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Cataract Surgery Multifocal Lens Cost

What Are The Cons Of Multifocal Intraocular Lenses

Cataract Surgery with a Multifocal Lens

Multifocal intraocular lenses are generally not recommended for patients who perform activities that require excellent visual acuity. This is because lens replacement surgery can result in , especially in low light conditions. The patient may also experience a transient halo around light sources at night. Halos may appear around car headlights, red lights, streetlights, etc. In some cases, these phenomena can make driving at night difficult.

Even if they are exceptional, the postoperative complications of clear lens surgery are the same as for cataract surgery. The risk of retinal detachment is greater in a young myopic patient than in a non-myopic patient over 75 years old after cataract surgery. For this reason, this type of surgery requires extensive consultation and examination for myopic patients before the age of 60. In hyperopic patients, clear lens surgery for refractive purposes is indicated after 55 years of age, in case of contraindication to laser surgery or in case of very high hyperopia. Careful postoperative surveillance is necessary.

What Options With Cataract Surgery May Have An Additional Cost

Medicare and other health plans will cover cataract surgery. This coverage includes the surgeon fee, the anesthesia fee, and the facility fee. New technologies often offered with cataract surgery to enhance the vision are not covered by health insurance and add some additional cost to the procedure. Extra services can include

  • Laser-assisted cataract surgery
  • Astigmatism correction with a Toric lens implant
  • Multifocal IOL lens implants to improve the range of vision without glasses
  • Astigmatism correction with limbal relaxing incisions of the cornea with a blade or laser
  • ORA technology for improving IOL power accuracy with lens implantation

What Is The Difference Between Intermediate Vision And Near Vision

Intermediate vision is the type of vision needed for activities at around arms length. This includes working on a computer, playing board games, or shaving in a mirror.

Near vision is the type of vision that most people lose at around age 40. It is needed for reading smartphone screens, books, newspapers, and medication bottles.

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All Inclusive Packages :

  • between 3600 and 4100 for the 2 eyes
  • between 2300 and 2500 for 1 eye

Is included: the intraocular lens implantation , the preliminary consultation and the analyses before the operation, the control and the postoperative follow-up, the assistance of an interpreter at each stage of care, 6 nights in a 4 or 5 stars hotel with breakfast, and all the transfers airport/hotel/clinic/airport.

List Of The Cons Of The Cataract Surgery Multifocal Lens

IOL Cost Factors

1. Some patients may not receive the full amount of focusing power.The multifocal lens does an excellent job of creating a focus zone that people can use for all levels of vision, but some patients may not. Receive enough lens manipulation with their ciliary body to create clarity for close-up items. There is typically an improvement in the distance and intermediate vision of the patient, but reading glasses might still be necessary for some when reading or observing items that are close to their face. If your goal is to eliminate the need for glasses entirely, there is a risk factor of about 10% for all parties that limited use may still be necessary.

The outcome is still better than not having the cataract surgery at all, but the incomplete near-vision results can leave some people feeling frustrated with the outcome of the procedure.

2. It may be classified as an optional procedure for some people.The removal and replacement of a clouded lens is the only cure that is currently available for a cataract. That means the one question that patients must consider involves the timing of the procedure. There is no rush to have a new multifocal lens because you are not in a life-threatening situation. If there is not much interference with your daily life or your overall vision, then this procedure might be considered optional. That could mean limited insurance coverage.

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Cataract Surgery With Multifocal Intraocular Lenses

Cataract surgery is one of the most common surgeries. A cataract is a clouding of the lens of the eye that is mainly related to aging. It can also occur because of disease, medication or injury to the eye that damages the lens. Cataracts result in a decrease in visual acuity, a reduction in contrast sensitivity, discomfort with bright light, or the appearance of a veil.

Cataract surgery is a very common outpatient procedure performed under local anesthesia. Its objective is to replace the cataractous lens with an intraocular lens. These lenses can be monofocal, multifocal or toric.

Multifocal lenses, unlike monofocal intraocular lenses, allow for the correction of near and distance vision and make it possible to dispense with glasses. Multifocal intraocular lenses are designed to split light into different focus. There are two common types of multifocal lenses: refractive multifocal lenses and diffractive multifocal lenses .

Cataract refract surgery is systematically combined with a refractive lens exchange. Intraocular lenses IOLs are made of flexible shape memory materials. This flexibility allows them to be injected into the capsular bag through a small corneal incision. Generally, these transparent and light lenses are made of hydrophilic or hydrophobic acrylic materials.

Meaning And Usage Of Multifocal Intraocular Lenses

Many IOLs fitted today are fixed monofocal lenses matched to distance vision. However, other types are offered, such as multifocal IOLs which offer the patient with multiple-focused vision at far and reading distance, and adaptive IOLs which supply the patient with minimal visual accommodation.

Insertion of an intraocular lens for the treatment of cataracts is the most typically carried out eye surgical procedure. Surgeons each year implant more than 6 million lenses. The procedure can be done under local anesthesia with the patient awake throughout the operation. Making use of a versatile IOL makes it possible for the lens to be rolled for insertion into the pill through an extremely small cut, hence preventing the need for stitches, and this procedure generally takes less than 30 minutes in the hands of an experienced eye doctor. The recovery period has to do with 2 3 weeks. After surgery, patients should prevent exhausting exercise or anything else that significantly increases high blood pressure. They should likewise visit their eye doctors routinely for several months so as to monitor the implants.

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Does Medicare Pay For Cataract Surgery

The majority of cataract patients in the U.S. are over 65 years old and qualify for Medicare coverage for cataract surgery. Usually, Medicare covers more than 80% of the cost of cataract surgery, particularly if you get standard monofocal IOLs.

Advanced technologies such as the femtosecond laser, ORA, and premium lens implants are not covered by Medicare, the VA, or any other health insurance plans, says Dr. Emilio Justo, an ophthalmologist in Sun City West, Arizona. They should be considered as important upgrades on an individual basis. Laser cataract surgery is usually performed when a premium presbyopia-correcting or astigmatism-correcting IOL is implanted.

While Medicare doesnt usually cover glasses or contact lenses, Medicare Part B medical insurance helps pay the additional costs of corrective lenses, if you have cataract surgery to implant an intraocular lens.

What Is Lens Replacement Surgery

Advantages & disadvantages of Multifocal lenses for Cataract Surgery – Dr. Sirish Nelivigi

Lens replacement surgery is an umbrella term for a few different procedures, most notably refractive lens exchange and cataract surgery. Despite the different naming conventions, they are very similar in approach. During a lens replacement procedure, the eyes natural lens is removed and replaced with an artificial intraocular lens in order to reduce refractive error and improve focus. In doing so, the patient should have significantly reduced the need for glasses or no longer need them at all. Additionally, within this family of procedures are implantable artificial lenses that work with the eyes natural lens called an intracameral lens or phakic intraocular lens, which also can achieve similar results. Here is a quick summary:

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Are Iols Covered By Insurance

Medicare considers cataract surgery a medically necessary procedure, so it covers the costs associated with it. The health plan will also pay for the monofocal IOL you get to restore your vision after cataract removal.

Most insurance companies approach cataract surgery coverage the same way as Medicare. Theyll pay for eye surgery and a conventional lens, but wont cover the entire cost of the so-called premium IOLs.

You can still get an accommodating or multifocal IOL for your cataract surgery if you wish to reduce your dependence on reading or other types of prescription glasses. Your plan would likely cover the procedure and the amount it would cost to have a standard monofocal lens inserted in your eye.

Youd pay the extra lens implantation expenses out of pocket in that case.

Paying For Laser Cataract Surgery

For many patients, Medicare or commercial health insurance cover traditional cataract surgery, but unfortunately, the insurance often doesn’t cover everything. Typically, there are costs not covered by Medicare or private health insurance because they are for procedures or products that aren’t considered medically necessary by the insurance company. Those expenses, however, may be necessary in order to achieve the best visual results. Because of that, many people opt to pay out of pocket or set up financing with their eye doctor.

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Does Medicare Advantage Cover Cataract Surgery

Medicare Advantage, also known as Part C, offers you a way to receive your Medicare benefits through a private insurance company. Because of this, the plans tend to vary a lot throughout the country, both in price and in coverage. However, many Part C plans will cover cataract surgery. As some plans may cover more than Original Medicare, it is worthwhile to research each in detail if you already have a Part C plan.

List Of The Pros Of The Cataract Surgery Multifocal Lens

Cataract/ motibindu surgery in Pune

1. It is a procedure that comes with a high rate of success.About 93% of the patients who receive a cataract surgery for a multifocal lens say that they would do it again if the need should ever arise. About 90% of the patients who receive this option can manage the tasks of daily living without needing glasses as an intervention. The Tecnis choice has been available in the United States for use since 2009 as well, which means there is a long history of success for those who need an intervention for their eye and vision health.

2. The lens works with the eye in natural ways.The multifocal lens is designed to work with the ciliary body, which is a small muscle inside of the eye that assists with focus and vision clarity. It is part of the our normal near-point mechanisms that everyone uses throughout their life. If you attempt to focus on something at a close range, then the muscle contracts to change the natural lens so that the power of your eyesight increases to offer a better focus.

The lenses have small hinges that allow for this movement to still occur in the eye, creating natural levels of close, intermediate, and far-off vision. That means there is a lower risk of experiencing unwanted visual side effects, such as halos or glare, after the completion of the cataract surgery.

Unless your doctor disqualifies you because of something specific that is happening with your health or in your life, you can generally expect a positive result with this procedure.

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So Why Doesnt Everyone Have A Multifocal Intraocular Lens Implant With Their Cataract Surgery

Firstly, multifocal intraocular lens implants cost more than standard mono-focal intraocular lenses. We can provide details of the extra costs of each type of multifocal intraocular lens available if you call us on .

Unfortunately, there are several functional compromises with multifocal intraocular lenses too.

In order to be able to focus on multiple distances, the intraocular lens has to be designed to have multiple focusing points.

Some lenses are designed to have multiple concentric rings with several focusing points.

Other intraocular lenses have different sections for focusing. They are much like bifocal glasses that have a section at the bottom for reading.

The compromise here is that each focusing point is not quite as clear. A person with a multifocal intraocular lens may have slightly reduced sharpness to their distance vision and slightly reduced sharpness to their reading near vision.

This is an accepted compromise for those patients who do not want the bother of reading glasses.

Some people do not like this compromise and prefer sharp distance vision and are happy to have reading glasses.

If you are a patient who has used varifocal glasses where one set of spectacles is used for distance and near vision, you may understand the compromises described here.

A small percentage of patients may have to accept having trouble with seeing light glare or haloes in dim light such as at night.

How Long Does It Take To Recover From Lens Replacement Surgery

The recovery process after lens replacement or intracameral lens surgery is different from patient to patient but should lead to the same end result of having clear vision and more freedom from vision problems. Initial recovery from refractive lens exchange typically takes about a week. At this point, the patient should be able to resume most of their day-to-day activities. It should be noted that when both eyes need eye surgery, the surgeries are often done separately, usually about one to 2 weeks apart.

Immediately following the eye surgery, most patients will immediately notice that they have better vision than before the operation occurred. However, they will still have dilated pupils which will result in some amount of blurred vision. As the pupil returns back to its normal size, there should be a noticeable improvement in vision. After 24 hours the patient should experience the visual acuity gained from the procedure and be able to see clearly at a distance. Reading vision usually takes longer to improve, however it should sharpen within three to five days with a multifocal IOL or assistance from reading glasses if a monofocal IOL was used.

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What Are The Main Causes Of Cataracts

Cataracts can be caused by a wide variety of factors, like genetic conditions or previous eye surgeries like LASIK. Age typically has an effect on the formation of cataracts, as it causes the fibers in the lens of the eye to break down and clump together. There are several risk factors to developing cataracts as well, including:

What Is A Monofocal Lens

Should I have a multifocal intraocular lens implant for my cataract surgery?

A monofocal lens has one point of focus. The one point of focus will usually give you clear distance vision, but the down side is that you will need glasses for near and intermediate vision. The good news, your medical insurance will cover your procedure with the monofocal lens. Remember, if you have a deductible then you will have to meet your deductible requirements before your insurance will cover your procedure. For your insurance to cover your cataract surgery, surgery can only happen once your cataract has reached full maturity. Monofocal lenses have been developed over the last 50 years, so they are extremely well manufactured, high quality and very reliable.


  • Monofocal lenses are covered by your insurance
  • Well manufactured and reliable because of the 50 year history
  • Everyone is a candidate

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How Is Cataract Surgery Done

Cataract surgery is typically done one eye at a time, with the procedures usually taking place about a month apart.

Before each surgery, you will be given numbing, antibiotic, and dilating eye drops. These will reduce any potential pain, prevent infection, and make it easier for the doctor to perform the procedure. Youll also be given eye drops throughout the surgery. Expect to stay awake the whole time, though an anesthesiologist will give you medicine such as sedatives and local anesthesia, or in some cases, general anesthesia to help you relax.

While performing the surgery, the doctor will use a special microscope, so youll see a bright light shining in your eyes. The doctor will remove your eyes natural lens. The technique for removing the natural, clouded lens will depend on the type of surgery.

The doctor will then replace the natural lens with an artificial one called an intraocular lens, or IOL. The type of IOL you receive will have been selected by you and your ophthalmologist well in advance.

Typically, cataract surgery takes about 10 minutes, but may take longer in some cases. Regardless, expect any discomfort during the procedure to be mild.

When Should I See A Doctor

Cataracts arent always noticeable in their early stages, which is why its best to schedule regular visits with your eye doctor for early detection.

But, if you do experience any of the following symptoms, its time to visit your doctor:

  • Indistinct differences between colors

So, does Medicare pay for cataract surgery? Yes, once your deductible and co-payment are met, Medicare can cover the rest and keep your treatment affordable for you.

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Are You A Good Candidate For Multifocal Iols

Possibly the most crucial factor in figuring out if you are a great prospect for multifocal IOLs is your determination to accept some compromise in the clarity of your range vision for the convenience of being less depending on computer glasses and/or reading glasses after cataract surgery.

If youre not ready to accept this type of compromise, or your profession requires that you have the best possible distance vision at all times or outstanding night vision for example, if you are a pilot or somebody who spends a lot of time in unfamiliar areas during the night then you probably are not an excellent candidate for multifocal IOLs. You may be better served with basic monofocal IOLs for optimal range vision despite the fact that this indicates you will need bifocals, progressive lenses or reading glasses to see clearly up close.

Also, if you have a pre-existing visual condition other than cataracts that impacts your vision in one or both eyes , you generally will be happier with basic monofocal IOLs instead of multifocal IOLs, which require good visual capability in both eyes for best outcomes.

Your optometrist and/or cataract surgeon can examine the health of your eyes during your detailed eye examination prior to surgery to identify if you have any non-cataract-related eye issues that may impact your vision after cataract surgery.

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