Cataract Phaco Surgery Lens (IOL) Options- CLAREON | VIVITY | PanOptix | PanToric

When getting cataract surgery, in addition to the risks and benefit of surgery, it is important to know the options of intra-ocular lenses (IOLs). Watch this video to find out more.

UNDERSTANDING LENS OPTIONS IN PHACO CATARACT SURGERY

Cataract surgery, particularly through phacoemulsification, is one of the most successful and widely performed procedures in ophthalmology. A key decision in this surgery is the type of lens implant, or intraocular lens (IOL), which greatly influences your postoperative vision and quality of life.

WHAT IS PHACOEMULSIFICATION?

Phacoemulsification involves breaking up the cloudy natural lens (cataract) using ultrasound energy, removing it through a small incision, and replacing it with a foldable artificial lens. This technique allows for faster recovery, minimal surgical trauma, and better visual outcomes.

TYPES OF INTRAOCULAR LENSES (IOLS)

There are four main categories of IOLs typically offered:

1. Monofocal IOL

• Designed to provide clear vision at a single distance, usually for far vision.

• Patients generally require glasses for near tasks such as reading or detailed work.

• This is the most commonly used and cost-effective option, providing excellent distance vision (more)

2. Toric Monofocal IOL (Toric IOL)

• Corrects pre-existing corneal astigmatism along with providing distance vision.

• Helps reduce the dependence on glasses for distance tasks, though near work will still require spectacles.

• Ideal for patients with significant astigmatism that cannot be fully managed by the surgical incision alone (more)

3. EDOF IOLs (Vivity)

EDOF lenses, such as the AcrySof IQ Vivity IOL, represent a newer category of lens technology designed to extend the range of clear vision. Unlike traditional multifocal lenses that split light into distinct focal points, EDOF lenses stretch and shift the focus to provide a continuous range of vision, particularly enhancing intermediate tasks such as computer use and dashboard viewing.

• Advantages: Patients typically experience fewer issues with glare and haloes at night compared to multifocal lenses, while still gaining improved spectacle independence for most daily activities.

• Limitations: Reading very fine print up close may still require glasses, though many patients find this an acceptable trade-off for improved overall vision quality and reduced optical disturbances.

• Ideal candidates: Individuals with active lifestyles who want more visual freedom but are concerned about the potential side effects of multifocal optics (more).

4. Multifocal IOL (PanOptix)

• Has multiple zones that allow clear vision at various distances—near, intermediate, and far.

• Aims to minimize dependence on glasses altogether.

• Some patients may notice haloes or reduced contrast sensitivity, particularly in low-light conditions (more).

5. Multifocal Toric IOL (PanOptix Toric)

• Combines the benefits of astigmatism correction with multifocal technology.

• Suitable for patients who wish to reduce their need for glasses for both distance and near vision, even when astigmatism is present (more).

WHY IS THE CHOICE OF LENS IMPORTANT?

• Visual freedom: Advanced lenses can significantly reduce or even eliminate the need for glasses for most daily activities.

• Customized correction: Toric IOLs specifically target astigmatism for sharper, clearer vision.

• Long-term quality of life: The right lens choice improves overall visual function and satisfaction.

• Balanced expectations: Multifocal lenses may introduce glare or haloes, so discussing these trade-offs is essential before surgery.

PATIENT-CENTRED PLANNING

A thorough discussion with your surgeon is crucial. It should include:

• Your lifestyle and priorities: How important is it for you to avoid glasses?

• Your eye health: Certain pre-existing retinal or corneal conditions may influence lens selection.

• Your tolerance for visual phenomena: Understanding and accepting possible side effects like glare ensures realistic expectations.

THE SURGICAL JOURNEY AND RECOVERY

• Anaesthesia & procedure: Usually performed under topical (drop) anaesthesia, avoiding injections. The surgery generally takes less than 20 minutes, and patients go home the same day.

• Postoperative care: Patients use antibiotic and anti-inflammatory eye drops for about eight weeks, with regular follow-ups to monitor healing.

• Safety: Modern phacoemulsification is highly safe, with a very low risk of serious complications.

HOW TO CHOOSE THE CORRECT IOL

CONCLUSION

Selecting the appropriate lens implant is a highly individual decision that balances visual needs, lifestyle, eye health, and personal preferences. From standard monofocal lenses to advanced multifocal toric options, today’s technology allows us to tailor cataract surgery to achieve your best possible vision.

If you would like to discuss which lens option might be best for you, feel free to book a consultation at our clinic. We are committed to helping you see the world clearly again.

✅ Ready to take the next step? Contact us today to schedule your comprehensive cataract evaluation.