I am 78, and my opthamologist said she did not know how I could see through my cataracts. Indeed, the world looked somewhat dim and yellow, but with my Zeiss varifocal eyeglasses, I could see 20-20 at all distances. But I decided that the time had come to get my yellow, cloudy lenses replaced.
As usual, I wanted the best lenses available, and chose the Alcon PanOptix Trifocal cataract lenses (one of which was toric to correct astigmatism), even though they cost me $4000. A great introduction to these lenses is on YouTube. According to Alcon, here is how the lenses work:
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| Explanation from https://professional.myalcon.com/cataract-surgery/intraocular-lens/panoptix/ |
The operations (spaced two weeks apart) were successful, and both lenses are perfectly centered.
The world is now brighter and whiter! Especially, it is now a pleasure to use my 32"-wide computer monitor, which is 24" from my eyes (one of the lens focal points). I can see all parts of the monitor without moving my head (to the varifocal close-up area). In the mornings, I see quite well. Unlike with eyeglasses, there is no need to look down to see close up.
But all is not perfect. Things are too bright (perhaps) and lack the contrast I got using eyeglasses. For example, if I look at Google Maps, it is really hard to see the gray street boundaries on the white backgrounds. On my Mac, in Finder using Column View, I can barely see the vertical column boundaries.
Even worse, as the day progresses, things deteriorate. I start to see double at all distances, but it is especially bad close up, say, reading my Kindle. The clear, sharp letters are overlaid (shifted up) by an out-of-focus version of the image. I mean overlaid literally because the out-of-focus images are raised off the page in stereo. This is really annoying and tiring for my eyes. Reading glasses do not help—I just see the double images a bit more clearly. As a scientist, I really want to understand how this happens.
At night, all point sources of light are surrounded by concentric rings (up to 9!). This is sort of pretty. However, if the light sources are close together, it is hard to see in the overlap areas.
I can only hope that my eyes do not tire so much as I get more used to the lenses . . .
Comments
PanOptix trifocal lens
I am do for surgery on the 29th with the Alcon PanOptix lens.
Neeeeed to know what you are experiencing now and what you think please.
grateful! panthercub1@att.net
The issue is tear level. If…
The issue is tear level. If my eyes are wet, there is no double vision. But my eyes are often dry.
I would recommend getting astigmatism and far vision fixed, and using reading glasses.
You also need a LOT more light to see things in detail.
PanOptix lens
I am scheduled to get PanOptix in about 8 days. If anyone has these, your experience would be highly welcomed.
I still have issues with…
I still have issues with ghost images in the evenings. This is due (I think) to dry eyes. If I use eye drops, I see much better. I test 20/20 at all distances. But note, up close there are just 2 clear places, at about 12" and 24", so close up is not continuous. And reading glasses do not really help. I use a magnifying glass for closeups.
They work great on my desktop computer screens.
PanOptix
I had bilateral PanOptix implants several years ago and truly regret it. I have considered having them replaced. I am a retired Ophthalmologist, so am very aware of the pros and cons of this lens. I have great vision at distance, mid and near! The downside of this implant is that I need a lot of light to see up close and I can no longer drive at night. The headlights and all points of light are multiple concentric circles that is blinding and dangerous. I have them during the day also but can "ignore" them. Simple things like threading a needle are almost impossible. The glare from the medal needle prevents me from seeing the thread. I would not recommend this implants to anyone.
I agree. But I can drive at…
I agree. But I can drive at night. Closeup is really difficult. Need a magnifying glass.

I am scheduled for cataract surgery next Wednesday, June 7, 2023. My plan is to get the PanOptix Trifocal lenses, but now I am having second, third, and fourth thoughts. How are your lenses doing? Are you still seeing double at all distances as the day progresses? I love to read in the evenings and what you are describing sounds exhausting. When was your surgery? Has your vision improved with time spent getting used to the lenses? Please let me know what you think. Thanks for sharing your experiences. reblang1803@gmail.com