multifocal (presbyopic) IOLs. While tradition-
al lenses can correct only distance vision,
these lenses improve both distance and near
vision.
While I liked the idea of not having to carry
around my readers, I wanted to know exactly
what the lenses entailed. I studied the choices
at a trade show, looked at the studies and
sought out ophthalmology colleagues who
considered multifocal IOLs when they under-
went the procedure. Since there are minor
concerns about irregularities and halos with
the lenses — and I work under bright OR
lights for a living — I ultimately chose a stan-
dard monofocal IOL.
For patients who are sick of carrying
around their glasses, or those with astigma-
tism that traditionally were left with subopti-
mal post-op vision, premium IOLs are an
attractive option. This is especially true for
astigmatism patients, since toric lenses are
now one of the most popular ways to correct
the problem.
Since these lenses can tack on an additional
out-of-pocket cost of $1,500 to $2,500 per eye,
they may be attractive to you as well.
However, make sure your patients are aware
of the risks, since there is a small percentage
of patients who still need glasses after sur-
gery.
5 9
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