Linsenmodelle Grauer Star in München - Augenzentrum Nymphenburger Höfe

Cataracts > Lens Models

With a thorough preliminary examination, we want to select an artificial lens with you that can deliver the best optical result.

For most people, the best possible optical correction can already be achieved with a so-called monofocal lens.

Special visual defects, for example a higher astigmatism or individual wishes, such as getting rid of glasses, can only be provided by lenses with additional optical benefits, so-called premium lenses.

Premium lenses are not always covered by the statutory health insurance companies. If a premium lens is the right therapy for you, we will of course inform you about the expected costs. We also recommend privately insured patients to consult their health insurance company in advance.

Trifocal lens FineVision from Bausch + Lomb

at lisa tri 839 mp top anterior view web

Toric trifocal lens from Zeiss

EDOF lens from Oculentis

These lens types are currently available to us:

I. Standard lens

1. SPHERICAL / ASPHERICAL MONOFOCAL LENSES (= UNIFOCAL LENSES)

Monofocal lenses are covered by the statutory health insurance companies. With single vision lenses, your vision can be adjusted to a certain distance.

If the lens is adjusted in such a way that you do not need any or only weak glasses for good vision in the distance, you will still need reading glasses or varifocals for close proximity. Conversely, patients who prefer to read without glasses and are adjusted to this distance can then only achieve good long-distance vision with long-distance glasses. In a conversation before the operation, we will find the best solution for your special needs together.
Spherical monofocal lenses can occasionally cause blurring in vision at dusk.
Corneal curvatures (astigmatism) cannot be compensated with this lens.
As a specialty, our experienced surgeons offer a so-called aspherical, yellow intraocular lens to protect the macula as a standard lens without additional payment.

II. Premium lenses

1. TORIC LENSES TO COMPENSATE FOR CORNEAL ASTIGMATISM (SPHERICAL AND ASPHERICAL)

If the structure of the cornea is irregular, one speaks of astigmatism. This creates tilted images and a blurred view.

With the help of toric lenses, the farsightedness can be eliminated during the cataract operation. The other way of influencing corneal astigmatism is to make relief cuts at certain points in the cornea outside the central visual zone and thereby change the architecture of the cornea. However, the optical result is not as good as the compensation with toric lenses.

With toric lenses, the desired distance setting is specified before the operation.

This target value should be achieved as precisely as possible by exact calculation of the lens and corresponding positioning of the lens within the eye.

This is the only lens that can compensate for astigmatism.
With larger corneal astigmatisms, this lens is the only way to achieve good vision without glasses at the desired distance.

Toric lenses are not reimbursed by the statutory health insurance companies. The higher price of this lens and an increased medical effort must therefore be charged to the patient as a private additional service.

2. BLUE FILTER LENSES

This yellow-colored intraocular lens protects the retina from the short-wave rays of the blue light spectrum. The short-wave blue light is more powerful than long-wave light and is considered to be a damaging factor in the development of macular degeneration.

Blue filter lenses offer increased protection for your retina because short-wave portions of the light are filtered out.
Seeing looks more natural.
The color perception becomes more harmonious. Colors are perceived as “warmer” because the “cold” blue part is filtered out.

3. BIFOCAL LENSES WITH EDOF PRINCIPLE

An EDOF lens is a bifocal intraocular lens that has an enhanced depth of focus. This enables very good vision in the long and middle distance, i.e. kitchen counter, PC or car dashboard.

A reading visus is usually not possible unless you are suitable for a so-called blended vision concept. The interesting thing about this type of premium lens is that it has almost no side effects (glare, etc.) in the evening.

4. MULTIFOCAL LENSES (TRIFOCAL LENSES)

The multifocal lens allows vision in the distance and can partially or completely replace the ability of the eye to focus nearby, so that the glasses can be largely dispensed after the operation.

Multifocal lenses compensate the nearsightedness, long-sightedness and presbyopia.
The lens works with two focal points, which means that two focal points are projected onto the retina. The brain can adapt within a certain time, sometimes only after several months.
Depending on the interaction between your eye and the multifocal lens, blurring can occur between the two focus points (60-80cm away, the so-called PC area).
You no longer need glasses after the operation in many everyday situations.
Due to the necessary adjustment, multifocal lenses are not suitable for everyone. Book lovers often need additional reading glasses.
At night, distracting scatter and glare effects can occur when driving a car. Everyone who has to drive should be aware of this.

5. TORIC MULTIFOCAL LENSES

In the case of astigmatism, the benefits of a multifocal lens can be greatly reduced. To respond to this, toric multifocal lenses, which also compensate for astigmatism, are used for astigmatism from -1.25 cyl diopters.

90-95% of patients don’t need to wear glasses anymore thanks to the multifocal or toric-multifocal lenses. 5-10% of those operated on will continue to need visual aids for driving at night and reading long or very small texts.

6. ASPHERIC LENSES

Aspherical lenses have optical benefits if the pupil becomes larger under certain lighting conditions, for example when driving at night.

The special nature of its surface with a flatter curvature at the edge gives the aspherical lens advantages over the spherical lens.
Only aspherical lenses can compensate for the so-called spherical irregularity that occurs when the pupil is wide.
However, they should not be used after previous hyperopic LASIK.

7. PIGGYBACK LENS (ADD-ON)

If you have already used an artificial lens and your glasses are now bothering you, a spherical, toric or multifocal piggyback lens can help. For this purpose, a further, very thin lens is placed in front of the existing artificial lens in order to compensate for existing blurs in the near or distant view.

Blurring in short-sightedness and farsightedness that persists even after an operation that has already taken place can be corrected.
If necessary, the lens can be removed minimally invasively.

8. SPECIAL LENSES FOR MACULAR PATIENTS

We offer special lenses for selected patients with macular degeneration and in Munich we are the most experienced in this matter. This is done in close cooperation with our network of opticians and innovative lens companies. It may be possible for patients suffering from macular diseases who can no longer read to read again after a successful operation.

9. FINE-TUNED LASER

If the desired result has not yet been achieved by lens implantation, we can fine-tune it using a special laser process (excimer laser). Optical correction can be carried out using the so-called “bioptics method”.