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Eye Care Archive (Expert Forum)
Rezoom and ghosting problems?
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Rezoom and ghosting problems?
by JustWant2See, Jan 14, 2007 12:00AM
Had a ReZoom lens implanted in one eye in May. About 8 weeks later had YAG treatment for early PCO. Since then I am happy with very good (J1) near vision, but unhappy with poor far vision (20/40). Also experience ghosting, not too bad indoors, but bad outdoors in higher contrast light or at distance.
Dr. at first thought ghosting was due to slightly off-center IOL. On last visit, lens had mostly re-centered itself (undilated exam), and he thought ghosting was now due to a) residual astigmatism, b) still slightly off-center lens, or c) just the way multi-focal lenses work. He gave me a Rx for a lens for my glasses to correct vision/astigmatism (-.75+0.75x180). Lens barely had any effect on ghosting, but helped improve far vision to 20/30.
At night I have significant glare/halo problems, and halos are not centered on light source, but off to one side. I think if they were symmetrical around the light they would be much easier to tolerate. I think my vision would be much better if there were no ghosting. Reading signs is difficult because ghosted image from one letter overlies “real” image of adjacent letter.
Questions: What else can cause ghosting? Will it go away with time? Should ReZoom be able to give me ghost free vision? Would ReZoom in other eye help fix problem? Can lens be re-centered? Is poor far vision due to incorrect prescription? Suggestions?
I still need my other eye done. If ghosting turned out this bad in 2nd eye, I don’t know if I could drive at night.
Can anyone else comment on their problems with ghosting and ReZoom? Did they resolve with time?
Dr. at first thought ghosting was due to slightly off-center IOL. On last visit, lens had mostly re-centered itself (undilated exam), and he thought ghosting was now due to a) residual astigmatism, b) still slightly off-center lens, or c) just the way multi-focal lenses work. He gave me a Rx for a lens for my glasses to correct vision/astigmatism (-.75+0.75x180). Lens barely had any effect on ghosting, but helped improve far vision to 20/30.
At night I have significant glare/halo problems, and halos are not centered on light source, but off to one side. I think if they were symmetrical around the light they would be much easier to tolerate. I think my vision would be much better if there were no ghosting. Reading signs is difficult because ghosted image from one letter overlies “real” image of adjacent letter.
Questions: What else can cause ghosting? Will it go away with time? Should ReZoom be able to give me ghost free vision? Would ReZoom in other eye help fix problem? Can lens be re-centered? Is poor far vision due to incorrect prescription? Suggestions?
I still need my other eye done. If ghosting turned out this bad in 2nd eye, I don’t know if I could drive at night.
Can anyone else comment on their problems with ghosting and ReZoom? Did they resolve with time?
Doctor's Answer
by Forum-OD-MP, Jan 15, 2007 12:00AM
ghosting is one of the well known and much reported risks/side effects of multifocal implants. no, rezoom in other eye would likely not help IMO. many, many people here with this same problem. not really a great solution for your problem.
I do know that my halo were perfectly centered around any light source. Sounds like yours lens is not centered. I would not have the other eye done without getting a second opinion.
My advise, if you don't see a change in the first couple of months, more than likely you won't. I have seen way too many postings in other sites to support my beliefs. Now you are beginning to see the Rezoom veterans (6 months and up) and no real changes, just the same problems and promises. Wait until you get the second Rezoom in. You'll be back in halo city. Any doctors in Georgia that are capable of removing these lenses?
If there is a class action suit, please count me in. This product is overrated and now we are paying with miserable vision.
My doctor doesn't know what to do next since he feels that the lenses were implanted correctly - very little astigmatism, if any, and well centered. I have no dry eye and no PCO. The local Rezoom representative is also at a loss. He states that halos and glare is possible, but nothing about ghosting. The rep is also puzzled by the results.
What should I do next? Is this condition permanent? Has anyone resolved this problem? I did not expect my vision to be like this. The Rezoom lens rep made it sound like I was the only person with this problem. I was very surprised to see so many postings on this forum. Any help/advice would be very much appreciated.
Hud - your explanation of how the optics work seem too complex for me to understand. I know from other postings in the forum that people with Restor lenses also have similar problems. Without debating which lens is better, is it possible to adapt to these unwanted images? Is the brain capable of ignoring this phenomenon? To your knowledge, has anyone (Rezoom or Restor patients) been able to see an improvement over time? Is ghosting a permanent problem? Thanks.
"ghosting is a phenomenom, I believe, from not enough power difference in the add in the optic"
i just dont thinkt ats true. thats like saying the majority of overweight Americans are that way b/c they eat too many twinkies. when in reality there's like 1500 factors involved with each individual weight problem, not just "twinkies".
ghosting can be caused by at least 10 different factors that i can think of off the top of my head.
I have. It has been in since July 2005.
I am almost totally night blind in that eye and have been
since the time of the operation.
I had it implanted because of a cataract.
I told the doctor about it 4weeks after the surgery, and he
insisted that he had "never had this problem with crystalens before".
I was given pilocarpine to diminish the halos and minimize the
ghosts. In 30-45 days of constant usage of pilo, per his instructions, my retina
disconnected in April 2006. In July 2006, it disconnected two
more times(two weeks apart).
I am now 50% blind in that eye and am angry that I was never
told that pilo could "disconnect my retina".
This is the quote from the surgeon that has had to reattach
my retina three times, and says that I do not have a chance
for a fourth time.
I think a product action suit is now in order in my reading
of all the same problems that patients are having from these
lenses.
It is the same set of problems throughout these chat rooms, and
it seems to me that if all of the information was put together,
then the FDA might want to check up on what they have allowed
the American people to be subjected to without proper
warnings from the docs.
I still have to have a cataract removed and an implant in
the other eye, with the luck that I have been having so
far, I am not sure if I will be seeing with either eye in
6-8months!
Is there help out there?
Jeepman (angry)
I am confused.
I am reading these rezoom lenses problems as if they
were the problems that I have had with the crystalens.
I know that this product has been defective since the
day that it was placed in my eye in July 2005.
The doc gave me drops a few months later to get rid of the
ghosts and the halos, because he had never seen any problem
like mine with crystalens.
The drops made my retina detach, per the second surgeon that
has put my retina back together for three times(once in April, and twice in July 2006).
My vision is only 50% and blurred in the daytime.
It is 10% to gone at night.
I am trying to initiate a med mal practice suit against the
doc that gave me the drops, because I was never told that
they can cause retinal detachment or I would have stayed status
quo.
I am also looking into a product liability suit against the
crystalens company and the drops mfg.
Not trying to hide the fact about these actions. especially
when I am now reading about the tremendous amount of people
that are affected by the same vision problems everywhere.
Hope all heals well for you.
Jeepman