Frequently Asked Questions About Lens Replacement for Presbyopia

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The Physicians of
Graystone Eye

Randal J. Williams, MD

Ann K. Joslyn, MD

T. Reginald Williams, MD

John G. Tye, MD

James W. Harris, Jr, MD

$Refractive Surgery Specialist$

Ralph E. Oursler, III, MD

Richard I. Chang, MD

Brian C. Adair, MD

Roderick N. Hargrove, MD

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Frequently Asked Questions About
Lens Replacement for Presbyopia

How is the Alcon ReSTOR lens different from the Crystalens?

The ReSTOR lens does not depend on a hinge and is not mobile inside the eye like the Crystalens. The ReSTOR lens
has a multifocal optic, splitting up the light for a near focal point and a distance focal point. This has advantages and disadvantages. One advantage is that it gives more reproducible near vision, as it is less dependent on movement, which can vary from individual to individual. A disadvantage would be some loss of contrast sensitivity and a mild halo effect at night.

Isn’t LASIK a less expensive option?

Whether to go with lens replacement or LASIK depends not only on the patient’s age, but the amount of correction they need. If the patient has a high amount of astigmatism, they are better served with LASIK surgery. Also, individuals with low nearsightedness do quite well with LASIK up until about age 60 if they have no signs of cataracts. Farsighted individuals do much better with lens replacement surgery starting at about age 45.

Does insurance or Medicare cover the cost for lens replacement?

Insurance or Medicare does not cover the cost of lens replacement for presbyopia patients. However,
if a patient has developed visually significant cataracts, insurance or Medicare will cover the cost of surgery for a standard IOL. Patients may opt to upgrade to the newer presbyopia correcting lenses by paying approximately $2000 more per eye.

How is astigmatism compensated for with lens replacement?

Dr. Oursler can address small amounts of astigmatism with relaxing incisions. Higher amounts of astigmatism may require a LASIK touchup.

Is lens replacement an option for patients with previous LASIK or RK?

Yes, depending on the corneal topography and degree of astigmatism present.

Other Refractive Surgery Procedures Available at Graystone Eye:

CustomVue™ LASIK

Lens Replacement for Presbyopia

Surface Laser Correction

Visian ICL^® - When LASIK Isn't An Option

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Frequently Asked Questions about Lens Replacement for Presbyopia

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