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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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233488 tn?1310693103
MEDICAL PROFESSIONAL
You may want to get a second opinion. You may need to wear glasses all or most of the time to get the best possible vision.
JCH MD
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Avatar universal
Dear Dr Hagan,

Thank you very much for your comments.  I did in fact get a (rather expensive) second opinion from another surgeon, who I later discovered only implanted the Crystalens, not multi-focal lenses.  He knew how upset I was at not being given the Crystalens, but told me that I must put that out of my mind now.  He could not find anything wrong with the positioning of the M-Plus lenses.  After the eye tests I took at his clinic, he saw I was experiencing problems with both distance and reading vision and suggested I got some optician-only prescription glasses for both.  I was shocked at this, because the whole point of the expensive surgery was for me to be specs-free!  I was prepared to only buy some off-the-shelf reading glasses, but these unfortunately only help a bit.  I am not going to get distance glasses as these won't rid me of the totally distracting ghosting/luminance I see at night whilst driving.

For a great many years, I wore gas-permeable contact lenses.  Well, these M-Plus lenses feel just as though I am still wearing them, but with a greasy mark on them!  I hope this sensation goes away over time.  At the moment, I simply wish that I had never had the surgery performed.  If after a few months I still have, in particular, the ghosting problem, I will have to ask for the lenses to be explanted and single-vision ones implanted instead!

With kind regards,

Lynda
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233488 tn?1310693103
MEDICAL PROFESSIONAL
Good luck, hope the dysphotopsia improves. Remember that Dr. Kutryb and I have published three research papers using these forums as the data source. Patients with multifocal or accommodating IOLs are about 23 times more likely to come here with a problem than a high quality monofocal IOL.

As I've said many times before if I was having catarct surgery on myself I would not consider any mutifocal or accommodating IOL.

JCH MD
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Avatar universal
Three and half months after the surgery I am still having exactly identical problems to you. I am 60 year old female and has been myopic all my adult life-  was -4 in both eyes befor the op. I would have been quite happy with monofocal IOLs set with mild mono-vision and would have been happy to have clear distance vision without glases but the surgeon informed me about this 'state of the art' multifocal IOL which supposedly had sorted all or most of the  issues found with other multifocals. I have been very unhappy with the nighttime vision. Day time vision is good but not consistant. I suffer a lot with dry eyes, sensitivity and glare. Preservative free artificial tears and plugs have helped a little. I have also developed cob-web type floaters 2 months ago but they are getting smaller and less obstructive. My surgeon who I saw 10 days ago said every thing was fine and was surprised that I was still experiencing nightime light issues. He has asked me to try alphagan drops to deal with nighttime light issues when driving. As my eyes are still very sensitive from the eye examination I will wait  for them to settle down before embarking on this new regime. I do have full faith in my surgeon and do want to believe that this lens is an improvement over other lenses. Perhaps it is the side effects of the surgery such as the dry eyes which are slowin down the healing process of the cornea in my case to some extent. I know my story will not give all the hope but there are quite a few of us in the same boat. Good luck. I hope things will get better for you.
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Avatar universal
Dear Dr Hagan,

Thank you for your message to me of 20th October last.  I am still having problems with the Oculentis M-Plus IOLs, even though I have had corrective laser surgery in one eye so far (4 weeks ago) to obliterate the astimatism there.  My surgeon has also given me Alphagen to use when driving at night, which only helps a little with the ghosting from lights.  If things do not improve substantially after I've had the other eye lasered, I want the surgeon (and he won't be happy with this suggestion!) to remove these lenses and insert single-vision (monofocal) ones.  You said in your message to me that if you yourself were having cataract surgery, you would not consider either multifocal or accommodating lenses, but high quality monofocal ones.  Could you give me the name of a high quality one, please?  I am going to see him again on Tuesday afternoon, the 11th (UK time), so if you are able to reply to me by then I would be very grateful.

These M-Plus IOLs have cost me £6,000, and I refuse to pay out more money for new monofocal ones.  Of course, if I had had the latter sort, I would have saved myself a lot of money!

Many thanks,

Lynda199
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Avatar universal
Dear  Lynda,

I'm sorry to hear that you are still having problems with your vision. I myself gave up on alphagan drops as it dried up my already dry eyes bit too much. I am still suffering with dry eyes and at 6 months post op I can say that I am beggining to get used to my new vision at last. Yes, this is the trick. The light issues- GASH (glare, arcs, starbursts, halos) are still there but I am only noticing them when I remember about them. Six months ago I refused to believe in this neuroadaptation but having spoken to some of  my friends it can take upto a year.
My two colleagues have had standard NHS IOLs set with modified mini monovision ( a favourite of Dr Kutryb on this forum). The dominant eye is set for distance  and the other eye for intermediate range. This gives them glasses free driving and computer work but they need glasses for reading only. They are both very happy with their vision. NHS have been using these standard lenses for years and years.I am almost envious of my two friends.
If you look at some blog members e.g. JodieJ March 30 2010 there is some discussion about which monofocal IOL to go for. There is a suggestion for tecnis IOL. I should log onto www.tecnisiol for more info. I would still give each eye atleast six months and let nature take its course before going for a swap. As I have indicated, neuroadaptation takes a long time and I am getting there albeit slowly. The brain does learn to filter out the unwanted images.
Do let me know what you decide.

Shindi
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Avatar universal
Dear Shindi,

Thank you for your last message.

I am still 'suffering' with the M-Plus Lenses, I'm afraid.  By brain has not managed to filter out the ghosting, etc. after having the lenses inserted in Aug. and Sept. last year (I have read somewhere that 10% of people's brains cannot ignore light image problems, so I must be in this group).  I am continuing also to have great difficulty with reading, in particular, feint print.  I absolutely hate the vision I am getting from these lenses and want them replaced ASAP, but I'll probably have to go a whole year before the surgeon does this.  I still wish he had inserted the Crystalens HD ones that I went to him for in the first place, but he seemed adamant that I would not be able to read with them.  However, even with my asking, hasn't given me a real reason why he thought this.  Anyway, if he had done as I had requested, I feel that couldn't be any worse off than I am now, as reading is very difficult indeed!

I am very reliant on the Alphagan drops, not only for driving but for use most evenings (they'd also help in the daytime, but I limit them until after dark).  I don't know if I'm supposed to use them nearly every day, but I'm doing so anyway!  The drops don't cure the ghosting problem, but they do lessen it a bit.  I feel very nervous when driving in places I'm not familiar with, and really only go a couple of miles down the road.  Therefore, my partner has to do most of the driving around, which annoys him somewhat!  This situation simply cannot continue.  I feel my independence has basically been taken away.

In January, the surgeon performed PRK laser surgery on my right eye because of the fairly high astigmatism I had in that eye.  He thought that might help with the ghosting problem, but it hasn't made the slightest difference;  in fact, if I cover over each eye and look at a street light in the dark, the right eye is now worse than it was in that respect.  Not only that, but I'm sure the vision in that eye (at ALL distances) is also worse than it was before he did the PRK.  He said that he was going to "cut right back" all the astigmatism on the front of my cornea, so I don't know what's gone wrong to make my vision in that eye worse than it was.  I'm going back to see him on 4th May, but neither my partner nor I will be surprised if he says to "leave things a few more months".  I really don't know if I can wait that long!

When it comes to the time to change over to single-focus lenses, I am in a dilema over what power to go for because I hate wearing reading glasses (and wish I could also see properly to put my eye make-up on!), and wearing distance glasses.  I was previously very short-sighted and hated having to wear them for driving, looking for bus numbers and watching the television.  This was why I wanted 'accommodation' lenses, i.e. Crystalens HD.

With kind regards,

Lynda.

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Avatar universal
Hi Shindi-I have the exact symptoms as you-I had my eyes done with lentismultifocal lenses on march 7th and march 14th. Wish i had not done it my life has been a misery ever since-the worst thing for me is sore eyes. My eyelids underneath are sore and painful and will not tolerate any make up. Please keep in touch with me and let me know if you find anyhing that makes it bearable- All i am ever told is-give it time but dry eye and eyelid discomfort does not seem a common symptom of these lenses! I feel as you do that it feels like when I brecame intolerant to my contact lenses! I am in despair! I had my eyes done in Harley Street. Where did you have urs done?
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Avatar universal
Hi Lynda-how horrible these lenses are! I have been miserable ever since I got them and wish-every day that I had not been so vain and had stuck with my glasses. £5.000 down the line and i have never felt so miserable!
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Avatar universal
Hi Lynda,

I am so sorry to hear that your vision predicament has not changed. I would not recommend lentis mplus to anybody. All my friends who have undergone cataract op and were short-sighted like me were given monofocal IOL on the NHS set for mini-monovision. They do not require specs for distance or computer vision and need reading glasses for very close work.They have not suffered any GASH issues and they have not been set back by thousands of pounds. I am now quite used to these night time effects but have not yet done any night-time motorway driving. I do need +1.5 readers for enhaced reading( and for tweezering) and am going for an eye test next week to see if I can enhance my night-time distance vision for driving. So I am not any better off than my NHS treated friends. I am not spec-free. My dry eyes are a bit better and the floaters are not as apparant as before. I think I might have got used to them as well! LOL. I am not happy but am too scared of any more surgery.
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Avatar universal
Hi colleague ten months on I am still not quite out of the woods. I can't say I am totally specs-free. I have suffered night-time light issues GASH (glare,arcs,starbursts and halos),floaters and very sensitive dry eyes.I am still using plugs (one in each eye) and drops.I have also been taking fish oil and flax seed oil combination all along. Two months ago I was desperate and stopped taking these suppliments for a month because I felt they were not making any difference only to find that my dry eye condition got worse than ever before. So I started the suppliment again- this time with THERA tears and I saw the difference almost immediately. I also have a plug in each eye.I also take evening primrose oil. I do feel my eyes are not as sensitive and dry as before and every week they are getting better. Do google the name of this product and you will find the U.K. supplier. I too am not yet confident about wearing eye make- up especially mascara. I had my eyes done in a private hospital in Birmingham by a surgeon with international reputation! Hope you find this info useful.
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Avatar universal
Thank you so much for ur info. It is good to talk tio people going through the same probs. What a nightmare! Wonder how many people are like us?
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Avatar universal
IOL replacement for 'cosmetic' reasons in one eye 6 days ago - excellent result. no blurring after second day, no halo after third day. Vision just slightly better than it was with glasses. What more could I have wanted?

Going for second in a week's time. Really sorry to learn about the bad experiences that people have been having - I suppose it is a fact that these forums tend to get comments from those who are having problems? Anyway I would recommend Lentis Mplus to anyone.
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Avatar universal
A few of us who have had good results with multifocals have posted here, but we are greatly in the minority, probably--as you say--because people with problems look for help on these forums.
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Avatar universal
I am exactly a year on from having these lenses. The light effects ( halos, starbursts etc) are still there but I am getting used to them....slowly. I have glasses for night-time driving only which have corrected the minor residual astigmatism and myopia. This helps a bit. And I need very mild readers in poor lighting conditions. My best vision is during daylight hours.
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Avatar universal
How is your sight now after second eye lense implant. I have been for consultation and been told that Lentis M plus lenses are ideal for me. I am long sighted, are you long sighted. After reading all comments , I am having second thoughts about op. Gordon
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Avatar universal
It is now some 6 weeks since I had the second eye done (8 weeks from first). To give you a comparison this was my eye prescription:
Right. Cyl -7.75, Axis -1.25, Near +2.25
Left . Cyl -4.75, Axis  -0.75, Near +2.25
So you can see I was short-sighted, particularly in my right eye that also had a fair degree of astigmatism, and long sighted (with advancing years!).

I did my research on the best surgeon to go to. I live in the UK, north of England, and went to the best man this side of London,. Arun Brahama of Manchester Eye Clinic. He suggested we did the right eye first and warned that I would not get any better vision with that than I already had with spectacles. He also warned that I would need reading glasses for very small print and for prolonged reading.

The actual surgery was no problem at all - walked out after 30 minutes. With the right eye it took a few days for distance vision to settle to 'as good as with specs' and it has subsequently got just a bit better than that. The left eye distance vision was excellent the very next day and has got even better since - it is now noticeably better than with specs.

Arun had the lenses made so that for near vision the right eye was best for slightly further away stuff (computer) and the left for book reading. I can read well enough but find 10pt a bit of a struggle for more than a few minutes. I cannot read the very smallest print such as calorie info on food jars. It seems to me that it is vital to exercise the eyes to get the best out of near vision. The more I work at it the better they get. These lenses are strange in that because of their dual focus you get near vision wherever you are looking (unlike vari-focals). In a couple of weeks or so I will go and get myself some very low prescription reading glasses (+1 or +1.5 I should think)

Normally I am not aware of the new lenses, but if I think about them (like now!) then I am aware that they are there. Occasionally they itch a bit or I get a bit of blurring. I don't think this is anything inside the eye, it is just a lack of lubrication - a few blinks and it is gone - I do think that it is important to be positive about this and any associated problems (I can sort it out, it is not a major problem,my life is much better!), not to do so might start a depressive cycle.  I used to wear micro-corneal contact lenses and itching was much more of a problem with them.

I get a bit of night glare from my right eye (not enough to bother me when driving) - my left eye has no discernible glare. An important point to note is that with the right eye the vision is darker than it was (like VERY mild dark glasses), this is very slightly noticeable with the left eye. This is no problem in normal daylight but a bit annoying in very low light conditions.

Would I recommend it? Yes, but with the following provisos:
1. Go to the very best surgeon that you can find - and that means paying top whack! (It cost me £6,500)
2. Be prepared to work at getting you vision up to top notch. This means changing focus frequently and persevering with small print.
3. If you are a pessimistic/depressive sort of person then, in my opinion, you will find it much harder to cope with this.

Anything else?
1. Suggest before you have surgery that you carefully record what you can see at whatever distance with each eye, with and without specs - once it has been done you will have no comparison.
2. Great bonus for me was that I found I could see indigo and violet in what I had thought was grey - this of course shows that I was starting to get cataracts.

Sorry about the length of post - but it might help you - and others - in their decision-making.
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Avatar universal
Thank you very much for your quick reply. I will take all your advice on-board. It is good to get advice from someone who has been through op. I was getting a bit apprehensive after reading about other peoples problems as I dont think these lenses have been on the go for long.  
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Avatar universal
I had a Lentis Mplus transplanted in my left eye in January 2012.. It took about 5 days to obtain a good distance and reading ability. I do get ghost images and glare around lights. I had my right eye done with the same transplant in February 2012 and 3 days later the right eye quality of vision  began to improve. The correction to my vision would be good for both distance and reading but I stll have ghost images, quite bad in the right eye, which are spoiling the clarity of vision I could have had.
At night I do see a blur around traffic lights etc and all the spot lights in the supermarkets are a problem. I hope that these ghost images will improve with time. At the time of writing my vision is not as good as it was with glasses. Has anyone had these ghost images go with time?
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Avatar universal
Dear Lynda,

I was wondering if  your problems with the MPlus lens implants have improved. I had the implants done about 6 weeks ago and I am experiencing ghost images.

Regards
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Avatar universal
I seem to be on a different planet to everyone else on this forum in that, after 6 months+ I am still delighted with these lenses. I have no 'ghosting', can drive safely (well as far as sight is concerned!) at night and have only very minimal extra  light-glare.

For distance my left eye is better than with glasses, my right perhaps very marginally worse. Close vision is worse in both. It is especially bad in poor light although improved with +1.5 reading glasses. I have also indulged in a monocle - don't laugh! - it is so much easier to carry around (slips into top shirt pocket) than reading glasses, so I am never without decent close-to sight (albeit in one eye).

If it were not for the awful problems, identified above, that people are experiencing with these lenses I would have no hesitation in wholeheartedly recommending them.
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Avatar universal
I am glad that your experience with the MPlus lenses has been a good one. I was wondering if you did experience any ghost images initialy but that they have reduced with time?
I am beginning to think that the ghost images may be related to the positioning of the lens because the ghost image in my right eye is much worse than my left.
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Avatar universal
I did have a small amount of ghosting initially with my right eye. This one had a fairly high degree of astigmatism which, I suppose, made it crucial to get the exact positioning of the lens correct?

I rather think that my brain has learned to cope with this  - and anyway my left eye is my 'master eye' so it was hardly a problem even in the first month.

Hope this helps
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Avatar universal
There are a few papers on the internet describing the results of trials on the MPlus lens implants. I read these before choosing these lenses and because all the papers had very positive results for all patients I chose the MPLus lens. In all the trials, every patient said that they did not experience any ghost images.
This seems to contradict the comments in this forum which are mostly concerned with the poor sight that people have due to ghost images.
If I cover the lower part of my eye with my finger, so obscuring the near distance part of the lens, I have excellent vision. This is very annoying to realise that the near vision part of the lens is producing the ghost images and degrading my sight so much.
I will work on trying to improve this by changing focus from near to far objects.
I wonder if anyone has experienced any improvement using the Gabor Patch images?
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