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Lake Travis Eye and Laser Center

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401 S. RR 620, Suite 210
Lakeway, TX 78734
Phone: 512-263-9000
Fax: 512-263-9126

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As you have seen on previous pages, when your natural lens becomes cloudy you have a cataract. When cataract surgery removes this cloudy lens, a new crystal-clear intraocular lens is almost always placed in order to refocus images.

Before discussing these replacement IOLs, you must learn about something called presbyopia. Presbyopia is a natural age-related part of life, and usually starts to affect people at about age 40-50. It results from the lens slowly losing its elasticity as the lens thickens over the years. When we are younger, we have a muscle inside of our eye that contracts when we attempt to focus on a close object like a book. After the muscle contracts, the lens “fattens” and increases its refractive power, which allows us to see the near object clearly. With the decrease in lens elasticity that occurs with increasing age, the eye has a hard time focusing on near objects. This is why you see people wearing reading glasses or “cheaters” while reading restaurant menus, threading a needle, or tying a fishing lure – they are suffering from presbyopia.

Before your cataract procedure, you can choose between a standard lens implant and a premium lens implant. A standard lens implant can provide you with excellent distance vision, but you will still need glasses for near vision. The standard lens implant does not combat presbyopia. A premium lens implant attempts to provide clear vision at multiple distances, such as far and near.

Standard IOLs

Standard IOLs have been used for over 30 years in cataract surgery. They can provide excellent distance vision (such as seeing street signs or watching a golf ball) for patients. You will still need glasses to help get intermediate (such as a computer screen) and near (such as reading the newspaper) objects in focus.  Watch a video about Standard Monofocal IOLs.

Premium IOLs

Premium IOLs have been used for approximately 15 years. There have been several different designs over the years. The newest generation of premium IOLs have had excellent results, and their popularity is exploding. Another name for these lenses could be "presbyopia-correcting" IOLs because the goal is to give you more than just good distance vision. In addition to providing good distance vision, these IOLs also provide you good intermediate and near vision! Their goal is to reduce your dependency on reading glasses and bifocals - can you imagine being glasses free?


The ReSTOR IOL is a multifocal IOL – it incorporates both distance and near powered lenses into one IOL. The lower power zones bend light coming from distant objects to a clear focus on the retina. The higher power zones bend light from near objects to the same clear focus on the retina. Thus, different zones of lens power work together to provide the eye with near and distant vision! This lens is usually implanted into both eyes after cataract surgery. Between 85-90% of patients do not wear glasses (for any distance) after the surgery!

Tecnis Multifocal IOL

The Tecnis Multifocal IOL is similar to the Restor IOL in design in that there are both distance and near powered lenses incorporated into a single IOL design. There are minor differences that our eye surgeons  will discuss with you based on your individual vision needs. Just like the Restor IOL, 85-90% of patients do not wear glasses after having this lens implanted into both eyes!

Crystalens IOL

The Crystalens combats presbyopia with a completely different design than the multifocal IOLs. This lens attempts to use the eye muscle we previously discussed, and actually move forwards and backwards naturally in response to the brain’s desire to see at different distances. As the IOL moves, objects at different distances come into focus! This allows for continuous vision at both far and near.

Tecnis Symfony IOL

The Symfony IOL is also designed to improve the range of vision provided with cataract surgery.  Slightly different than a multifocal IOL, this lens uses small eschelettes to extend the depth (EDOF) or range of focus.  Most studies show that EDOF lenses like a Symfony IOL have less glare than a traditional multifocal IOL, but also provide "slightly weaker" near vision than a traditional multifocal IOL as well.

Multifocal/EDOF Toric IOLs

For several years, people that have astigmatism could not choose a multifocal IOL, unless the astigmatism was mild and could be treated with laser corneal incisions.  Now, however, many of the multifocal and EDOF IOLs also come in toric versions, which treat astigmatism at the same time!

ReSTOR Multifocal Toric Video

Trulign Toric Video

Tecnis Symfony Toric Video

If you are interested in premium IOLs, please notify Dr. Rhodes or Dr. Dang, and they will be happy to discuss your options with you during your clinic visit.

KAMRA Vision

Tired of reading glasses?

The Kamra corneal inlay could be the treatment for you- this is the first FDA approved procedure in the US for the treatment of presbyopia (loss of near vision).

Learn More

New Treatments on the Horizon

Ask about our exciting pharmaceutical studies for:

  • Dry Eyes
  • Glaucoma
  • Conjunctivitis (Pink Eye)
  • Chalazion (Stye)

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Email our Research Coordinator

Bladeless Laser Cataract Surgery

Bringing LASIK laser technology to cataract surgery is revolutionizing the procedure due to increased accuracy. The surgery is now not only bladeless, but the unprecedented precision allows each patient to have a treatment customized to their eye.

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Read Our Reviews

"Dr. Rhodes is a master at getting your vision right. I love not wearing glasses; colors are brighter, vision is clearer. He explains what is going on with your vision and what he is going to do for you in a manner that is clear and understandable. Also, it's a small thing, but increasingly rare, every time I have an appointment, I am seen within a few minutes of the appointed time. I recommend Dr. Rhodes to everyone I know, he is just that good!"

- Charles B.

"I am very impressed during my first visit with Dr. Dang, from the front desk to the nurses, gave me a good feeling who Dr.Dang is. Dr. Dang is an excellent doctor, very thorough, approachable, kind and polite. It didn't give me a second thought to go ahead with my cataract surgery. I am extremely happy with him and his team during my surgery. I'm blessed I found an excellent doctor like him and proud to recommend to anyone."

-Susan G. in Round Rock, TX
Feb 09, 2016

We have over 1,000 happy reviewers!

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Lake Travis Eye and Laser Center
401 Ranch Rd 620 S #210
Lakeway, TX 78734
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  • Phone: 512-263-9000
  • Fax: 512-263-9126
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