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Is This the End of Multifocal Lens Implants? New Cataract Lenses for 2027

1.3M views · 3 Oct 2026

Comments · 828

  • @HarrietMcCoy-m6y · 1 month ago

    I have Panoptic. Blurry vision and halos are a nightmare. I had no vision issues before surgery. I was told I needed the surgery and did not know better. &nbsp;I paid $6000 for the lenses and biggest mistake of my life. Very hard time driving at night, because I cannot judge distance anymore and halos make it hard to determine distance of cars coming. <br>There is so much I wish I had known, but trusted the doctor. Big mistake.

    217

  • @rickjansen3823 · 1 month ago

    As an engineer I’m worried these flexible plastic structures will age, get stiff, or worse: leak.

    136

  • @Farrodee · 1 month ago

    I had lens replacements before multifocal lenses were a thing. I requested near vision traditional lens in the left eye and far vision in the right eye. Nearly had to fight with the surgeon to get him to agree to this - but for many many years I had been wearing contacts in this manner. He finally agreed, and now almost 20 years later my vision is still perfect. I wouldn’t do anything else.

    32

  • @loneranger5928 · 1 month ago

    Pity they haven&apos;t got around to correct astigmatism.<br>Interesting but independent testing is important

    58

  • @romari2706 · 1 month ago

    I just got &nbsp;the EDOF (extended depth of focus) J&amp;J Tecnis PureSee Cataract lenses implanted. It was set to be &nbsp;slightly myopic given its extra farvision headroom for focus. My vision is now 20/20 distance vision in both eyes, and J1 to J1+ for near vision. &nbsp;I can read down to 8 inches in front of me. This is an amazing range for a fixed lens. The contrast sensitivity is amazing - equivalent to standard monofocal cataract lenses. No halos. &nbsp;And it only cost $850 per eye very affordable &nbsp;so I’m pretty happy. Certainly the surgery is much simpler than the in research accommodating &nbsp;lens.

    109

  • @bgjb-r1499 · 1 day ago

    People make sure you do your homework. &nbsp;Remember being a doctor functions as both a healing profession and, increasingly, a business.

  • @PhotoMagmatic · 3 weeks ago

    As a photographer, I wanted crisp contrast, and no halos. And I don’t mind wearing glasses. So, I chose the monofocus IOL. I only needed one eye done. Three months in, it has worked well. But the surprise was flare. A bright, specular light can have streaks of light coming out of it in a few directions. Two or three degrees long. This is only noticeable under dark conditions. I see it when looking at the moon.<br><br>But the big surprise was if there is a bright light, such as a streetlight in my peripheral vision, I see an arc of light stretching from the light to the center of my vision. Actually, an arc-shaped band of light. There &nbsp;also can be streaks coming from the light to the arc. This seems to be light leaking around the edges of the IOL. I don’t think it will go away. It’s just something to get used to and live with. I don’t regret my choice of IOL.

    8

  • @woodpecker6452 · 13 days ago

    As an ophthalmologist there is no way i would have one of these two piece lenses inserted in my eye and would certainly no have a silicone filled implant ever

    1

  • @anthonyziccardi1550 · 13 days ago

    I am 79 years old and had cataract surgery three years ago. &nbsp;Panoptic lens and it is wonderful. &nbsp;No issues. &nbsp;Night driving is great. &nbsp;I was a multi focal contact wearer for years so this transition was nothing. &nbsp;Just the same every day.

    4

  • @philosophyze · 2 weeks ago (edited)

    I&apos;m only 50 but got an initial optometrist diagnosis of cateracts but want a second opinion and my glasses which I had never worn before took care of the astigmatism I had developed.<br><br>I was able to pick out the different Thunderbirds at the airshow with an overcast sky. The blue angels were easier to pick out as the clouds cleared up and the dark blue was a higher contrast.<br><br>I think I can afford to wait a couple or more years assuming cateracts have started to form.<br><br>I have an indoor desk job so my lenses haven&apos;t had enough exercise as they need.

    4

  • @WillN2Go1 · 1 month ago

    Terrific video. I&apos;m 70. I still have some years to go before I&apos;ll need cataract surgery. &nbsp;But this is all good news. The current options seem really good, these new developments available in 5 years or so seem amazing. &nbsp;What I expect is my best case scenario is &nbsp;I&apos;ll wind up somewhere in between the current options and these new lenses, but when I get them, even newer lenses will be in the early stages that will be better than &nbsp;young normal human vision. &nbsp; I remember decades ago my optometrist telling me that my eyeglasses gave me 20/15 vision. I also remember my near sightedness being like having natural magnifying loupes or microscopes.

    13

  • @EyeBalz93 · 1 month ago

    Wow, what an excellent, comprehensive assessment of the future accommodative IOL pipeline and current premium IOL options. &nbsp;I agree with your enthusiasm for the PureSee EDOF IOL. &nbsp;My patients have been very happy with their results with this lens. &nbsp;The J&amp;J Odyssey and the B&amp;L Envy are my choices for patients with healthy eyes who seek complete binocular spectacle independence and accept the likelihood of nighttime halos and decreased contrast sensitivity. &nbsp;Results have been excellent; however, selecting the right patients for these IOLs is very important. &nbsp;Thank you for producing this superb video.

    9

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