Multifocal and Toric IOls

Multifocal and Toric IOLs

Alan Mendelsohn, MD, FACS, and Sapir Karli MD are dedicated to providing outstanding care and they do their utmost to maximize your quality of vision following cataract surgery. Drs. Mendelsohn and Karli utilize the Acrysof family of lenses, the most advanced and trusted intraocular lenses (IOLs) in the world.

A mutifocal lens implant, such as the ReStor lens, will focus light from distance, intermediate, and near simultaneously, thereby addressing all the focal lengths, enabling the recipient to be hopefully glasses-free, or at least far less dependent on glasses. The ability to read, drive, work on the computer, and see without glasses is an incredible freedom that was never possible with the traditional monofocal lenses. With contacts, people feel less comfortable or confident driving at night, often avoiding nighttime driving. In low-light conditions, such as driving at night, as the pupil physiologically dilates on its own, more light is distributed to parts in the ReStor lens required for distance vision. This improves a driver’s vision of the road ahead at night. Of note, while patients with cataracts almost uniformly have symptoms of glare and halos, a small percent of all patients following cataract surgery can have these symptoms whether having a ReStor lens, monofocal lens or any other type of lens.

Previously, if an individual had a moderate to large amount of astigmatism, this could not be corrected at the time of cataract surgery. This resulted in the need for full-time eyeglass correction following the surgery. However, thanks to a wonderful technological breakthrough, an AcrySof® Toric IOL can be implanted at the time of cataract surgery. With the utilization of the toric lens implants, there’s no longer the need for two separate procedures in order to have improved quality distance vision and decreased dependency on glasses.

Until 2017, Dr. Mendelsohn or Dr. Karli could only utilize a ReStor lens implant when low to moderate levels of astigmatism were present pre-operatively because the laser could only correct these levels of astigmatism. For the twenty percent with greater levels of astigmatism (not fully corrected by laser), Drs. Mendelsohn and Karli would utilize the Acrysof Toric lens implant. While these lenses offer dramatically improved distance vision, glasses were needed for near and intermediate distance tasks. Two years ago, the FDA (Federal Drug Administration) granted final approval for a Acrysof Toric ReStor lens implant, combining the best of both worlds. European ophthalmologists have had tremendous success in patient satisfaction from these lens implants over the past several years. Dr. Alan Mendelsohn and Dr. Sapir Karli have had a similar very favorable experiences with the Toric ReStor lens.

No matter which option is best for you, cataract surgery is virtually pain free, and the actual lens implant can be completed in minutes. In fact, most patients are back to their normal activities the very next day.

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