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Symfony IOL resuls

Surgery on my right eye was yesterday. Vision was blurry for about 6 hours and then cleared. But movement was very disorienting. It is less disorienting today. The vision in the eye is very good for everything except for very close. I had a hard time pitting my eye drops in, but am slowly adjusting.

My contact lenses prescription was -10 and -11, so this is amazing for me. I can't wait for the second eye which is scheduled for April 13.  The anatomy of my eye is very long and narrow so the surgeon is cautiously optimistic about the results. But it is looking good so far.
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My surgeon is thrilled at the results.  I just wonder if I would have been better off not tring to correct the astigmatism. I am happy with the results on my right eye.

After another week, the blurring is not giving me as much trouble even though it hasn't improved.  But at least I don't have to wear an eye patch while reading.  the super sensitivity to light is still periodic though. It is really strange to have to pull out my sunglasses indoors on occasion.
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Aside from the reports I've posted elsewhere on studies, this Australian publication gives an example of the sort of reactions I got from doctors while trying to figure out whether to use the Symfony:


https://www.mivision.com.au/iols-for-cataracts-provide-continuous-vision-range/
"“I read the results (from previous implants) and discussed the lens with colleagues overseas before taking this on. The lens was extremely interesting. I was excited to see if it performed as I thought it would, and it definitely does,” said Dr. Collie

Having implanted more than 50 lenses over four months, he said the Tecnis Symfony was almost at the point of being his default lens. “The Symfony benefits from a seamless transition between distance and near so you don’t have to be in a particular spot to get great vision,” said Dr. Collie." "
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re: "but from your posts, I'm wondering if it's better to stay with my monovision "
'
Mfhmark's results seem very puzzling, oddly it appears it is the monovision-like difference between her eyes that she seems to be attributing some of her difficulties to even though it appears small, and so she might have had even more trouble with a typical amount of monovision. Her issues seem partly based it seems on other issues perhaps like swelling, PCO, and lens rotation or some other factor. Until the other oddities are addressed, I'm suspecting the issues aren't due to the particular lens she chose rather than glitches with the surgery or her visual system that may have impacted any choice of lenses.

Unfortunately an IOL isn't the same as a natural lens, even with a monofocal lens odd issues can arise, or people can struggle a bit to adapt and would have struggled with any lens. It is always possible there are some issues that hadn't shown up in the studies, e.g. one poster on Medhelp discovered when she tried to find a surgeon  that the Synchrony lens had many negative comments from doctors (and is no longer available), though she risked it anyway. In my case I  when I was hunting for a doctor outside the US to get my surgery, I contacted a few who had been using the Symfony and they all had good impressions of it as did a US doc who'd been involved in the study and others US docs who had heard from colleagues abroad who I'd asked about going overseas.
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re: "So now I find out that the Toric lens is good for near and far but not intermediate. "

Your results are rather puzzling. Did you get a different toric lens then and not the Symfony? That description seems more like a multifocal since the shape of the defocus curve should suggest that intermediate should be better than near. Though those results are close enough I'd assume the variation  may be within testing error. The 20/25 at intermediate is a decent result. It doesn't seem like  the blurring at all distances could be too much with those sorts of results. Did they do a binocular test of acuity to see if the results differ from the test with each eye separately which would then match your concerns about blurring due to the eyes being different?  I don't know if you have some residual astigmatism, or if its something to do with the PCO you mentioned, or this issue of "packed in a denser gel", which isn't a standard part of cataract surgery.  

You don't give the actual refractions which would help to assess how different the vision in the eyes are since  20/30 for distance in the right eye isn't bad, and but both eyes are still 20/20 for near, so it seems like only a small bit of monovision which most people adapt to (it could be the near is at different distances if you held a reading card differently). Your measurements suggest that at most distances there shouldn't be much difference between the eyes, and   your need for patching one eye to read despite 20/20 near is rather puzzling.  I haven't read anything that I can recall suggesting a cause for these odd issues, I  don't know if your various other comments related to swelling, PCO and gel may have something to do with it, or if you have some other eye issue which somehow doesn't reduce acuity but impacts merging (e.g. I wonder if its even possible your eyes weren't really merging before surgery for some reason but you weren't aware of it)
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Avatar universal
I had a very mature right cataract removed on Monday the dr. said it was really solid. Today my sight is 20/50 but for me after seeing nothing but a white cloud for 5 yrs I' super thrilled to be seeing period.
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Hi -- Thank you for sharing your experiences. I'm also high myope (-9, -12) and need cataract surgery. The symfony iol has been discussed as an option but from your posts, I'm wondering if it's better to stay with my monovision contact lens situation after cataract surgery, given your feedback and that you need further procedures to correct your vision with the symfony iols. Also, if you don't mid, can you tell how much each eye and iol cost? Thanks.
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