Who Is a Candidate for a Premium IOL?

A premium IOL is not automatically a better choice for every patient. Surgeons consider eye anatomy, corneal measurements, retinal and optic nerve health, visual priorities, and how much the patient is willing to pay for possible additional benefits.

Conditions that may limit the benefits

Advanced macular degeneration can limit sharp central vision, and significant glaucoma can reduce visual function even after the cataract is removed. Other retinal, corneal or ocular surface conditions may also affect results. Some multifocal designs reduce contrast sensitivity, making them less appealing when eye disease already limits vision.

Not all premium lenses are the same

Glaucoma or macular degeneration does not automatically make every premium implant unsuitable. For example, a toric lens that addresses astigmatism may still be worth considering in an appropriately selected patient. The surgeon must assess the particular lens and the extent of disease.

Making an informed choice

Ask whether your underlying eye conditions limit the improvement you can expect, whether the added lens cost is justified, whether glasses may still be necessary, and which alternatives offer fewer tradeoffs. It may be financially wiser to choose a standard lens in some circumstances. Read about risks and limitations.

Reliable patient information

For general information about the operation, read the National Eye Institute cataract surgery guide. Lens choice should be individualized with an ophthalmologist.