Lens choice really is a personal preference in many cases, there really is no one best lens. Given the parameters above and assuming fairly normal measurement (no super high astigmatism or anything like that) I would likely want some sort of monofocal lens targeted at distance in my dominant eye with a very slight near defocus in the non dominant eye , like -0.50 to -0.75.Quote:
Originally Posted by EWG
Jury is still out on the LAL, it's been in trials for years and years, but really didn't reach any significant adoption numbers by surgeons until this year. The technology is very cool ,but whether the significant cost and hassle factor are really worth it really depends on how the measurements of the eye look and how much of a layup it would be to hit those numbers with a standard multifocal or a lens with a very slightly elongated focus curve like a J&J Eyehance.
The LAL requires a fairly significant cost in the equipment needed to adjust and lock it in , so I can see where surgeons who have recently procured that have a pretty strong incentive to push it. It also requires a significant increase in post op visits and time, so the additional cost is justified. And unlike some other gimmicks that the refractive cataract mills were pushing hard before (like laser assisted cataract surgery which is a pointless expense that never showed superior outcomes even independent of cost) , there is definitely value in the adjustability of the LAL, especially in hitting more difficult refractive outcomes .
