Options for IOLs
Our eye surgeons offer expert diagnosis and treatment in all areas of eye care. We work closely with patients who have cataracts or presbyopia to determine the best type of IOL for their specific needs.
The types of IOLs include:
- Monofocal: This lens has one focusing distance, providing either near, medium, or distance vision.
- Trifocal or multifocal: These lenses have multiple focusing distances in different areas of the lens, capable of bringing into focus objects that are at a far, medium, or close distance from the patient’s eye. Trifocal lenses, which can focus at all distances, are the most advanced version of these lenses.
- Extended depth of focus (EDOF) or extended range of vision: These lenses have the potential to give patients distance, medium, and even some near vision. They may have specific advantages over trifocal lenses in certain patients, such as people who have had LASIK.
- Toric: This lens has different focusing powers in different areas of the lens to correct astigmatism (irregularly shaped cornea). Most monofocal, multifocal, trifocal, and EDOF lenses come in toric versions.
- Light adjustable: A light adjustable lens (LAL) can be adjusted after placement, providing patients with customized vision correction options. It's composed of a specialized silicone material that reacts to ultraviolet (UV) light. Following placement, a noninvasive procedure involving precise UV light application allows for postoperative adjustments to the lens power. This capability enables finetuning of the patient's vision, addressing any residual refractive errors or optimizing visual acuity.
At UT Southwestern, we offer various types of IOLs, such as the AcrySof PanOptix® and Vivity® family of trifocal and EDOF IOLs. Clinical studies of these lenses have shown that:
- They can provide good near, medium, and distance vision without the need for eyeglasses or contact lenses.
- The FDA trial for the PanOptix® lens resulted in more than 99% of the patients studied saying they would have the lens implanted again.
- Results for the newer Vivity® lens show a similar degree of patient satisfaction.
We also implant Johnson & Johnson TECHNIS® multifocal lenses, including the Symfony® lens, which offers both multifocality and enhanced depth of focus.
Because we offer the full line of premium lenses, we’re able to select the type of lens that is best suited to each patient’s eye and visual needs.
Only monofocal lenses are fully covered by insurance. Any upgrade is an out-of-pocket expense, which varies depending on the lens selected.