Extended depth of focus lenses provides Scott with a new perspective

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Last updated 2/26/2025
Scott, RLE Extend of depth IOL

Scott Nelson had been wearing contact lenses for over ten years. He followed a daily routine like clockwork—popping them in every morning, removing them every night, and enduring the occasional dry eyes or misplaced lens. It was a minor inconvenience for clear vision, or so he had convinced himself.

 

Scott relied on contacts because he was farsighted and could not see anything up close. “My distance vision was okay, but I mainly wore them for close-up tasks since they were bifocals, allowing me to see both near and far,” Scott explains, adding that he could not wear his contacts when he surfed.

 

Willing to try anything, he entered the world of refractive lens exchange (RLE) with lenticular surgery with a Panoptix lens. But that effort was a failure, and back then, Scott stuck his fingers in his eyes. “I figured out that I had put my fingers in my eyes to mess with my contacts a whopping 1,460 times a year,” he says.

Extended focus lens could be the answer 

Scott, a San Jose resident, sought counseling from his sister, who lives in Los Angeles. Without hesitation, she advised him to travel to Beverly Hills and see Dr. Assil about a state-of-the-art IOL implantation.

 

Scott was unsure whether to undergo a LASIK procedure or another refractive lens exchange (RLE). A noninvasive sight simulation made the decision easy.

 

First, Dr. Assil gave Scott a unique pair of glasses and told him to look at the eye chart and read the letters. This, he was told, is what the letters would look like after LASIK. Then, he wore another pair of glasses that simulated RLE. “I could tell the difference with RLE,” he says. “I decided to go with the refractive lens exchange so my vision would be as close to perfect as possible, far and near.”

 

Dr. Assil explains, “He was sent to me because he was unhappy with the quality of his vision following RLE surgery elsewhere. He felt like he was seeing through a veil. Upon evaluation, it became clear that Lasik would not benefit him because he has naturally small pupils (which increase the depth of focus). We decided the best option would be an extended depth of focus intraocular lens coupled with a low degree of mono-vision.”

 

Unlike monofocal lenses, extended depth-of-focus IOLs provide reasonable distance and intermediate vision and improve near vision.

 

The idea of waking up every morning and seeing clearly without fumbling for contacts or glasses sounded like a dream. After some research and careful consideration, Scott decided to move forward.

 

A leap of faith for an extended range of vision 

The day of the surgery arrived. Scott was a bit nervous, but the procedure itself was surprisingly smooth. It was performed under local anesthesia, and within a few hours, he was back home.

 

“You’ll notice a difference as soon as tomorrow,” beamed Dr. Assil. “But give it a few weeks for your brain and eyes to adapt to the EDOF IOL fully.”

 

The next morning, when he opened his eyes, the world came into focus—not just the big things, like the furniture in his bedroom, but also near distances, like the weave of his quilt and the soft rays of sunlight spilling through the blinds.

 

He blinked and turned to the alarm clock on the nightstand. For years, Scott had squinted to make out the numbers. Now, they were crystal clear.

 

A week later, Scott sat in his bathroom, staring at the collection of contact lens cases, solution bottles, and backup glasses. He smiled and gathered them into a box. That part of life was over.

 

“I think of all the time I’ve saved not having to hassle with contacts,” he says. “Five minutes in the morning, five minutes at night, plus optometrist visits. Just 10 minutes a day is 60 hours saved annually. The time savings is insane.”

 

Driving to work felt surreal. He marveled at how effortlessly he could read road signs, distance vision, and glance down at the dashboard without straining. At the office, he breezed through emails on his computer and read handwritten notes without the nagging thought that he needed reading glasses.

 

In his free time, Scott rides the wild surf, able to observe the waves as they form far out on the horizon.

 

The world reimagined with EDOF  

The EDOF lenses aren’t just about better vision. They spell freedom. Freedom from the routines and limitations that had defined life. Every day feels like a minor miracle.

 

EDOF offers a reduced risk of halos, glare, and contrast sensitivity, while multifocal intraocular lenses are more likely to experience these issues.

 

“I’m happy that I can see better each day,” he says of his patient satisfaction. “I’m sold.”

 

“If you have a chance to undergo RLE with Dr. Assil, don’t wait,” he says, adding that he has not experienced any halos post-surgery. “My quality of life has improved so much. I only wish I’d done it sooner.”

 

Why choose Assil Gaur Eye Institute for vision correction?

The Assil Gaur Eye Institute (AGEI) is renowned for its expertise in the refractive lens exchange procedure and ophthalmology care. Their eyecare team of seasoned optometrists and ophthalmologists is among the most experienced in the United States, specializing in monocular, myopia, multifocal IOLs, LASIK, PRK, cataract surgery, and RLE.

 

With cutting-edge technology and a commitment to patient care, AGEI provides highly patient-satisfied advanced treatment for various conditions, including hyperopia, ‌emmetropia, bilateral implantation, glaucoma, macular degeneration, ‌presbyopia-correcting retinal issues, corneal conditions, and trifocal intraocular lenses.

 

Take the first step toward crystal-clear vision—call (866) 945-2745 to schedule your free LASIK consultation or request an appointment online.

 

 

Sources:

Clinical outcomes of a new extended range of vision intraocular lens: International Multicenter Concerto Study

https://journals.lww.com/jcrs/abstract/2016/09000/clinical_outcomes_of_a_new_extended_range_of.5.aspx 

 

Visual Outcomes and Patient Satisfaction for Trifocal, Extended Depth of Focus, and Monofocal Intraocular Lenses | Journal of Refractive Surgery

https://journals.healio.com/doi/10.3928/1081597X-20190618-01

 

Extended Depth-of-Field Intraocular Lenses: An Update

https://www.sciencedirect.com/science/article/pii/S2162098923002001?via%3Dihub 

 

Visual Outcomes and Patient Satisfaction for Trifocal, Extended Depth of Focus, and Monofocal Intraocular Lenses 

https://pubmed.ncbi.nlm.nih.gov/31298723/ 

 

Visual Performance After Unilateral Implantation of an Extended Depth-of-Focus Intraocular Lens in Patients With Unilateral Cataract 

https://pubmed.ncbi.nlm.nih.gov/37578177/

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