Cataract Lens Options

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Last updated 10/8/2019
Cataract SUrgery Lens Options

WHAT ARE CATARACT REPLACEMENT LENSES?

Cataract Replacement Lenses, also called Intraocular lenses (IOLs) are medical devices that are placed in the eye during cataract surgery.

They are used to replace the eye's natural lens that become cloudy from cataracts. IOLs also are used for a type of vision correction surgery called refractive lens exchange.

 

Cataract lens implants have evolved from the standard transparent acrylic lenses with no vision correction to a wide variety of intraocular lenses (IOLs for short) that greatly improves vision and can remove the need for glasses all together.

Are there cataract corrective lens options?

 

Absolutely! There are several options, each with their own strengths. They are:

 

Monofocal IOLS

Monofocal lenses correct for only one focusing distance. Typically, people will have these lenses fitted for distance vision and will need glasses for reading. Alternatively, these lenses will sometimes be used to correct for far vision in one eye and for near or middle vision in the other eye.

 

After your brain learns to shift from one eye to the other for seeing at varying distances, this Monovision approach allows you to see clearly at various distances. This same Monovision approach is commonly used by contact lens wearers.

 

At AEI, we offer two types of monofocal lenses:

 

Tecnis Monofocal

Tecnis Monofocal offers excellent contrast sensitivity and color perception that's important for activities like nighttime driving or, say, climbing stairs or reading a menu with dim lighting.

 

AcrySof Toric

AcrySof Toric lenses correct for astigmatism (an uneven curve in your cornea) allowing you to see more sharply for either distance or near vision. The AcrySof Toric lens offers enhanced distance vision and color perception.

 

PREMIUM IOLs 

These are various types of specialized lenses designed to eliminate or significantly reduce your need for glasses or contacts:

 

Multifocal Lenses

have varying magnifications at different sections of the lens so that you can see clearly at various distances. After a brief adjustment period, your brain learns which part of the lens to look through in order to focus on objects that are near, far, or in between.

 

Our selection of multi-focal IOL brands include:

 

Tecnis Multifocal

This lens offers high quality crisp vision at near, far and intermediate distances and in dim lighting situations. During clinical trials, 90% of patients reported being eyeglass free full time.

 

A disadvantage of this lens is the presence of halos around lights at night for a short time following implantation, however the halos eventually resolve.

 

Tecnis Symfony 

The latest IOL to be introduced (2016), the Symfony is the only lens on the market with Extended Depth of Focus, meaning that it offers extremely high-quality vision at every distance.

 

The Symfony also offers enhanced day to night vision and far less nighttime halos and glare than other IOLs. Dr. Assil was involved in the Stage 4 FDA clinical trials of the Symfony and thus has extensive experience with this lens.

 

PanOptix 

Already available in over 70 countries, PanOptix clinical trials in the U.S. found that over 99% of patients said that they would choose the lens again if given a choice.

 

Like all other Premium lenses offered at our center, PanOptix lenses filter UV light to protect your eyes from sunlight and from overly luminous computer screens.

 

We select the PanOptix lens for those patients for whom it may provide the greatest service. We start by measuring your eye's focusing power during surgery once the cataract has been removed. We do this using laser technology known as the ORA Aberrometer (in fact, AEI was the world’s first center to utilize ORA).

 

We measure eye power after your cataract has been removed to eliminate the effect that the cloudy cataract lens has on your prescription. By getting the most accurate measurement of your true eye power without the haze, we can determine the very best lens design to suit your particular vision needs.

 

AcrySof ReSTOR 

This lens offers excellent near and far vision in all light conditions and has a long safety record since its introduction in 2005. During clinical trials, 80% of patients reported being eyeglass free full time.

 

Accommodative Lens 

Accommodative Lenses move and change shape within your eye to allow you to focus at different distances. While they do not provide as sharp a focus at a broad range of distances as do the multi-focal lenses, accommodative lenses offer adequate vision for near and far distances. In fact, many accommodative lens patients have sufficient near vision to allow them to use their computer with ease.

 

There is only one FDA approved accommodative lens available in the U.S.:

 

Crystalens

Crystalens lens uses the eye's natural focusing mechanism. It is attached to the muscles responsible for focusing your vision, so the lens actually shifts back and forth within your eye to focus on objects near and far. The Crystalens is easily implanted and has a short recovery time. It also has the advantage of producing minimal glare or nighttime halos.

 

The cost of premium IOLS versus Standard IOLs 

Premium IOLs have additional features not found in standard IOLs. Unfortunately, health insurance companies do not consider these additional features to be medical necessities. Because of this, you will incur additional out-of-pocket expenses for your cataract surgery if you choose a premium IOL.

 

Medicare and private health insurance plans typically cover the cost of cataract surgery, including the cost of a monofocal IOL (although you might have to pay a deductible or have a limited choice of brands, depending on your policy).

 

If you choose a premium IOL like ones described above, typically you will have to pay the difference in cost between a monofocal IOL and the premium lens. This out-of-pocket expense could range from $1,500 to $3,000 per eye or more, depending on the type of IOL and whether you opt for advanced laser cataract surgery as well.

 

To fully understand your cataract surgery costs and coverage, we invite you to consult with one of our patient coordinators to verify what your insurance will cover before you have surgery. 

 

The Assil Eye Institute cataract care advantage

When you select Assil Eye Institute for your cataract removal, you will benefit not only from our state-of-the-art laser technology and our physicians' experience but also from our commitment to:

 

Employing the most comprehensive pre-operative testing available today in order to ensure the greatest surgical accuracy, by using multiple measuring systems to measure eye power and replacement lens size.

 

Utilizing micro incisional technology to facilitate faster corneal healing and recovery time. This technology permits cataract removal through a 2mm opening (most other centers are using entry sites which are approximately 50% larger).

 

Operating using leading edge “cold” and “ellipse” ultrasound technology, which Dr. Assil's research has demonstrated results in less post-op intraocular swelling, providing greater safety, efficacy and faster visual recovery for our patients.

 

Offering the most comprehensive inventory of Intraocular lenses available today, to ensure the best product type and shape match for your eye.

 

Dedicating ourselves to your care. Your surgeon will remain personally involved in your post-operative examinations throughout your healing. While full visual recovery may take several weeks to stabilize, most people see better and resume all normal activities the day after surgery.

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