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.
Dr. Raviv’s Take:
Pros:
- Great range of vision from distance to computer
- Diminished nighttime halos or glare compared to a full range of vision multifocal IOL
- Typically eliminates the need for distance and computer glasses
Cons:
- Most patient still require light readers for closer, fine print, even phone
- There is some contrast lost with the IOL, which means that if the eye has other eye conditions (for example: macular pucker, macular degeneration or even dry eye) than the post op vision can be more compromised than with a monofocal.
- Needs a touch up such as LASIK/PRK or even IOL exchange at a rate similar to multifocal IOLs
I place this IOL in cataract surgery patients with otherwise healthy eyes and 20/20 potential vision. I’m not a fan of using the Vivity in post LASIK eyes, as those eyes have a higher chance of having residual astigmatism postoperatively - which is not tolerated by the Vivity and can result in blurrier vision than desired.
