Originally Posted by
optical sam
Just wanted to thank the forum participants for this thread. As a cataract surgeon who is not currently using the restor, I am struggling not to get caught up in the excitment. If someone is paying 1900 to 2000 dollars more for the procedure with a multifocal/pseudoaccomodating intraocular lens (IOL) we need to be careful that the results support the cost/effort.
.
TO date in my own practice, i target between -1 to -2 in the non dominant eye with a monfocal implant to provide the patient with solid near. The dominant eye is targeted for plano. Even patients that settle in the lower myopic range ---0.5 to -1.0 can read a clear j3 on the near card. -1.50 to -2.0 will net j1+. A little trial with monovision contact lenses if the cataract is not too bad is helpful. I have also suggested some trials with multifocals in select patients but my colleagues do not necessarily agree that this is a good test model. Some patients LOVE multifocal contacts, others do not. If in the best hands the acceptance rate is 75 to 80%, how could it be any higher with a multifocal IOL?
Today oct 2005 for my eyes i would still lean towards a mild mono in the non dominant eye and perhaps a wavefront (low spherical aberration) optimized IOL for the dominant eye. I would wear a nice light single vision for night driving and extreme visually demanding distance tasks. If i were retired like most of my patients who only day drive and rarely night drive, i would rarely wear glasses at all.
THis discussion is probably the most honest, straightforward, optically based information exchange I have read to date on this IOL.
Sam
Bookmarks