Making a Lens Choice


There are many different types of intraocular lenses (IOLs) to choose from to correct a cataract. Lens replacement remains the most frequently performed and safest surgery in the U.S. You have several options today in choosing a lens replacement solution for your vision needs.  

Multifocal and Accommodating IOLs are designed to eliminate your need or reduce your dependence on glasses after cataract surgery compared to the traditional monofocal IOLs. They are designed to provide both distance (far away) and near (close up) focus at all times.

Multifocal IOL

A multifocal lens implant provides excellent vision after cataract surgery at a variety of distances. Multifocal lens implants correct both your distance vision and your near vision after cataract surgery. For the vast majority of patients, having a multifocal lens implant means that you will be able to see at distance and up close without being dependent on glasses. Patients choosing to have a multifocal lens implant will likely find that they can drive, watch television, read or do crafts-without the need for glasses.

The Tecnis Multifocal® lens was designed to give patients back their youthful vision by correcting vision at any distance, and in any light condition — even in low light.

The first and only extended depth of focus lens, the TECNIS Symfony® IOL combines a unique diffractive pattern with achromatic technology to deliver outstanding visual acuity over a continuous range of distances while maintaining high image contrast.

As with any surgical procedure there are associated risks and benefits. While virtually everyone experiences an improvement in vision after cataract surgery, some people will have better uncorrected vision than others. Therefore, it is important to discuss the potential risks and benefits with your doctor. Good candidates for the Multifocal lens implant should have realistic goals for their vision and receive a complete evaluation by a BVA Ophthalmologist specializing in multifocal lens implantation.

Accommodative IOL

This type of lens is called an accommodating lens because it is flexible and able to change focus in response to the focusing muscles in our eyes just as the natural lens does for people under the age of forty

The Bausch & Lomb Crystalens® accommodating lens is designed to restore the eye’s accommodation ability, which is gradually reduced as presbyopia progresses. Like your natural lens, Crystalens works naturally with muscles in the eye to retain the eye's ability to "accommodate" – shift focus between nearby and distant objects – after cataract surgery.

The Crystalens has the great advantage of allowing virtually all patients to see at both distance and intermediate distance without using glasses. In addition, most patients are able to read without glasses for all but the finest of print. In practice, the Crystalens is able to satisfy the visual needs of most patients for most of their daily activities without glasses. It is particularly good for driving, computers, cell phones, and newspaper sized print.

Most patients with cataracts or who have had corneal refractive surgery and retained good eye health are acceptable candidates for Crystalens implantation, but those who have already had cataract surgery are not. Good candidates for the Crystalens should have realistic goals for their vision and receive a complete evaluation by a BVA physician.

Video by EyeSmart — American Academy of Ophthalmology

Toric IOL

For cataract patients with astigmatism, successful cataract surgery is only half the battle for regaining quality vision. BVA Advanced Eye Care offers the AcrySof Toric lens implant, a design proven to correct both your cataracts and astigmatism simultaneously. Implanted in the eye to restore distance vision after cataract surgery, the AcrySof Toric lens has a unique patented design that provides both spherical and astigmatic correction.

Video by EyeSmart — American Academy of Ophthalmology

For more information please call our office or e-mail us.