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Eye Care Archive (Expert Forum)
One Rezoom, One Traditional IOL
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
One Rezoom, One Traditional IOL
by mk57, Sep 14, 2006 12:00AM
Had a Rezoom implant right eye on 6/27. Planned to have Rezoom in left eye also. Distance vision is good, 20/25, with bright natural light I can read very well, even small print. Basically get along without reading glasses except early morning or in very low-light situations. Problem is, at night, there is a definite problem with ghosting, particularly while watching TV when there is dark background, and of course the light show when driving. Am now functioning very well with a distance contact in the left eye. However, can't keep the contact in 24/7, my eye gets very tired, so at night when I take the contact out there's a definite problem. Wanted new glasses, but doctor said it wouldn't work because of the prescription necessary to correct vision in my left eye. Scheduled to have the left eye done soon. Dr. won't put in Rezoom because of the continuing problems with the first. Will have traditional IOL, although he says this usually doesn't work well. My question, since I'm doing fine with a distance contact and a Rezoom now, why shouldn't one of each work?
Doctor's Answer
by Forum-OD-MP, Sep 14, 2006 12:00AM
rezoom works much better when both eyes are corrected. so if you get a traditional IOL you'll always have the same problems you have now. having another rezoom may (or may not) fix some of those symptoms.
The only disappointment I had remaining was the night aberrations that I was told would lessen with the second Rezoom implant. In fact, I was told repeatedly that Rezoom was made for bilateral implants and best vision is obtained when both eyes have the implants.
So, I am now in the same situation as the poster.
I was told by my doctor, in my recent visit, that a monofocal lens would be the way to go with my Rezoom, because my remaining cataract eye has so much astigmatism. He said that I would require eye surgery before the implant, months to heal, and possible distorted vision. Yikes. This would scare anyone off. And these are the same eyes I had when I first walked into the office. Quite frankly I am really angry. If this was the situation, I should have been told of this before the first surgery, yet it was never mentioned. I would have never agreed to having one multifocal implant and one monofocal. Now I am left with the delema of having two different systems in my eye, which from everywhere I read, does not work, or risk a explant which is risky. Any suggestions would be greatly appreciated as I am really stunned by my last visit, after hearing for almost 7 months, my vison would only get better with the second Rezoom.
K-D
I can only come to one conclusion, as to why the second Rezoom changed to, "better to have a monofocal with your astigmatism". I was in a comparison program comparing the different lenses. Generally the informaton is completed now. All surgeries left, have to be done before the 29th. No longer an incentive to do the Rezoom at the discount rate, especially if it will require tune up. I hate to believe this. But it is the only answer that makes any sense to me, after hearing since Feb, that, "after the second Rezoom implant, your vision will be even better because Rezoom is made for bilateral implants". I did not go to the office to have a multifocal lens. I had no idea that they even existed. Now I am sure left in a mess, because I do not want two different systems in my eye, and a good job was done to scare me against having another Rezoom implant due to my astigmatism. I am more than angry. I feel like I was used!
K-D