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    New IOL category offers more natural range of vision


    Customizing IOL education, selection

    We try to provide a thorough educational experience when patients come in for a cataract evaluation. Their time starts with specific questions that help the surgeon figure out how to customize IOL options to patients’ needs:

    ·      How tall are you?

    ·      What reading needs do you have? 

    ·      What do you typically do from 8 a.m. to 5 p.m.?

    ·      What hobbies do you have? 

    ·      How much night time driving do you do? 

    Patients are surprised by these questions. When I explain why I am asking, patients appreciate that I am taking the time to learn about their visual needs.

    Their answers allow me to customize a solution to what patients really want from their vision after surgery. I am implanting fewer multifocal IOLs and toric monofocals because most patients who want a refractive correction are best served by an EDOF lens.

    There is some impact from the pricing approach. Business executives refer to this as the “goldilocks effect,” in which consumers are likely to avoid the “extremes” and feel that the middle price (the distance/computer package, in our case) is the one that is “just right” for them.

    It is also encouraging to know that if there is any dissatisfaction after implanting an EDOF lens in one eye, we can choose a monofocal or multifocal for the fellow eye.

    It is exciting that the industry is getting closer to having presbyopia-correction options that truly meet patients’ need for a full range of uncorrected vision. The EDOF lenses have fewer of the night vision symptoms that were sometimes problematic with earlier multifocal IOLs. 



    1.    Yeu E, Wang L, Koch DD. The effect of corneal wavefront aberrations on corneal pseudoaccommodation. Am J Ophthalmol 2012;153(5):972-81.


    Elizabeth Yeu, MD

    P: 757-622-2200

    E: [email protected]

    Dr. Yeu is assistant professor of ophthalmology, Eastern Virginia Medical School and in private practice at Virginia Eye Consultants, both in Norfolk, Va. 

    Dr. Yeu is a consultant for J&J Vision/AMO, Alcon Laboratories, and B + L.

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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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