The three leading presbyopia-correcting lenses are:
- Panoptix Trifocal Intraocular Lens (Alcon)
- Symphony Extended Depth-of-Focus Lens (Johnson & Johnson)
- Crystalens Accommodative lens (Bausch & Lomb)
In 2019, the FDA approved Alcon’s Panoptix Trifocal Intraocular Lens, which provides clear vision at all three visual ranges: distance, middle, and close-up. Patients who opt for this lens usually enjoy full independence from glasses post-surgery, though they may need a slightly brighter light when reading at night. Occasionally, a patient may require glasses for reading very small print. Some patients have reported seeing a small amount of glare or haloing around nighttime lights; most patients become accustomed to this shortly after surgery and tolerate the lens very well.
The Panoptix Trifocal can also correct for astigmatism. Note that in certain eye diseases like macular degeneration, these lenses are contraindicated.
Johnson & Johnson’s Symphony Lens is another multifocal technology, extended depth of focus (EDOF), that works very nicely. It provides excellent field of vision in the far-distance (e.g. watching television, driving) and intermediate (computers, tablets) ranges. As with the Panoptix IOL, patients occasionally report a certain amount of glare or haloing around lights at night, with most patients becoming accustomed to this shortly after surgery and tolerating the lens very well. Patients who opt for this lens occasionally need glasses for reading up close. A Symphony toric lens can also correct for astigmatism. Contraindications for this lens are similar to those of the Panoptix lens.
Bausch & Lomb’s CrystaLens represents a third type of lens technology, called an accommodative intraocular lens, which allows you to see distance and intermediate (computer/tablet) range. Patients who opt for this lens may require glasses for reading closer objects, as it offers a more narrow range of near vision. However, for certain eye diseases such as macular degeneration, the Crystalens can sometimes be a better option than other multifocal lenses. Crystalens implants are also free of any haloing or glare effects.
All three specialty IOLs – the Panoptix, Symphony, and Crystalens – are available in toric versions.