Mplus bifocal lens

[Titchpool]

I have just been recommended for cataract surgery and the Mplus lens was recommended. I have now seen various negative reports about the lens and wonder how many satisfied 'customers' are out there.

[JohnHaganMD]

Please read this article carefully:  http://www.medhelp.org/user_journals/show/841991/Consider-ALL-the-Options-Before-Your-Cataract-Surgery-Working-Through-Whats-Best-For-You  ; JCH MD

[SoftwareDeveloper]

Unfortunately unless they have some other  ongoing vision issue, many satisfied "customers" won't post to a site like this (except for some who got help beforehand and post here as a public service).    Unfortunately there is no perfect IOL out there yet, there are people that have complaints about every lens. Even monofocal lenses leave a minority of people with problematic halos for instance, no lens is perfect.  The best one for each person depends on their visual preferences (which distances you are most concerned at having good vision for, and which distances you'd prefer to ideally not need to wear correction for),  and their tolerance for risk (.e.g. if they are willing to risk increased odds of halos at night).

If you are capable of wading through the industry jargon, the one way to evaluate a lens is to look at published studies, or at least the free abstracts of the results at conferences like ASCRS and ESCRS, as well as to see the comments in the published literature by respected surgeons they turn to for comments, like in CRS Today Europe.

Have you ever tried   multifocal contacts? Their optics aren't as good as a multifocal IOL, so although the optics aren't quite the same, it seems like if you can adjust to a multifocal contact lens that you can stand a decent chance of adapting to a multifocal IOL.  Unfortunately if you have a cataract bad enough to need surgery its likely too late to do a good test with contacts since the cataract may interfere.

Also you don't say which Mplus lens  there are different MPLUS lenses with different levels of add for near vision, and the differing adds do impact the results and the risks of things like halos. There is also an Mplus X lens, and the same manufacturer has an even lower add "comfort" lens.

  I suspect that many people who are considering a low add bifocal due to wanting good intermediate vision (with some chance of good enough near to not need reading glasses) might also consider the Symfony  extended depth of focus lens (which I had in my cataract surgery 11 months ago) . It   seems to have fewer of the downsides of multifocals, with the odds of problems like halos comparable to a good monofocal.  I have a visual glitch that seems to be an issue with my eye anatomy and nothing to do with the lens (likely the iris jiggling, or zonule issues, it isn't clear what), which is one reason I read sites like this still in case others appear with the issue.  As far as I can tell the Symfony lens itself was a good choice for my needs.

The trifocal lenses also seem potentially a better bet than the bifocal lenses. The AT Lisa Tri and Finevision trifocal seem to be fairly comparable to each other, but I hadn't seen data on the new Alcon Panoptix trifocal, and there is another minor brand trifocal or two in testing out there. They aren't as good at intermediate as the Symfony, and have more of a risk of night vision issues, but may have better very near vision.