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ENHANCED LENS CHOICES

Enhanced Single Vision Lenses (not covered by MSP) are now available. These are still a monofocal lens but come with increased intermediate vision (this varies depending on the brand) and still maintain distance vision. They also support your vision in low light. There are more limitations and not every patient will be a candidate as certain criteria have to be met. These lenses also come with additional fees. You must have the advanced topography measurement as it is required to determine if your eyes fit the criteria for these lenses. There will also be additional fees post surgery.  PLEASE DO PRESERVATIVE FREE LUBRICATION DROPS in both eyes starting 1 week before your appointment with Donna.  We ask that you do 1 drop 4-5 times day, for the week before, and 1 drop on the morning of your appointment with Donna.

Multifocal IOLS

 

In theory multifocal IOLs seem to be the solution to every problem with presbyopic visual acuity but it is not that simple. These lenses can help provide spectacle independence and satisfactory distance, intermediate and near vision but can potentially leave you dissatisfied because of the visual trade offs required. This caveat has assumed even greater importance in an era where behavioral norms, such as smartphone use, make any visual compromise a social and/or professional handicap. At the same time, improvements in design, optical performance and side effects of these IOLs have relaxed the exclusion criteria for multifocal lenses. How to determine who is a poor candidate?

Possible Exclusion Criteria for Premium IOLs

 

  • Unreasonable expectations of perfect vision

  • Anxious or demanding personality

  • Profession that demands good near visual acuity

  • Profession that requires working at night

  • Co-existing ocular pathology (eye disease)

 

Poor Candidates for Multifocal IOLS

 

If you have overly high expectations as to your postoperative vision or have an anxious or demanding personality you must understand that achieving perfect visual acuity at all distances, in every lighting condition, without any optical side effects is not a realistic expectation. There is always the possibility that you may sometimes need glasses for reading small print or seeing at far distances. It is most likely that you will experience glares and halos after surgery.

 

We will never say we will help you get rid of your glasses completely. We can help you become more spectacle independent. It can take up to 3 months for optical rehabilitation and to train your vision for far distance. 

 

We need to know your profession/hobby, working distance and lighting conditions of where you work. If you have a job that demands good near visual acuity or if you work at night, a multifocal lens might not be for you.

 

Your doctor will need to determine whether you are a candidate for a multifocal lens. A variety of different multifocal lenses are available and the choice depends on the findings as well as the preference.

 

Please bring the completed questionnaire at the back of the handout to your next appointment. The use of multifocal lenses requires a careful in depth discussion with your doctor.

NEW Alcon Clareon lens Premium monofocal and toric lens:

 

Strengths:

  • Lower chance of the lens clouding after surgery (also called second cataract) requiring follow up laser surgery.

  • Reduced edge glare or dysphotopsia ( this design diffuses the light when it is sent to the back of the eye so you won’t get shadows).

  • Full 6mm aspheric optic meaning when your pupil is fully dilated in dim lighted situations you will have full vision. In other basic lenses this is not the case.

  • Has the highest axial stability which means you have a higher degree of success in getting the vision results wanted.

  • Reduces pre-existing astigmatism if needed.

  • Has excellent and reliable rotational stability which is key in the toric lens to ensure the highest level of astigmatism correction as the lens stays where it is supposed to. 

 

Limitations:

  • Requires extra measurements to determine if you are a candidate.

  • Involves extra costs.

 

Alcon Vivity Enhanced single vision lens and single vision Toric Lens:

 

Strengths:

  • Designed to provide continuous extended range of vision( 20/20 distance; 20/25 intermediate and 20/32 near or functional vision).

  • Good visual acuity for tasks such as preparing meals, playing cards, using your computer/tablet, smartphone and/or reading a menu in adequate light.

  • Supports your vision in low light through the extended range of vision.

  • Available with blue light filters (protects your eyes against computer screens and sunlight) or without.

  • May still be a candidate even with other ocular diseases (ie glaucoma).

  • Able to reduce pre-existing astigmatism if needed.

 

Limitations:

  • Reading glasses will be needed for fine print.

  • May have some glare/halos.

  • Requires extra measurements to determine if you are a candidate.

  • Involves extra costs.

 

Alcon Panoptix Trifocal and Trifocal Toric:

 

Strengths:

  • Decreased need for glasses at all distances ( your best option for complete vision).

  • Comfortable intermediate vision meaning you will most likely not require glasses when you are on your computer, shaving or putting on makeup.

  • Most clients find that near vision is sharp and reduces the need for reading glasses.

  • Highest light utilization of the multi focal options which means crisp quality of vision at all distances.

  • Has excellent and reliable rotational stability which is key in the toric lens to ensure the highest level of astigmatism correction as the lens stays where it is supposed to.

  • Reduces pre-existing astigmatism if needed.

  • Available with blue light filters (protects your eyes from computer screens and sunlight) or without.

 

Limitations:

  • Not a good choice for people who drive at night, have ocular diseases or have a type A personality

  • Potential for glare / halos. 

 

JNJ Technis Eyhance Premium Monofocal and toric lens:

 

Strengths:

 

  • TECNIS Eyhance IOLs defies conventional thinking of monofocal IOLs not only by delivering high-quality distance vision, but also enhancing vision for intermediate activities and better low-light contrast.

  • Designed for high-quality distance and improved intermediate vision to make everyday tasks easier. You may still need glasses to see closer.

  • Helps you see objects in the distance like traffic lights, stage performances and sporting events.

  • May increase safety in low-visibility situations such as driving at night.

  • Reduces pre-existing astigmatism as needed.


 

Limitations:

  • Requires extra measurements to determine if you are a candidate.

  • Involves extra costs.

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