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iol to choose

Hi, I have to decide which kind of iol has to be implanted in my eyes and I am in trouble...I have both yes myopic, - 3,75 S -3,75 D, since I was seventeen, now I am 66 years old. I have always worn rigid and semirigid conctact lens, every day, from early morning to night, without problems. Before cataract I needed +1,50/2,00 glasses to read very small characters, wearing them on my contacts. Now I have -7,5 S and -4,5 D. I had 3 different suggestions: 1) monofocal iol to see well at far, 2) monofocal iol -2.50/3.00 in both eyes to have a very good near vision, and 3) the Symfony lens (available here in Italy). I am accostomed to have a very good near vision even without any lens or glass and I am very sensible to colours. I think that the solution n. 2 might be the more "natural" for me, but also the new lens Symfony seems very interesting even if also "complicated". I would like some suggestions. I have to decide in a few days...
Thank you for any help.
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Avatar universal
http://www.healio.com/ophthalmology/refractive-surgery/news/online/%7B465bc15c-7381-4aca-b60d-fd3b9970e351%7D/three-month-results-of-european-study-show-good-performance-of-symfony-iol
"Three-month results of European study show good performance of Symfony IOL

May 13, 2015 ...

'Halo and glare were minimal, with 99% of the patients reporting no halo or night glare at all. Patient satisfaction was high. More than 60% were spectacle-free, and 98% said they would recommend the implant to family and friends.'  ...

'Uncorrected visual acuity was 20/20 at both distance and intermediate and 20/32 at near, with a smooth transition between distance and near vision. The defocus curve was a continuum and did not show the classic peaks of conventional diffractive IOLs,' Hugny-Larroque said. "


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Avatar universal
I'm not sure when/why he would be seeing these, other than as halos at night, which can take the form of concentric circles. I am one of those infrequent people that sees halos  from lights at night with the Symfony (concentric circles corresponding to rings on the lens)  but I'm not bothered by them since they are so light,  translucent, I see through/past them. I have no issues with glare, and overall my night vision is better than I can ever remember (even before multifocal contacts and then cataract which might have impacted night vision, it often seemed like my night vision wasn't as good as others).


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Avatar universal
I understand that when he was looking at something, (not at night) for instance a book, he saw the book as through a circle; ie one of the three circles that delimit the three concentric zones of the trifocal. This was one of the bugs of this kind of lens. I think that it is similar to what happens to me sometimes when wearing my contacts (not multifocal): I see the bordeline of my stiff lens fluctuating when there are particular situations of light, and if I pay attention to it.
I 'll have my visit with the surgeon in a few days. He suggested me first iol set for far, but I fear I need glasses for near and also for Intermediate. Then he suggested Symfony saying that I'd use glasses for near (+1,00/1,50). Another surgeon told me "only monofocal, don't use multifocal, Symfony is a kind of multifocal, you should be never satisfied with it".  Now I return to the first, a little bit informed, also thanks to what you wrote, but I am so much anxious...
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Avatar universal
I had cataract surgery 3 weeks ago and had the Tecnis 2.75D MF IOL implanted.  I just posted my experience which might be of interest to you.  

http://www.medhelp.org/posts/Eye-Care/Tecnis-275D-MF-IOL-Experience/show/2597910
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Avatar universal
I read your experience. It was very useful.
Tomorrow  I'll ask my surgeon also about your iols. I think that the choice he will suggest will be Symfony....
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Avatar universal
If you go with the Symfony, report back your results.  
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Avatar universal
The surgeon suggested a monofocal set -2,50/3,00, to have a very good near vision, or Symfony. He did not have a good experience with Mini Well.
I have chosen Symfony. Next week I'll have operation.
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