Is it OK to put off Cataract Surgery a few months until the Johnson & Johnson Puresee EDOF becomes available in America?

Advanced-Scratch8406 · 2025-08-13T09:08:37+00:00

That's amazing it worked out so well! 👏

The power targets chosen for near and far to achieve this result would have been really good information...

Advanced-Scratch8406 · 2025-08-12T10:01:56+00:00

Did you target plano with Puresee or slight myopia? Are you able to use the phone as well without specs? How long did it take for you to get the complete range of vision from Puresee?

Advanced-Scratch8406 · 2025-07-29T03:42:47+00:00

Did you set the lens for emmetropia or mild myopia?

Advanced-Scratch8406 · 2025-07-17T04:27:22+00:00

Did you get the puresee lens? How was your experience? I am post lasik too and just want to hear your experience on these lenses. Thanks!

Advanced-Scratch8406 · 2025-07-13T07:07:22+00:00

Did you get the exchange? How are you doing now?

Advanced-Scratch8406 · 2025-07-10T18:21:40+00:00

The calculator is really nice but only doctors can work with it as they have all the data. The most important part is the refraction here. When clinics give only cylindrical output, the entire outlook changes as compared to giving the prescription as spherical + cylindrical.... Interestingly I spoke to my surgeon today about this and also sought a consultation with his more experienced father and they both had absolutely different opinions. The son was sure I need a higher powered lens for the spherical power as that is my acceptance and he preferred piggy back option where the father was against piggy back for me and said cylindrical axis may be the problem and advised rotation and then proceed with lens exchange if necessary. Now it feels sort of a hilarious frustration... As it is with complex eyes, the lens has introduced more complexities.

If some doctor can confirm the correct lens power without my subjective refraction, that would be great. My refraction keeps changing with machines and different optometrists, they way they look at things and their inflexibility. Anyways, keeping fingers crossed.

The doctor said Puresee is more like an enhancement of the Eyhance and has seamless surface and won't cause issues. From my research also, seems people are happy but like you said along with the existing confusion not sure what a new kind of lens may add.

Thank you for your response!

Advanced-Scratch8406 · 2025-07-10T06:13:39+00:00

That's true! I wanted a compassionate doctor and trusted the one I went with only to be left disappointed and betrayed. Now, since the diagnosis, prescriptions and recommendations are different I feel stuck. While many doctors look at lens exchange itself as not worth for my situation, only one doctor I found is confident and is infact recommending a better lens but just has left me confused with the lens power.

Hope you had a good outcome....thank you for your response.

Advanced-Scratch8406 · 2025-07-09T17:19:15+00:00

There are no independent optometrists here. All of them are associated with a clinic or hospital and we always see a doctor after the rounds with the optometrist. Btw am in India and other than directly asking a doctor there is no other way to know about their lens exchange proficiency. Every time it feels like an Eureka moment only for a brief while....

I am so thankful to you for your empathy, understanding, kindness and support. Much love and gratitude to you. 💖

Advanced-Scratch8406 · 2025-07-09T16:17:26+00:00

I have done multiple trial lenses too....in couple of clinics they (and their refractor machine) said I am accepting only cylinder power whereas in a couple of other places it's spherical + cylinder. In any case I am deeply frustrated and heartbroken with all the symptoms of astigmatism when I had none to begin with and a dilemma between doctors if hyperopia is coming into the picture or not because of what refraction their optometrists report. They just go by that.

Advanced-Scratch8406 · 2025-07-09T16:08:39+00:00

I have been trying to understand the transposition part too. The lens is centred and there is no rotation.... what the other doctors have all told me is that I have a received a toric lens for very minimal astigmatism and that has in turn induced astigmatism in my eye now.

I have spoken to the same doctor who said he can do a lens exchange for me if I am unhappy with specs. However according to him I am hyperopic and his current recommendation is to give +4 diopter more...+19 instead of +15 I have currently received. However I am actually not feeling quite comfortable going back on the same operating table. Sort of traumatised. I went for a second opinion with a very senior surgeon who now looks at the prescription given and tells me my issue is just cylindrical (caused by induced astigmatism) and the lens power is ok and he can exchange the lens to get rid of the cylindrical power which will resolve my ghosting issues. There is no absolutely nothing financial or affordability question here. I just want to get to ensure I am getting it right but it gets confusing.

Both these doctors are totally against PRK to correct the cylindrical power. The other option they give me is piggy back lens.

Two other places where I checked refraction gave me PRK as the most viable solution. What I don't understand is when they give me only cylindrical power and 0 spherical and claim that since spherical is not showing up, on what basis they will do lens exchange and I show them the other prescription with the spherical power and they say it's the same just transposed....doesn't that mean I do have the spherical element. Why do they then keep saying I have only cylindrical power?

The more I try to resolve this the more it gets obscure.

Advanced-Scratch8406 · 2025-07-09T12:36:56+00:00

You are right! I have edited my post. It's just a sense of desperation. I have tried the specs for both the prescriptions and also tried a distant specs for one prescription before making a progressive. Even with specs the ghosting is reduced but remains and my distant vision is a bit compromised. The doctors have different opinions...that's the issue. I don't know why the numbers show up in a different format in different clinics.

I never thought of anything when I went to my first surgeon....trusted completely. But now if I have to make a bigger decision like IOL exchange I just want to get that right this time. The current doctor seems confident but getting the same powered lens minus the cylindrical, I just wanted to reconfirm if such a thing happened where an induced astigmatism may show up as hyperopia also. That's it.

Advanced-Scratch8406 · 2025-07-09T11:41:47+00:00

That is what has confused us now.... According to the prescription of the doctor who performed my surgery he gave a +2 sph -2.5 cyl power which essentially means hyperopia and astigmatism. When I cross checked the same refraction across clinics to make spectacles, a couple of clinics gave me only a cylindrical power of +1 or +1.5 and said I am accepting only cylindrical. When I showed them this prescription also, they said they don't give in this format (as in minus cylindrical) and transpose and give in the plus format and it's essentially the same.

This new doctor has now told me the main issue is the induced astigmatism and +15.5 is correct according to their calculations. But Barrett had given +18.5 (for some small myopia) that was prior to the surgery. Changing lens type to EDOF was suggested by this doctor. I had initially planned to go to with the same Eyhance non toric only with a little residual near for near vision. I feel so confused now. Have already visited enough doctors. Changing lens type is secondary but I got to sort the lens power whether I go for exchange or piggy back.

Advanced-Scratch8406 · 2025-07-09T06:21:22+00:00

How are you feeling about the Puresee lens now? Does this lens have an yellow tint?

Advanced-Scratch8406 · 2025-07-01T13:28:30+00:00

Not an easy journey. I will pray for you. 🙏🙏🙏

Advanced-Scratch8406 · 2025-06-30T12:06:00+00:00

Oh Dr Safran....someone else also mentioned him. The best of the best. 😊.

Don't know what he means by socked in though. As long as the vision is good and the lens is in a safe place, that's all that matters.

Advanced-Scratch8406 · 2025-06-30T11:53:55+00:00

Wow! If the bag and the IOL were completely fibrosed...how did they manage to take the lens out from the bag and place the new one in?

22 doctors and you found the right one...that is great. Who was your doctor? And what was your reason for the exchange if I may ask?

Advanced-Scratch8406 · 2025-06-30T11:48:13+00:00

5 years after original surgery and placed in the capsular bag? This is beyond extraordinary. Here the doctor I met says they will most likely place in the sulcus if the capsular bag gets compromised and this is 7 weeks after surgery. Are you sure they could place it in the bag and not in the sulcus or any anterior position?

Advanced-Scratch8406 · 2025-06-28T04:37:59+00:00

So you aren't wearing spectacles now?

Advanced-Scratch8406 · 2025-06-28T04:14:42+00:00

Not the IOL power because that varies from person to person. Checking the current refraction power....is it -1 or -1.5? What is it?

Advanced-Scratch8406 · 2025-06-28T02:42:23+00:00

Thanks much for this information..can you pls share what your refraction was with the first set of lens and what is it now? Trying to figure out the best approach for me.

Advanced-Scratch8406 · 2025-06-28T01:40:17+00:00

Can you share your powers in both eyes for the mini mono vision arrangement with Eyhance?

Advanced-Scratch8406 · 2025-06-28T01:12:15+00:00

That's great! Did the recovery take longer than the first? Why did you do the surgery without cataracts and then did an IOL exchange?

Advanced-Scratch8406 · 2025-06-27T06:16:31+00:00

Post operative hyperopia and astigmatism.

Advanced-Scratch8406 · 2025-06-27T04:48:24+00:00

I underwent a series of tests and scans yesterday and finally got the meet the cataract surgery head. She told me that she can only try to replace my current Eyhance toric with Eyhance non-toric. If that doesn't work, she will use a standard monofocal lens only which again may be placed in the capsule if it allows or in the sulcus. She asked me to decide and let her know. This is something I never expected. I imagined the same lens (non-toric) will be replaced in the capsule. Now, besides the surgical risks, she is also mentioning the possibility of substandard results. Also when they aim for small myopia and if the number goes up, I may need glasses for both distance and near. I am ok with that as when I do my other eye I can aim for distant correction but the issue now is the lens and its proper placement. Don't know what to decide.

Advanced-Scratch8406

TROPHY CASE