The addition of an EDOF lens to our practice has significantly changed the way I talk with patients about advanced technology IOLs. The lens has more than doubled the share of presbyopia-correcting lenses that I implant–from about 10% of all my cataract procedures to 20% to 25% (See Figure 1).
We took a careful and pragmatic approach to launching EDOF lenses that some might find unusual. We expected that EDOF lenses would probably not provide the very close near vision that higher-add multifocal IOLs do.
My experience in the past, particularly with the Crystalens pseudo-accommodative IOL platform (Bausch + Lomb), was that if the lens was promoted for “reading vision” or “distance and near” vision, patients expected to see everything at near without reading glasses, no matter what caveats I offered to manage expectations.