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Negative Dysphotopsia with Crystalens HD

Negative Dysphotopsia with Crystalens HD

I had IOL HD500 implant on 24th of March of my left eye. It appeared to be successful, but no I see a very disturbing arch on the left side (dark shadow towards the ear). I contacted my Dr. , he took notes of my complaints, but did not find anything unusual. I contacted Bausch & Lomb. According to them they have never heard about this phenomenon. Controversy to other reports, the dark arch disappears when the pupil is diluted.

I get my right eye don e tomorrow (same lens with same specification). I am now afraid that the same may occure with my right eye.

What are my options?
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Avatar universal
Had Crystalens on both eyes Surgeon incorrectly determined dominant eye on first surgery. Have pronounced arches on both eyes that flex when focusing on near text in excellent light. Dr wants to do YAG thinking tat will help my lack of reading in  good indoor light. He said that a white halo had appeared behind the first lens within the first week post-op. Who should I contact for an unbiased second opinion?
Helpful - 0
Avatar universal
The Crystalens® advantage
Unlike standard cataract replacement lenses, Crystalens lenses correct your cataracts and give you back your full range of vision. They flex like your eye's natural lens, allowing you to see better at all distances.

Right off of crystalens .com
Helpful - 0
Avatar universal
I am very frustrated by the lack of solid normal operating parameters with these lenses.
The dark ark remains in daylight. My vision is not stellar at any range. but is ok from 2ft to 20 ft. Will it get better?  Don't know numbers because wasn't told, distance is terrible. When doctor puts that glases machine on me my vision is great at distance. Now what ?
This is not what I expected. He says some people see edge glare. Is that the dark ark ? Why some people and not others? One guy on here has 2 crystalenses, one with ark and one without. ????  My doc is a real nice guy and he really wants to resolve the issue. He wants to relocate the lense on a different angle. I told him ok, he is setting up surgery.

I feel that B&L gave these doctors the lenses and said here you go. I read all these forums and have never heard of anyone contacted by B&L. I agree that only a small percentage of us have issues but by now you would think they would have the answers. Not one individual doctor who does a limited number of implants. Are they afraid Im going to get pissed ? Im not pissed at the problem, I am pissed at the "try these drops to constrict pupil" or Im not quite sure what the prob is?
Stick my eye up to some kind of machine and find the prob and fix it. Or tell my doc how to fix it. Or just talk me through it over the phone (I am pretty good with a knife). It shouldnt be such a big deal. Doc has better things to do than listen to me whine and I have better things to do than go to the doctors office and whine.
Helpful - 0
Avatar universal
Hi Alaskanet ,

I don’t think B&L are dishonest; I am not an expert, just a patient as you are. My symptoms are still there (in both eyes now) as from the day they appeared (after the dilation subsided). And I have not heard that it disappears over time.

I believe it is not a Crystalens specific phenomenon. Statistics show (when patients are ask) that about 17% have some sort of negative or positive dysphotopsia. However, B&L may have hoped that their new lenses are less affected after increasing the size of the lens to 5mm and changing to square edges (I still believe the lenses are simply too small for some people – like us).

I am still quite positive about the outcome so far (besides the Dysphotopsia). The lenses seem to accommodate, I can see from 30cm to infinity quiet well. The overall vision acuity (20/32) is not as good as it was before cataracts developed (20/20), but I am OK with that.

In terms of statistics, you need to be aware that only few people in our age group use the internet as actively as we do. Secondly, one can assume that people with no or little problems don’t report here (usually only people who look for help…).

I can understand that you are upset about the vision problems, but I think your Doctor need to address the problems and fix them.
Helpful - 0
Avatar universal
I recently had the HD500 crystalens placed in my left eye, I have an irritating dark shadow in the shape of an arch from a 6 oclock to 11 oclock position and a shinny reflection on the outside of the shadow. I was informed by the doctor / surgeon that this will go away within a month or so. This seems to obsruct or interfere with my peripheral vision on the ear side. Has anyone had this and had it go away? How long did it take? Does it actually go away or did you just get use to it.

I also had my right eye done last week with the same HD500 lens and it does not have the shadow, but another problem which is 20/80 vision. Everything is a complete blurr beyond 16 inches. What really upsets me the most is that I traveled 5000 miles and thousands of dollars and first come to find out just how dishonest  Bausch & Lomb appears to be. They claim all these great statistics and how their lens is so much more superior than all the others yet you can't get any answers out of the rep. The rep sat in on my postop visit. She was trying to get me to say I could read a close distance when I could not. Then with the problems with my right eye, my doctor tried to get the rep to come back and sit in on my visit and no rep showed. As it seems this is exactly how Bausch & Lomb falsify their statistics about their lenses. If they see that you are a problem, then they exclude you from their pool of statistics. In other words they only want to hear from the successful cases and not anything else.
If I were to do it again I would never deal with Bausch & Lomb because of the dishonest tactics and the fact that they have no answers when there is a problem. And as far as Bausch & Lomb not knowing anything about this problem and that problem and how they say they have never heard of it, I'll bet they tell everyone this same line. Just more dishonesty on the part of Bausch & Lomb.
My vision is far from the claims Bausch & Lomb makes. I used to have 20/20 vision and never had glasses, but had cataracts. Currently I have worse overall vision and
$ 7000 dollars less and I have to have a contact (helps) in one eye for at least. 3-4 months. NOT happy.
Any advise would be appreciated / Please reply.
Helpful - 0
Avatar universal
It appears that anything I put on the outer side appears to reduce or masks the symptoms.

I a report I found they say that if you ask, more than 17% report dark arches. Someone else described it seeing like this: (OO).
Helpful - 0

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