Therefore, we position EDOF IOLs within a new refractive package, called “distance-and-computer” vision, and priced it less than the “distance-and-reading” vision package (See Figure 2).
This approach helps educate patients about the strengths of EDOF IOLs, while avoiding unrealistic expectations. We were comfortable pricing a new IOL lower than the multifocal IOL package because early data demonstrated that EDOF lenses are more tolerant of residual sphere or cylinder, so there was less need to build in coverage of laser vision correction enhancements.
After three months and 65 cases, patients are achieving excellent distance and intermediate vision, so they are able to drive and use their computer, tablet, and navigation system in the car without glasses. A pleasant surprise has been that the near vision seems to be consistently between J2 and J5.
Most patients can read newspaper print (J3) unaided, particularly if I give them a - 0.25 D offset in the nondominant eye. This makes patients happy because we have exceeded their expectations.
Initially, the three-tiered pricing is an excellent way for surgeons to introduce the lens and gain experience with the EDOF category and what it can deliver for patients. I plan a more detailed review of the near-vision results after 100 cases. At that point, I may eliminate the middle package and charge the same for multifocal or EDOF.