Total Vision Restoration

Whether you have a dysfunctional lens, or an opaque cataract, there are opportunities to restore near, intermediate and distance vision with special advanced technology intraocular lenses. There are four categories of intraocular lenses. Our goal is to provide visual freedom for most daily activities, understanding that in certain situations, glasses may still be beneficial.

Lens Type Monofocal (0-5) Accommodative (0-5) EDOF (0-5) Multifocal (0-5)
Astigmatism correction Yes Yes Yes No
Significant Glare / Halo Low incidence (1) Low Incidence (1) Low to medium (2) Medium to high (3)
Quality of Vision +++++ (5) +++++ (5) ++++ (4-5) +++ (3)
Near vision – (0) +/- (1-2) +++ (3-4) ++++ (4-5)
Intermediate vision + (1) ++ (2) ++++ (4-5) +++ (2-3)
Distance vision +++++ (5) ++++ (4-5) +++++ (4-5) ++++ (4)
Likelihood of Enhancement Low Medium Medium Medium

Monofocal

The Lenstec Softec 1 and Bausch & Lomb Envista lenses are both examples of monofocal intraocular lenses (IOLs). These IOLs provide excellent vision at one point of focus (typically distance vision). There is a low incidence of glare and halos with these lenses. Although they do not provide simultaneous near and distance vision, they are used for monovision or blended vision to achieve an increased range of vision. Typically, most patients opt for glasses after surgery for a full range of vision.

EDOF: Extended Depth of Focus

The Vivity and Vivity Toric (for patients with astigmatism) is an example of an extended depth of focus intraocular lens. In our experience, it has provided the best overall range of vision with the fewest unwanted side effects. It is engineered to provide excellent distance vision, with a limited incidence of bothersome glare and halos. Most patients will see some halos, glare or spider web light effects at night, especially in the first few months after surgery. These disturbances are typically mild, and get better over time as the brain gets used to the way the lens provides the vision. These lenses help patients achieve excellent intermediate and some near vision as well without loss of distance vision. Also, because of the way the light is focused, their use rarely requires a secondary laser refractive surgery (LASIK or PRK) after cataract surgery for fine-tuning.

Multifocal

The PanOptix and PanOptix Toric (for patients with astigmatism) are trifocal intraocular lenses for patients who desire a full range of vision providing near, intermediate and distance vision.  This is the first and only FDA approved trifocal lens and provides the widest range of vision of any lens on the market.  The lens is able to achieve this by distributing light to different focal points through diffractive technology.  This technology is well tolerated by most patients, but there will be some glare and halos around lights, which are more noticeable at night, and   requires some adaptation time.

After adaptation,  the vast majority of our patients experience a high degree of satisfaction and freedom from glasses for most of their daily life.