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I paid £5000 for the surgery and was told that I w 12 May 2017 11:31 #61

  • £5000 for pain & poor service
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I paid £5000 for the surgery and was told that I would only have to have a pair of glasses with a very slight prescription to read, but believe me this is not the case, and I am still having to use two pairs of glasses.
This is affecting my daily work and I am now in a position where my eyesight is deteriorating even further, as my midrange vision is becoming slightly blurred.

I demanded optical express supply me with information as to:
1. Why they ceased to continue with my after care in righting my vision to the degree they first sold me
2. Why they ignored my request for another appointment for months
3. Why they are now asking me to pay for care, even though Optical Express have not rectified my vision to what was initially sold to me
4. Why I need to see another consultant when the first consultant proposed another solution, (piggyback lens)
5. Why am I unable to see out of my left eye to the degree they promised me when they initially sold me the service (my vision is worse in this eye)
6. Why is it that I am still seeing floaters after all this time
7. Why am I still suffering with dry eyes 18 months after the surgery, which I didn’t have before
8. Why do I see a clear blob form at the bottom of my right eyes field of vision
9. Why do I still see the edges of the natural lenses they replaced 18 months after the initial surgery
10. Why do I still see the intermittent blue flashes in both eyes
11. Why is my night vision getting worse with the starburst getting worse
12. Why didn’t they insert the multi-focal lenses instead of the mono-focal, I was initially advised that the multi-focal would give me the better range of vision (I understand the side effects of this)

I am totally unhappy in every aspect of service, and treatment I have received from Optical Express.

I believe they do not care about their customers aftercare.

It's the same case over and over, where they have the money and are not bothered.


  • Karon mckane
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Hello was just reading your review and wondered how you got on 24 January with Dimitris Kazakos?
admin: Hi Karon, pls advise who this message is addressed to and I will edit accordingly?

My poor wifes eyes 13 Apr 2017 16:51 #63

  • Andrew
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Recently my wife had lens replacement on the 10th March 2017 at the immense cost of £6,600.00, done at the Westfield Centre Shepheards Bush. We did get to know and talk to a few other people who had the operation and seemed to be really happy with the results, and were pleased that they had much improved vision, unfortunately my wife was extremely upset with her results and her sight isnt as good as it was, she has the halo effect in day light and indoors whenever there is a light on, her close up vision reading is good however anything more than a few feet away is always blurry. She hasn't been able to drive for the last month as her sight is now well below the driving standard, also because of the strain on her eyes it is causing headaches etc... being stuck in and not being able to drive is having an effect and making her depressed.
Optical express diagnosed her with dry eyes and gave her drops, we have been to 3 appointments so far over the last month. They are telling us that she is suffering from dry eyes and at the last appointment on Friday 7th April was told that the sight hasn't yet improved anymore but there may still be bruising to heal and so have made us another appointment for a months time, when hopefully there will be some improvement, the consultant told her not to drive obviously and advised that she could get some glasses that way she may be able to drive but optical express would not cover the cost for that and she should go to specsavers as it would be cheaper!!! Also after 3 months if theres no improvement it would be possible to correct her sight with a top up of laser surgery, we wrongly assumed this would be free and included in the £6,600 that we have already paid but have since found out that there would be a cost of around £1,000.
Tell me is there any possibility that her eyes may improve now after a month since the operation as I really cant see that if theres been no improvement up till now, her eyes are not likely to improve at all?? I am starting to feel like that every appointment we go to we are just being given excuses fobbed off and turned away for a few more weeks!
Ultimately we want her to be able to see as clearly as possible and this is why we were prepared to pay as much as we did and if theres still a chance of that happening thats great, however I am starting to get very suspicious and am thinking they have just taken our money and haven't delivered the goods that we were promised!! If that is the case Im thinking I need to get my money back from them and give it to someone who can sort her eyes out for us.
My wife always talked about getting her eye sight fixed one day and having laser surgery it was like a dream for her, as soon as I could afford it it was a pleasure to pay for my beautiful wife to have this operation, they advised that her eyes were to bad for laser but lens replacement would do the trick!! A lot more expensive I know but this was to fix the love of my lifes eyes, small price to pay for her happiness or so I thought.
I cant express in words how much I regret doing this and how guilty and responsible I feel that I actually paid for this to be done to her, it is a nightmare and I do well up inside whenever I think about her poor eyes, I just hope and pray that I can find someone who can fix this mess!!

Really do need your help, guidance and advice on this asap please, If you need anymore info dont hesitate to ask
Andrew and Hayley Price

Refractive Lens Exchange (RLE) 18 Feb 2017 20:24 #64

  • carnmoneyhill
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I came across this site and was looking at RLE as I have an issue now.

I had surgery (Lentis Mplus implants) in November 2013 in Clane private hospital in County Kildare in the Irish Republic. At that time Optical Express Belfast referred all their customers in Northern Ireland there.

I was satisfied with the surgery as I was liberated from glasses (my prescription had been +6.5) - well more or less but I still need supermarket +1s for small print. For some reason my right eye did not achieve the prescription expected but the left (dominant) eye did. That said I was convinced my distance vision was not so good but I was told by Optical Express I had 20/20 vision and so I moved on. I can legally drive without glasses etc.

Then in May 2015 suddenly one evening I got awful irritation in my left eye and redness and a feeling of something in it - in the corner. There followed a lot of visits to Optical Express in Belfast - I was given drops - and then to the NHS eye hospital here in Belfast. Conclusion I have bleptharitis - lubricating eye drops forever.

However just in recent months I have become aware that the left dominant eye (with the better prescription) is not seeing as well as the right. The vision is waxy and I notice that dazzle and halos around lights is much more severe when using the left eye alone. Of course I use both eyes so its a bit odd but I manage.

Of course reading up it suggests to me posterior capsule opacification - a posterior capsulotomy procedure is required. That said I am no expert. However its still mild. I contacted Optical Express because I recalled they had assured me they would look after me for life! Strangely I can find no terms and conditions - I can only conclude I was given none. And now their website says clearly aftercare is for 12 months only (but they saw me and gave me drops in May 2015 and again in June and September 2015) and that the posterior capsulotomy YAG laser procedure is a separate item to be charged at £495 per eye (I think it was £395 only a few months ago when I first looked at their site).

So I have written to Optical Express (I rang them and got nowhere and was told to write) to ask about my surgery aftercare and to point out that the potential for YAG surgery had been pointed out to me before surgery and that I understood this additional surgery was included in the service I could expect after my surgery.

I wonder has anyone else gone down this line with OE? From reading up I think the symptoms of posterior capsule opacification can occur any time up to 5 years after surgery. - anyone know?

Of course reading this site I am worried are my symptoms indicative of something else.

Any views welcomed.

Refractive Lens Exchange - Oh no it isn't! 10 Feb 2017 09:01 #65

  • Carl G
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Hi Doug, like you 2013. I had the 'wait and see' line too, but it turned out this was just nonsense. Basically the surgeon is trying to get you to wait in order to exceed the statue of limitation - after 3 years he can't be sued. Yes, explantation is risky, especially after this length of time, but look at it this way; if you need a YAG capsulotomy then the chances of ever having an explant reduce to zero - it's too risky. And being stuck with vision as bad as provided by lenses like the Lentis M-Plus until the day you die is a depressing prospect. The name that I keep hearing for this level of complexity is [advertising]. Now, he also happens to be a fan of trifocals but I think that's an honest mistake on his part :) In any event he does seem to have a reputation for excellence, although there's always going to be a risk...

Refractive Lens Exchange - Oh no it isn't! 09 Feb 2017 21:14 #66

  • Doug
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Hi Carl G. Out of curiosity, when did you have multifocals fitted? I had RLE in 2013 and multifocals fitted in both eyes. Worst decision of my life. But after 1 year of persevering and being told "it will get better, your brain needs time to adjust" etc etc etc, the surgeon who done the RLE on me, told me that I could have an explant and monofocals fitted, but he advised against it as there was potentially more negative outcomes than positive. If I decided to go ahead with the explant, he said that he would not do it, but would get another surgeon to operate on me.

URGENT CALL! 02 Feb 2017 00:02 #67

  • Glitzy
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Don't let OE anywhere near your eyes. They have messed mine up too with lens replacement, thousands of others too. See a solicitor

URGENT CALL! 01 Feb 2017 20:09 #68

  • Sharon Davey
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Came across this forum as I am having problems after lens replacement I had in 2014 and was looking for advice, all was fine till March 2016 when I noticed my left eye wasn't as clear, went to OE in Northampton who said the area around the lens was starting to thicken and would require YAG laser, I was told to wait 3 month

End of August 2016, went back as it was getting worse, they made me an app for Harley Street, got there, surgeon said he wasn't prepared to do the yag because as I had mentioned in my aftercare about the night glare he thought I would be better off with lens replacement for near sight and wear glasses to drive.
I said no, 2nd appt made - at Harley Street this time. Surgeon looked at my eyes and said he won't do the Yag because the actual lenses were hazy
3rd appt made at Westfield where the surgeon said my lens replacement were faulty, this was in Dec 2016.
OE have sent me a legal doc which I signed (not allowed to discuss it) and they will get me a date for lens replacement [with Dimitris Kazakos].
Heard nothing yet, can you give me any advice?
Kind Regards
Sharon Davey
admin: I spoke with Sharon earlier and advised her to talk to a lawyer before she has any further conversations with OE - and also advised her not to let Dimitris Kazakos near her eyes, not least because he is currently being sued by a significantly high number of his damaged RLE patients.
The 'legal doc' is worthless if she hasn't undergone surgery!

NB: Undergoing surgery after signing this document means that if you have any further problems you have signed away ALL your rights and cannot take legal action!
I have seen many of these, all signed by Tweedles (aka Stephen Hannan) :kiss:

Refractive Lens Exchange - Oh no it isn't! 22 Jan 2017 13:42 #69

  • Maria
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Carl G wrote: I wanted to put up a few notes on RLE for anybody a) contemplating it, or b) who has had it and wonders why their eyesight is not good.

Thank you for this post Carl, very helpful for someone like me - puzzled by the technical side of the procedures offered by OE.
Though I didn't have RLE, I also made a mistake of trusting OE and not digging deep enough into serious research papers before I had LASIK. Big regrets!!!!
Best wishes.

Refractive Lens Exchange - Oh no it isn't! 22 Jan 2017 12:44 #70

  • Carl G
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I wanted to put up a few notes on RLE for anybody a) contemplating it, or b) who has had it and wonders why their eyesight is not good.

I had what I thought was cataract surgery in 2013 and I'm currently in litigation with OE and my surgeon, for lying, medical negligence, and in general them being money-grabbing cowboys, so I freely admit you're not going to get an impartial opinion for me on that score. However, all that to one side I'm considering explantation (the one where they cut yours eyes open, whip the lenses out and stick another one in) because my vision is bad and getting worse. Most likely prognosis is I need a YAG Capsulotomy, which in itself is no big deal but which then precludes the possibility of explantation. And I do not think I can live with these goddamned lenses for much longer.

The thing is, I contacted a surgeon who is both trusted and considered to be one of the best in the country to discuss this. He raised the prospect of exchanging my Lentis M-Plus multifocal lenses for trifocals. And in doing so opened up a fairly large can of worms for me.

So, having made the mistake of not doing enough research first time around I dived into PubMed and other literature sites to find out whatever I could about these lenses. This is some of what I found, and it goes a long way to explaining why my vision is poor, why your vision may be poor, and why despite whatever Optical Express say it is never going to get any better (advice: sue them now, do not wait).

The fact is the very term ‘Refractive Lens Exchange’ is a misnomer, as it tends to suggest (in the context of multifocal/trifocal lenses) that you’re swapping one refractive lens for another. This is not the case. Multifocal RLE replaces the normal refractive lens in the eye with a diffractive lens.

Consider this for a second. How else would you stick a bifocal lens inside your eye? You can't have the top bit being for distance and the bottom bit being for close-up, this is right inside your eye after all - so lens designers have to do something a) clever, and b) frighteningly unnatural.

The optical properties of this diffractive lens are defined by its ‘kinoform.’ To imagine this, think about the serrated edge of a saw as being like the profile of the lens. The size and orientation the ‘teeth’ produce the overlapping components that make up the various images, which are then composited on the retina in order to make the two (or three) pictures the brain needs to differentiate between in order to obtain visual acuity at varying distances. The calculation of this kinoform is immensely complicated. It is not surprising that an optics designer would feel pretty pleased with themselves at coming up with a viable solution, I have to concede that they are impressive pieces of engineering.

If your eye were a camera the story would probably end there. It isn't, it's part of a massively complicated system with your brain stuck at the back end of it. So diffractive lenses (front on they might look a bit like ripples on a pond, radiating outwards) are very clever and have nothing at all to do with the millions of years of evolution that went in to developing your optical system, Don't take my world for that, there are plenty of surgeons who agree with this and I'll list some examples below.

Diffractive (monodical and trifocal) lenses introduce two problems.

The first is loss of light due to scattering. In the papers and presentations available on the following link by Dr Damien Gatinel you can see that in multifocal lenses as much as 20% of the available light is lost <before> you consider the ~ 60-40 split of the remaining light into near-far usage. No wonder it’s so much harder to drive at night! Trifocals do better but there is still a loss.

The second, and perhaps even more serious problem, is reduction in contrast sensitivity.

This link is to an article in the Journal of Cataract and Refractive Surgery referring to the XXV Congress of the European Society of Cataract and Refractive Surgeons. The title, 'Monofocal vs. multifocal for refractive lens exchange: should contrast or accommodation be emphasised in pursuit of best visual performance?'

Believe it or not this is a really interesting article in which Dr James McDonald argues the case for monofocals.

"Monovision is much more compatible with the human visual system,” he said.

Dr McDonald cited research into binocular fusion and rivalry that illuminates the basic physiology and neuropsychology of vision, much of it conducted by Randolph Blake, PhD, Centennial Professor of Neurocognitive Science,Vanderbilt University, Nashville,Tennessee, US, and colleagues.

This research indicates that the entire human visual system “is very much structured to respond to contrast orientation,” Dr McDonald said. He argued in essence that monovision is preferable because its ability to preserve contrast complements the visual system’s built-in reliance on image contrast.

This systemic contrast orientation begins in the retina, where three sets of receptors respond to low, middle and high contrast frequencies, Dr McDonald said. Using animations he demonstrated how low frequency contrast shows basic outlines of objects, middle frequencies provide information about space and motion used when driving or moving rapidly, while high frequency contrast receptors fill in the fine detail and sharp edges we perceive in objects all around us.

Visual sensations generated by contrast at the retina continue through a series of neural processes that winnow information before passing it to the higher areas of the visual cortex where data are assembled into visual perception. Dr McDonald pointed out that very little neural processing power is applied to the data until it reaches the higher centres of the visual cortex, suggesting that the raw data of perception are directly related to initial contrast on the retina. Indeed, Dr Blake’s research using functional MRI scans and other tests demonstrates that incoming image contrast is highly correlated with the magnitude of neural response in the primary visual cortex, and primary cortex response is almost directly related to the level of activity in the higher neural processing areas associated with visual and cognitive perception

I have to say the terms Dr McDonald uses in the article, in particular ‘waxy’ vision, align exactly with my experience.

Here is the punchline:
We are really overtaxing our visual system when we use a multifocal lens. Between the retina and visual cortex there are three places where the information is thrown away. By the time it gets to the visual cortex there is not enough information to clean up the image.”

So what's the answer? A number of patients do in fact report a good outcome with multi and tri focal lenses. In a lot of instances though, these patients vision was exceptionally bad prior to having surgery, so the baseline they were starting from was not especially high. These patients had surgery for the most part because they really needed it, not because they wanted to be 'glasses free' (which is one of the stupidest marketing slogans I've ever heard in my entire life). Presumably there are also those who are able to make the leap as far as contrast sensitivity is concerned. I've never met one, but there have to be some out there.

But the real killer is this: it is almost impossible to see any significant advantage in multifocal and trifocal lenses over monofocal. In my experience If you need cataract surgery, get monofocals. The chances are you will need reading glasses for some closeup work, but a good surgeon should be able to give you close to J2 reading distance and full distance with monofocal. The incremental acuity improvements with multi and trifocal lenses is marginal, whereas the failings in contrast sensitivity can be acute.

If you don't need cataract surgery, don't have RLE. Do not do it, you will end up worse off.

And do not believe a single word the likes of Optical Express tell you.
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