Friday, April 12, 2024

Lens Replacement Surgery Pros And Cons

What Are Monofocal Lenses

What are the pros and cons of lens replacement surgery

Monofocal lenses are the standard lenses for cataract surgery. They are called monofocal because they correct the patient’s vision to a single focal distance.

Patients can choose a monofocal lens that corrects for the following vision ranges:

Far distances: Best for activities such as reading street signs, watching television, and playing sports.

Intermediate distances: Best for activities such as viewing the car dashboard, using a computer, or playing board games.

Near distances: Best for activities such as reading, filling out forms, and knitting.

All monofocal lenses are of similar quality. A patient’s choice will be determined by the single type of vision they wish to correct. Many patients who elect this type of lens choose to see clearly for distance activities, though they will always need glasses for intermediate and near tasks.

Pros And Cons Of Monovision Cataract Surgery

Monovision cataract surgery helps to correct your vision by implanting lenses which have different focusing distances. That means your cloudy, natural lenses are replaced by intraocular ones, which are called IOLs. Your doctor will give you several choices to consider for this procedure, including the type of lens that youâll use, the surgery you prefer, and what implant technique is useful for your condition.

When you have a successful surgical intervention, then this procedure could help to reduce your dependency on glasses afterward. It works to correct your vision by giving each eye the specific lens distance needed to provide clear vision. Your brain automatically adjusts the visual inputs when focusing on near or far objects, which allows you to have high-quality vision at all ranges without a corrective device.

Anyone who does not like to wear bifocals or is unable to do so for some reason may be a good candidate for this medical intervention. If you love the outdoors, play sports, and cannot or do not like to wear contacts, then you will want to review the pros and cons of monovision cataract surgery.

Advantages Of Refractive Lens Exchange Over Lasik

Proponents of RLE point out that if one has RLE instead of LASIK to correct vision, then the patient never will develop a cataract since the natural lens will already have been replaced by the plastic implant and plastic implants cannot get cataracts. Proponents would argue that patients in their mid 50-s or older already have natural lenses that have become stiff through presbyopia, causing the need for reading glasses or bifocals . Removing and replacing an older lens that does not function as well as a younger lens, they would argue, is more reasonable than removing a fully functional, flexible lens in a 30 year old, for example, who is too young to have developed presbyopia. Furthermore, there are now implant technologies that can correct presbyopia, although they do not do so perfectly. These would include multi-focal and extended range of focus lenses, both of which have their own pros and cons. If a patient in their mid-50s or older has LASIK, the lens of the eye still will eventually develop a cataract if the patient lives long enought and the patient will eventually need cataract surgery anyway. Proponents of RLE argue that lens replacement in the mid-50s kills two birds with one stone.

Also Check: What Is The Best Alcohol To Drink After Bariatric Surgery

Refractive Lens Exchange: The Procedure

Lens replacement surgery usually takes about 15 minutes and is performed on an outpatient basis. Each eye is done separately, usually about a week apart.

Numbing anesthetic drops are used during RLE, so typically there is no discomfort, and most people report immediate vision improvement after surgery.

Initial recovery from refractive lens exchange when you can resume normal everyday activities usually takes about a week.

Final outcomes of refractive lens exchange can take up to several weeks, and you may notice vision disturbances such as blurry vision, halos and glare, or a “scratchy” sensation as your eyes heal.

You should be able to return to work and resume driving within a week of surgery, dependent on your eye surgeon’s instructions.

Normally, you won’t feel an IOL in your eye, in the same way that you don’t feel a dental filling for a cavity. And since the lens implant is inside your eye and not on the surface like a contact lens, it’s not visible to others.

The artificial intraocular lens is a permanent replacement for your natural lens and is designed to last the rest of your life. Also, there is minimal risk of regression over time.

Does Insurance Cover Refractive Lens Exchange


Unfortunately, most insurance companies dont cover refractive lens exchange. Unlike traditional cataract surgery with standard lens implants,, RLE is considered elective surgery, and it’s not covered by insurance or Medicare.

However, there are good financing options available to make the procedure accessible, either by spreading it into monthly payments with reasonable terms, or taking advantage of pre-tax dollars through HSA and flex accounts.

When considering the cost, patients should factor in the alternate expenses that will be eliminated glasses, monthly contact lenses, and potential future cataract surgeries.

Ultimately, both LASIK and Refractive Lens Exchange are reliable, highly effective vision correction procedures. However, as we approach our forties and fifties, RLE is the most effective approach to correct eye changes that evolve over time.

If youre in the greater Los Angeles area and think youre a good candidate for either LASIK or Refractive Lens Exchange, contact Dr. Bessers office to schedule a consultation.

Recommended Reading: Calf Reduction Surgery Before And After

Multifocal Lens Pros And Cons

Multifocal lenses are considered a safe and effective way for many patients to enjoy better vision at multiple distances without the need for glasses or contact lenses.

Multifocal lenses may not be best for everyone. Following a procedure like cataract surgery, patients will have to consider multifocal lens pros and cons to make their decision.

Are You A Good Candidate For Rle

RLE is often a good option for patients with high refractive errors. Since LASER eye surgery requires the removal of tissue from the cornea, these people may not be eligible for traditional laser eye surgery. However, those with very high levels of nearsightedness may not be the best candidates for RLE due to the increased risk of complications. It is important to discuss the pros and cons with your surgeon and to help establish a realistic expectation of post-surgery results.

Don’t Miss: Luxating Patella Dog Surgery Cost

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.

What Are Multifocal Intraocular Lenses

Lens Replacement Surgery one month later – an honest review

Multifocal IOLs are a type of prosthetic lens used in cataract surgery. Some patients choose to have this lens placed before they have developed cataracts, a procedure known as a refractive lens exchange.

During cataract or lens replacement surgery, the patients natural lenses are replaced with multifocal IOLs. These new lenses improve near, intermediate, and far-distance vision.

Etched onto the surface of the multifocal lens are concentric rings, which allow images at a variety of distances to focus on the retina. Ultimately, multifocal IOLs provide restored visual function and reduce or eliminate the need to wear corrective eyewear.

Don’t Miss: Prayer For Someone Having Surgery

Verdict On The Pros And Cons Of Cataract Surgery Multifocal Lens

Insurance companies typically pay for the cost of a monofocal lens if a cataract surgery is necessary. If you prefer a multifocal lens for this intervention, then you can expect to pay up to $3,000 per lens for this specialized surgery.

These lenses are also newer in the United States, so a multifocal specialist might not be available in your community if this is the procedure you want to pursue. If you are thinking about this procedure as an option, then you will want to look at the overall experience of the surgeon before booking your appointment.

The pros and cons of cataract surgery using a multifocal lens involve your long-term vision health. If you dont mind using glasses after the procedure, then a monofocal intervention could be a cheap and effective way to maintain your lifestyle. Should your preference be to remove the need to wear glasses in almost every situation, then choose this option if you have an eyesight impairment of this nature.

What Are The Options For Spectacle

There are various IOLs available that can allow for very good near, intermediate and distance vision. This option may be particularly worthwhile for those patients with certain occupations, with a variety of visual needs, or for those who simply dont enjoy having to wear reading glasses.

However, there is a trade-off with these so-called premium IOLs in the sense that whilst such technology is getting better and better, it doesnt quite replicate the same quality of vision we had when, for example, we were 21.

In part, this is due to the creation of a lens that has different powers in different segments. This additional functionality in some lens platforms is therefore a trade off at the expense of a small reduction in light transmission and contrast sensitivity. Some patients may experience glare, haloes around lights or starbursts in certain light conditions. However, these are usually infrequent and with multifocal lenses, generally most patients feel delighted with the independence from spectacles.

Extended depth-of-focus lenses have also become available in recent years, which allows patients to achieve excellent distance and intermediate vision, across a better range of distances. Generally, these lenses have slightly more light transmission in comparison to multifocal lenses, while near vision may require additional spectacle use for some activities.

Also Check: How To Stop Xarelto For Surgery

List Of The Pros Of The Cataract Surgery Multifocal Lens

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.

The Pros And Cons Of Clear Lens Exchange

LASIK Laser Eye Surgery

More and more well-informed individuals are requesting lens extraction for refractive purposes even though their natural lenses are clear.

With evolving cataract surgical techniques and advanced-technology intraocular lenses , we now have the facility to offer patients spectacle-independent vision akin to their youth. Under normal circumstances, the discussion of natural lens extraction and replacement comes at the heels of the diagnosis of cataracts. More and more, however, well-informed individuals are requesting lens extraction for refractive purposes even though their natural lenses are clear.

Refractive lens exchange-also referred to as clear lens exchange or, more recently, refractive lensectomy-is now a viable option for patients who are not candidates for other refractive procedures or who simply wish to avoid the visual consequences of presbyopia with multifocal or accommodating IOLs. There is significant debate among cataract surgeons regarding the ethics of clear lens exchange. The crux of the issue, of course, is the risk, albeit small, of loss of vision . The polar opinion is that refractive lensectomy is no different from any other elective refractive procedure.

The importance of patient selection

Cost of clear lens exchange

Recommended Reading: Is Plastic Surgery Tax Deductible

A New Consideration: Rapidly Improving Presbyopia

Now a new consideration has entered the decision between LASIK and RLE. If a patient has lens replacement now, before a visually significant cataract has developed, the implant that will be inserted will reflect contemporary technology and it is very difficult to ever change that lens later for newer technology. Essentially, by having catarct surgery before it was necessary to do so, the patient is prematurely locking themselves into current lens implant technology and missing the opportunity to have a much more advanced implant put in the eye down the road if they waited to have lens replacement until it was necessary due to actual cataract development. Having LASIK now instead of RLE allows the patient to enjoy improved vision without the increased risk and decreased accuracy of RLE and allows the patient to wait until cataract surgery is actually necessary, which could be decades down the road.

The logic of deferring catarct surgery rather than jumping into lens replacement surgery became even more compelling with the recent announcement of an entirely new lens technology which hopefully will finally mimic the natural lenss ability to flex to change its shape and allow reading vision equivalent to a 20 year old. This could be a lens worth waiting for.

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.

Read Also: Eye Surgery Center Of Wisconsin

How Long Does It Take To Recover From Lens Replacement Surgery

The recovery process may vary from patient to patient. However, the end result is the samebetter vision.

If both eyes require surgery, the procedures are typically done on separate days, usually two weeks apart. This also affects the recovery timeline.

Notably, most patients will achieve clear vision immediately after ICL surgery. But this doesnt indicate full recovery.

Your vision will stabilize in about a week or two. At this point, you can resume normal activities like reading, watching TV, and driving, but in moderation.

Expect a full recovery in about eight weeks.Successful recovery will depend on your ability to care for your eye after surgery.

Here are some post-op-care instructions to expect:

  • Avoid rubbing your eyes for about 3 to 5 days
  • Wear protective gear such as eyeshields or UV blocking sunglasses
  • Avoid makeup, creams, and lotions for some time
  • Avoid water contact
  • Stay away from strenuous activities such as heavy lifting and contact sports

Lens Replacement Surgery Reviews

Symfony vs Panoptix. Which is the BEST Lens for Cataract and Premium Lens Replacement Surgery?

Generally, the online reviews for lens replacement surgery are outstandingly positive. Most patients are pleased with their results, claiming that the surgery has significantly improved their vision whilst helping them say goodbye to visual aids, which were often seen as an inconvenience.

A number of people positively referred to the duration of the surgery, praising it for how quick and efficient it is. The only downside is that some people can find the procedure rather daunting. However, at Eye Clinic London, we pride ourselves on building good relationships with our patients, helping them to feel comfortable and at ease through each step of the process.

Numerous reviews praised refractive lens exchange treatment for giving them newfound confidence. With improved vision, people felt like they were seeing the world in a whole new light. For some, no longer having to rely on visual aids helped boost confidence levels. They no longer felt like they had to hide behind a pair of glasses.

But dont just take our word for it, have a look at some of our outstanding patient testimonials.

Read Also: Dermatology And Skin Surgery Center

What Is Refractive Lens Exchange Surgery

Also known as Lens Replacement Surgery, it is a surgical procedure that replaces your eyes natural lens if it does not properly refract light. There are a number of eye conditions that this can cure, as well as types of sight deficiencies. When exchanging your refractive lens for an artificial one, there are three types of Artificial Intraocular Lens that you can have as replacements:

  • Monofocal fixed focus lens to provide clear vision for long, medium or short distances
  • Accommodating a type of monofocal lens that can work for multiple distances with the ability to shift positions in the eye
  • Multifocal provides clear vision for all distances

You should request an appointment with your eye doctor to determine what the best type of lens is for you. When compared to other surgical procedures, it is very similar to cataract surgery, only it replaces your natural lens with a clear artificial lens instead of a cloudy one. The cloudy lens are used to treat cataracts, whereas a clear one helps improve your sight or correct other conditions. The surgery usually takes around 15 minutes for one eye, with at least one week between the procedure on the second eye. Basic recovery takes around a week, though complete recovery can take months.

Latest news
Related news