Cataract Surgery Lens Options

Dr Besser will help you choose the best intraocular lenses for your vision needs.

Which Lens Is Best For Cataract
Surgery Replacement?

Standard cataract surgery removes your eye's natural lens when it becomes old, cloudy, and brittle. It is replaced with a monofocal lens.

However, you can take advantage of the fact that you're undergoing a lens replacement process, and choose to correct your refractive vision problems as well, such as presbyopia (difficulty seeing close up clearly because of age), by upgrading to a presbyopia-correcting lens.

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Things to consider when choosing your IOL implant:

No single cataract lens is best for everyone. There are multiple presbyopia-correcting IOL technologies, and they have significant differences. To choose the right option for your cataract removal surgery, you need to consider these important factors:

Desired range of vision
Presence of preexisting ocular disease
Presence of astigmatism
Cost

Your desired range of vision

When selecting which cataract lens to choose, we first discuss what matters most in your lifestyle and activities. We'll discuss possibilities for eliminating glasses at one or all ranges – far distance, mid-range, and/or close up.

Together, we'll choose the best lens for your vision goals.

Far Distance
Far distance1
Viewing Street Signs
Watch Television
Playing Sports
Intermediate
Mid range
Viewing Car Dash
Using Computer
Playing Board Games
Near
Closeup knitting
Reading
Filling Out Forms
Knitting

Choosing between single vision and presbopia-correcting lens implants

Monofocal

Monofocal (single-focus) lens implants, or IOLs, come standard with cataract surgery.

Several companies make these lenses, all are of equal quality. They will correct for one out of three possible vision ranges (distance, intermediate, or near). Their cost is covered by insurance.

Presbyopia-correcting

Presbyopia-correcting IOLs are high-performance upgrades. 
They correct your vision at multiple (two or even all three) visual ranges - distance, intermediate, and near, meaning you will not need glasses at those distances.

Insurance companies won’t cover the cost of these specialty cataract lenses.

What if I have astigmatism?

If you have astigmatism and you want it corrected, you’ll require a special toric lens. Some monofocal lenses and all the following presbyopia-correcting premium IOLs are available in a toric version.

Insurance companies don't cover the cost of toric lenses.

Consider Cost

Monofocal (single-focus) lens options come standard with cataract surgery and are covered by insurance. Toric, multifocal and accommodative lenses, on the other hand, are high-performance upgrades. Most insurance companies won’t cover the cost of a specialty cataract lens.

However, it’s worth considering that a pair of prescription glasses can cost anywhere from $300 to $1000. A multifocal implant costs more upfront, but may be more price-effective over time. They are designed to last for the rest of your life.

Do I Have Any Ocular Diseases?

Some lenses may be contraindicated if you have certain eye conditions, such as diabetic retinopathy or macular degeneration.

This is something we’ll discuss thoroughly before your surgery during your cataract consultation, and account for in your plan.

Compare presbyopia-correcting lens options

PanOptix Trifocal IOL

Technology Type
Trifocal
Maker
Alcon
Vision ranges achieved without glasses

3/3 - Distance / Intermediate / Near

Advantages
  • Superior, clear vision at all three visual ranges
  • Minimal glare and halos
Available in toric vision to correct astigmatism
Yes

Synergy Trifocal IOL

Technology Type
Trifocal
Maker
Johnson & Johnson
Vision ranges achieved without glasses

3/3 - Distance / Intermediate / Near

Advantages
  • Superior, clear vision at all three visual ranges
  • Minimal glare and halos
Available in toric vision to correct astigmatism
Yes

Eyhance IOL

Technology Type
Monofocal w/ some EDOF (extended depth of field) properties
Maker
Johnson & Johnson
Vision ranges achieved without glasses

2/3 - Distance, Some Intermediate

Advantages
  • Excellent at distance and intermediate ranges
  • Minimal glare and halos
Available in toric vision to correct astigmatism
Yes

Symfony Extended Vision IOL

Technology Type
Extended depth-of-focus (EDOF)
Maker
Johnson & Johnson
Vision ranges achieved without glasses

2/3 - Distance, Intermediate

Advantages

Excellent at distance and intermediate ranges; minimal glare and halos.

Available in toric vision to correct astigmatism
Yes

Crystalens IOL

Technology Type
Non-diffractive accommodative
Maker
Bausch & Lomb
Vision ranges achieved without glasses

2/3 - Distance, Intermediate

Advantages

Non-diffractive technology produces excellent clarity, lowest incidence of halos, glare. Good alternative if other lenses are ruled out because of ocular disease.

Available in toric vision to correct astigmatism
Yes

Vivity Extended Vision IOL

Technology Type
Non-diffractive extended depth-of-focus (EDOF) with “X-wave”
Maker
Alcon
Vision ranges achieved without glasses

2/3 - Distance, Intermediate

Advantages

Non-diffractive technology effective in both bright and dim light, lowest incidence of halos, glare (advantage esp. for frequent night drivers, for example).

Available in toric vision to correct astigmatism
Yes
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To learn more about cataract technology and the best lens option for you, or to schedule a consultation to find out if you’re a candidate for cataract surgery, contact our offices today.

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