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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
Phil and Vizard,
As I read your comments I see a little tone of disappointment among your nice words due to some small doubts, so I would like to put your both minds at ease.
As I see how your progress is going I can promise that you will both improve very much and be very satisfied.
I confirm what Vizard said, the Finevision offer better near and intermediate than far vision, instead Mplus offer better far vision, good near vision and decent (in most cases) intermediate.
The facts are however that you both will see very well IN DUE TIME.
Don't be too impatient. Your brain has seen the whole life only one picture on your retina. That picture was give from your natural lens. To see close or far was the work of the eye to squeeze the lens as needed.
Now you have lenses with 2 (Vizard close & far) or 3 (Phil close, intermediate & far) main rings in addition to several smaller rings for all other distance in scale.
This means that in your retinas you have so many pictures and your brain see well all those pictures but ALL in the same time.
In fact the reality is that you already see perfectly almost at all distances, however your brain is learning how to choose only the best picture to process.
To understand how it work, if you have one eye that see perfectly at 50 cm. and the other is slightly blurry at the same distance, opening both eyes the picture will be sharp because your brain knows to filter the bad data received from the weaker eye and keeps only the good one.
Now, try to do it with all the rings you have in your eyes giving all those pictures you get.... That's a big job and your brain is learning how to do it. It will take months for your brain to master this task (usually between 8 to 12 and for some people even 18)
I'm sure you are still in a phase where if you look from few meters a strong light at night you can see vividly the main rings and all the other rings around doing a "Christmas ball" effect - am I right?
Well, that is because the brain cannot process the strong images from the lights and shows them all.
As month will pass, you will see the rings disappearing. Right now after 8 months, during the day I don't see those light any more, while at night I see them if they are 50 meters or more far. In few months when my brain will be mastering better the task, they should disappear for good
I notice that with my Finevision I could see every day better giving an improvement of about 2 - 3 meters per month looking far.
Now I can see sharply and read plates of the cars at 35 meters in ALL conditions and 70 - 80 meters in good light (I got Finevision).
I guess that if your surgeon did a good job in 1) calculating the needed strength of the lenses and 2) inserting the lenses professional in the center of your eyes, then you both will have an amazing vision because both lenses are top of the line.
Phil, as from the beginning you could see probably a J1 (smallest letters used sometimes in the medicine descriptions) you will see it always as that is the final result. But your brain will keep adjusting for far vision and you should be able like me in few months to forget that you even had surgery when you will drive your car.
It will not be perfect but around 90% or more of what it used to be (for me is now about 90% and I'm still healing on my 8th month).
Vizard, your vision will improve and will be close to the one of Phil looking close objects when you will be completely healed. Probably you will see a J1 if all went perfectly, but if not you should see at least a J2, while a J3 is the letters used in newspaper you should be able to read even smaller, so don't worry if your near vision is not so good now. Probably you will see a 100% good vision for far
When I'm visited by my doctor and read the letters on the wall I have perfect vision with both eyes for far (better than 20/20 for close and far), but in reality he said that the final result for the very far distance with the Finevision will be like being 0,5 myopic (that's nothing).
So Phil when you say "I certainly hope for improvement yet" be sure that you will see the biggest changes for far by day 100. You will be driving and realize "Wow! I can see the plate on that car so far and is so sharp!"
Just look at my post I wrote after 20 days after my surgery when I was so worry because I could not see far: http://www.medhelp.org/posts/Eye-Care/Post-Surgery-Myopic-Astigmatism/show/1978066#post_9299455
But now all is perfect and sharp, so Phil don't worry please.
So guys, keep your journal (is very important for people who will do the same surgery in the future) but be patient and be happy for the new vision you enjoy already right now and the marvelous final result that you both will enjoy in few months. Roberto
As I read your comments I see a little tone of disappointment among your nice words due to some small doubts, so I would like to put your both minds at ease.
As I see how your progress is going I can promise that you will both improve very much and be very satisfied.
I confirm what Vizard said, the Finevision offer better near and intermediate than far vision, instead Mplus offer better far vision, good near vision and decent (in most cases) intermediate.
The facts are however that you both will see very well IN DUE TIME.
Don't be too impatient. Your brain has seen the whole life only one picture on your retina. That picture was give from your natural lens. To see close or far was the work of the eye to squeeze the lens as needed.
Now you have lenses with 2 (Vizard close & far) or 3 (Phil close, intermediate & far) main rings in addition to several smaller rings for all other distance in scale.
This means that in your retinas you have so many pictures and your brain see well all those pictures but ALL in the same time.
In fact the reality is that you already see perfectly almost at all distances, however your brain is learning how to choose only the best picture to process.
To understand how it work, if you have one eye that see perfectly at 50 cm. and the other is slightly blurry at the same distance, opening both eyes the picture will be sharp because your brain knows to filter the bad data received from the weaker eye and keeps only the good one.
Now, try to do it with all the rings you have in your eyes giving all those pictures you get.... That's a big job and your brain is learning how to do it. It will take months for your brain to master this task (usually between 8 to 12 and for some people even 18)
I'm sure you are still in a phase where if you look from few meters a strong light at night you can see vividly the main rings and all the other rings around doing a "Christmas ball" effect - am I right?
Well, that is because the brain cannot process the strong images from the lights and shows them all.
As month will pass, you will see the rings disappearing. Right now after 8 months, during the day I don't see those light any more, while at night I see them if they are 50 meters or more far. In few months when my brain will be mastering better the task, they should disappear for good
I notice that with my Finevision I could see every day better giving an improvement of about 2 - 3 meters per month looking far.
Now I can see sharply and read plates of the cars at 35 meters in ALL conditions and 70 - 80 meters in good light (I got Finevision).
I guess that if your surgeon did a good job in 1) calculating the needed strength of the lenses and 2) inserting the lenses professional in the center of your eyes, then you both will have an amazing vision because both lenses are top of the line.
Phil, as from the beginning you could see probably a J1 (smallest letters used sometimes in the medicine descriptions) you will see it always as that is the final result. But your brain will keep adjusting for far vision and you should be able like me in few months to forget that you even had surgery when you will drive your car.
It will not be perfect but around 90% or more of what it used to be (for me is now about 90% and I'm still healing on my 8th month).
Vizard, your vision will improve and will be close to the one of Phil looking close objects when you will be completely healed. Probably you will see a J1 if all went perfectly, but if not you should see at least a J2, while a J3 is the letters used in newspaper you should be able to read even smaller, so don't worry if your near vision is not so good now. Probably you will see a 100% good vision for far
When I'm visited by my doctor and read the letters on the wall I have perfect vision with both eyes for far (better than 20/20 for close and far), but in reality he said that the final result for the very far distance with the Finevision will be like being 0,5 myopic (that's nothing).
So Phil when you say "I certainly hope for improvement yet" be sure that you will see the biggest changes for far by day 100. You will be driving and realize "Wow! I can see the plate on that car so far and is so sharp!"
Just look at my post I wrote after 20 days after my surgery when I was so worry because I could not see far: http://www.medhelp.org/posts/Eye-Care/Post-Surgery-Myopic-Astigmatism/show/1978066#post_9299455
But now all is perfect and sharp, so Phil don't worry please.
So guys, keep your journal (is very important for people who will do the same surgery in the future) but be patient and be happy for the new vision you enjoy already right now and the marvelous final result that you both will enjoy in few months. Roberto
Hi Vizard
Yes, I have always thought there was going to be a trade off.
If either of the main two players had cracked the 'all round perfect' the other could not compete. You seem to do more driving than me,so perhaps the longer distance is advantageous to you, I only live half a mile from work, then am confined to the workshop all day (bit like a mouse on a wheel most days), so near to 10 metres are by far the most important. At least spectacle independence is now a reality for both of us, and that was always the aim. I certainly hope for improvement yet, as I feel the long distance is too compromised to be called a final outcome.
This is the first true unbiased and honest comparison, without vested interests that I have come across, and with a few more months of progress reported from both, could become a very informative source of research and reassurance for prospective candidates in the UK.
Watching your progress with equal interest.
Phil
Yes, I have always thought there was going to be a trade off.
If either of the main two players had cracked the 'all round perfect' the other could not compete. You seem to do more driving than me,so perhaps the longer distance is advantageous to you, I only live half a mile from work, then am confined to the workshop all day (bit like a mouse on a wheel most days), so near to 10 metres are by far the most important. At least spectacle independence is now a reality for both of us, and that was always the aim. I certainly hope for improvement yet, as I feel the long distance is too compromised to be called a final outcome.
This is the first true unbiased and honest comparison, without vested interests that I have come across, and with a few more months of progress reported from both, could become a very informative source of research and reassurance for prospective candidates in the UK.
Watching your progress with equal interest.
Phil
It will be interesting to see how this pans out, Phil, over the next six
months or so.
One article I read suggested that the Mplus has a track record of delivering good distance vision, with variable results in intermediate and near. Conversely that the Finevision offers good near and intermediate with a question mark over distance. You mentioned that near and intermediate are most important for you, so assuming the above holds true then you've chosen the right lenses, even if there is a bit of adaptation to do yet.
months or so.
One article I read suggested that the Mplus has a track record of delivering good distance vision, with variable results in intermediate and near. Conversely that the Finevision offers good near and intermediate with a question mark over distance. You mentioned that near and intermediate are most important for you, so assuming the above holds true then you've chosen the right lenses, even if there is a bit of adaptation to do yet.
Now a month of bilateral vision and all fast change has settled.
The differences now are more subtle, but things are still in flux.
It is interesting to see the way the Oculentis Mplus that Vizard is documenting here http://www.medhelp.org/posts/Eye-Care/Diary-of-a-Lentos-Mplus-IOL-implant-patient-at-Optical-Express/show/2087264 and the Finevision are progressing in different ways in similar situations, due to their different design.
With my Finevision, I find there is no difference in vision whether in sunlight, a bright room or very low light levels, with very little adverse photo effects. The sharp images are always sharp. But, what is in focus between the two lenses is very different. Whilst Vizard has good long and extra long focus, I have yet to achieve this.
As post operative healing has finished, time and neural adaption will be the only way progress is made. I will now rate my experience with the lens monthly, based on two criteria at four distances. The criteria used are general vision and focusing ability, which are not necessarily the same, at distances of 35cm, 80cm to 3 metres, 10metres and 20 metres+
Currently in good and lowlight conditions:
35cm, everything clear with excellent definition, objects and text both sharp 9/10
80cm to 3 metres, object vision really good, PC screen text still feather edged
8/10
10 metres, vision is good, good enough to see everything going on around, but faces are not in focus. 7/10
20metres+, good general vision, but road signs, as used at approach to roundabouts are readable but not sharp at this distance. 7/10
Despite the failings, I am totally glasses free and looking forward to neural adaption achieving an improvement in focus at mid and long distances.
Overall 7.5/10
Phil
The differences now are more subtle, but things are still in flux.
It is interesting to see the way the Oculentis Mplus that Vizard is documenting here http://www.medhelp.org/posts/Eye-Care/Diary-of-a-Lentos-Mplus-IOL-implant-patient-at-Optical-Express/show/2087264 and the Finevision are progressing in different ways in similar situations, due to their different design.
With my Finevision, I find there is no difference in vision whether in sunlight, a bright room or very low light levels, with very little adverse photo effects. The sharp images are always sharp. But, what is in focus between the two lenses is very different. Whilst Vizard has good long and extra long focus, I have yet to achieve this.
As post operative healing has finished, time and neural adaption will be the only way progress is made. I will now rate my experience with the lens monthly, based on two criteria at four distances. The criteria used are general vision and focusing ability, which are not necessarily the same, at distances of 35cm, 80cm to 3 metres, 10metres and 20 metres+
Currently in good and lowlight conditions:
35cm, everything clear with excellent definition, objects and text both sharp 9/10
80cm to 3 metres, object vision really good, PC screen text still feather edged
8/10
10 metres, vision is good, good enough to see everything going on around, but faces are not in focus. 7/10
20metres+, good general vision, but road signs, as used at approach to roundabouts are readable but not sharp at this distance. 7/10
Despite the failings, I am totally glasses free and looking forward to neural adaption achieving an improvement in focus at mid and long distances.
Overall 7.5/10
Phil
Interesting that we are experiencing different things, but have some challenges in common. My PC monitor is back where it was pre-op and I am now finding that most comfortable. Not perfect but getting better.
I concur with Roberto's comments about wind and would actually go a stage further; I am finding it wise to avoid any situation where air is being moved around, which includes car heater and fan heaters in my office.
I concur with Roberto's comments about wind and would actually go a stage further; I am finding it wise to avoid any situation where air is being moved around, which includes car heater and fan heaters in my office.
Thank you Alberto for the insight into the progress still to be made. It really is unbelievable that there can be so much more improvement still to come. Still on an exciting journey.
Regards
Phil.
Regards
Phil.
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