Which is better monofocal or multifocal? (2023)

Asked by: Dr. Elmer Simonis

Score: 4.8/5 (50 votes)

Patients in the multifocal group had better uncorrected intermediate/near visual acuity and higher spectacle independence, whereas patients in the monofocal group had better contrast sensitivity and higher scores for night-time driving.

Are multifocal cataract lenses worth it?

Existing systematic reviews have generally concluded that multifocal IOLs result in better uncorrected near vision and greater spectacle independence, but more unwanted visual phenomena such as glare and halos, compared to monofocal IOLs.

Which lens is best for cataract surgery?

What are the different types of lenses for cataract surgery?

  • Monofocal lenses are designed to provide the best possible vision at one distance. ...
  • Multifocal IOLs have multiple corrective zones built into the lens (much like bifocal or trifocal eyeglasses).

What is the cost difference between monofocal and multifocal lens?

The incremental cost-effectiveness ratios of monofocal versus multifocal IOLs indicated that it cost an additional $57 to $58 (US dollars) to increase each 1% of the spectacle-independence rate.

What are the disadvantages of multifocal lenses?

Cons of Multifocal Contacts

  • More expensive than other presbyopia treatment.
  • Optical inconsistencies, such as nighttime glare or seeing shadows in low light conditions.
  • Visual contrast may be diminished.
  • Objects may appear higher or lower than they are in reality.
  • Reading glasses are also necessary sometimes.
(Video) Monofocal vs. Multifocal Lenses - Dr. Ivan Mac, MD; MBA

20 related questions found

Why are my multifocal contacts blurry?

Many presbyopes experience a hyperopic shift due to decreasing index of refraction in the lens, exacerbating their presbyopic symptoms. ... Multifocal contact lenses are designed to supplement one another to offer the wearer a range of clear vision without the need for reading glasses.

Are people happy with multifocal lenses?

Authors' conclusions: Multifocal IOLs are effective at improving near vision relative to monofocal IOLs although there is uncertainty as to the size of the effect. Whether that improvement outweighs the adverse effects of multifocal IOLs, such as glare and haloes, will vary between people.

Does cataract surgery give you 20 20 vision?

Some patients ask if they will have 20/20 vision after the procedure. Most patients can achieve 20/20 vision as long as they have no other conditions. Conditions that can affect the quality of vision after cataract surgery include: Glaucoma.

Which is better multifocal or Trifocal?

Trifocals were found to provide better intermediate vision than multifocals with two focal points, according to a meta-analysis literature study conducted in 2017 that compared the two lens types' clinical performance.

(Video) Cataract Surgery 101 - Monofocal vs Multifocal IOLs : What is my Plane of Focus?

What are the side effects of implanting a multifocal lens?

Complications specific to Multifocal lenses may include glare, blurred vision, and rings around lights. These side effects may make it more difficult to see while driving at night, but most people who do experience this find that it is only mildly annoying and tends to subside in time.

Which company monofocal lens is best?

Acrysof SP(Monofocal): Acrysof SP is imported monofocal lens, manufactured by Alcon (USA). These lenses are also preferred in Diabetic Patients. It is also a recommended option for somebody opting for a monofocal lens in Regular Phaco surgery.

Which IOL lens is best?

Fifty-four percent of the surgeons say they use the Alcon IQ Aspheric IOL for most of their cases, while 31 percent prefer the J&J Vision Tecnis one-piece lens. Six percent use the B+L enVista, 4 percent like the B+L SofPort AO, 2 percent prefer the B+L Akreos AO and 2 percent like the Hoya iSymm/iSert.

What is a premium IOL?

A premium IOL is a type of lens that comes with more features compared to single vision ones. If you have Medicare, it will usually cover traditional IOLs but not premium lenses. Since premium IOLs come with more advanced features, they are more expensive.

Why are multifocal lenses so expensive?

More expensive than single-vision lenses and bifocal lenses. ... Progressive lenses are more expensive because you're basically getting three eyeglasses in one. In addition, you're paying for the convenience and extra time that goes into creating a multifocal eyeglass with no lines.

(Video) How to Pick The Best Cataract Surgery Lens in 2022 - Monofocal vs Multifocal

What are the disadvantages of cataract surgery?

The main disadvantage of cataract surgery is that it's not as precise as laser surgery. It would be a mistake to go ahead with laser surgery if you had a cataract because it's likely that the cataract would interfere with the visual results you could achieve after laser refractive surgery.

How long does it take to get used to multifocal lens implants?

It may take them three days, three months or six months to adjust and learn how to adapt to their new vision. Some patients may not ever adapt and, for them, we should be ready to exchange a multifocal or EDOF lens for a monofocal IOL.

Who needs multifocal lenses?

Multifocal lenses are typically prescribed for adults over age 40 to compensate for a common condition called presbyopia (explained further below). Multifocal lenses are also the lenses of choice for some children and young adults who have eye teaming or focusing problems that cause eyestrain when reading.

Are multifocal glasses any good?

But once again, multifocals are only “hard to get used to” if they've been measured or fitted incorrectly, or if an older, cheaper lens design is used. Modern multifocals, correctly fitted, are very easy to use – which is why they're the preferred personal choice of almost all optometrists aged over 45!

Why are my progressive lenses blurry?

Progressive lenses tend to be blurry on the sides because each lens promotes three fields of vision: ... A lower lens segment designed to help the wearer see objects within very close proximity. A portion of the lens in the middle that facilitates a change in lens strength.

(Video) What do you recommend? Monofocal or multifocal?

Why are my eyes still blurry and sun sensitive after 2 months of cataract surgery?

Sometimes after surgery, blood vessels in the retina leak. As fluid collects in your eye, it blurs your vision. Your doctor will treat it with eye drops, and it could take weeks or months to heal. It usually gets completely better.

How long does it take to see 20/20 after cataract surgery?

So How Long is Vision Blurry After Cataract Surgery? Most people will see improvement within 24-48 hours after cataract laser surgery, although it can take up to two weeks for your eyes to fully settle to the new implants.

Will I still need glasses after cataract surgery?

Traditional IOLs are monofocal. This means that they are only able to focus clearly at one visual point. If you choose a monofocal IOL, you may see clearly at distances, but still require glasses for near vision tasks after cataract surgery.

Do multifocal Halos go away?

In reality, this dysphotopsia slowly dissipates over 6 to 12 months, as patients' brains adapt to the multifocal zones of the IOL. I now explain to my patients that the ReZoom IOL offers an effective combination of stable distance and near-intermediate vision.

How long does it take to recover from multifocal cataract surgery?

Your doctor may prescribe eyedrops or other medication to prevent infection, reduce inflammation and control eye pressure. Sometimes, these medications can be injected into the eye at the time of surgery. After a couple of days, most of the discomfort should disappear. Often, complete healing occurs within eight weeks.

(Video) Advantages & disadvantages of Multifocal lenses for Cataract Surgery - Dr. Sirish Nelivigi

Which multifocal IOL is best?

Although there have been previous version of the AcrySof® IQ ReSTOR® IOL the +3.0 D add power is the best choice for true performance at all distances. It provides improved intermediate vision over the original AcrySof® IQ ReSTOR® IOL +4.0 D, with similar near and distance visual acuity.

FAQs

Which is better monofocal or multifocal lens? ›

Existing systematic reviews have generally concluded that multifocal IOLs result in better uncorrected near vision and greater spectacle independence, but more unwanted visual phenomena such as glare and halos, compared to monofocal IOLs.

What lens do most people choose for cataract surgery? ›

Leading Lens Choice for Cataract Surgery: Trifocal IOLs

Alcon's Panoptix Trifocal Intraocular Lens provides clear vision at all three visual ranges: distance, middle and close-up.

What is the disadvantage of monofocal lens? ›

Disadvantages of monofocal lenses:

If you have astigmatism and choose to go for the standard monofocal lens, you could find that your vision is still blurred, and you may still suffer from short sightedness or long sightedness.

What are the disadvantages of multifocal lenses? ›

Disadvantages of Multifocal Lenses

While multifocal lenses improve near, far, and intermediate vision, many people still have difficulty seeing up close. Although they can see the computer screen, their vision is blurry when trying to read a book. However, this can be corrected with reading glasses.

Who should not get multifocal IOL? ›

If someone has an ocular comorbidity in either eye (eg, severe dry eye disease, irregular astigmatism, epiretinal membranes, macular degeneration), he or she is not eligible for a multifocal IOL.

How close can you see with monofocal lens? ›

Conclusions : Multifocal IOLs are known to have weak contrast, halos, and middle-distance vision drop. In this study, monofocal IOLs provided useful visual acuity from 1m to farther distances without a drop. In contrast, nearer than 0.8m, visual acuity dropped dramatically.

Are multifocal cataract lenses worth it? ›

Multifocal IOLs aren't for everyone. However, if you are a candidate for this surgery, the benefits generally outweigh the associated risks. Reduced lifetime cost of glasses and contacts. Multifocal IOLs can decrease your need for reading glasses or computer glasses after cataract surgery.

Can you see clearly when driving with monofocal lens implants? ›

This loss of flexibility is called presbyopia. A monofocal lens implant will provide you with a crystal clear lens, that results in excellent vision for reading distant signs when driving, seeing a movie or watching a ballgame.

Why is my reading vision worse after cataract surgery? ›

It is very common to have blurry or unclear vision in the days and sometimes even weeks after cataract removal. Most of the time, this is caused by normal swelling in the eye which occurs as a part of surgery. Patients with larger, denser and/or firmer cataracts are more likely to experience more inflammation.

What is the benefit of monofocal lens? ›

Monofocal lenses provide a number of advantages over multifocal lenses, namely that they are adjustable by wearing glasses and cause less complication overall. This often comes in the form of glare in multifocal lenses, as well as the inability to correct poor vision at certain distances by wearing glasses.

Can I monofocal lens replaced with multifocal? ›

Multifocal or accommodating intraocular lenses can be used successfully with a monofocal intraocular lens in the opposite eye. Multifocal or accommodating intraocular lenses can also be used successfully with a natural crystalline lens in the opposite eye.

How long does it take to adjust to monofocal lens implants? ›



It may take them three days, three months or six months to adjust and learn how to adapt to their new vision. Some patients may not ever adapt and, for them, we should be ready to exchange a multifocal or EDOF lens for a monofocal IOL.

Are people happy with multifocal lenses? ›

Conclusions. The majority of patients who received either accommodating or multifocal IOLs remain satisfied with their lens of choice more than 5 years after the original surgery. Glare and halos remain more noticeable in patients who received multifocal lenses.

How long does it take to adapt to multifocal IOL? ›

The majority of patients will adapt to multifocal IOLs within six to 12 months, according to Dr. Maloney. But about 10 percent of patients never will adapt.

Why is my vision blurry after multifocal implant? ›

Posterior capsular opacification

It is the most common cause of blurred vision with multifocal lens implants. Hydrogel IOLs, rounded IOLs, and larger capsular openings are associated with a high incidence of posterior capsular opacification. This can be resolved with a short in-office laser procedure.

Who is a candidate for multifocal IOL? ›

Multifocal IOLs are ideal for patients with cataracts and are best implanted during laser cataract surgery to ensure proper placement for the best results. To be a candidate for multifocal IOLs, your eye specialist may require choosing a laser procedure for your cataract surgery.

What are the problems with monofocal lenses? ›

Common side effects include glare, halo issues where the user sees rings around lights in their field of vision, and diminished contrast sensitivity, or ability to differentiate between objects. Halos, glare, and contrast issues typically provide more of a challenge for nighttime vision.

What is the safest cataract surgery? ›

Laser cataract surgery also lowers the risk of complications, and most patients require less recovery time afterward. While both types of surgeries are safe, for many patients, laser cataract surgery overall may be slightly safer for these reasons.

Will I need glasses after monofocal cataract surgery? ›

Monofocal lenses (standard lenses covered by insurance) placed after cataract surgery allow patients to have cataract free vision, but some patients, especially those with astigmatism, will require glasses to see well in the distance and will definitely require glasses for reading.

What are the disadvantages to monovision cataract surgery? ›

Ten Monovision Pitfalls
  • PATIENT SELECTION CAN BE DIFFICULT. ...
  • REDUCED BINOCULAR VISUAL ACUITY. ...
  • EXTENDED READING REQUIRES BRIGHTER LIGHTS. ...
  • PATIENTS MAY STILL NEED GLASSES. ...
  • DIFFICULTY IN CHOOSING THE CORRECT AMOUNT OF MONOVISON. ...
  • OCCASIONAL REVERSALS/ENHANCEMENTS. ...
  • TEST CONTACT LENSES FIRST.

Which IOL is best for distance vision? ›

Depending on the degree of astigmatism, your surgeon may recommend a toric IOL, LRI or both. Pro: Toric lenses generally provide clear distance vision.

Can you have one monofocal lens and one multifocal lens? ›

Answer: Yes, it is OK to have a multifocal IOL (a bifocal-like intraocular lens implant that provides vision at near and far distances) placed in one eye and a monofocal IOL in the other eye.

Which is the best monofocal IOL? ›

The newest and best Monofocal IOL - Eyhance IOL

This lens gives the patient about 70% glass-free near vision. Some of our patients have up to 90% glass-free near vision with the Eyhance IOL. So this lens surgery would be cheaper than multifocal lens surgery.

What can I expect from monofocal IOL? ›

A monofocal IOL is an intraocular lens with a fixed focus for one distance. A cataract doctor may select monofocal IOLs that are for near focus, for mid-distance focus, or for distant focus. Only one of these three can be selected and the focus will not change after surgery.

What happens if you blink during cataract surgery? ›

Cataract surgery patients often worry about what may happen if they blink during the procedure. Although this is an understandable concern, there is no need to worry. You will be given an oral medication prior to the procedure to help you relax during your surgery.

Will my close up vision improve after cataract surgery? ›

Better close and distance vision

The new lenses inserted during cataract surgery can correct refractive vision problems such as nearsightedness, farsightedness, and presbyopia. Nearsightedness is when you have trouble clearly seeing things that are far away.

How long does it take for the brain to adjust to cataract surgery? ›

Depending on the IOL you choose for your cataract surgery, it may take three to six weeks before your vision fully stabilizes. You may find it especially difficult to adjust to monovision.

How long do you have to wear sunglasses after cataract surgery? ›

You should continue to wear sunglasses for at least a few weeks after your surgery. This will help to protect your eyes as they heal. After a few weeks, you can start to wear them less often. However, you should still put them on whenever you are going to be in the sun for an extended period of time.

How successful are multifocal lenses after cataract surgery? ›

The percentage of patients who achieved uncorrected distance visual acuity of 20/40 or better at 6 months was 92% in the multifocal group and 97% in the monofocal group.

When should I get multifocal lenses? ›

Your optician or eye doctor might prescribe you multifocal lenses if you have trouble seeing both near and faraway objects. They may be recommended for individuals who experience eye strain or fatigue and headaches when reading or writing.

Why do you have to carry an implant card after cataract surgery? ›

After your operation, your eye doctor should give you a wallet card that shows the type of implant in your eye. You should present this card to any eye doctor who examines your eyes after your surgery. Your eye doctor has a choice of IOLs that may be used to improve your vision.

Are multifocal lenses good for driving? ›

Multifocal lenses allow you to see at multiple distances, because they have different sections for viewing close up, far away and everything in between. Whether you're driving, using a computer, shopping or reading, you can usually wear one pair of multifocals to accommodate most of your vision needs.

Why can't I read with my multifocal contact lenses? ›

Why can't you read with multifocal contact lenses? Just as your distance vision might not be as clear as your near vision on some occasions, it can also be vice versa. To help yourself adapt to your new contacts, it's important to wear them consistently and as prescribed by your eye doctor.

How long does it take to get used to multifocal glasses? ›

The average adaptation period is around two weeks, but sometimes not uncommon to see patients still adapting to their new multifocal lenses for a month.

Can you drive at night with multifocal lenses? ›

Summary: A new study suggests that older adults who wear multifocal contact lenses to correct problems with near vision, a very common condition that increases with age, may have greater difficulty driving at night than their counterparts who wear glasses.

What percentage of cataract patients can be scanned with an IOL Master? ›

Zeiss claims that the new IOLMaster can penetrate 99 percent of cataracts.

What is the average cost of multifocal lens for cataract? ›

For an advanced technology lens, which corrects astigmatism, there's usually an additional $500 or $1,000 cost per eye. For a multifocal lens, there are extra costs ranging from $1,500 to $4,000; however, costs can fall outside of those ranges as well.

Can you have a multifocal lens in one eye and a monofocal in the other? ›

A multifocal intraocular lens can be implanted in 1 eye and the monofocal lens in the opposite eye.

Can a monofocal lens be replaced with a multifocal lens? ›

The piggyback lens allows us to modify either the toricity or/and power of the original implant. This allows us to fine-tune the focus of the eye and to convert a lens implant from a monofocal to a multifocal.

What are the side effects of implanting a multifocal lens? ›

  • Difficulty seeing at close distances. Sometimes, this is an issue for people with multifocal IOLs. However, reading glasses usually, correct this problem. ...
  • Night vision, halos, and glares. Some patients develop halos and glares surrounding lights after dark, as well as reduced nighttime vision.

Who is a good candidate for multifocal contact lenses? ›

Candidates for multifocal contact lens success include presbyopic patients who wear only glasses, those who wear contact lenses but wear reading glasses over them and those who are already wearing monovision contact lenses (particularly those with high computer use).

How long does it take to get used to multifocal lens implants? ›

The majority of patients will adapt to multifocal IOLs within six to 12 months, according to Dr. Maloney. But about 10 percent of patients never will adapt.

How long does it take to get used to multifocal IOL? ›



It may take them three days, three months or six months to adjust and learn how to adapt to their new vision. Some patients may not ever adapt and, for them, we should be ready to exchange a multifocal or EDOF lens for a monofocal IOL.

Are people happy with multifocal cataract lenses? ›

Patient-reported outcomes indicate that the majority of patients who received either accommodating or multifocal IOLs remain satisfied with their lens of choice more than 5 years after the original surgery. Glare and halos remain more noticeable in patients who received multifocal lenses.

Why can't I read with my multifocal contacts? ›

If you haven't had enough time to adapt to the different viewing areas in multifocal contacts, it may be challenging to see. Plan for four to six weeks to get used to them. (Sometimes, even a week to 10 days or so is sufficient.)

Why can't I see distance with multifocal contacts? ›

One of the most frequently asked questions in the clinic is why multifocal contacts are blurry in the distance. There is a little give and take that happens with the physics of bending light here. Multifocals essentially take away a bit of your distance clarity to allow you to see well up close.

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