Which IOL is best for IOP Clareon vs Tecnis?
Posted , 8 users are following.
Hi trying to decide which IOL will be better for lens replacement surgery for IOP. All IOLs have pros and cons. Just want people various opinions and experiences regarding the Tecnis ZCB00, Tecnis Eyhance, AcrySof IQ and the Alcon Clareon which just got approval here in Feb/21. The two I am thinking about the most are the Tecnis ZCB00 and Alcon Clareon. I prefer a lens that if I need further eye surgery or if I develop future eye problems would not be problematic hence aspheric monofocals. I presently wear glasses for reading but I am fine otherwise. I have been reading so much about each that it is all the info is starting to blur together. I thank every one for their input.
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RonAKA ro49134
Posted
I am curious about the price of the Clareon option. Is the surgeon charging extra for it over the AcrySof? Kind of wondering how Alcon is going to market the Clareon, just a long term replacement for the AcrySof or as a premium lens...
ro49134 RonAKA
Posted
Here the spherical AcrySof is the one covered by the province. If we want to upgrade to the aspherical AcrySof IQ we have to pay a little extra and I believe it is the same for the Alcon Clareon. I believe in the future the Clareon will probably replace the AcrySof IQ. The Tecnis IOLs are done in the clinics and you pay out of pocket. The surgeons will charge what they want. That is my concern. I want the surgeon to recommend a lens that is good for me not for their wallet.
RonAKA ro49134
Posted
I am in Alberta and my surgeon says AHS currently will pay for either the AcrySof or Tecnis aspherical lens. He did say the cost of the Tecnis was slightly higher but AHS still covers it. A toric lens is an extra cost over the aspherical lens though. I think it is worth it to get the aspherical lens for the sharpest vision. However if you are OK with less sharp vision the spherical lens may give a slightly extended depth of focus range.
RonAKA ro49134
Edited
When you are comparing standard aspheric monofocal lenses there really are no large differences. The Eyhance is not really a monofocal and it is an extended depth of focus type where I believe they vary the power of the lens from the centre to edge of the lens to get the extended depth of focus. It is not sold as a EDOF lens as it does not achieve enough range of focus (>0.5D) needed to qualify as an EDOF. You would have to do some research as to what issues there may be with the Eyhance over the standard monofocal. The standard monofocal will provide the higher quality vision but over a more narrow distance range. Something has to get compromised to give the extended range of focus.
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What I think is important and often overlooked is the skill and experience of the surgeon. While the standard monofocal lenses perform similarly they do not handle the same when it comes time to put them in your eye and locate them properly. That is where the skill of the surgeon comes in. One of the factors in determining freedom from PCO is the skill of the surgeon in locating it properly in the eye. What I am getting at is that it is one thing to determine what lens is best, but the other factor is how experienced is the surgeon in actually using that lens. That usually comes down to how many lenses have they actually put in eyes of that type.
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When I was selecting between the Tecnis and AcrySof lens I had a discussion with my surgeon about them. He said he recommended the AcrySof but would put the Tecnis in IF I wanted it. That was part of my final deciding decision. He obviously knows more about the lenses and his ability to put them in eyes than I do. So, I went with his recommendation. We had a short discussion about the option of using a PanOptix lens. That ended when he said he had a hard time recommending that lens because he would not let anyone put it in his eye...
ro49134 RonAKA
Posted
My surgeon has worked with both Tecnis and AcrySof. Tecnis in his clinics and the AcrySof at the hospitals. He probably does a lot more AcrySof ones. Very few doctors here have worked with the Clareon as it just got approved but it has the same platform as the AcrySof so surgery wise I would think it would be the same.
RonAKA ro49134
Edited
You may have seen this article already. I found it useful to see what surgeons think of the lenses from their perspective -- what they use, how often, and why. Just a survey though and it is backwards looking and does not cover the newest just released lenses. I presume it is a US survey...
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Review of Ophthalmology PUBLISHED 15 JANUARY 2021
IOL Survey: New lenses turn surgeons’ heads
ro49134 RonAKA
Posted
Hi RonAKA
I have read this article and found it informative. Thanks for sharing.