There was a study several months ago comparing the outcomes of LRIs vs. the AcrySof toric IOL. Basically, the toric IOL worked better with higher astigmatism (especially more than 2 diopters) and LRIs were definitely preferable with less than a diopter of astigmatism. (With only slight astigmatism, a toric IOL can produce over-correction.) But the study showed average outcome, without taking into account a particular surgeon's skills and experience. (IMO, this is very important. You probably wouldn't want to be a surgeon's first attempt at LRIs.)
The major problem with laser vision correction for astigmatism (besides the high cost) is that it cannot be done at the time of surgery--you have to wait weeks/months to have this type of enhancement. That might create a frustrating interim period.
A toric lens is one way to correct astigmatism as part of a cataract fix. Other options (in no particular order) are LRI's (limbal relaxation incisions), and laser surgery (lasik, prk, etc). Obviously there are pros and cons of each, and your doctor should be able to discuss them with you. Don't get railroaded into any one of them without understanding the others.
Over time, I have switched my preference for my own eyes from one, to another, and now to the other other. Two weeks from now I have to make my final decision.
The Crystalens is an "accommodating" lens, but it is generally classified with ReZoom and ReStor. All three of these "premium" IOLs are designed to reduce dependency on glasses.
Dr. Hagan,
My eye doctor is telling me that Crystalens' are not multifocal but monofocal lenses. I am so confused. Any advice?
Thank you,
Donna
Because a toric lens will reduce/eliminate astigmatism, which will blur your vision at all distances.