Yes, I too have very good near vision after the op but not as good as before surgery because I was myopic (-4D) in both eyes .Myopic people do not get afflicted with presbiopia.

I want to believe these things eg light effects can be overcome because each time in the past I have had to change glasses prescription especially when I changed from single- focal to vary- focal there was definitely a period of adaptation. This time the adaptation will take much longer because the lenses are surrounded by injured/healing tissue.

I would hate to top up with laser surgery or any surgery. My eyes still do not feel right- it is like going through a 'bad contact-lens day' every day but getting better at a painfully slow pace. I feel that the healing is not complete yet.I am hoping that these lenses will deliver better results once my eyes are fully healed and free from dryness.If not, then I am looking for a solution in glasses that will take care of nighttime driving. I have binned one pair of glasses already!

I have tried to take inspiration from other forum members like 'diamond eyes' and 'cdn_glenn'. If they can do it so can we!

Regards
Shindi

[philwalfc]

Hi shindi,
I hope your eyes are improving. Where did you have your eyes done?  I had mine done with Optical Express down in London. It appears these lenses have pluses and minuses.
For instance the pluses are, good reading vision and distance vision that is correctable with a so called laser top up.

The minuses are all the mentioned effects of Halo's, Ghosting and how Light effects the eyes. I am not overly confident that these things can be overcome although obviously I hope that they can.

Regards
Phil

[philwalfc]

Thanks for the reply Doc. After my visit back down in London to see my surgeon, I have been informed that the thickness of my Macular is satisfactory now and that I will not need the injections. Although the Cystoid Macular Oedema has gone, I am still left with the same problems of Halo's, Ghosting, lights reflecting in my eyes and poor distance vision at night. I must say reading vision has improved tremendously, although not so good in low light conditions.

I was told that I will be given a computer software program that I can use at home, that will in effect, hopefully train my brain not to see the problems talked about. I don't know if anyone has tried this approach, I would be interested to hear off anyone who has tried this or has any knowledge of this.

If this does not solve the problem, then it looks like I will be having the Lentis Mplus Lenses removed and changed to a different type of lense. This will probably be done in the next two months. Is that operation difficult? Also I am worried about losing the excellent reading vision I now have.

It is four and a half months since my first implant, I was wondering if I am being a bit hasty talking about exchanging the lenses? Should I wait longer to see if things improve?  One consideration I have to make is that I need good night vision because I am a professional driver and do quite a bit of night driving.

In answer to your question about cost, well the cost of my two Lense implants was £3200. That covers everything from initial consultation through to any aftercare needed. Hope that helps you.

Thanks for looking at my post and replying

Regards
Phil

[shindi441]

A typical patient would pay £500 per lens plus the cost of surgery as these lenses are not available on NHS. I was very hesitant about accepting any multifocal IOLs and did mention this forum to my opthalmologist and the disappointment suffered by so many users of such IOLs. He said that the Lentis MPlus is essentially a bifocal lens ( without the concentric rings of other  IOLs) with a seamless transistion from distance to near vision. Because of this there is much more reduced occurance of aberrations and hence the 'light effects'. So far I have NOT seen this to be true. At this stage I am not recommending this lens to anybody. I am in search of glasses that will help shrink the halos, starbursts, etc. Please help.

[Michael J Kutryb, MD]

The lens sounds very similar to the restor or rezoom that are used in the us. if you want to hear other's experiences use the search feature on this site with keywork rezoom  or restor.  You are experiencing halos and glare that are common especially at night.  My main hesitation is that there is not way to "try out" these lenses and some patients are very unhappy.If you can please post what a typical patient would pay for this surgery in your area I am quite curious.

[shindi441]

I too had both my eyes done (2 days apart)-30th June and Ist July 2010. My vision has very good for all distances from the beginning ONLY IN GOOD NATURAL DAY LIGHT; gets very hazy in the evening and is a nightmare with the light effects in the dark-just as you have described. I have been plagued with dry eyes and inflammationan to this day  for which I had to extend use of steroid drops after the surgery and am using preservative free artificial tears all the time.Temporary punctal plugs helped only a little. Have started taking flax seed oil and evening primrose oil- tips picked from this forum and ' dry eye zone'. Six weeks ago I developed floaters but thank God they are not so bothersome now.I went straight to the surgeon and he said my eyes were fine. As far as the light effects he attributed them partially to the highly viscous nature of the drops ( the small particles in the suspension scatter light) causing blurriness  and partially to the tiny lumps and bumps due to inflammation on the unhealed corneal surface giving further rise to scattering of light rays in all directions. I am just hoping that all or most of this will resolve when my eyes are fully recovered from surgery and dry eye condition. I am still wearing my dark goggles as I use the computer now but my level of glare tolerance is getting better albeit slowly. Yes I too am bothered by the halos and star bursts etc and so far glasses prescription have not managed to shift them. I will give more time before going for another prescription. I will definitely NOT have another surgery if I can help it.