PanOptix™ vs. Synergy™ Intraocular Lenses – Which is BEST?
Picking the right iol for each eye and how do we choose what is best for each patient with so many different iol choices out there how do you figure out what’s best for the patient now you take into account the patient’s desires.   If you want to see distance, intermediate and up close with no “cat eye” reflection, the Synergy is better.   If you want independence from glasses or contacts, both lenses can deliver this outcome.  You may do a lot of internet research but it is unlikely you will know more than your doctor if s/he has experience with both.  We have experience with both and use both lenses.   According to Johnson and Johnson the Synergy beats the PanOptix at all distances.    If you review other patient’s experiences, you will learn only about that patient.  There are so many factors involved in a successful outcome.  The primary factor is realistic expectations.  Neither lens will deliver perfect vision.  You should expect halos with both lenses.  In our experience, both lenses perform well.   We take into account the patient anatomy  (curvature of cornea and length of the eye).  Sometimes one lens fits better than the other.  Just like shoes just come in 0.5 size units, these lenses do as well.  Furthermore, astigmatism correction options are somewhat limited out of the box.  We have multiple options and technology to fine tune vision with LASIK, PRK. LRI, piggyback lenses, lens rotation and lens exchange.    We almost never have to exchange a lens.

 

Lens selection may be impacted by systemic diseases or diseases of the cornea or retina.  It is critical to examine the eye to evaluate for subtle pathology like “map dot fingerprint” dystrophy and an epiretinal membrane or diabetic retinopathy or macular degeneration.  Optic nerve disease, optic neuropathies, advanced glaucoma disease may preclude the use of an advanced technology lens.

 

what’s the pupil size what’s the

aperture if patients have naturally tiny

pupils

and you put a lens in that has

diffractive rings will they even get the

benefit of

all those rings so these are all

important questions what’s the pupil

center

what’s the angle alpha the angle kappa

and obviously patients are trying to

decide ahead of time

without knowing this and so that’s why

it’s important for the patient to do

some internet research

i’m with you there but ultimately

surgery is art and your choice of

artist is more important than the canvas

and the paints so choose the surgeon

very wisely

have all the measurements done have a

conversation done give your input

because remember the best lens choice is

going to be the optimal combination of

patient desires patients expectations

whether or not they’re reasonable

and of course patience anatomy and

patients biometric measurements

all these come into account for you to

determine

what’s the best iol for your patient

so to all the patients who may be

watching this video thank you we do

appreciate it

do your research but most importantly do

your research as to which

surgeon you’ll choose for your surgery

so here are some of the more modern

lenses that we’re using now

so we can see we’ve got the alkynavity

lens here that’s an extended

depth of focus lens but works with a

beam shaping element

and also we have there picking up here

the

symphony from johnson johnson the tecna

symphony and that’s also an extended up

the focus lens but it works differently

that works with diffractive rings and

both of these are available in torque

versions as well to help address

astigmatism

but how do you differentiate between the

two and the answer is you got to know

what each lens can deliver

what are the consequences the side

effects and what the patient’s

expectations are

and what the patient’s anatomy is but

both of those are very appropriate

choices for extended up to focus

now let’s look at a multifocal lens so

here we have

the alcon panoptix which is a trifocal

and we have the new johnson johnson

synergy

multifocal lens so both of these lenses

have very similar performance but they

do differ in a couple of crucial

differences different ways so again both

available in torque correction to help

address astigmatism

but the way they split the light is

different and even the distribution of

the rings is different

and different pupil sizes may benefit of

one lens over the other

so it’s really important for you as the

surgeon to understand the intricacies of

these lenses

and encourage you of course read the

material that the manufacturer gives you

but even better

spend the time to do what i do look at

the actual

fda trial data this synergy is a great

lens

for the right patient for the right eye

and if the patient has the appropriate

expectations

and these are all important issues to

discuss with your patient

at the time of your consultation before

cataract surgery

thanks for watching guys all these lens

choices so which one is the best

the answer is you’ve got to tailor to

the patient