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Can anyone say anything positive about Lentis M-Plus?

I had these lenses implanted a few weeks ago, instead of the Crystalens ones I really wanted.  I am trying to get used to them, but the 'ghosting' effect is trying me around the bend, most especially when I drive in darkness.  I really can't see how my brain will manage to remove the skirts of fuzzy light around the base of headlights, etc.;  there has been no improvement at all since I had the surgery done.

In addition, reading is very hard indeed.  At various times of the day,I have to use differing strengths of reading glasses, starting at +1.00D.  My consultant told me me that I wouldn't be able to read with the Crystalenst, but the same infuriating problem is happening with the Lentis M-Plus!

Has anyone else had (or is having) these symptoms, please?  Could anyone also offer any advice, please?

P.S. - I should add that, after complaining at a recent check up, I am going back for PRK laser surgery in a few weeks' time on my right eye only, because the incision made in that eye to correct my astigmatism has healed itself up and I've got it back once more (to a slightly lesser degree).  The distance vision in my right eye is also not as good as the left, so I hope the laser treatment will help that.  However, I am experiencing the 'ghosting' problem in both eyes and don't know if the surgery help with that;  I'll just keep my fingers crossed that it will!



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11037070 tn?1414768412
Helow
Im from Argentina, I have 54 and i have been operated a few weeks ago whith the german lents(oculantis mplus ) for presbicia
first 2 days y was happy because i sow a diference reading my chats at the telephone. but the progress stop and started to have pain and see less every day.
Doctor said it doesnt work in my eye but he never see a problem with this lens
Afortunnally im only opereted one of my eyes.
Now dr said try to change for the american lens acrisof iq restor. Im very worry about my future in my eye.
Sorry about my English
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Avatar universal
Some more positive feedback about trifocal lenses.  I had Zeiss trifocal lenses implanted 5 weeks ago.  I'm awaiting my final checkup next week but at the moment all seems well.  I've gone from -12 with some astigmatism to excellent far, intermediate and near vision.  See my post http://www.medhelp.org/posts/Eye-Care/Tri-focal-lens-Refractive-Lens-Exchange/show/2041653 (sorry, I'm not sure how to post a link).
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Avatar universal
Hi Lynda,

Did you get any better resolution? I have teh m+ and like others on this forum are seriously considering getting it explanted.

I am reluctant to go mono - so am seeking feedback on the finevision trifocal or the zeiss trifocal lenses. I havent found ANY negative feedback on these lenses yet!
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Avatar universal
Like Moskins, I would like to know the name of your surgeon, please Pete.
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Avatar universal
I would luv to have the name of your surgeon !
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Avatar universal
Its about two years ago that I had the lenses transplanted. For the first year I experienced the symptoms that many have  described, ghost images, colour changes etc.
Now two years later I am pleased with my vision. I do not notice the ghost images now, I assume my brain is now filtering them out because if I concentrate on trying to see them I can.
My distance vision is good as is my reading. The colour changes are still evident, my charcoal trousers still appear as a bright blue but this is a small price to pay for being free from spectacles.
Overall as time has passed the problems of the initial few months seem to have gone, I suspect due to the brain making the necessary compensations.
Although not perfect, I am now pleased with the results of the transplant.
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Avatar universal
Lentis MPlus induces optical aberrations into the eye. This lens does not have rotational symmetry. I',m optometrist, and I work in a refractive surgery center. I don't like the optical design of this lens from te begining, and I have seen very very patients with visual problems.
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Avatar universal
Hi, I just answered your questions in another thread, but to just add here – no, my eyes do not get tired, or I should say “eye” since only one has been implanted with the Mplus.  I wear a contact lens in the other one, and I do get aware of that at the end of the day, whereas the implanted eye always feels fine.   Also, I notice fewer “floaters” than in the other “natural” eye.  I suffered no physical discomfort at all, which makes the ghosting/blurring even harder to bear.
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Avatar universal
Hello how are you now?

The company I had my surgery with, first Eye end Nov and second eye first week of December 2012, they say online, just looked, so latest info on this,

Yes. With our premium multifocal lenses both distance vision and near vision is corrected. Our results indicate that 98% achieve reading standard of 20/80 or better* following the procedure and are able to read newspaper print smaller than that found in today's newspapers without the need for spectacles.

Have you noticed this yet? black does not look the same.

I straight after surgery RLE MPlus lenses that my black coat did not seem black any more but had a purple tinge and some of my glass cups at home and glass plates used to be black but had this purple aspect to them as well.   my eyes get very tired these days.

do your eyes get very tired?  more than they used to with wearing glasses.

i seem to be very tired by the end of the day and wonder if its due to my eyes

i can read, thats good, but saying that my eyes get tired fast and although i can read this computer and books, they get tired fast and the print seems to have a slight blur to it, cant explain properly but they say i have good reading vision but to me its not like before with glasses, not sharp sharp. do you have this?

distance - dissapointed in this, i always feel i am straining to see into the far distance as its not sharp. they say i am legal driving , do drive, but at night thats a pain as have so much extra glow and images, blur on lights, street signs etc.  and in the daytime, well again i always feel i am straining my eyes, so i have to drive, as most do, during the day, (not all day), and i am straining to see, but can see, if that explains? and end up i feel with tired eyes

I DID THIS TO BE GLASSES FREE, they have said have a distance pair for driving and watching tv but i dont want to do this!!!!

why cant they get it perfect, with all those machines before hand taking images, measurements?

i feel like going back to the surgeon again, but i did go back in Feb and he said to me bascially that he woudl not laser, as that might lose some of my near vision.  and i have dry eyes.

i dont know what to do, i want to be glasses free, but i feel like i am so tired every day and my eyes feel like they are straining if only the distance was sharp

so much money isnt it to pay and not feel right

can any one help what i could do?

can they replace, can i insist on this. the company i went with have a year guarantee, first eye was done is Nov 2012.

what about any new lenses on the market?  would they be better, i doubt i could get them to fit this FOC.
the surgeon was saying really that the lenses are fine, meaning that its different in each person
one person might get 20/20 and the other might not
and look past all and get used to it

but i am actually finding it harder as i go on

also and has anyone had this trigeminal neuralgia?

i had this funny feeling in my face, cheek, after having eyes done and not saying its due to the eyes, but never had it before, my doctor thinks its trigeminal neuralgia.

i have been put on carbamazepine and not happy about this as these are strong.
has anyone got this TN in the face?

please do get back to me anyone as i want to know what to do next about my eyes, i feel like i wish i had waited but i did research it, MPLUS lenses but did not come across this site then, if i did i would have had it done yet.

Thanks
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Avatar universal
Hello how are you now?

I too noticed straight after surgery RLE MPlus lenses that my black coat did not seem black any more but had a purple tinge and some of my glass cups at home and glass plates used to be black but had this purple aspect to them as well.  has this gone too?  you are the first person i have noticed that has said this albeit i have not read all posts as my eyes get very tired these days.

do your eyes get very tired?  more than they used to with wearing glasses.

i seem to be very tired by the end of the day and wonder if its due to my eyes

i can read, thats good, but saying that my eyes get tired fast and although i can read this computer and books, they get tired fast and the print seems to have a slight blur to it, cant explain properly but they say i have good reading vision but to me its not like before with glasses, not sharp sharp. do you have this?

distance - dissapointed in this, i always feel i am straining to see into the far distance as its not sharp. they say i am legal driving , do drive, but at night thats a pain as have so much extra glow and images, blur on lights, street signs etc.  and in the daytime, well again i always feel i am straining my eyes, so i have to drive, as most do, during the day, (not all day), and i am straining to see, but can see, if that explains? and end up i feel with tired eyes

I DID THIS TO BE GLASSES FREE, they have said have a distance pair for driving and watching tv but i dont want to do this!!!!

why cant they get it perfect, with all those machines before hand taking images, measurements?

i feel like going back to the surgeon again, but i did go back in Feb and he said to me bascially that he woudl not laser, as that might lose some of my near vision.  and i have dry eyes.

i dont know what to do, i want to be glasses free, but i feel like i am so tired every day and my eyes feel like they are straining if only the distance was sharp

so much money isnt it to pay and not feel right

can any one help what i could do?

can they replace, can i insist on this. the company i went with have a year guarantee, first eye was done is Nov 2012.

what about any new lenses on the market?  would they be better, i doubt i could get them to fit this FOC.
the surgeon was saying really that the lenses are fine, meaning that its different in each person
one person might get 20/20 and the other might not
and look past all and get used to it

but i am actually finding it harder as i go on

also and has anyone had this trigeminal neuralgia?

i had this funny feeling in my face, cheek, after having eyes done and not saying its due to the eyes, but never had it before, my doctor thinks its trigeminal neuralgia.

i have been put on carbamazepine and not happy about this as these are strong.
has anyone got this TN in the face?

please do get back to me anyone as i want to know what to do next about my eyes, i feel like i wish i had waited but i did research it, MPLUS lenses but did not come across this site then, if i did i would have had it done yet.

Thanks

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Avatar universal
Hankill, see my post in the other thread you started regarding the Lentis MPlus and the Lentis Comfort.
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Avatar universal
I noticed the colour shift the other day, I have only had one eye done, so I can make a direct comparison.  Left eye (natural lens) - black jumper, right eye (M-plus lens) - blue jumper.  I wonder if it is due to the UV filter in the M-plus lens?  If so, when they replace it with a mono-vision lens can I get one without a UV filter?
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Avatar universal
My advice - don't!  Way too many compromises with this lens.  2 months on and I'm still seeing double and anything other than bright sunshine is a nightmare.  Luckily they didn't do my second eye when I told them about these problems.  If I had had both eyes done like this, I would be almost housebound, I certainly wouldn't have been able to drive and would have probably lost my job as a consequence.  As Clint Eastwood said "do you feel lucky"?
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Avatar universal
Currently investigating the M Plus Lentis Lense....and would appreciate the name of your surgeon for an advisory consultation Pete6209. Feel more comfortable dealing with somone that has come with a reference :))
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Avatar universal
I've just signed up to watch this thread having been reading it for a few weeks.  I had the Lentis M Plus lens implanted into my right eye 5 weeks ago.  The left eye implant a week later was postponed as I had massive ghosting/double vision and glare, which caused me enormous distress and concern.  I have since had two other checkups, one was unscheduled as I was so worried, and my one month post-op was last week.  I was convinced that the lens was decentred but the optometrists say it’s perfectly centred.  It feels like I’m forcing my eye to see distance through the close up part of the lens.

I won’t name the clinic yet as I’m undecided whether I’m happy with them or not.  I’m trying to convince myself it’s getting better so I’m keeping an open mind for now.  It’s only been 5 weeks, but they are easily the longest 5 weeks of my life!  As things stand, if my left eye had been done after a week and had the same effect, I would be almost housebound, I certainty would not have been able to drive.   I’m only a young 53, so I’m glad I still have a good untouched left eye (with a contact lens).

I have been assured that the eye/lens will “settle” and my brain will adapt, so I guess only time will tell.  The clinic will happily explant (so they say) and replace with a monovision lens, but that really defeats the whole exercise, so I do want this to work.

Has anyone had experience of these bifocal type lenses being de-centred and re-positioned?  Also, I’d love to hear from anyone who had the same ghosting/blurred vision which lasted at least 5-6 weeks then cleared.

Anyone tried exercises to help with Neuroadaptation?  This company in the US will happily sell me their program for $500… http://www.revitalvision.com/

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Avatar universal
Who was your surgeon at Moorfields Private, Pete?  I might wish to approach him to have the M-Plus re-inserted into my right eye, as I've found it was a grave mistake to have it removed from that eye in the first place!

Lynda
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Avatar universal
I had both eyes implanted with these in December 2012 at Moorfields Private. I am extremely happy with the outcome. My pre op prescription was -8 in one eye and -9 in the other and at 50 I had already graduated to varifocal glasses. I am now totally glasses independent and can see clearly at distance and to read. I have some night time light halo interference  but this has diminished steadily over the past couple of months.
Happy to recommend my surgeon to anyone!
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Avatar universal
Wow, it is a bit disconcerting reading all these comments as I had not thought to check out the Lentis M plus lenses before insertion. I had them inserted on 3rd and 31st Dec 2012 so it is sstill early days. I have wonderful clear vision following the removal of cataracts and can read and rive without glasses (and can see all the wrinkles in my face either hidden by glasses or previously invisible!). So I am still delighted with the lenses except for 2 aspects, the "ghosting" driving at night (it was a relief to read of this as I wondered what was making driving so alarming, and 'ghosting' is an apt description), and the fact that I see some colours, especially on artificial fabric, in a distorted way. Some blacks are navy or even purple: my chocolate brown cardigan is quite bright purple and one tan jumper is now cherry red.I understand that there will be some change due to the removal of the yellowing cataracts, but that woyld not acount for a black cotton top still looking black but my black acrylic jumper now looking a navy/purple. I wonder if this will improve with time; I am still using the post op drops in one eye (and have other permanent drops for glaucoma) and am interested that this has not arisen in other comments... or maybe I missed it. I do sometimes use bog-standard reading glasses when
in poor light or I am tired, but do not mind that, but hope that I can get (hopefully cheap)
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Avatar universal
Hi Lynda, glad things worked out , you have been through the mill by the sound of it and you come across as a strong person and not prepared to accept the " just learn to live with it " mantra these eye surgeons repeat at you, i admire you for that, the glare you still have is probably attributable to the PRK , if that is the eye you have the problem with, the new lens you spoke of is a sulcus fixed lens, these are being developed quite fast as there is a market for older fused in lenses being replaced for newer better ones, basically the entire capsular bag can be removed and the new lens takes its place behind the iris, its something i may look at in the future as my one eye , the 3 add, has poor night vision with starring. keep us informed of any new development and good luck for the future.
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Avatar universal
Hello i notice this said Aug how are you now?
have you had any further treatments to improve things if so which and how did they go?

how is your distance and near?

this is a bit of my story
I am a lady just turned 49 years old

Needed distance and reading glasses and had in both eyes small cataracts.

Had first eye done on the 31st Oct and the 2nd eye on the 7th Nov. A big company that advertises across (I live on the Isle of Man).  
i am wondering with some of these people including me whether they put the right strength in. I have had in both eyes multifocal lenses, LENTIS® Mplus.

i dont have disantce vison as sharp as i would like and glare.  with all the equpiment they use to measure your eyes how come they do not get it right?  i am beginning to think that they have not put the correct strength lenses in.  can they take out and insert stronger ones, have you heard of others having them out and putting new ones in?  i dont know if they would charge you again though?

Reading is good, but distance is not what I had hoped for.  Even in daytime it is not sharp like before when I had glasses. I am just about legal driving standard for distance.
I can read that no problem but distance is a disappointment to me.

So I am wondering how others are getting on?
How long should you give 2 months, 3months, 6 months for you to get what vision you will get out of these lenses?  

Interesting to know where you are with your eyes, what you have been told?

Have you had any further treatments and if so has it been worthwhile?
I am wonder if I should have had difference lenses to the LENTIS® Mplus.  But was told that these would give all round vision definitely good distance if anything i was told i might need slight reading glasses. But reading is perfect its distance I that am not that happy with.

The other thing is I have very dry eyes, but again I can just put loads of drops in for that.

I am not on these but read someone was taking them, THERA TEARS, are you taking them?

http://www.****.com/success.php

Thanks for any replies.

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Avatar universal
Hello I have had MPlus multifocal lenses implanted

left eye 31 Oct and the right eye 7 Nov

regular eye checks, left with distance vision not as good as i thought, gets worse in poor light and at night.  glost of ghosting and glare but that does not really bother me, what bothers me and waht is dissapointing is that distance vision is not as good as i thought it would be.

you say 6 months and you have very good distance vision, is that good reading too after 6 months?

i  have been told by a local optician that the big place use, that now after this time that teh left eye she thinks is where it is going to be and the rigth eye the same.

but you say 6 months.  when did you eyes level off and you gain the vision you feel is max vision?

have you heard others say it can take 3 months or more, that your eyes keep improving maybe?

just dont know if this is it and that this is the vision that they have settled at.

good to know how you are now?

thanks for any reply
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Avatar universal
Hi sunshinett55
Hope things are getting better for you.
My distance vision is really sharp. I had laser 18 years ago but was told that I had a cataract forming in my right eye so decided to go ahead with iol. Also I needed reading glasses which became very annoying.
After treatment I found I was able to read and use computers virtually the next day.
Night time vision can take time to get used to. I am now nearly three months post op. I try to ignore haloes, glare etc and find this works.
I have to see Optical Express in the next couple of weeks for my monthly check up. I'm experiencing blurring in my right eye ( almost like when I was diagnosed with the cataract) so need to sort it out.
All in all I would not go back to how I was before the procedure. Try to stick it out even if it takes the 6 months we were told it could take to settle.
Good luck.
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Avatar universal
Thank you to Rockspider and everyone else who has sent me posts over the past year.  Here is a belated update of my surgery:

Thank you to everyone who has sent me posts over the past year.  Here is a belated update of my surgery:

As I had so many problems with ghosting, I had the MPlus explanted and replaced with single-vision IOLs (each one by a different manufacturer).  This happened in February and July this year.  I very much miss being able to read without glasses or using a computer;  in fact, it is driving me around the bend because I'm constantly wearing them for everyday things like preparing food, cooking or cleaning!

My distance vision is slightly short-sighted (-0.25 to -0.50), but good enough for me to drive.  Night-time driving is OK, but I now get glare around the whole of a street light, whereas before (with the MPlus) it was purely around the bottom of the light.  I am going to get glasses to bring my distance vision up a bit, and I think that will sharpen the glare from lights at night - well, I very much hope so because seeing lights at night like this is quite off-putting when driving along.

I made the great mistake of getting my right eye done first (although I think the surgeon just expected to do one eye, not both).  The reason I picked this eye first was because I couldn't read too well with it, but I think this reading problem was because of the PRK laser surgery I had had after the MPlus was inserted to correct the astigmatism in that eye.  After the PRK was done, my distance vision (after about a month) became very good indeed, but I still had the ghosting, although not as pronounced as the left eye.  With hindsight, I could kick myself for having the MPlus taken out of the right eye because of the very good distance vision and the ability to read without reading glasses, albeit not brilliantly.  The replacement single-vision lens is not giving me spot-on distance vision, hence my wishing to get some glasses to top it up, and my reading vision is now dreadful!

After I had the left eye lens exchange to a single-vision IOL, my distance vision was a lot better, but again I couldn't read or do other close jobs without glasses.

The one good thing I now notice is that when I'm walking around in a shop, the lighting is not ghosting all the time and disorientating me;  everything is completely clear.

So, in a nutshell, I am glad that I had the left eye lens exchange to a single-vision lens, but not the right.  If I'd kept the right MPlus, I would still have had extremely good distance vision (with the aid, of course, of the PRK) and been able to read a bit without glasses.  I don't know why the right single-vision lens doesn't enable me to see as well in the distance as the MPlus.  The surgeon said that it's the same prescription, but that different manufacturers have their own formulas for working out the dioptre, e.g. the materials it's made from are different.  I would have put up with the small amount of ghosting with that eye if I knew how my vision would turn out.

Finally, the surgeon said that an IOL for reading and other close work will soon be developed that can be fitted just behind the iris.  She said that many of their former patients who had been fitted with single-vision IOLS, before multifocal lenses came on the scene, had wanted to get rid of their reading glasses, and so something like this (which would involve a much simpler operation) would be ideal for them.  I am keeping my eyes open, so to speak, on this very welcome forthcoming development!
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Avatar universal
A bit concerned Lynda has dropped off the thread since March, please post Lynda to let us know how things are going since ex plant and if you are ok  
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