Standard IOLs (Single-focus)
Standard IOLs give you sharp, clear focusing power at a single distance, either close up (near vision) or far away (distance vision). They are also called single-focus or monofocal IOLs.
If you choose an IOL for near vision, you wear glasses to drive or see objects at a distance. If your IOL is designed for distance vision, you wear glasses for reading and other close-up activities.
You might choose one IOL for near vision and one for distance. This is called monovision. Our eye surgeon can help you select the best option.
Does insurance cover standard IOLs?
Yes. When cataracts are advanced enough and surgery is considered medically necessary, health insurance (including Medicare) covers cataract surgery with standard IOLs.
Premium Intraocular Lenses
Multifocal IOLs are designed to eliminate your need for or reduce your dependence on glasses after cataract surgery compared to standard IOLs. They are an upgrade from standard IOLs.
Multifocal IOLs eliminate or reduce your dependence on reading glasses compared to standard IOLs. They are designed to provide both distance (far away) and near (close up) focus at all times.
Multifocal IOLs work differently from bifocal eyeglasses. With bifocals, you look through the top part of the lens for distance and the bottom part for near vision. A multifocal IOL has concentric rings that help your brain select the right focus automatically. Like wearing bifocals, this can take time. Your vision without glasses usually improves gradually over the first year.
The rings of multifocal IOLs may create halos – a glow around lights at night. This depends partly on the size of your pupils, the area where light enters your eye. The amount of light affects halo size. With time, your brain gradually adapts, and most people with multifocal IOLs feel this effect is minor.
Alcon AcrySof ReSTOR IQ®
We offer the latest multifocal lens options, including the Alcon AcrySof ReSTOR IQ® premium lens implant. In research sponsored by the U.S. Food and Drug Administration, 80% of people with this premium IOL never needed glasses. If they did, they usually used glasses only for activities at intermediate distances, such as using a computer, seeing the dashboard display in a car or playing the piano.
The AcrySof ReSTOR® lens is a foldable IOL that represents breakthrough technology because of its unique, patented optic design, which allows patients to experience the highest level of freedom from glasses ever achieved in IOL clinical trials.
During U.S. clinical trials, the results with ReSTOR® were remarkable:
- 80% of patients reported that after lens implant surgery with ReSTOR® lenses, they no longer needed glasses or contact lenses to see clearly at all distances.
- 94% said they could drive and read the paper without contacts or glasses.
- Nearly 94% were so satisfied that they would have the procedure again.
How is the lens used in conjunction with cataract surgery?
If you having cataract surgery, Dr. Susan Majlessi will tell you if a multifocal lens, like the ReSTOR lens is an option. In cataract surgery, your natural lens, which has become cloudy, is removed and replaced with an intraocular lens. The majority of intraocular lenses that are currently available for use by ophthalmologists are designed to give patients good distance vision after surgery. Most patients use reading glasses after surgery to read and see things up close. Unlike these standard intraocular lenses, the ReSTOR intraocular lenses are designed to give patients good distance vision as well as reading, or near, vision after surgery.
The FDA-approved ReSTOR procedure is a landmark in vision correction technology for people with cataracts that may restore the eyesight of your youth. During U.S. clinical trials, the results with ReSTOR Procedure were remarkable:
- With ReSTOR®, 97% of patients could see well enough to drive a car without glasses or contacts
- With ReSTOR®, 97% of patients could read the newspaper without reading glasses or bifocals
- With ReSTOR®, 74% of patients could read stock quotes in the Wall Street Journal without reading glasses or bifocals
Toric IOLs offer patients with moderate astigmatism better vision without glasses. Astigmatism, a common eye condition caused by an irregularly shaped cornea or lens, causes distorted or blurred vision. Other IOLs don’t correct astigmatism, so you might need glasses to correct it after cataract surgery. If you want better vision without glasses, a toric IOL could be for you.
With a toric IOL, you usually wear glasses for reading, computer work, and other close-up activities.
At our practice we offer the Alcon Acrysof Toric Lens implant.
Does insurance cover the upgrade to a premium lenses?
No. Health insurance (including Medicare) covers cataract surgery with standard IOLs when your cataracts are advanced enough that surgery is considered medically necessary. Multifocal and toric IOLs offer the added convenience of reduced dependence on glasses after surgery. Insurance companies don’t consider this benefit a medical necessity, so they do not cover the upgrade to a premium IOL. They do cover the cost of surgery if cataract removal is medically necessary. Our office staff can answer any questions about insurance and payment options.