Multifocal Intraocular Lens Replacement surgery - choice of lenses - the night vision halo effect

[aussienam]

Fellow expats, I am trying to get some feedback from those of you who have had intraocular lens replacement surgery, in particular multifocal IOLs.  I am a good candidate for them as I wear progressive lens glasses for near and distance vision and have early stages of cataracts.  I have been consulted twice and had eye tests done. 

I know there are choices between mono-focal, bifocal and multifocal (trifocal) IOLs.  I wish to ditch glasses completely due to lifestyle reasons, so the trifocal IOL option is what has been explained to me as a valid option.  

 

The lenses I have been offered with so far: 

 

Carl Zeiss brand 'AT LISA' trifocal lens

 

Oculentis brand 'LENTIS' multifocal IOL.  

 

In a nutshell, the first IOL (Carl Zeiss), offers a stronger near, middle and distance vision.  The trade off with the strong multifocal IOLs is the dreaded 'halo effect' of bright rings around lights and starburst, reducing night vision abilities.  The surgeon explained that with neural-adaption, the brain can adjust to accommodate this.  The patient needs to accept the visual disturbance and over time, can accept it.  But some people struggle to deal with it.  

 

The LENTIS IOL has less visual strength as the Carl Zeiss version, with the trade off resulting in considerably less halo effect.  The surgeon advocating this type of lens, states that his number one complaint from patients after multifocal IOL surgery was the halo effect issue.  Hence why he opted for LENTIS.  If you were a day person and never ventured out at night, especially not driving at night, then this would be less of an issue.  This surgeon claimed the complaints about the halo effect was significant enough for him to opt for the LENTIS mid-strength range.

 

Has anyone had the Carl Zeiss multifocal IOLs?  Does the halo issue make things difficult?  Or, has anyone had the LENTIS multifocal IOL?  

 

Monofocal IOL lens do not have the halo effect issue.  But then you would need glasses if you have both near and distance vision issues.  

 

Or, has anyone had another IOL multifocal implant from a different brand that they are happy with?  

 

Thanks.