Which Lenses

[HelpMe221]

Is there anyone out there that can give me some direction as to which lenses to chose.  I have the option of the Tecnis or AcrySof.  

Thank you

[John C Hagan III, MD, FACS, FAAO]

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[drawliner]

this was my experiance from surgery on july 2, 2008 one eye,and the other eye done july 16, 2008 ,im 55 and had cataracts in both eyes,mine where most likely genectic, my right eye got so bad i could hardly read a license plate in good lightfrom 40 + feet,my surgean is board certified (i think thats important)dr yang from columbia mo used the asperic monofocal acrysof iq sn60wf,both surgerys was a breeze,and after a couple of days after pupil dialation got smaller or normal my eyes came in (both)at 20/20 on my post operation checkup a week later for each eye,i do not where glasses for reading newspaper,magazines,right now typing this,great distant,great intermiate,great near,but need readers 1.25 power for small print like medicine bottles,i hope and pray your results match mine,im satisfied,it was the most rewarding medical procedure i have ever had,this might sound wierd but it was miraculous,that might be a stretch but thats what i feel,good luck my friend.

[John C Hagan III, MD, FACS, FAAO]

good luck
JCH MD

[HelpMe221]

Thank you for your advice, I have taken it and have scheduled an appointment for a 2nd opinion.

[John C Hagan III, MD, FACS, FAAO]

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[JodieJ]

I just noticed your post on the other forum, and it seems that your choice is between the ReStor or the Tecnis multifocal--not the aspheric monofocal lenses I described above.  Frankly, I wouldn't choose either of these multifocal lenses--I'd go with either of the aspheric monofocal IOLs described above.  Did your friends who referred you to this doctor get multifocal lenses?  What were their results?  Both of these multifocal lenses involve lots of post-surgery problems, and the new Crystalens is probably better than either.  (The Tecnis multifocal is not available in the USA.)  My best advice would be to get a second opinion from another surgeon.

[John C Hagan III, MD, FACS, FAAO]

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[JodieJ]

I assume your choices are between the Tecnis and the AcrySof IQ, which are both aspheric monofocal IOLs.  I think that both are excellent lenses, and there is very little difference between the two.  The Tecnis eliminates slightly more spherical aberration than the AcrySof IQ, but the difference is probably not enough to affect vision (for better or worse).  The AcrySof IQ has a blue-light filtration feature (producing a yellow IOL), which allegedly helps to prevent macular degeneration (per the manufacturer's claims).  Their main competitor (the manufacturer of Tecnis) claims that the blue-light filtration feature might adversely affect color perception and the sleep cycle.  I found no meaningful evidence to support the argument of either manufacturer.

So I predict that you'll be happy with either.  You could let your surgeon choose the lens that s/he has the most experience with.