Lens choice

When the natural lens is removed during cataract surgery it must be replaced with an artificial intraocular lens.

Intraocular lenses are technologically advanced lenses that can be injected into the eye through key hole small incisions. The choice of lens depends on the patients individual prescription and visual needs. There is the option for lenses that correct only distance vision or near vision (monofocal), lenses that help with distance and near vision (multifocal ), and lenses that correct astigmatism (toric). Mr Maurino will discuss these options with you and help you decide the best choice of lens for your needs. You can be reassured that only the highest quality lenses from established companies are used by us. 

Conventional IOLs – monofocal

Conventional lenses have a uniform focus and provide excellent image quality, but have a limited range of focus. It is very useful to be able to see clearly at a range of distances after surgery, and surgeons using conventional lenses commonly aim for a spread of focus between the two eyes so that the two eyes, working together, have a greater depth of focus. This strategy is called minimal monovision. Typically, for patients with good vision in both eyes, the aim is to achieve a clear focus for one eye in the distance and the other at arm’s length. This helps to minimise spectacle dependence for most activities. However, reading glasses are normally still useful for prolonged reading or very fine print, and a distance prescription may be preferred for some activities – especially in low lighting conditions (e.g. theatre, cinema, night driving).

Multifocal IOLs (presbyopia-correcting IOLs)

A variety of multifocal lenses have been implanted in cataract surgery over the last 20 years. Recently, newer designs have improved outcomes considerably, and the number of patients opting for them is ever increasing. For many, multifocal lens implants are well tolerated and provide enhanced spectacle independence, allowing good unaided vision for both distance and reading. However, whilst multifocal IOLs produce a greater depth of focus than conventional lenses, there can be a compromise on image quality. Some patients can be troubled by light scatter symptoms (e.g. glare and haloes) and therefore multifocal IOLs may not be the right choice if you do a lot of night driving. Mr Maurino uses the following multifocal IOLs: the LENTIS® Mplus comfort IOL (distributed by Topcon), which appears most effective in reducing glare and halo side effects and also the Acri.LISA (Zeiss) or the Restor (Alcon). At your consultation, Mr Maurino who has published extensively in the fields of toric and multifocal IOLs will be in  an unique position to advice you on  IOLs choice. Further information can be found at the following website: www.ioltrial.org.

 

Toric IOLs (for the correction of astigmatism).

Toric IOLs are used to correct astigmatism on the cornea. Toric IOLs are inserted at a specific position within the eye and are very effective at correcting up to 8 dioptres of astigmatism. Mr Maurino uses Toric IOL routinely and has published extensively on the subject. Best results are achieved in patients with at least 1.5 D of corneal astigmatism

 

Why to choose Mr Maurino at Moorfields Eye Hospital

At Moorfields Eye Hospital  we use the most advanced femtosecond laser technology and lens technology for your cataract surgery.

Mr Maurino is the Director of the Cataract Service and a Senior Consultant Eye Surgeon at Moorfields Eye Hospital where he specialises in cornea, cataract and laser eye surgery. Mr Maurino has performed more than twenty thousands cataract procedures and he is able to offer a unique experience coupled by a patient focused approach  to deliver excellent results.

Having your cataract surgery privately with Mr Maurino at Moorfields Eye Hospital gives you the peace of mind that your surgery will be carried out to give  you the best chance of a superb result.

 

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