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Dr. Raviv’s Take:
Pros:
- High-quality monofocal IOLs with slight optical modifications to provide some intermediate vision.
- No significant nighttime glare or halos - similar to a monofocal
- This IOL maintains high contrast preservation and can be used in most eyes
Cons:
- Most patients still require glasses for near vision if both eyes are targeted for distance. We sometimes target one eye for distance and one eye for some near vision to expand the range of vision [link to monovision paragraph - under IOL choices section]
- These IOLs did not meet the FDA criteria for EDOF status, meaning their intermediate is only slightly better than a monofocal, but not as good as an EDOF or Multifocal IOL.
- As with anything in optics, by designing some slight intermediate range to the IOL, there is slightly less light energy directed to distance. In my experience, patients cannot sense the difference in distance vision between traditional monofocal and enhanced monofocal. Studies show that while the two groups can read the 20/20 line equally, more eyes in the traditional monofocal group were able to see better than 20/20 (Specifically 20/15) compared to the enhanced monofocal.
I place this IOL in cataract surgery patients who desire good uncorrected distance vision without any photic side effects (such as glare or halo) and are fine wearing reading glasses.
Cataract Surgery Lens (IOL) Options
