explanting Restor IOL, decision help needed

[MsLN]

sparing repeating the details from  my prior posts, regarding dissatisfaction  with Restor multifocal IOLs, my primary problem is loss of quality of  prior (nearsighted) sharp near vision. Now it feels like I'm farsighted, its been about 6 weeks with no improvement. The original Dr said he would discuss changing them if I wanted,  after upcoming  next post-op check  and I believe he is a good surgeon, though he convinced me these lenses would do it all, but that didn't happen. I am going for second opinion  right after that with supposed renowned Dr., if both give same opinion, if my best solution is explanting them,  HOW do I decide, WHAT do I ask, to know , find  and decide who is best choice for explanting these? any helpful input, advice or suggestions would be appreciated

[cdn_glenn]

Ditto on both Dr. Oyakawa's and JodieJ's opinion regarding waiting.

I've had multifocals (Tecnis, not ReSTOR) for several years and experienced issues similar to yours.  My near vision wasn't great for the first month and I wore +1.00 readers to augment my near vision for the next six months.  After that my eyes had adapted, so the reading glasses were in the way.  My vision has been excellent close-up since then.

The important question is "Can you see well close-up with +1.00 reading glasses?"  If so your eyes are on the way to healing.  Also, you have ReSTOR which are pupil-dependent and you will need additional light to read in low light conditions.  Use the search function to read more.

Again, as Dr. Oyakawa has said you have several months before you need to decide to explant.

[JodieJ]

You stated that a +2 contact lens helps a lot.  This suggests that you're getting little to no near vision with your ReStors.  (Ask your surgeon why.)  How is your distance vision?  Can you read the 20/20 line?  If not, what line can you read?  Could your distance vision be improved with contacts/glasses?

Dr. Oyakawa states (above) that you should give your eyes more time to adapt and heal.  Does your surgeon agree?

[MsLN]

I've read many of your posts, impressed by your knowlegeable , directness, and common sense, so any input into my situation would be much appreciated and welcome, as I'm not sure if everyone, even doctor , who  offered  to do anything to make me satisfied gets what I actually "see"  as opposed to what the measurment numbers from  the  eye chart tests  indicate. he just spent so much time talking with me, his office got so backed up, I feel he is a bit perplexed as what to do for me to get me an  outcome  I will be happy with. I am going for a second opinion, but if answers are same, I would  absolutely trust him if another procedure is needed.

[MsLN]

Dr is willing to do whatever I want, I don't know what the answer is, other than I don't think I can be happy without better quality and consistancy  in near vision, but I'd prefer not going back to needing glasses. For a specific reason I needed a temporary fix and by my request was given a +2 contact lense for my nondominant eye, it really seems to help, my close to intermediate vision ,and I mean  up to quite a few feet away, is much better and I feel better able to  function.  The constant ghosting effect may have even been diminished a bit, what is the likelyhood that this effect will  go away? Does all this indicate anything, such as what to do about the Restor lenses?  very confused about all this, should I  give it more time and patience, is the suggested PRK laser to further correct vision the answer or change the lenses and if so to what?  ?????  

[JodieJ]

I disagree with the idea of a "Restor personality", which was popular among surgeons when this IOL was first introduced.  In my (unprofessional) opinion, this is just a way to blame the patient for a poor outcome.  It seems to me that physical factors such as the presence of higher order aberrations and larger pupils are more relevant.  Mr. Joseph, are you an Alcon employee by any chance?

[MsLN]

I don't know the numbers, the corrections I believe are good. But my problem is even though I can make out to read small print on eyechart to indicate good vision, everything has a ghosting and slight out of focus look.  It's not the sharp close up vision that I had even without glasses when nearsighted prior to surgery and this becomes uncomfortable for any close up tasks. What I don't like is that my overall vision blurriness gets worse as lighting changes, only in bright daylight do I have a full range of sharp clear vision. Indoors the quality of vision varies greatly depending on amount of light, I am constantly switching reading glasses in different strenghts and/or need to add a direct light source to create sharper vision to do things., otherwise close up to a few feet out vision has blurry quality that is very disconcerting to me. Does near vision improve with time, or is it me unable to adjust to the changed vision. PRK was suggested as a possible help to consider,. or is it the nature of the Restor multifocals that cause my vision quality to vary so much with lighting conditions. this inconsistancy is making it very difficult. I hope this explains my dilemma.