A premium intraocular lens (IOL) is an implant offering additional visual benefits beyond standard monofocal distance correction. These lenses aim to reduce dependence on glasses.
Types of Premium IOLs
Premium options include multifocal and trifocal lenses for near and intermediate vision, extended-depth-of-focus lenses for a smoother range, and toric designs to correct astigmatism. Some lenses combine these features, such as toric multifocals.
- They can lessen the need for reading or computer glasses
- Night-time halos or glare are more common with some multifocal designs
- Careful pupil and corneal assessment improves lens selection
- Not all patients are suitable, especially with macular or optic nerve disease
Decision-Making
Choosing a premium IOL involves weighing lifestyle benefits against potential side effects and added cost. Detailed counselling and expectation setting are essential.
- Trial lenses or simulators may help visualise outcomes
- Even with premium lenses, some tasks may still need spectacles
- Post-operative fine-tuning with laser or glasses is sometimes required
- Shared decision-making with the surgeon supports satisfaction
