He prefers microincision cataract surgery and said that this IOL fits through the incision size Source: Surgeons who choose to offer and implant premium lenses, though, have a much broader range of IOLs than physicians here in the U.
EyeWorld spoke to some leading cataract surgeons to determine how they view the European marketplace, what premium lenses are in studies and which ones are available, and what the general philosophy towards the technology is. Some surgeons interviewed are hesitant to fully embrace the technology.
We leave material lying around the clinic so that patients are aware of these IOLs. When someone expresses an interest in total freedom from glasses I would offer them monovision.
The Portuguese are allowed Accommodating iol lenses manufacturer have private insurance as well as government-provided insurance, and private insurance will cover a portion of the premium IOL cost, he added. The situation is even more complicated in Austria, where the patient does not incur any cost for surgery, but the premium lens is not covered by the government system. If a non-resident or someone without insurance opts for the premium lenses, then and only then may the hospital and Accommodating iol lenses manufacturer directly bill.
Not all toric lens patients are covered. Premium or added value lenses in the mainland are an out of pocket expense. He, along with Federico Grignolo, M. Fea is convinced the Italian system will change, although the current global economic crisis may affect how readily Europeans will continue to desire the lenses.
The European regulatory agencies have approved more lenses than U. Adding to the conservative approach, Dr. This means that these eyes need further enhancing or refining with corneal laser surgery. These are the patients who are hypercritical of any visual outcome that does not leave them with immediate and perfect vision. In Italy, the price of a premium lens and the price of spectacles are not very different; it is the regulatory environment that is the main drawback to acceptance, Dr.
Fea said, followed by a finite hospital budget and a lack of long-term performance results on the premium lenses. Vryghem prefers microincision cataract surgery—about 1. Reading can be done Accommodating iol lenses manufacturer J1 or better. He does expect to begin using the Crystalens HD in a trial shortly. The biggest difference I see between the U. Rayner East Sussex, England has a multifocal lens with a small central optical zone, Dr.
Rayner also has developed a multifocal toric lens available in most countries of europe, he said. Although many had positive feedback on the Crystalens HD, few had tried implanting it yet.
Furthermore, accommodating IOLs, such as the Synchrony, are not yet commercially available. He said most patients are about —1.