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Avatar universal

Neuroadaptation after multifocal iol implantation

Dear Doctors,
In 2011 I had a PRK to eliminate my hyperomy and it din't succeed well.
In 2012 was redone and got some monovision but using cortisone after few months gave me cataract.
The Cataract was done in Italy 2 weeks ago on June 29th the first eye and because I live in another Country I had to do the second eye on July 1st (12 days ago).

Before the surgery a lot of exams have been done using the latest computerized bio scan, OCT, etc. etc. at least 10 different tests and all showed that my eyes are healthy.
Among the exams the surgeon used also the results of the previous maps done for PRK and as well a new map of my eyes.

The iol they put me is the PhysIOL Finevision Trifocal - MicroF +19.0D  +3.5D

I was advised that it takes time for the brain to adapt and I could not see a clear vision for close right away.

However, since day one I was able to see perfectly well for close, I could and can see clearly a J1.
The distance for the best focus to read close it is 20 cm. and the intermediate focus at about 45-50 cm.

The problem occurs with the far vision. Everything is blurred after two meters and despite two weeks have gone, I cannot still even drive my car safely. When I see around my room I see all fuzzy and a lot of light entering the eye as if I'm looking to an old movie. Only if I put things close I can see well.

I'm concerned if I got over corrected or if it is still in the normality to have neuroadaptation problems with these lenses.

I would like to ask your opinion and if in your experience, normally patients that wear iol premium see always well far FIRST and only later close, or if there are cases of people like me that see perfectly close first and after some time could see well also far.

I'm not looking for perfection, but at least to be able to drive safely without glasses. Do I still have chances?

Could a trifocal jewel of technology have been so badly miscalculated?
Thanks for your consult.
Roberto Bianchi
4 Responses
2078052 tn?1331936700
Lens calculations after previous corneal refractive surgery are difficult and less accurate.  It is possible that you are over-corrected (myopic or nearsighted), which would explain why your near vision is so much better than your distance vision.  Since it is so early in the post-operative period, I would wait a bit longer to se if the distance vision improves.  Your doctor should be able to refract you now to see what the distance prescription is, and give you a temporary pair of glasses for driving.  If the distance vision does not improve, you would need to wear a pair of glasses for driving.
Avatar universal
Thank you so much for your prompt answer. I understand your point and I hope that something will change in the coming weeks.
I would kindly ask you still, do you have cases of people who put IOL Premium and like me could not see well FAR at the beginning and then improved, or usually all patients see better FAR after the cataract and later is the closer vision that improves?
Avatar universal
A related discussion, multifocal lens -distance problem was started.
Avatar universal
A related discussion, SYMFONY LENS was started.
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