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.

Outlines

00:00

👓 Understanding Premium Lens Replacement and Cataract Surgery

This paragraph introduces the concept of premium lens replacement, also known as refractive lens exchange, as an alternative to traditional cataract surgery. It discusses the natural aging process of the eye's lens which leads to a loss of flexibility and cataract formation, affecting vision. The script emphasizes the benefits of premium lens replacement for individuals aged 45 to 60 who rely on glasses and desire improved vision without the need for bifocals or reading glasses. Three categories of premium lenses are mentioned: multifocal lenses, extended depth of focus lenses, and the light adjustable lens. The paragraph concludes by highlighting the importance of discussing with an ophthalmologist to choose the best lens for individual needs.

05:01

🌟 Multifocal Lens Implants: A Comparative Overview

The second paragraph delves into the specifics of multifocal lens implants, focusing on the PanOptix and the newly introduced Odyssey lenses. It discusses the advantages and common side effects of these lenses, such as halos around lights at night due to their design. The script also mentions the Clear View 3 lens, which offers a segmented bifocal design resulting in less halo effect and improved night vision. The paragraph provides insights into patient satisfaction rates and the criteria for being a candidate for the Clear View 3 lens, emphasizing the importance of individual eye measurements for the best outcomes.

10:01

🔍 Exploring Extended Depth of Focus and Light Adjustable Lenses

This paragraph discusses two types of extended depth of focus lenses, the Symphony and the Vivid, which provide clear vision for far and mid-range distances but require reading glasses for up close. It contrasts the minimal nighttime halos of the Vivid lens with the Symphony's halo effect but notes that the Symphony may offer better overall image quality. The paragraph also introduces the light adjustable lens, which, despite being classified as monofocal, offers some extended depth of focus and unique post-implantation adjustability. The script highlights the benefits and limitations of these lenses, including the need for glasses for near vision with the light adjustable lens.

15:02

🌈 Conclusion: The Value of Modern Lens Implants

The final paragraph wraps up the discussion by emphasizing that no lens implant is perfect, and the best lens is the natural one given at a young age. It acknowledges the limitations of current technology, which cannot fully replicate the focusing ability of a young person's lens but can significantly improve vision quality for those aged 45 and above. The script reinforces the value of premium lens implants in restoring lost visual function and reducing reliance on glasses, describing the ability to see clearly at all distances without glasses as a modern miracle. It concludes by expressing hope that the video provides useful information for choosing the best lens implant.

Keywords

💡Premium Lens Replacement

Premium Lens Replacement refers to a surgical procedure where the aging lens of the eye is removed and replaced with an artificial lens implant. This is a key concept in the video as it discusses the benefits of this procedure for individuals who wish to see clearly at all distances without the need for glasses post-surgery. The script mentions that this is a 'safe, proven, and effective option' that has been performed for the past 30 years.

💡Cataract

Cataract is a clouding of the eye's natural lens, which leads to a decrease in vision and can eventually cause blindness if not treated. The video script explains that cataract formation is a natural aging process that affects everyone, typically necessitating surgery between the ages of 60 and 80. The script also discusses the use of premium lens implants for patients with significant cataracts.

💡Multifocal Lenses

Multifocal lenses are a type of lens implant that provides a range of vision, from near to far, in a single lens. The video script discusses different types of multifocal lenses, such as the PanOptix and the Odyssey, which are designed with concentric rings to allow for this range of vision. These lenses are central to the video's theme of improving vision without the need for glasses.

💡Extended Depth of Focus Lenses

Extended Depth of Focus Lenses, such as the Symphony and the Vivid lenses mentioned in the script, are designed to provide clear vision at far and mid-range distances but may require reading glasses for up-close vision. These lenses are part of the premium lens category discussed in the video, aiming to enhance the patient's visual experience post-surgery.

💡Light Adjustable Lens

The Light Adjustable Lens is a unique type of lens implant that can be fine-tuned after being placed in the eye, allowing for adjustments in focus to customize the patient's vision. The video script highlights the benefits of this lens, such as the ability to provide superb long-distance vision and the potential for some extended depth of focus.

💡Halos

Halos are a common side effect of certain lens implants, particularly those with a multifocal design. The script describes how patients with the PanOptix lens may see halos around lights at night due to the concentric ring design of the lens. This term is important for understanding potential side effects and patient experiences post-surgery.

💡Clear View 3

Clear View 3 is a specific type of lens implant mentioned in the script that has a segmented bifocal design. It is presented as a preferred option by the speaker due to its ability to provide a good range of vision with less nighttime halo effect compared to other multifocal lenses. The script uses this term to illustrate an advancement in lens technology.

💡Astigmatism

Astigmatism is a common eye condition where the eye does not focus light evenly onto the retina, resulting in blurred vision. The script discusses the Clear View 3 lens and notes that it does not come in an astigmatism-correcting design, unlike the PanOptix and Odyssey lenses, which do correct for astigmatism.

💡Pupil Size

Pupil size is an important factor in determining a patient's suitability for certain lens implants, as mentioned in the script. The Clear View 3 lens requires that a patient's pupil size be 2.75 mm or larger to qualify for the implant, indicating the importance of individual eye measurements in the selection process.

💡Patient Satisfaction

Patient satisfaction is a measure of how content patients are with the results of their lens implant surgery. The script provides a statistic, stating that there is about a 98 to 99% patient satisfaction rate with the premium lenses discussed, highlighting the success and efficacy of these procedures.

💡Night Vision

Night vision refers to the quality of an individual's sight in low-light conditions. The script discusses the impact of different lens designs on night vision, particularly the halo effect seen with certain multifocal lenses and the improved night vision experienced with the Clear View 3 lens due to its segmented design.

Highlights

The video discusses the best premium lens replacements for those considering cataract surgery or who want to improve vision without relying on bifocals or reading glasses post-surgery.

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

Premium lens replacement is a safe and effective procedure that has been performed for the past 30 years, offering an alternative to bifocals or reading glasses.

Three categories of premium lenses are available in 2024: multifocal lenses, extended depth of focus lenses, and the light adjustable lens.

The PanOptics lens is a popular multifocal lens with high patient satisfaction but may cause halos around lights at night.

The Odyssey lens, similar to the PanOptics, claims to offer slightly better image contrast and may perform better in low light conditions.

Clear View 3 is a new preferred lens for some due to its segmented bifocal design, which reduces halo effects and provides cleaner night vision.

Clear View 3 candidacy requires specific criteria such as pupil size, minimal astigmatism, and falls within a certain power range.

Symphony and Vivid are extended depth of focus lenses that provide clear far and mid-range vision but require reading glasses for close-up vision.

The Symphony lens is preferred for patients with radio keratotomy surgery due to its better overall image quality despite producing halo effects.

The Light Adjustable Lens (L) offers superb long-distance vision and is unique for its post-implantation adjustability to fine-tune focus.

The Light Adjustable Lens Plus (L Plus) is an updated version designed to provide a greater range of focus than the original L lens.

Despite advancements, no lens implant perfectly replicates the natural lens at its prime, but modern implants significantly outperform natural lenses as we age.

The goal of premium lens implants is to provide vision quality comparable to a normal-sighted 39 to 40-year-old, improving the quality of life for older individuals.

Lens implants split light, unlike natural lenses that refocus 100% of light due to shape changes, leading to some trade-offs in vision quality.

Despite potential side effects, the benefits of modern lens implants are considered to outweigh the drawbacks, especially for those over 40.

The ability to see at all distances without glasses is described as a modern miracle, greatly enhancing the independence and quality of life for patients.

The video concludes that the best lens implant technology available in 2024 helps patients see at all distances without glasses, offering the best overall image quality.

Transcripts

[Music]

let's get

[Music]

it if you're considering premium lens

replacement also known as refractive

lens exchange or you know that you need

cataract surgery and you know that you

would like to be able to see near Mid

and far without having to rely on

bifocals progressives or reading glasses

after your surgery then I'd encourage

you to watch this video to learn what

the best lenses are in

2024 to help you see your best without

glass

first briefly let's explain the problem

there are two focusing structures inside

our eyes that help us see the world

around us the cornea and the lens

together they focus an image on the

retina inside our eyes when we're young

our lenses are clear and flexible

allowing us to focus near and far easily

as we age our lenses lose flexibility

and they become cloudy ultimately

leading to cataract formation this aging

process will affect 100% of the

population causing us to need reading

glasses or bifocal locals sometime after

the age of 45 and need or want cataract

surgery sometime between age 60 and 80

no one outruns father time so if you're

between the ages of 45 and 60 and have

to rely on B focals progressives or

reading glasses to see near Mid and far

and you want to improve your vision and

regain function and the ability to seat

all distance without having to rely on

bifocals or reading glasses then premium

lens replacement where we remove the

Aging lens and replace it with a

man-made lens implant is a safe proven

and effective option that we have been

doing for the past 30 years we use the

same premium lens implants for patients

who have visually significant cataracts

who want to see their best as well so

let's say you're in discussions with

your opthalmologist about choosing the

best lens that's it's going to help you

see at all distances far mid and near

without glasses so you're trying to get

the best range of vision and you're

trying to get the best quality of vision

day and night what are the best lenses

available in

2024 there are three categories of

Premium lenses that we work with

multifocal lenses extended depth of

focus lenses and the light adjustable

lens first let's talk about multifocal

lens implants

the multifocal or trifocal lens that

we've had the most experience with is

the panoptics lens we've used thousands

of these lenses over the past 5 years

the panoptics lens works well for the

vast majority of patients and most

patients can read their cell phone their

computer see or drive and watch TV

without glasses do patients with the pen

Optics still need used glasses some of

the time so for example threading a

needle or sewing or reading tiny print

and low light those patients in those

circumstances will still need to wear

some reading glasses some of the time

but for most day-to-day activities no

glasses are needed what's the most

common side effect of the panoptics lens

patients will see Halos around lights at

night due to the design of the lens

which has concentric rings so you'll see

a Halo at night when you're driving

around point of light but you won't see

Halos around lights during the daytime

recently The Odyssey multifocal lens has

become commercially available and we

started using it for our patients in

April of

2024 what's the purported advantage of

the Odyssey over the pan Optics because

they're both designed similarly with

these concentric Rings Johnson and

Johnson states that the Odyssey lens

gives slightly better image contrast

than the pan Optics so patients might

have slightly better quality of vision

and may be able to see a little bit

better up close in low light using the

Odyssey over the pan Optics we've used

both these lenses and a fact over the

past month I placed the Odyssey lens in

several patients who had their second

eye surgery those patients had their

first eye surgery corrected with the

panoptics and when I asked them what's

the difference between your vision

between your pen Optics and your Odyssey

lens they seem to not be able to tell a

perceptible difference so the image

quality between these two lenses thus

far seems to be very similar we'll let

you know as we gain more experience

using both of these lenses which lens

seems to be better or if they are indeed

very very comparable both of these

lenses in our experience are outstanding

our patients have about a 98 to 99%

patient satisfaction rate with these

lenses what happens to the 1 to 2% of

patients who are not happy with these

lenses why are they not happy well the

most common complaint is they will say I

have difficulty seeing at night because

I see Halos through the lens and they're

referring to the Halo that's created by

the concentric rings that have a benefit

which is these Rings allow great range

of vision

but that range comes at a price there is

a halo effect around lights seen at

nighttime that's why we've been

pleasantly surprised by our early

experience using this multifocal the

clear view3 lens it's designed

differently it has a segmented bifocal

design and seems to give the same range

of vision as the pan Optics as the

Odyssey so patients can see near Mid and

far without glasses but because the

clear clear view3 does not have rings in

the lens and is designed with a

segmented bifocal patients with a clear

view3 don't seem to see as much of a

Halo at night their night vision seems

to be cleaner than the night vision with

a multifocal lens with concentric rings

so of the three multifocal lenses that

we have available today my new preferred

lens

is the Clear View 3 we advise patients

who have the Clear View 3 that you'll

see your phone pH your computer you'll

see your TV you'll see great to drive

and you'll see great at night as well

period in fact over the past month we've

had two patients who came to see us who

were in that 1 to 2% of our patient

population who was dissatisfied with

their vision and they happen to have the

panoptics lens so we removed the

panoptics lens and replaced it with the

clear view3 lens and those patients were

more satisfied they seem to see better

overall image quality and their

nighttime vision improved because they

noticed they didn't have to deal with a

halo around lights at night now to be

fair we've only been using the Clear

View 3 for a little over a month but our

early experience and our patients are

telling us that they love their Vision

they love their ability to see at all

distances without glasses with the clear

view3 and they seem to have better image

quality and better nighttime vision than

they experienc with other multifocal

lenses so what's the catch why don't we

use the clear view3 for everybody isn't

it perfect well there's no lens that's

perfect there are three reasons or three

criteria that a patient has to fall

within in order to qualify for being a

candidate to receive the Clear View 3

number one their pupil size has to be

2.75 mm or larger number two they need

to have minimal astigmatism because the

clear view3

does not come in an astigmatism

correcting design on the other hand the

panoptics and odsy lenses do and will

correct a stigmatism the third reason is

that the Clear View 3 only comes in a

certain limited power range so how will

you know if you're a good candidate for

which lens we always need to examine

your eyes take all the measurements of

all the facets of your eye in order to

find out which lens lens is going to

give you your best result next let's

talk about the two extended depth of

focus lenses the symphony and the Vivid

lenses these two extended depth of focus

lenses give great vision far and mid but

not near the expectation with an

extended depth of focus lens is that

you'll be able to see without glasses

far and mid so for example TV driving

desktop computer dashboard of your car

but you'll still need reading glasses to

see up close the Vivid lens creates

minimal nighttime Halos due to its

design the symphony lens on the other

hand does produce a halo effect around

lights at night but in terms of quality

of vision I think the symphony lens

tends to give better overall image

quality than the Vivid lens the symphony

lens is actually my preferred lens for

patients who have had radio keratotomy

surgery finally there's a third premium

lens category the light adjustable lens

or L this lens is formally classified as

a monofocal lens but it does have some

extended depth of focus properties the

unique benefits of the light adjustable

lens are that it seems to provide the

best image quality for patients who want

superb long distance Vision the light

adjustable lens does provide some

extended depth of focus property and

recently the light adjustable lens plus

was introduced and it's designed to give

more range of focus than the original

light adjustable lens I've used both the

L plus and the original L for our

patient and can I tell you that this

lens outperforms this lens in my

experience and the feedback that I'm

getting from our patients they both seem

to perform about the same so if you

receive the regular light adjustable

lens or the L plus you're getting a

great lens but they seem to perform

comparably both seem to give about the

same far and midrange Vision the most

unique property of these lenses is

adjustability it's the only lens implant

that after we place it into the eye we

can shine a light on the lens implant

and fine-tune the focus and customize it

to what the patient wants so if they

want a little bit better mid-range

Vision we we can dial in a little better

mid-range Vision but they'll lose a

little far and if they want better far

Vision then we can dial almost perfect

far Vision Without Glasses patients with

the light adjustable lens will still

need glasses to see near most of the

time based on our

experience so in conclusion let me leave

you with some important fundamental

concepts there's no perfect lens implant

despite the great technology that we

have the best lens is the lens God gave

you when you were 21 years old and thus

far we have not cracked the code the

lens implants of today give great

quality Vision but they give the vision

of a normal-sighted 39 to 40y old person

so we generally Place premium lenses

into patients who are about age 45 and

up those people who are that age range

45 and up have begun to notice that

their lenses don't Focus as easily as

they used to when we look at their

lenses through a microscope their lenses

are VIs ibly more cloudy than the lenses

of a 20 or 30-year-old and the older

person gets the less range of focus that

they have because their lens

continuously loses flexibility loses

range of focus and their lens gets more

and more cloudy so the older a person

gets the more bothersome their Vision

becomes the more reliant on glasses they

become and so if we can take a person

who's 50 and make them see like they're

39 to 40 that's a super super sweet and

Powerful value proposition to be able to

regain a lost function when you're 50

and perform like you're 40 it's huge and

it's even more huge if you regain the

function of a 40-year-old when you're 60

or older another way of thinking about

it is a saying physics is a law and

everything else is a recommendation when

we're using these lens implants they are

splitting light that's not the way we

were designed with our natural lenses

our natural lenses refocus 100% of the

light because the natural lens changes

shape these lenses do not change shape

so the range of vision and image quality

will have some slight trade-offs and not

perform quite as well as our natural

lenses in our 20s despite the

limitations of modern lens implants

their benefits in my opinion far

outweigh any potential side effects

remember the natural human lens at age

40 50 60 and Beyond has lost function

and has lost Clarity so lens implants

for that patient population outperform

the natural lenses of people in that age

range and nobody loves the look or

having to rely on glasses to see up

close most people don't love relying on

bifocals or progressives to read their

watch or see their cell phone and the

ability to see at all distances near Mid

and far without these glasses is in my

opinion a modern miracle and it's the

most commonly performed procedure in our

practice so in 2024 we now have the best

lens implant technology that we've had

in the past 30 years which helps

patients see at all distances near Mid

and far without glasses while giving the

best overall image quality hopefully

this video gives you some useful

information to help you choose the best

implant that'll help you see your best

for the rest of your life thank you for

watching have a wonderful day and I'll

see you on the next video bye-bye