Rezoom revisted

[Highsound]

I'm back with an update and question. Brief history. Rezoom inserted in right nondominate eye 2/28 and Crystalens removed from same because of scar tissue displacement which was not corrected by Yag laser capsulotomy in Oct. Left eye is 20/20 with very small stable cataract.
Lens was put in cilliary sulcus. First week results were great with 20/20 far and J3 close and no visual aberrations. Lens started decentering resulting in more prominate ghosts and halos as it got worse. Doctor said he would fix it in place with a stitch and I would get back initial great visual results.
3/6 IOL was repositioned and McCannel suture done to fix to iris.
Initial results were poor with bad ghosts and halos which blurred vision close and far day and night. Over 2mths, vision improved where outdoor in bright light it's excellent but ghosts indoors remain,very bad under flourescents. my brain was freaking out. Doctor said eliminating -.75 in 105 axis astigmatism would make everything much better. Prescripted glasses to help simulate correction. Planned AK in June at 90+ days out. Glasses sharpen images so ghosts and halos are not as disturbing, but do not eliminate them. Close and intermediate no change. I only have sweet spot at 8in. without ghosts.Went to another doc for 2nd opinion. He said lens was centered but slightly tilted and thought it could be causing my problem. Didn't say what to do about it.
Looking for input whether I should ask for another op to attempt tilt removal or try to live with it. Multifocal lens placement seems critical to be success.Guess I fall in the 5% group.

[philz]

I was (yes was) a high myope (-10.5 diopters)64 year old who had the ReZoom IOL's installed in both eyes in February.  I was told by my doctor that these lenses worked better when both eyes have them, and that is what has happened with me.  While distance vision is in the 20/30 category, it is fine for tennis. I see my computer screen 18 inches away perfectly and read without glasses all the time as long as the light is not very dim (e.g., reading a menu at a very low light restaurant table.)  I even see small print on labels fine.  Any blurriness that I have reading with only one eye goes away when I use both eyes, which supports my doctor's statement that ReZoom works better when in both eyes.  I have noticed ghosting (from my dominant right eye, it seems) when looking at the distant scoreboard at Yankee Stadium, but not in normal vision.

Each eye is different, which gives me a monovision effect that seems to work out well when I use both eyes.  I do feel that my left eye may be getting some of that scarring that is removed by laser, as I think I do not see as well out of it with my right eye closed as I used to.  But maybe I am picky.  I will check this out in Sept., 7 months after surgery, at a follow-up visit.

My night vision and driving is fine now, although I never had a bad halo or glare issue even shortly after surgery.  I do not notice anything, although there are small halos around traffic lights as there were before.  Hardly a problem, though.

If I sound like an advocate for ReZoom, I am.  The only bothersome issue I have is seeing clearly on TV from say 9-10 feet away the numbers in the small upper left box showing the score and count of the baseball game.  Reading the scroll below and other text is no problem, and I usually can read tese numbers anyway, just not sharply.  I found that a minor reading glass of +0.5 made it perfectly clear, but it is not bad enough that I remember to use these glasses.  

After reading this, I expect you will think I am a satisfied customer - you are right. My only caution is not to assume that all doctors are the same.  Experience at choosing the lens type and power matters a lot with these lenses, especially for high myopes.  I went with a doctor in New Jersey who exclusively does cataract surgery and who was and is an early clinical trial person, and I have been rewarded for it.

[ICanSee]

Here are the results of my 1-month visit. My distance was 20/30 on day 1 and 20/25 on 1 week. At 1-month distance was 20/60. Near went from about 20/30 to 20/40. I don't have the right medical terminology but the gist is that my Dr. thinks there is thickening (of the sac I think) as a result of the normal healing process. I'm going to be checked again in a month to see if it is worsening or staying the same. At that point we'll decided whether to fix it with the laser or not. I also found out my astigmatism is a 4 in this eye, which the Dr. thinks accounts for some of the blurriness in my vision. With glasses I could be corrected to a very crystal clear 20/20. When I asked about the refraction I was told 60. I was also told the astigmatism actually makes my reading better. Unlike some of the other writers, I read best in bright light. I see the best outside in bright light. Reading something on white paper outside in the sun is great I can also read in dimmer light OK too. When I asked about my problems with distance in the darkness I was told it has to do with the different circles inside the rezoom lens. I asked if my pupil size was relevant and was told they are in the normal range. I have put off doing my right eye for a while until I resolve this left one. I was told the right eye has a refraction of 800 with an astigmatism of 1. He said that my near/intermediate vision is definitely better than distance in the left and he would recommend making the eyes off a few steps to get the right a little better with distance. He said the eyes could still work together. Any comments or feedback? Thanks

[nugget616]

It is my understanding and I stand to be corrected that your vision will stay the same this is a man made lense that will not change as far as the vision in it--of course there's the rare chance of anything, but the only thing I've been told that I may have to have some laser (Yag) done for scar tissue other than that these are now my new eyes--I also thought it was too good to be true to be able to see--the day after my first eye was done I kept covering the old eye and using my new one to see things I haven't seen for Years even with contacts--everything was so bright and clear I was like a little kid--now I went right back to work--(don't if you can help it) using the computer was terrible--like my doctor said I had one eye trying to do the job of two--(it will try your patience and wear you out) anyway after the second one it was Amazing (of course I'm still trying to deal with this light issue with computers etc)--you're on the right track asking question from people that have actually HAD the surgery this web site helped me alot it's one thing to read about this and all together another to talk to someone that is going through (remember all eyes are different and so are doctors) Hope this helps

[Eyes416]

Many thanks for taking the time to post your feedback - it is so very helpful. You are right, I have had nothing done yet and I am embarrassed to admit that prior to my visit to Surgeon this week to schedule cataract surgery I didn't know vision correction was part of the deal.. I just thought I would be back to 'normal' which is myopic, presbyopic and with astigmatism. The idea of seeing (anything!) without glasses or contacs after 40 years seems too good to be true. I am looking for the 'catch'. The idea of halos doesn't bother me (I have that now with the cataracts - ha ha). I should probably book another appointment with the surgeon (or someone) to ask all my questions..For example, my prescription for the myopia and/or presbyopia changes slightly every few years, so I get new glasses. I wonder what happens now with IOLs ? I presume I will ultimately have to get glasses again, once my vision degrades...this doesn't seem to be discussed anywhere that I can find...I am not too concerned with immediate post-op experience, more with the long term.. I expect to have these things for 30+ years...

[nugget616]

Reading outside is only bad IF you're looking at white paper with the sun really bright--we have concrete out back so white paper--white concrete and bright sun is Bright---but sunglasses do seem to help a little (I just tried it for you) also if you move to the shade it helps--with ReZoom lenses you don't need as much light to see--I have a friend that got ReStor lenses and he needs more light than I do--as far as reading books doing office paper work my vision is great no problems--the only reason I'm trying the glasses is the computer scroll back and read above what I posted--I think when I get my glasses done with JUST the anti-reflective glass I going to do much better with this ghosting and the halos when driving---the Rezoom eyes do not become messed up to where nothing can correct them BUT
I've heard people that are doing even better than me---I take it you've had nothing done yet---if that't the case I can tell you what I experienced after my first eye if you'd like to know--I really think if you have a good doctor you will be well please with this lense--OH yes as far as driving with the sun it's no problem in fact I see further without sun glasses where before I had the cataracts removed I could NOT drive without them I'd get a terrible headache--not now---but nighttime is quite different---the halos--it's different--but you may not experience them

[nugget616]

I can only tell you from my experience with ReZoom--I have NO problem reading in fact I don't need really bright light when I'm reading in bed at night I have to actually use dimmer light where before I have to get a really bright light--now if I go outside in the Sun and try to read something on a white sheet of paper you can forget it---way too bright--Rezoom gives me really sharp vision at a distance and outside, I wouldn't need these low strength glasses execpt for work--the lights I work under and the lights from the computer still have this ghosting effect and I need room to spread out my work so the distance is
a little problem if I get about 15-17 inches from the monitor it's pretty good but I need room if I back away it's clear w/ghosting --- You probably won't even need to go there everybody is different if you're doing good with one ReZoom you'll probably be really happy with another one--but I'm not a doctor-I had been in multifocal contacts for years and I see better now than I ever did with them.  Good luck (I also had an
astigmatism)