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    New IOL category offers more natural range of vision


    Therefore, we position EDOF IOLs within a new refractive package, called “distance-and-computer” vision, and priced it less than the “distance-and-reading” vision package (See Figure 2).    

    This approach helps educate patients about the strengths of EDOF IOLs, while avoiding unrealistic expectations. We were comfortable pricing a new IOL lower than the multifocal IOL package because early data demonstrated that EDOF lenses are more tolerant of residual sphere or cylinder, so there was less need to build in coverage of laser vision correction enhancements. Figure 2: Elizabeth Yeu, MD, positions EDOF IOLs within a new refractive package called “distance-and-computer” vision. The practice prices it less than the “distance-and-reading” vision package.

    After three months and 65 cases, patients are achieving excellent distance and intermediate vision, so they are able to drive and use their computer, tablet, and navigation system in the car without glasses. A pleasant surprise has been that the near vision seems to be consistently between J2 and J5.

    Most patients can read newspaper print (J3) unaided, particularly if I give them a - 0.25 D offset in the nondominant eye. This makes patients happy because we have exceeded their expectations.

    Initially, the three-tiered pricing is an excellent way for surgeons to introduce the lens and gain experience with the EDOF category and what it can deliver for patients. I plan a more detailed review of the near-vision results after 100 cases. At that point, I may eliminate the middle package and charge the same for multifocal or EDOF.  

    Customizing IOL education, selection

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    • UBM User
      Enjoyed the article, but this represents an opinion.. Until such presbyopia correcting lenses are evaluated at both distance and near under luminance and contrast conditions that match the visual task the patient desires to pursue, they cannot be assured of providing the desired effect. Ophthalmology and optometry have focused on improving the optical transfer function of the media under different focal positions, but forgotten to evaluate for the functionality desired by the patient. Even at the Novel Endpoints conference sponsored by the FDA, the primary focus remained the focal outcomes not the functional. Please contact me if you desire to know more.


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