Lens Comparison Chart – Austin Eye

Comparison Chart of Presbyopia-correcting Lens Implants

INTRAOCULAR LENS (IOL) TYPE	BASIC MONOFOCAL LENS	ASTIGMATISM CORRECTING LENS	CRYSTALENS AO	RESTOR	TECNIS MULTIFOCAL LENS
METHOD OF PRESBYOPIA CORRECTION	None	None	Accommodating IOL	Multifocal	Multifocal
LENS MOVEMENT IN THE EYE	None	None	Yes. Flexible IOL	None	None
ZONES OF BEST VISION WITHOUT GLASSES PROVIDED BY EACH LENS IMPLANT. THERE ARE 3 ZONES OF VISION: 1.) Far (TV, Driving), 2.) Mid-Range (computer, desk-work), 3) Near (reading documents up-close, sewing).	Far OR Near (not both).	Same as a basic monofocal lens	Far and Mid-range	Far and Near	Same as a standard monofocal lens
CORRECTS ASTIGMATISM?	No	Yes	No	No	No
SUCCESS RATE OF PATIENTS ACHIEVING SPECTACLE INDEPENDENCE WITH LENSES IN BOTH EYES	5-10%	5-10%	Approx 50%	80% of patients "Never" need to wear glasses	Nearly 90% of patients do not require glasses
STRENGTHS AND BENEFITS OF THE LENS IMPLANT	Excellent vision through bifocal glasses. Many individuals see relatively well far away without glasses. Lens cost covered by medical insurance.	Excellent vision far away without glasses	Excellent night vision, far and computer vision. Very little night glare or haloes.	Excellent far and reading vision. Good computer vision (mid-range).	Excellent far and near vision. Ability to read small print in all lighting environments.
WEAKNESSES OR SIDE-EFFECTS OF THE LENS IMPLANT	Most patients (90% or more) will use glasses after surgery for most activities (Eg. Bifocals).	No ability to refocus mid-range (computer) or near (reading printed documents). Patients will definitely use glasses to see computer and reading distances.	Most patients will need +1.50 over-the-counter reading glasses to read printed documents up-close. Most patients will need a "Yag capsulotomy procedure" within one year after implantation.	May need over-the-counter (+1.25) glasses to see the computer or mid-range. Some patients see a halo effect around lights at night. Reading in low light may require glasses. Lens reflection may be seen cosmetically at times.	May need over-the-counter (+1.25) glasses to see the computer or mid-range. Some patients see a halo effect around lights at night.
USABLE FOR EYES WITH PREVIOUS RADIAL KERATOTOMY (RK)	Yes	Yes	Yes	Not recommended	Not recommended
RATE OF NIGHTTIME SEVERE GLARE AND HALO	2%	2%	2%	2-5%	2-5%
USABLE FOR EYES WITH PREVIOUS LASER VISION CORRECTION	Yes	Yes	Yes	Sometimes	Sometimes
COST OF IOL COVERED BY MEDICAL INSURANCE AND/OR MEDICARE	Yes	No	No	No	No
PATIENT COST PER EYE IF IOL USED ON ELECTIVE BASIS (IE VISUALLY INSIGNIFICANT CATARACT)	$3500	$4100	$4800	$4800	$4800
PATIENT COST PER EYE IF IOL USED AS AN UPGRADE WITH THE PRESENCE OF A VISUALLY SIGNIFICANT CATARACT AND PRIVATE MEDICAL INSURANCE AND/OR MEDICARE	$0	$1200	$3000	$3000	$3000

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