removal of multi focal lense implants

[wannafocus]

I'm post cataract surgery 6 months..w/restor multi focal lense....having large halos and GHOST IMAGES.  
being a portrait painter and other art work, clearity  of lines are very important to me.  Two "second opinions" say that one of the lenses is off center causing the ghosting. I was'nt told this originally.  I returned to the original surgeon who suggests replacing the lens with a mono focal lense in that one eye for distance and glasses for close up vision.  Dr. what is your view on having the two different type lenses/  I thought it would be necessary to have the same type lenses in both eyes.  would it be better to have both in mono focal?  Your view on this please.

[John C Hagan III, MD, FACS, FAAO]

The posting by Jodie J  is what I would do also.
JCH MD

[JodieJ]

You say that your doctor is suggesting that you explant the off-center Restor and replace it with a monofocal lens, leave the ReStor in the other eye, and then wear glasses for near vision.  Apparently, your (allegedly centered) ReStor is not providing much in the way of near vision.  Hmm...  I'm not an eye care professional, but here's what I'd do in your situation.  I'd get the best, most experienced surgeon in town to explant the off-center ReStor and replace it with an aspheric monofocal lens set for distance.  Then I'd take some time to evaluate my new vision.  Depending on the results of my assessment, I'd either leave things as is or explant the second ReStor.

[John C Hagan III, MD, FACS, FAAO]

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[porcelon]

I am 69 years old.  I do a lot of reading and close-up work, as well as mid-range but do not see those ranges now as well as I did before the cataract surgery and the implants. Eye problems differ in so many ways and so treatment also differ.  continue to research and consult your doctor.

[John C Hagan III, MD, FACS, FAAO]

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[confusedinva]

Wannafocus, Could you please let me know roughly how old you are.I am 61 and have deveoped a posterior cataract in the last 18 months. I started wearing glasses for trouble woth distance vision in my right eye when reading numbers and road signs from a distance. In my mid fifties I started to need glasses for reading at about _1. I currently need reading glasses at _1.75 and am legally blind in my right eye due to the cataract. I have a small cataract in my left eye which they say will progress fairly quickly. I am going crazy trying to decide in type of IOL and the fact that my insurance does not pay for the multifocal. I was set to pay the difference between the monofocal lens and the multifocal when my insurnace said I had to use their ophthamologists thought their ophthamologists do not do the multifocal inoplants.Anyhow that is a money question and my main question is still what type. Should I get a multifocal for my bad right eye to start and then perhaps a moonofocal for the not so bad left eye. Or perhaps get monofocals for each eye- one for far and one for near. I am worried about the halo side effects of the multifocals.
Confused in Va.

[John C Hagan III, MD, FACS, FAAO]

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[JodieJ]

It's great to read success stories like yours.  I hope that you continue to enjoy your excellent vision for many years.  Unfortunately, I don't think that everyone who gets ReStors has an equally good outcome, even when the lenses are correctly centered.  From what I've read, such factors as pupil size (smaller is better) and the absence of even mild astigmatism can make a big difference.  It's also reported in the professional literature that a small percentage of people (actually, up to 10%) are never able to neuroadapt to "multifocal" vision.  

[jbarcelona4]

I have recently had restore lens placed in both eyes.  I am completely satisified with the results.  I can see 20/20 distance and read small print.  I am working on the computer now and not using glasses.  I feel that I am independent of glasses.  It seems to me that your problem is with the placement of the lens and not the lens itself.  I'm not a Dr., but thing it would be different if the lens was in the proper position.
Joe

[laceypanda]

I had blurring (sometimes called"Vaseline Vision" with the first Restor lens I had implanted for cataracts in my left eye. The right eye has no problems. I had this lens explanted and replaced with an aspheric mono lens. It has not helped the blur problem ,however,with driving glasses and over the counter #2.50 magnifiers I have good results both distance and closeup. I do very fine embroidery and bobbin lace and much reading.