Choosing the Right IOL

Your cataract surgery journey begins with a thorough, in-office evaluation, including the latest state-of-the-art testing technology. Following this, Dr. Raviv will consult you to select the right IOL surgery in New York for your needs. The most advanced generation of IOLs, known as premium IOLs, can help you restore clear vision and reduce or eliminate your need for glasses or contacts. We implant premium IOLs during cataract surgery or with your vision-correcting refractive lens exchange.

Your LensImplant Choices

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There are Three Zones of Vision we Focus on: 

Distance

Driving vision, watching TV

Intermediate

Desktop computer, car dashboard, lap E-reader

Near

Reading a newspaper, small font on a smartphone

Cataract Surgery Lens (IOL) Options

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Learn More about Each of the Following IOLs we Offer:

Monofocal IOL:

This IOL surgery in NYC targets a clear vision in one of the three zones. Glasses are then used for the other zones. For example, reading or computer glasses will be required if distance vision is targeted. A new generation of 'monofocal+ 'or 'enhanced monofocal' IOLs has recently become available. Monofocal+ IOLs include the Johnson & Johnson TECNIS Eyhance and the Bausch & Lomb Envista Aspire.

Learn More About Monofocal IOL

Extended Depth of Focus (EDOF) IOL:

This IOL targets clear, glasses-free vision in two of the three zones. Typically, we target distance and intermediate vision; only light over-the-counter readers are needed for small print.

The IOLs in this category are the J&J Symfony Optiblue and the Alcon Clareon Vivity.

Learn More About EDOF IOL

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Multifocal IOL:

This IOL is created for maximal spectacle independence by providing clear vision in all three vision zones—from near to intermediate to distance. Not all eyes are candidates for multifocal IOLs. Also, a multifocal IOL does have some nighttime haloes around points of light, such as headlights and streetlamps. In the US, we're now in our seventh generation of multifocals, with each successive generation having fewer and fewer noticeable side effects.

The IOLs in this category are the Johnson & Johnson TECNIS Odyssey (the generation beyond the J&J TECNIS Synergy) and the Alcon Clareon Panoptix.

Learn More About Multifocal IOL

Light Adjustable Lens (LAL):

The LAL is the only IOL that can be adjusted in the clinic after surgery to sharpen vision. For every other monofocal, EDOF, or multifocal IOL on the market, we will use IOL formulas (optics, physics, and AI) to calculate which IOL to place in your eye for the clearest post-op vision. However, some eyes, such as post-LASIK, post-PPRK, or post-RK eyes, are more difficult to target. Even in normal eyes, we don't always hit our desired vision targets due to varying healing between individuals. The LAL allows us to place a lens, have you, the patient, test drive the vision, and then adjust it in the clinic to sharpen the vision for distance and near.

Most of our LAL patients chose blended vision, where one eye is adjusted for some near vision and the other for distance, expanding the range of binocular clear vision. Dr. Raviv was the first to implant the LAL in Manhattan in 2023. We now also offer the LAL Plus, which has an even wider range of vision than the original LAL.

Learn More About LAL

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Toric IOL:

This IOL is designed to fix your pre-existing astigmatism. Some patients know they have astigmatism, and others don't. As we age, we develop more astigmatism due to the effects of gravity and blinking. To have clear vision, we must correct your astigmatism; a toric IOL does that well.

During your cataract evaluation visit, very high-resolution images and measurements of your eye's anatomy (cornea specifically for astigmatism) will be taken to determine your astigmatism precisely. Most people's eyeglass prescription corrects astigmatism, as do toric (astigmatism correcting) contact lenses. Using a toric IOL, we can reduce or eliminate your astigmatism to improve your spectacle-free vision.

A simple analogy is that astigmatism is the optical ovalness of the eye. For clear vision, we want the eye to be optically spherical. If one's eyes are optically oval, we place an oval (toric) version of the IOL. Toric IOLs have been around for over 20 years, and Dr. Raviv has implanted them from the first generation in 2000. In our practice, over 50% of eyes benefit from a toric version of an IOL.

To have clear vision in all vision zones, we need to reduce or eliminate astigmatism, and that's what toric IOLs do. All the above types of IOLs (monofocal, EDOF, multifocal) also come in a toric version to match most eyes. Dr. Raviv will select whether a toric version of an IOL is indicated based on your measurements.

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Monovision:

Also known as blended vision, monovision is a strategy to increase the range of vision of monofocal IOLS by choosing different visual targets in each eye. For example, a patient can have a monofocal IOL targeted for distance vision in one eye and intermediate vision in the other. This blended vision reduces the need for glasses for many daily tasks. Someone who has worn contact lenses in a monovision format may be a good candidate for this approach.

Doctor and patient during exam
Light Adjustable Lens

Light Adjustable Lens

Discover a revolutionary breakthrough in cataract surgery at the Eye Center of New York with Light Adjustable Lens™ (LAL®). 

close up of womans eyes
Multifocal IOL

Multifocal IOL

Today’s multifocal IOLs  (currently in the 7th and 8th generation) are the most advanced and well tolerated since the first multifocal was introduced in the US in 1997.  In many ways, today’s multifocal IOLs provide better vision than the natural human lens at age 50 and older.  

Patient and staff walking down hallway
Toric IOL

Toric IOL

Visionary technology meets surgical expertise at Eye Center of New York, where toric intraocular lenses (IOLs) offer simultaneous cataract and astigmatism correction.

Doctor at eye exam machine
Extended Depth of Focus (EDOF) IOL

Extended Depth of Focus (EDOF) IOL

Experience a revolutionary advancement in vision correction at the Eye Center of New York with extended depth of focus (EDOF) intraocular lenses (IOLs). 

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PanOptix

PanOptix

The Alcon Clareon® PanOptix® is a trifocal intra-ocular lens implant (IOL) used in cataract surgery and Refractive Lens Exchange (RLE), to give maximums spectacles independence and clear vision for distance, intermediate, and near. 

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Symfony

Symfony

The Johnson & Johnson Symfony OptiBlue IOL is a second generation Symfony IOL with extended depth of focus (EDOF) that is designed to target good distance and intermediate vision following cataract surgery. 

doctor examining patients eyes
Odyssey

Odyssey

Embark on a transformative journey with the Synergy™ lens at Eye Center of New York, where innovative technology converges with surgical excellence to redefine the landscape of cataract surgery and astigmatism correction.

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Vivity

Vivity

The Alcon Clareon Vivity IOL is an extended depth of focus (EDOF) IOL that is designed to target good distance and intermediate vision following cataract surgery. 

Doctor and patient walking through office
Eyhance

Eyhance

Unlock a world of visual excellence with the Eyhance™ lens at Eye Center of New York, where cutting-edge technology converges with surgical mastery to redefine the landscape of cataract surgery. 

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