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Near and Distance Vision Enhancement

Scottsdale, Mesa and Phoenix, Arizona patients with cataracts can now enjoy greater freedom from eyeglasses after surgery. 

If you are a prospective Arizona cataract surgery patient who would like to see close up and far away without glasses after cataract surgery, then we can help, but you will need services beyond routine cataract surgery to achieve this result. We call these additional services Near and Distance Vision Enhancement, and there are two options available:

Blended Vision

This technique involves setting the focus of one eye for distance and the other eye for near.  With both eyes open, most patients are able to see close up and far away without any awareness of which eye is doing the majority of the work.

Most people do great with blended vision. However, patients who cannot adjust to the difference between the two eyes can simply wear eyeglasses more often or vision correction surgery can be performed to reduce or eliminate the blended vision. Though near vision is typically boosted quite nicely with this technique, it is not uncommon to occasionally need reading glasses for small print, extended reading or reading in dim light. In order to create blended vision, it is sometimes necessary to perform additional treatment for astigmatism during cataract surgery. At other times, the vision needs to be fine-tuned with laser vision correction or other procedures a few months later. Currently, our lens of choice for blended vision patients is the nanoFLEX by Staar Surgical.

Q Vision's Take: This is our preferred means of enhancing near and distance vision for most patients, because patient satisfaction is high and additional costs are low.

Presbyopic Intraocular Lenses

Presbyopic lenses are designed to help each individual eye see both near and far. As such, they allow both eyes to work together for near vision and both eyes to work together for distance vision, whereas with blended vision, one eye is doing most of the distance work, while the other eye is doing most of the near.

In general terms, presbyopic lenses allow cataract surgery patients the most freedom from eyeglasses that is currently available. Most patients are able to go without glasses for daily activities, though occasional use is sometimes necessary for visually demanding tasks.

There are several presbyopic lenses on the market, such as the Alcon Restor, AMO Technis and Bausch and Lomb Crystalens. It is common practice to mix and match lenses to best meet an individual patient's visual needs, and we have developed a sophisticated protocol to help us determine the best lenses for you.

In order to utilize presbyopic lenses, it is sometimes necessary to perform additional treatment for astigmatism during cataract surgery. At other times, the vision needs to be fine-tuned with laser vision correction or other procedures a few months later.

Q Vision's Take: For individuals who are not quite as concerned about additional costs, this technique provides the biggest boost to near and distance vision that is obtainable with today's technology. However, some patience is often required, as it can take some time to go through the process and adapt to these lenses.

Frequently Asked Questions About Near and Distance Enhancement

(click a question to view answer)

Why would I opt for Near and Distance Enhancement with my cataract surgery?
If you would like to be able to see up-close (reading, sewing, computer) and far away (driving, golf, TV) while using glasses as little as possible, then you may wish to enter the program.
Do I have to take part in the program?
The program is only intended for those interested in maximizing their freedom from eyeglasses. You can still have very successful cataract surgery without participating in the program.
What will my vision be like if I don't take part in the program?
You will still enjoy improved vision from your cataract surgery, but you will likely need to wear bifocal glasses to provide you with clear reading and distance vision.
How likely is it that I will be able to go without glasses?
The vast majority of Near and Distance Enhancement patients wear glasses very rarely, if at all, on a day-to-day basis. However, it is considered a normal outcome to occasionally wear glasses for visually demanding activities such as fine print or dim light.
What exactly is included in the program?
The program is tailored to your needs. Some patients require additional treatment for astigmatism at the time of the cataract operation. A substantial amount of staff time and additional measures such as dryness testing, corneal topography, wavefront analysis, corneal pachymetry, visual acuity, manifest refraction and extra postoperative visits are necessary. Some patients require a laser vision correction procedure such as PRK or LASIK shortly after their cataract operation.
Is the program covered by insurance? What are the costs?
Near and Distance Enhancement services are not covered by insurance. The costs are out-of-pocket and will be discussed in detail at the time of your evaluation. Monthly payment plans are available to help defer the cost.
Do all doctors offer this?
Only a small number of practices in the Phoenix, Arizona metropolitan area have the laser equipment and presbyopic lens experience necessary to offer this type of program. As patients learn the benefits of these programs, it is likely that more and more practices will offer them.
Call us on (480) 661-1600