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Dr. Raviv’s Take:

Pros:

  • This lens provides a great range of vision across three zones - from distance (like driving or watching TV) to intermediate (such as computer use or viewing car dashboards) to near (like using a phone or reading a book).
  • Typically eliminates the need for any postoperative glasses. This IOL is J&J’s next-generation multifocal following the Synergy IOL, which it replaces. 
  • The lens has the best contrast preservation for a multifocal, using J&J’s proprietary chromatic aberration correction technology.

Cons:

  • There are some nighttime halos around street lights and headlights, but the violet filter minimizes the glare around LED lights. Most nighttime drivers notice halos, but it doesn’t affect their ability to drive with clarity of the road, signs, and their dashboard or GPS. In early studies, only 2% of Odyssey IOL patients stated that halos are severe. 
  • For a minority, very fine print may still require reading glasses.
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Choosing the Right IOL

Dr. Raviv places this IOL in cataract surgery patients (or RLE patients) who desire the most spectacle independence and have a healthy eye with 20/20 visual potential. The Odyssey IOL was designed to correct some of the shortcomings of the prior Synergy multifocal IOL–which over-emphasized near vision, sometimes at the expense of clear distance.  

Dr. Raviv informs all multifocal IOL patients that because every person heals differently, some outliers may require a touch-up or enhancement procedure to reach their final vision. At the Eye Center of New York, about 3% of our multifocal patients will benefit from laser vision fine-tuning (such as PRK) at about three months post-op. Also, about 0.5% of multifocal patients (1 in 200) may require an IOL exchange because their brain, eye, and multifocal optics may not mesh well. Typically, I swap out the multifocal IOL to a monofocal, though we can sometimes swap to an EDOF.

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