Merlin1300 wrote:
Also - check with your insurance provider. Some will cover single vision but NOT the multifocal. They won't even pony up the single vision price and let you cover the rest. And THAT is a Total Scam !!
I am looking into this as well. The single focus lenses and procedures are completely covered by Medicare (for us older folks) and by a supplemental carrier. With any of the multi-focal lenses, they don't pay a dime even though the bulk of the cost is not due to the lens itself. Partly this is because many surgeons prefer using a more expensive (and non-covered) laser technique when installing multi-focal lenses.
My impression is that Medicare is doing some back door means-testing. "If you can afford to upgrade the lens component, then you have the money for all of it." I asked my surgeon about this yesterday. He says simply that there are a lot of things in the world that aren't right. Not much help but true. So I rationalize the extra cost because my eyes are worth the price of decent cameras and lenses.
On the question of lens choice, single focus lenses, covered by most insurance, give the clearest optical results but with a greater need for corrective glasses depending on the situation. Traditional multi-focal lenses offer decent vision with less need for glasses except for close work. But as already mentioned, they do produce halos and glare with bright lights with a dark background. Oncoming headlights is the classic example. Night sky viewing will likely never be the same. There is also less contrast in dark scenes. The new non-refractive multi-focal lenses, e.g. Vivity, are nearly, but not completely free of artifacts. I am very torn about the choice between the clear mono-focal lens and the expensive Vivity option for the convenience of needing glasses less often for reading at a moderate distance. No way would I select the traditional multi-focal refractive lens because of night driving, photography, and whatever little astronomy I enjoy. Even the low artifact Vivity might leave me wishing I saved $6-7K and got the clear, mono-focal lenses, but I am going to take that chance and spend the bucks for the Vivity lens. The Z9 will have to wait. I say Vivity, but there may be other brand names for the same technology, so I am not necessarily tied to one. it's just what my surgeon uses. The biggest problem so far has been getting time with the ophthalmologist about lens choices. They should provide references to unbiased articles early in the process. Too often they will give you 10 minutes about what can be an expensive and impactful decision when you start out knowing nothing. Patients who have options should read up before getting those expensive 10 minutes and at least have more informed questions.
This is just me, but if my only hobbies were photography and astronomy, I would definitely go with mono-focal lenses. As a musician who needs to see small print music and occasionally glance at the conductor, I am going with the lower artifact multi-focal lenses.
Most of the links reviewing the lenses are published by manufacturers. Here are a couple examples of less biased articles with the first I thought was the most informative:
https://www.reviewofophthalmology.com/article/which-lens-for-which-patienthttps://www.reviewofophthalmology.com/article/iol-review-2021-newcomershttps://www.reviewofoptometry.com/article/realworld-performance-of-newer-intraocular-lensesMy surgery is two seeks away so I welcome any comments about what I have found so far.