Premium cataract surgery is not suitable for everyone; many people are better served by standard monofocal lenses.
Situations where premium lenses are less appropriate
Certain eye or lifestyle factors increase the chance of dissatisfaction.
- Macular disease, significant glaucoma, or corneal irregularity
- Severe dry eye or previous complex refractive surgery with reduced quality of vision
- Very demanding night‑time driving requirements or low tolerance for halos
- High expectations for absolutely perfect vision in all conditions
- Medical or financial reasons favouring simpler, lower‑risk options
How to decide
Shared decision‑making helps match the lens to the person.
- Careful review of eye health, occupation, and hobbies
- Discussion of monofocal, monovision, and extended‑range alternatives
- Consideration of a trial with contact‑lens monovision where relevant
- Emphasis that standard surgery already offers excellent visual outcomes
- Choice guided by what will give the most comfortable, reliable vision long term
