Premium lenses, such as multifocal, EDOF, and toric implants, are not suitable for everyone, even though they offer attractive benefits.
Why they are not universal
These lenses introduce more complex optics to provide spectacle freedom or astigmatism correction. In some eyes, this complexity can reduce contrast or worsen existing problems.
- Underlying macular disease, glaucoma, or corneal irregularity may limit quality
- Severe dry eye can make adaptation harder and blur more noticeable
- People very sensitive to halos or glare may struggle with some designs
- Cost and extra complexity may outweigh benefits for occasional glasses wearers
- Monofocal lenses often remain safer in higher-risk eyes
Who might benefit most
Premium lenses are best for informed, motivated patients with healthy eyes and clear goals. A detailed assessment and counselling visit is essential.
- People who strongly wish to reduce glasses use for most activities
- Stable prescriptions without major ocular disease
- Realistic expectations about still needing some glasses
- Willingness to accept neuroadaptation time and minor visual trade-offs
- Preparedness to return for follow-up and potential fine-tuning
