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A diary of a Finevion IOL implant
Before deciding on this procedure I had performed a vast amount of research and searched this forum for advice and views. As many post here with problems I have decided to write this diary from day one so others may understand how the progress is made, either good or bad. It is not designed to influence anyone's decision for or against this procedure. Please feel free to comment or add to the thread.
Male, 56 years, West Country of UK. Computer repair technician.
Lens exchange was performed on left (non Dom) eye on morning of Thursday 16th at Circle Bath by consultant Mr Jonathan Luck. A +21 diopter Finevision Micro F lens was implanted All went as planned with no complications.
Thursday evening apart from a 'bruised' feeling to the eye, there was, and had been, no pain at all all day. No vision testing was done.
Day 1, Fri 17th
Left lens removed from vari focal spectacles and specs worn all day.
First thoughts comparing eyes, the 'new' eye is noticeably lighter and brighter, with perhaps a little less colour contrast and a very slight increase in purple hues. Slight ache, but less than before and nothing really uncomfortable. Focus at 4 metres plus is clear with no ghosting. Reading a letter or newspaper (12 point) at 30cm was fairly comfortable if the overview a little small, but 30 cm is a little too close for holding a paper. At 80cm, computer distance, objects were clear enough with a very slight edge blur, but reading was not possible smaller than 18 point. Text on screen has a soft blurr edge. Night driving home in the dark presented no problems at all with halos from oncoming cars. Traffic lights have a circular pattern around the light but nothing distracting. Television at 3metres (42" screen) comfortable, with all intros menus and credits readable, if not sharp.
Thoughts for the day
Pleased with initial ability to see objects with this amount of clarity, text will have to improve at all distances to be considered a success.
Phil
Male, 56 years, West Country of UK. Computer repair technician.
Lens exchange was performed on left (non Dom) eye on morning of Thursday 16th at Circle Bath by consultant Mr Jonathan Luck. A +21 diopter Finevision Micro F lens was implanted All went as planned with no complications.
Thursday evening apart from a 'bruised' feeling to the eye, there was, and had been, no pain at all all day. No vision testing was done.
Day 1, Fri 17th
Left lens removed from vari focal spectacles and specs worn all day.
First thoughts comparing eyes, the 'new' eye is noticeably lighter and brighter, with perhaps a little less colour contrast and a very slight increase in purple hues. Slight ache, but less than before and nothing really uncomfortable. Focus at 4 metres plus is clear with no ghosting. Reading a letter or newspaper (12 point) at 30cm was fairly comfortable if the overview a little small, but 30 cm is a little too close for holding a paper. At 80cm, computer distance, objects were clear enough with a very slight edge blur, but reading was not possible smaller than 18 point. Text on screen has a soft blurr edge. Night driving home in the dark presented no problems at all with halos from oncoming cars. Traffic lights have a circular pattern around the light but nothing distracting. Television at 3metres (42" screen) comfortable, with all intros menus and credits readable, if not sharp.
Thoughts for the day
Pleased with initial ability to see objects with this amount of clarity, text will have to improve at all distances to be considered a success.
Phil
Very nice Phil. Please be RELIGIOUSLY serious in not missing to use your drops at the appointed time every day.
If you miss even once you risk to get your eyes too dry or an infection.
Also be careful with WIND. It's very bad after this surgery.
You will not ruin the results but might slower a lot the full healing.
I remember I kept using the tears until the end of the fourth month. After that I stop all kind of medication and now I'm fine.
For intermediate vision, I had the same situation as you after 4 weeks.
I was eager to get to see sharply my 40" TV but from 3 meters it was not sharp yet.
It became sharp at the 9th - 10th week, but it keeps getting sharper and after 7 months is so sharp that you wonder how could it improve so much when on week 10 it seemed already very fine.
Enjoy your vision and your day,
Roberto
If you miss even once you risk to get your eyes too dry or an infection.
Also be careful with WIND. It's very bad after this surgery.
You will not ruin the results but might slower a lot the full healing.
I remember I kept using the tears until the end of the fourth month. After that I stop all kind of medication and now I'm fine.
For intermediate vision, I had the same situation as you after 4 weeks.
I was eager to get to see sharply my 40" TV but from 3 meters it was not sharp yet.
It became sharp at the 9th - 10th week, but it keeps getting sharper and after 7 months is so sharp that you wonder how could it improve so much when on week 10 it seemed already very fine.
Enjoy your vision and your day,
Roberto
Weeks three and four respectively.
On waking, the eyes can take fifteen to twenty minutes to function properly. They feel a little 'tight' most mornings and extreme close focus is not possible. A shower and cup of tea and everything then starts to function as it should.
One month checkup at Circle Bath with the consultant surgeon Jonathan Luck.
Standard sight test gave a result of 6-4.5 or 20/15 at 6 metres. A result that I could not match with spectacles before. A very slight infection was noticed in both eyes, and whilst not a cause of concern, a further course of drops was prescribed.
Playing pool, I have played the best games for the last four years, not looking over the specs whilst playing is so good. General vision in all lighting conditions indoors is excellent, regardless of light levels. I am getting used to what I can and can't expect to be able to do. I have set up three static test areas at work so I can better judge improvements for the 5-15 metre range.
Near vision, no change, absolutely perfect, all detailed work with circuit boards easy, sometimes with a work light employed. A superb light is the Ikea Tertial at only £8.50. I have put three of these in the workshop. Reading at 35-40cm is excellent at 8 point and can easily read down to 3 point.
Intermediate, very little change in focus but an improvement in the overall clarity. Computer use is good at 80cm, but text at 12pt still has a slight blur, fortunately I know computers well and don't rely entirely on what I can read. I now run my monitor display setting at 110% and find this makes life more comfortable. The tendency is to lean into the screen and I am trying to pull back 20 cm to fully use the intermediate zone of the lens. All objects though in everyday situations are perfect with no edge blur through a wide focal depth of 0.5 to 5 metres. In a darkened room of an evening, illuminated by two wall up lighters, looking round, the furniture all has excellent definition.
Near distance, again little change in focus but an improvement in general clarity. Facial recognition at 7 to 15 metres is not particularly good as they appear very soft. Reading the large road signs is ok, street name signs are good from 8 metres, so room for improvement there. Driving still good. Light rings are less noticeable on the smaller lights and are prominent only on new traffic lights and cars with LED headlights.
Far focus. No issues, not pin sharp, but perfectly good, and not really concerned whether this distance improves, although I have been led to believe it will.
Seeing my life is mainly lived in the range 0.5 to 20 metres I can cope perfectly adequately as is, but believe there will be improvements in time. The benefit of not needing specs to do any of it, is a superb outcome already, although some areas could do with improvement. Mr Luck offered a tweak to the long focus at a future date if I wanted it, but I am really happy with progress at present and wouldn't even consider anything for 8 months. I believe the lenses will work perfectly, when I learn how to use them.
Will update in a couple of weeks.
On waking, the eyes can take fifteen to twenty minutes to function properly. They feel a little 'tight' most mornings and extreme close focus is not possible. A shower and cup of tea and everything then starts to function as it should.
One month checkup at Circle Bath with the consultant surgeon Jonathan Luck.
Standard sight test gave a result of 6-4.5 or 20/15 at 6 metres. A result that I could not match with spectacles before. A very slight infection was noticed in both eyes, and whilst not a cause of concern, a further course of drops was prescribed.
Playing pool, I have played the best games for the last four years, not looking over the specs whilst playing is so good. General vision in all lighting conditions indoors is excellent, regardless of light levels. I am getting used to what I can and can't expect to be able to do. I have set up three static test areas at work so I can better judge improvements for the 5-15 metre range.
Near vision, no change, absolutely perfect, all detailed work with circuit boards easy, sometimes with a work light employed. A superb light is the Ikea Tertial at only £8.50. I have put three of these in the workshop. Reading at 35-40cm is excellent at 8 point and can easily read down to 3 point.
Intermediate, very little change in focus but an improvement in the overall clarity. Computer use is good at 80cm, but text at 12pt still has a slight blur, fortunately I know computers well and don't rely entirely on what I can read. I now run my monitor display setting at 110% and find this makes life more comfortable. The tendency is to lean into the screen and I am trying to pull back 20 cm to fully use the intermediate zone of the lens. All objects though in everyday situations are perfect with no edge blur through a wide focal depth of 0.5 to 5 metres. In a darkened room of an evening, illuminated by two wall up lighters, looking round, the furniture all has excellent definition.
Near distance, again little change in focus but an improvement in general clarity. Facial recognition at 7 to 15 metres is not particularly good as they appear very soft. Reading the large road signs is ok, street name signs are good from 8 metres, so room for improvement there. Driving still good. Light rings are less noticeable on the smaller lights and are prominent only on new traffic lights and cars with LED headlights.
Far focus. No issues, not pin sharp, but perfectly good, and not really concerned whether this distance improves, although I have been led to believe it will.
Seeing my life is mainly lived in the range 0.5 to 20 metres I can cope perfectly adequately as is, but believe there will be improvements in time. The benefit of not needing specs to do any of it, is a superb outcome already, although some areas could do with improvement. Mr Luck offered a tweak to the long focus at a future date if I wanted it, but I am really happy with progress at present and wouldn't even consider anything for 8 months. I believe the lenses will work perfectly, when I learn how to use them.
Will update in a couple of weeks.
Hi Phil,
Nice to read your diary.
We communicate personally about those changes, so all in the normality.
Let me share these thoughts below with you and your friends.
Right now I am at 7 months and 10 days since the surgery with PhysIOL Finevision.
I'm 49 years old.
Before the cataract in August 2011 I had Laser PRK to correct Hyperomy (I had +1.75 in one eye and +2.25 in the other)
The surgery didn't succeed and in May 2012 had to be done a second time.
Second time was better BUT I got cataract because of the extensive use of Cortisone and Desametazone, so my vision was spoiled.
So at the end of June 2013 I did the cataract surgery using PhysIOL Finevision trifocal lenses. (The first eye was done on June 29th and the second on July 1st - done close because I did it in Italy and live in another Country)
My surgeon wanted to place the M-plus bifocal since he had more data on those (he placed them in over 2000 eyes) while when I asked for the Finevision he had done in only 7 eyes.
He said that the Finevision seemed better than the M-plus, giving better light in dark places and better intermediate vision due to the third ring but because of lack of data on long term results he wanted to wait before proposing it to his patients.
The same day that I had my surgery using the FINEVISION few other people had theirs done by the same surgeon but they all put M-plus.
At the first visit my vision was way better than all the other people. One had problem seeing close, one could read a J3.
I was the only one able to read perfectly and without effort a J1 for close (wonderful feeling for someone who had Hyperomy).
After 7 months this is the situation:
My vision for close is still perfect as day 1 (still J1 without efforts)
My vision for intermediate is superb (PC - TV - Phone etc.) and it surpasses my former vision with specs
My vision for far is almost as good as it was when I had Hyperomy and I could see sharp for far distances.
I test myself from time to time. I can read a car plate from 80 meters with effort, but it is sharp at 60 meters.
Overall, this surgery was a success beyond my best hopes.
The eyes are working perfectly and the brain is adapting in clearing all the data that is coming from three different rings.
The rings are visible only at night when I see a light over 100 meters away
(in the beginning almost every light
even small and close had rings).
I was told by my surgeon to give it more time and in another 6 months - 1 year also those last rings that I see at night from far should disappear.
For Vizard (who put the M-plus) I hope all went well for you.
Also the M-plus are very good but I did many researches before switching my decision from M-plus that was suggested by my surgeon to Finevision (that I insisted).
Today I'm very happy I insisted on Finevision.
I read in several tests results that while overall 90% are satisfied with M-plus, the ones satisfied with Finevision are above 96%.
Just for a reference, after my surgery results started to become more clear, my surgeon told me: QUOTE " this means that when it will be my time to do the cataract, I'm going to use these lenses" END QUOTE
Also his assistant said he wants these lenses instead of the M-plus.
Finally, Bauch + Lömb were so impressed by these lenses that they started to brand them as theirs and took several lenses of PhysIOL:
Here one of the articles on that:
http://www.prnewswire.com/news-releases/bausch--lomb-to-distribute-physiol-trifocal-diffractive-and-toric-intraocular-lenses-in-key-asian-european-and-middle-eastern-markets-205598121.html
Just write Bauch-Lömb Finevision on Google and you get more.
I think that says a lot.
This doesn't mean that M-plus is not good. For some people could fit even better than the Finevision
But with the Finevision I think for many is better.
You get about 7 % more light (that helps you to read even in the dark), you get a INTERMEDIATE vision for PC - TV and have more probability to have a "FINEVISION" :-)
Well that is my opinion and of course when all went well is normal to be happy. However every person and every eye is different, so listen to your doctor and trust him only.
Even me, I was happy when my surgeon agreed that the Finevision could in fact be better than M-plus for me, so we went ahead. If HE would have said "no, that lens is not good for you" I would have listened him and use the M-plus.
Well, I hope all who had surgery can be happy with whichever lens.
Have a nice day you all.
Nice to read your diary.
We communicate personally about those changes, so all in the normality.
Let me share these thoughts below with you and your friends.
Right now I am at 7 months and 10 days since the surgery with PhysIOL Finevision.
I'm 49 years old.
Before the cataract in August 2011 I had Laser PRK to correct Hyperomy (I had +1.75 in one eye and +2.25 in the other)
The surgery didn't succeed and in May 2012 had to be done a second time.
Second time was better BUT I got cataract because of the extensive use of Cortisone and Desametazone, so my vision was spoiled.
So at the end of June 2013 I did the cataract surgery using PhysIOL Finevision trifocal lenses. (The first eye was done on June 29th and the second on July 1st - done close because I did it in Italy and live in another Country)
My surgeon wanted to place the M-plus bifocal since he had more data on those (he placed them in over 2000 eyes) while when I asked for the Finevision he had done in only 7 eyes.
He said that the Finevision seemed better than the M-plus, giving better light in dark places and better intermediate vision due to the third ring but because of lack of data on long term results he wanted to wait before proposing it to his patients.
The same day that I had my surgery using the FINEVISION few other people had theirs done by the same surgeon but they all put M-plus.
At the first visit my vision was way better than all the other people. One had problem seeing close, one could read a J3.
I was the only one able to read perfectly and without effort a J1 for close (wonderful feeling for someone who had Hyperomy).
After 7 months this is the situation:
My vision for close is still perfect as day 1 (still J1 without efforts)
My vision for intermediate is superb (PC - TV - Phone etc.) and it surpasses my former vision with specs
My vision for far is almost as good as it was when I had Hyperomy and I could see sharp for far distances.
I test myself from time to time. I can read a car plate from 80 meters with effort, but it is sharp at 60 meters.
Overall, this surgery was a success beyond my best hopes.
The eyes are working perfectly and the brain is adapting in clearing all the data that is coming from three different rings.
The rings are visible only at night when I see a light over 100 meters away
(in the beginning almost every light
even small and close had rings).
I was told by my surgeon to give it more time and in another 6 months - 1 year also those last rings that I see at night from far should disappear.
For Vizard (who put the M-plus) I hope all went well for you.
Also the M-plus are very good but I did many researches before switching my decision from M-plus that was suggested by my surgeon to Finevision (that I insisted).
Today I'm very happy I insisted on Finevision.
I read in several tests results that while overall 90% are satisfied with M-plus, the ones satisfied with Finevision are above 96%.
Just for a reference, after my surgery results started to become more clear, my surgeon told me: QUOTE " this means that when it will be my time to do the cataract, I'm going to use these lenses" END QUOTE
Also his assistant said he wants these lenses instead of the M-plus.
Finally, Bauch + Lömb were so impressed by these lenses that they started to brand them as theirs and took several lenses of PhysIOL:
Here one of the articles on that:
http://www.prnewswire.com/news-releases/bausch--lomb-to-distribute-physiol-trifocal-diffractive-and-toric-intraocular-lenses-in-key-asian-european-and-middle-eastern-markets-205598121.html
Just write Bauch-Lömb Finevision on Google and you get more.
I think that says a lot.
This doesn't mean that M-plus is not good. For some people could fit even better than the Finevision
But with the Finevision I think for many is better.
You get about 7 % more light (that helps you to read even in the dark), you get a INTERMEDIATE vision for PC - TV and have more probability to have a "FINEVISION" :-)
Well that is my opinion and of course when all went well is normal to be happy. However every person and every eye is different, so listen to your doctor and trust him only.
Even me, I was happy when my surgeon agreed that the Finevision could in fact be better than M-plus for me, so we went ahead. If HE would have said "no, that lens is not good for you" I would have listened him and use the M-plus.
Well, I hope all who had surgery can be happy with whichever lens.
Have a nice day you all.
Weeks tree and two respectively
All tasks now performed bifocaly and everything about day to day life is at least comfortable.
Near vision, up to 70cm, is now at least as good as my previous vision with spectacles, with an improvement in very fine detail. Reading magazines and newspapers in usual lighting is problem free. Writing this on an iPad at 40cm not zoomed in is quite comparable. I can now read hallmarks on gold rings including the symbols and carat rating. I couldn't see the hallmark detail before even with glasses.
Intermediate. Everything up to 4 to 5 metres indoors and out has good definition and vibrant colours, fuzzy edges on everyday objects are a thing of the past already. Most notably, whites are brighter than I remember them. TV at 4-5 metres is extremely clear and all text on screen perfectly sharp. Computer use at 80cm is still work in progress, pictures and icons are clear, text is still the weak point with soft edges and no hard edge definition. Even so using a computer all day is still achievable.
Mid range, 5 to 15 metres. Less fuzzy, but a way to go yet. Faces are now clearer from 6 metres but beyond that start to loose definition. Driving during the day presents no problems, although road signs are readable but not sharp at a distance.of 20 metres. Light ring during night driving are thee, and I think this is a 'feature' of this lens and will always be there, although not an intrusive phenomenon.
Far distance. A good level of detail can now be seen. Building edges are sharp, trees show a decent level of branch detail. At the extremes, star clusters can be defined to individual stars in the main constellations. The seven individual stars of the Pleiades can be seen.
In summary, very pleased with the total freedom from glasses and all is progressing well considering the time since implant. Areas still to improve are reading on screen at computer distance, more so onscreen text at laptop distance of 60cm. Focal range of 6-20 metres is the least detailed as far as edge definition, but very gradually focus is extending outwards.
Next report in a week after my one month checkup.
Phil
All tasks now performed bifocaly and everything about day to day life is at least comfortable.
Near vision, up to 70cm, is now at least as good as my previous vision with spectacles, with an improvement in very fine detail. Reading magazines and newspapers in usual lighting is problem free. Writing this on an iPad at 40cm not zoomed in is quite comparable. I can now read hallmarks on gold rings including the symbols and carat rating. I couldn't see the hallmark detail before even with glasses.
Intermediate. Everything up to 4 to 5 metres indoors and out has good definition and vibrant colours, fuzzy edges on everyday objects are a thing of the past already. Most notably, whites are brighter than I remember them. TV at 4-5 metres is extremely clear and all text on screen perfectly sharp. Computer use at 80cm is still work in progress, pictures and icons are clear, text is still the weak point with soft edges and no hard edge definition. Even so using a computer all day is still achievable.
Mid range, 5 to 15 metres. Less fuzzy, but a way to go yet. Faces are now clearer from 6 metres but beyond that start to loose definition. Driving during the day presents no problems, although road signs are readable but not sharp at a distance.of 20 metres. Light ring during night driving are thee, and I think this is a 'feature' of this lens and will always be there, although not an intrusive phenomenon.
Far distance. A good level of detail can now be seen. Building edges are sharp, trees show a decent level of branch detail. At the extremes, star clusters can be defined to individual stars in the main constellations. The seven individual stars of the Pleiades can be seen.
In summary, very pleased with the total freedom from glasses and all is progressing well considering the time since implant. Areas still to improve are reading on screen at computer distance, more so onscreen text at laptop distance of 60cm. Focal range of 6-20 metres is the least detailed as far as edge definition, but very gradually focus is extending outwards.
Next report in a week after my one month checkup.
Phil
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