Well, that time in my life has come when it is necessary to replace my natural lens due to deteriorating vision as a result of cataract formation. Besides a monofocal lens an option for an IOL is a new class of IOLs that correct for multiple fields of vision. One brand is the Alcon ReSTOR; another is a lens called Crystalens. They are two different technologies with different emphasis; ReSTOR has two fields of vision, distance and near, but no intermediate, and has some issues with glare during night time driving. The Crystalens is newer and "adjusts" over a period of time for good intermediate and poorer near. Of course, a proven monofocal lens is an option with glasses for intermediate and near vision.
Do any of you have experience with these products, either personal or with a patient, that you would share with me, or advice on this topic?

 

The Shamir Lens products in polycarbonate do not appear on the newest Crizal availability list. This includes the Genesis, Piccolo and Office lenses. However, these lens styles in other materials are still available with Crizal. The Shamir polycarbonate products still qualify for Vivix and Vivix Stainless, by Icoat.

 

We received a letter from VSP today with this news.
"The federal government has selected VSP as one of three vision care plans to offer to its employees, eligible dependents, and retirees nationwide. This translates to eight million potential members ordering prescription lenses from the VSP network doctors you serve.

The plan will be a new variation of VSP 's Signature Plan, offering coverage for vision examinations, eyeglasses, or contact lenses. These benefits will be active on December 31, 2006 with employee enrollment in November and December 2006. Additional information will be provided to you in July."

 

The April top selling PAL styles has been retabulated for redo, non adapt and scratch coat warranty and here are the results:
dr. redo/ non-adapt/ scratch redo/ total redo
1) Varilux Comfort 1.3% 1.1% 1.1% 3.5%
2) Varilux Panamic 1.7% 2.0% 1.9% 6.6%
3) Varilux Ellipse 1.7% 1.2% 1.9% 4.8%
4) Varilux Physio 1.5% 1.8% 0.0% 3.3%
5) Shamir Piccolo 1.8% 2.7% 0.6% 5.1%
6) Younger Image 2.0% 0.8% 0.4% 3.2%
7) Varilux Physio 360 4.1% 0.0% 0.0% 4.1%
8) AO Compact 0.7% 0.7% 0.7% 2.1%
9) Sola VIP 1.5% 0.7% 1.5% 3.7%
10) Shamir Genesis 0.0% 2.3% 1.6% 3.9%
11) Essilor Ovation 2.4% 1.6% 2.4% 6.4%