Will I need glasses after surgery?
If you opt to receive a monofocal lens implanted in both eyes for distance vision, you will need reading glasses after surgery. If you receive a multifocal or extended depth of focus lens, there is a good chance you won’t need glasses. 80% of patients implanted with the diffractive and refractive lenses in their respective FDA clinical trials did not need glasses after surgery for distance or near vision. Of course, not every patient in the trial was spectacle independent. The odds of becoming free of spectacles are better if your corneal astigmatism is low and your eyes are healthy.
Why doesn’t insurance (or Medicare) pay for premium lenses?
These entities pay for surgery and devices that restore functional vision. They will not pay for services that reduce dependence on glasses or contact lenses. While Medicare and insurance will cover the cost of a standard, monofocal lens implant, they will not pay for the portion of a deluxe implant that imparts multifocality.
Can I have a premium lens implanted later?
No. The decision needs to be made prior to cataract surgery.
Will it take longer for my eye to recover from surgery?
Recovery from cataract surgery is the same whether you receive a monofocal lens or a multifocal lens. The number of appointments before and after surgery is also the same. The brain must adjust, however, to the new optical system created with the multifocal lens. This neural adaptation takes from weeks to months to occur. Patients typically notice that they become less aware of their vision as this neural adaptation takes place.