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LAL+ Full Release Just Happened
Hi All,
I've been waiting for approval and release of LAL+ for former PRK/LASIK patients - PRK for me about 18 years ago.
I've completed workups and am scheduled for LAL+ IOLs to be implanted in both eyes in mid June.
Anyone else had this done? Looking for relevant experience!
Thanks!
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I have not I believe had this procedure but would appreciate an explanation of what it is. We are here to learn from each other. Thank you
Simple - internet search for LAL+.
I am scheduled 5/13/24 & 5/20/24 for LAL surgery. Not sure if I should do the LAL+ (it is so new). I would like intermediate/near vision and wear glasses for distance. Will this be the same quality of vision as far/intermediate with the LAL? Has anyone had intermediate/near done with the LAL? Thank you.
jhs,
LAL is a monofocal lens with some EDOF like characteristics.
Most people have LAL IOLs implanted for the best distance vision, then use glasses for near vision. Others who feel comfortable with monovision (one eye near and one far) - I have monovision from my PRK - have LALs implanted for that.
LAL+ is supposed to provide enhanced EDOF, and RxSight is supposedly recommending LAL+ in both eyes. In my case, I would have mini monovision with plano for my dominant/distance eye, and -0.75 non-dominant/near eye.
Well, turns out I need to modify my circumstances 🙂
Ophthalmologist just called (we've talked and met several times) - after checking with several of his colleagues and RxSight, he believes the steepness of my cornea and my previous PRK both work against use of the LAL+. The concern relates to higher order aberrations that would result in the potential for more "coma" (https://en.wikipedia.org/wiki/Coma_(optics)) from using the LAL+.
So, I think I am no longer a candidate for LAL+ ... my surgery is not scheduled until June, so perhaps more implantations will change this recommendation by my doc.
I wish I could figure out if I "go against the norm" - and choose intermediate/near, using mico-monovision, and wear glasses for distance - will the quality of my vision be as good as far/intermediate? I am a bookkeeper and it would be wonderful to see my computer monitor as well as papers on my desk. The print can get pretty small!
Most folks if single vision try to obtain the best long vision possible and wear glasses for short.
If I do the LAL and choose intermediate/near instead of far/intermediate will my vision be as good with the intermediate/near? The LAL reports excellent far/intermediate but no one ever talks about intermediate/near.
jhs,
LAL is generally considered to be a monofocal lens that provides a bit of EDOF (not nearly as much as a multifocal IOL) ... so, it should be able to provide a type of mini-monovision if you can tolerate it.
LAL+, if you are a candidate, should be able to provide additional mid range.
It sound like you need to see an ophthalmologist and discuss the options. It sounds like you have not had refractive surgery, so likely have options, and likely these options depend on your specific eyes and their characteristics.
1. Both eyes long with LAL or LAL+
2. Both eyes short with LAL or LAL+
3. Monovision with one eye short and the other long with LAL or LAL+
I will note that even if I had your stated needs, I would probably pick either both long and wear glasses, if needed, for short, or some bit of monovision to allow one eye long and one short. Safety would be a concern - long vision provides a certain amount of personal safety that short vision would not - this is just an opinion.
Hi. I made note of your LAL surgery coming up in June. I hope you will share how it progresses. I am also concerned about the light adjustments - especially the 2 lock-ins. Thank you for posting.