Premium Lens Implants (IOLs) in 2024. Which ONE is the best??? Shannon Wong, MD.

Summary

This video explains the best premium lens options for 2024, including multifocal, extended depth of focus, and light adjustable lenses. These lenses help those needing cataract surgery or seeking to reduce reliance on glasses to see near, mid, and far distances. The video highlights the advantages and drawbacks of different lenses, such as PanOptix, Odyssey, and Clear View 3, and discusses how to determine the best lens based on individual eye measurements. The goal is to help viewers choose the right lens to achieve optimal vision without glasses.

Takeaways

• 👓 The script discusses premium lens replacement options for those considering cataract surgery or who want to avoid reliance on bifocals or reading glasses post-surgery.
• 🔍 As we age, our natural lenses lose flexibility and clarity, leading to a need for reading glasses or cataract surgery typically between ages 45 and 80.
• 💡 Premium lens replacement involves removing the aging lens and replacing it with an artificial one, a procedure that has been performed safely and effectively for the past 30 years.
• 🌟 There are three categories of premium lenses available in 2024: multifocal lenses, extended depth of focus lenses, and light adjustable lenses.
• 📚 Multifocal lenses, like the PanOptix and the Odyssey, offer a range of vision but may cause halo effects around lights at night.
• 🌙 The Clear View 3 lens is a new preferred choice due to its segmented bifocal design, which reduces night halo effects and provides a cleaner night vision.
• 🚫 Clear View 3 has candidacy criteria including pupil size, minimal astigmatism, and a limited power range.
• 🎯 Extended depth of focus lenses, such as the Symphony and Vivid, provide good far and mid-range vision but not near vision, requiring reading glasses for close-up tasks.
• 🔧 The Light Adjustable Lens (LAL) offers the best image quality for long-distance vision and is unique in its post-implantation adjustability to fine-tune focus.
• ⚠️ No lens implant is perfect, and modern lens implants provide vision quality comparable to a normally sighted 39 to 40-year-old, with some trade-offs in range and image quality.
• 🌈 The benefits of premium lens implants, such as reduced dependence on glasses and improved vision quality, outweigh potential side effects, making them a valuable option for many patients.

Q & A

What are the two focusing structures inside our eyes that help us see?

The two focusing structures inside our eyes are the cornea and the lens, which together focus an image on the retina.

What happens to our lenses as we age?

As we age, our lenses lose flexibility and become cloudy, leading to cataract formation and the need for reading glasses or bifocals after the age of 45.

What is the purpose of premium lens replacement surgery?

Premium lens replacement surgery is performed to remove the aging lens and replace it with a man-made lens implant, allowing patients to see at all distances without relying on bifocals or reading glasses.

What are the three categories of premium lenses mentioned in the script?

The three categories of premium lenses mentioned are multifocal lenses, extended depth of focus lenses, and the light adjustable lens.

Which lens implant has been used for thousands of patients over the past 5 years according to the script?

The PanOptics lens has been used for thousands of patients over the past 5 years.

What is the most common side effect of the PanOptics lens?

The most common side effect of the PanOptics lens is the appearance of halos around lights at night due to its concentric ring design.

What is the purported advantage of the Odyssey lens over the PanOptics lens?

The Odyssey lens is said to provide slightly better image contrast than the PanOptics lens, potentially allowing for better quality of vision and slightly better close-up vision in low light.

What is the Clear View 3 lens and how does it differ from other multifocal lenses?

The Clear View 3 lens is a segmented bifocal design that provides the same range of vision as the PanOptics and Odyssey lenses but with less halo effect at night due to the absence of concentric rings in its design.

What are the criteria for a patient to qualify for receiving the Clear View 3 lens?

To qualify for the Clear View 3 lens, a patient must have a pupil size of 2.75 mm or larger, minimal astigmatism, and fall within a certain limited power range.

What are the two extended depth of focus lenses mentioned in the script?

The two extended depth of focus lenses mentioned are the Symphony and the Vivid lenses.

What is unique about the light adjustable lens compared to other premium lenses?

The light adjustable lens is unique because it can be fine-tuned after implantation by shining a light on it, allowing customization of the focus to the patient's preference.

What is the general recommendation for the age range to place premium lenses?

The general recommendation is to place premium lenses into patients who are about age 45 and up, as they have begun to notice that their lenses don't focus as easily.

What is the fundamental concept regarding lens implants and natural lenses as we age?

The fundamental concept is that the natural human lens loses function and clarity as we age, and lens implants outperform the natural lenses of people in that age range, providing better vision despite some trade-offs in range and image quality.