Lens Implants – Comparison, Options and Benefits                                           INTRAOCULAR LENS (IOL) BASIC MONOFOCAL LENS ASTIGMATISM CORRECTION SURGERY or LENS CRYSTALENS AO TRULIGN TORIC RESTOR TECNIS MULTIFOCAL PRESBYOPIA CORRECTION No Yes ZONES OF BEST VISION WITHOUT GLASSES THERE ARE 3 ZONES OF VISION: Far (TV, Driving) Mid-Range (computer, desk-work), 3) Near (reading documents up-close) Far OR Near (not both). Vision may still be out of focus without glasses near and far because of residual uncorrected astigmatism. Generally clearer long-distance vision without glasses than a basic lens due to reduction or elimination of astigmatism. Far and Mid-range Far and Near ASTIGMATISM CORRECTION WITH LENS Crystalens No. Trulign Yes. NEED FOR SPECTACLES AFTER SURGERY Bifocals and/or reading glasses will be needed to see your best Reading glasses needed for mid-range and near Reading glasses needed for near Reading glasses may be needed for mid-range (computer) Reading glasses may be needed for mid-range (computer) STRENGTHS AND BENEFITS OF THE LENS IMPLANT Excellent vision through bifocal glasses. Many individuals see relatively well far away without glasses. Lens cost covered by medical insurance. Excellent vision far away without glasses Excellent night vision, far and computer vision. Very little night glare or haloes. Astigmatism corrected with the Lensx laser and/or Trulign lens. Excellent far and reading vision. Good computer vision (mid-range). Astigmatism corrected with the Lensx laser. Excellent far and near vision. Ability to read small print in all lighting environments. WEAKNESSES OR SIDE-EFFECTS Most patients (90% or more) will use glasses after surgery for most activities (Eg. Bifocals). Does not correct astigmatism. No ability to refocus mid-range (computer) or near (reading printed documents). Patients will definitely use glasses to see computer and reading distances. Most patients will need +1.50 over-the-counter reading glasses to read printed documents up-close. Most patients will need a “Yag capsulotomy procedure” within one year after implantation. May need over-the-counter (+1.25) glasses to see the computer or mid-range. Some patients see a halo effect around lights at night. Reading in low light may require glasses. Lens reflection may be seen cosmetically at times. NIGHTTIME GLARE AND HALO Minimal Moderate COST OF IOL COVERED BY MEDICAL INSURANCE AND/OR MEDICARE METHOD OF CATARACT SURGERY REMOVAL Manual surgery - bladed incisions Laser cataract surgery PREMIUM ADJUSTABLE FOCUS LENSES

Basic Cataract & Laser Cataract Surgery – Options and Benefits TYPE OF SURGERY BASIC CATARACT SURGERY LASER ASTIGMATISM-CORRECTING SURGERY LASER PREMIUM CATARACT SURGERY Astigmatism reduced or eliminated No Yes Method to reduce astigmatism during cataract surgery None Laser guided corneal incisions and/or an astigmatism-correcting lens implant Laser guided corneal incisions Dependence on glasses after surgery Yes. Most of the time. Expect glasses to see far and near. You will need bifocals and/or reading glasses to refocus your vision. Yes. Some of the time. Far vision without glasses will be clearer. Glasses to see computer and to read printed documents will be needed. Minimal. An adjustable focus or multifocal lens implant will reduce and possibly eliminate your dependence on glasses for seeing far, mid and near. Major steps in cataract procedure Blades, needles, or forceps No blades. All laser. No blades. All laser. Method for opening the lens capsule Accuracy and precision in creation of the capsular bag opening Good. Less precise when performed manually Excellent. More precise and exact when laser controlled. Method of removing the cataract Phacoemulsification (Ultrasound energy) only Laser energy is used to soften the cataract first, then less ultrasound energy is used to complete the cataract removal process Advanced diagnostic testing included Corneal topography OCT imaging of the retina ORA optiplus analysis during surgery Costs covered by insurance? Visually significant cataract. Patient benefits and surgical results Safe results. Excellent outcomes. Bifocals likely needed to see far and near clearly. Vision without glasses may be blurred Excellent outcomes with potentially safer results with greater precision, predictability and accuracy. Minimal to no reliance on glasses to see far away. Reading glasses needed Minimal and often no dependence on glasses to see far/mid/near. Type of lens used Basic Monofocal, No astigmatism correction Basic with laser astigmatism correction or astigmatism-correcting lens Crystalens, Trulign Toric, Restor or Tecnis multifocal