After a cataract is removed, a new lens called an intraocular lens or IOL must be implanted within the eye. The standard Medicare approved lens implant is monofocal and allows for clear vision at only one distance (usually distance vision), requiring patients to wear glasses after their surgery for near distance activities.
At Kung Eye Center we offer our Staten Island and East Brunswick patients premium lens implant options. These IOLs are often only partially covered by Medicare and will involve some out-of-pocket expense, but they allow patients to enjoy a greater range of vision and an active lifestyle with more freedom from reading glasses or bifocals.
Multifocal IOLs: have different levels of power and each power diffracts light differently, offering patients good vision at near and far distances, and can potentially reduce reading glasses or bifocals. These lenses include ReStor by Alcon & Tecnis Multifocal and Symfony by Johnson & Johnson.
Toric IOLs: are used to correct astigmatism, which is an asymmetric steepening of the cornea that causes light to focus unevenly on the retina. Uncorrected astigmatism can cause blurry or shadowed images. For cataract patients who also have astigmatism, a toric lens may be your best option at freedom from glasses after cataract surgery.
Accommodating IOLs: are designed to mimic the eye’s natural lens. The hinge design of the lens allows it to move using the ciliary muscles inside the eye. This allows the lens to flex and move or accommodate like the natural lens would to focus on single point through a wide range of distances. These lenses include Crystalens by Bausch and Lomb.
Trifocal IOLs: are designed to allow patients to see at all distances, including near, intermediate and distance vision with the greatest depth of spectacle free vision. This technology was FDA approved in 2019 and was developed by Alcon Pharmaceuticals. The Alcon AcrySof IQ PanOptix IntraOcular Lens was the first FDA approved Multifocal IOL and Kung Eye Center with offices in New Jersey and Staten Island was one of the first offices in the country to offer this revolutionary technology.
Light Adjustable Lens: The Light Adjustable Lens is the first intraocular lens (IOL) that allows surgeons to make adjustments following cataract surgery, and it is the first FDA-approved IOL of this nature. The LAL is a three-piece silicone lens that is implanted just like a monofocal lens implant, except the LAL is made with a special photoreactive silicone, permitting surgeons to adjust a patient’s prescription after implantation by using a specialized Ultra-Violet (UV) light or Light Delivery Device (LDD). Learn More
Dr. Kung on Premium IOLs:
“When patients have cataract surgery, they have options beyond the standard lens implant that Medicare covers. Multifocal, Trifocal, Accommodating and Toric IOLs can be absolutely amazing by reducing or possibly even eliminating the need for glasses, reading glasses and/or bifocals. Patients might still need readers for very small print, such as a medicine bottle, or in a dark restaurant. Besides that, most patients can do most things, most of the time without glasses. Although there is an out-of-pocket expense beyond Medicare coverage, if a patients is a candidate for a premium lens implant, and if its something they can afford to do, its something they should do, as it will benefit them every waking moment for their rest of their life.”