IOL Types

FDA approved IOLs and their ideal candidates


Brands + IOL Codes

This is not a comprehensive list of all available IOLs - but the most commonly used implants in the author's practice.

IOLs discussed here are designed for aphakic posterior chamber use only.

Alcon

Clareon Family

1st 2 letters | Lens filtering properties

CA: Clear
CC: Clear with UV filtering properties
SY: Blue light filtering properties*
CN: Blue light* and UV filtering properties

3rd letter | Packaging

W: IOL by itself (Wagon wheel packaging)
A: Preloaded IOL in the AutonoMe delivery system

4th letter | Not always present

E: Extended Depth of Focus

1st number | Haptic angulation

Only present in monofocal codes

0: 0º haptic angulation

Last letter(s) followed by numbers | Monofocal or Trifocal ± Toric

T0: Non-toric monofocal

T#s: Toric monofocal + Cyl power

TT0: Non-toric Trifocal

TT#: Toric Trifocal + Cyl power

*Blue light filtering property appears as a yellow tint and mimics a native lens' blue light filtering

Bausch + Lomb

enVista Family

1st 1-2 letters | Mono vs Mono 'plus' vs Multifocal

M: Monofocal
E: Mono 'plus'
EN: Multifocal

2nd letter | Dependent on lens type

X: Diopteric power (?)
A: Non-preloaded
T: Toric

60 | Optic Diameter (?)

Only present in monofocal codes

2nd to last (or last) letter | Packaging

E: IOL by itself

P (or PL): Preloaded

Last letter | Toric

T: Toric IOL

B+L IOL Reference Sheet

Johnson & Johnson

Tecnis Family

1st letter | Packaging

Z: Non-preloaded IOL
D: Pre-loaded in the Simplicity delivery system

2nd letter | Lens type

C: Monofocal
I: Monofocal 'plus'
R or XR: Extended Depth of Focus??

3rd letter | ± Toric

B: Non-Toric
U or T: Toric

2 numbers (00 or ##) | Cyl power



Overview

Pros

- Crisp vision at desired distance.

- Option for monovision for eligible patients.

Dominant eye is targeted for distance.
Non-dominant eye is targeted for intermediate/near.

- Reduced risk of visual disturbances.

Lens-associated glare or halos.

- Affordable, covered by insurance.

Cons

- Dependence on glasses.

For full range of vision.


1-Piece Monofocals

Tecnis | Johnson & Johnson
Material

1-piece Aspheric
Hydrophobic Acrylic
Square optic edge

Model Types

ZCB00/DCB00 (Monofocal)
ZCU### (Toric)

Spec Sheets
MF MF Toric

Clareon | Alcon
Spec Sheets
UVA MF
BLF MF
BLF MF Toric
UVA MF Toric
Material

1-piece Aspheric
Hydrophobic Acrylic

Model Types

CC60WF/SY60WF
CCW0T#/CNW0T#
CAA0T0/CNA0T0


enVista | Bausch + Lomb
Material

1-piece Aspheric
Hyrophobic Acrylic

Model Types

MX60E
MX60PL (preloaded)
MX60ET (toric)
MX60PT (preloaded toric)

Spec Sheets
MF MF Toric

CT Lucia | Zeiss
Material

1-piece Aspheric
Hydrophobic Acrylic

Model Types

CT Lucia 621P (1 piece)

Spec Sheet
1-piece MF


3-Piece Monofocals

SofPort | Bausch + Lomb
Material

3-piece ±Aspheric
Silicone
Square posterior edge

Model Types

LI61AO (preload)
LI61SE (non-preload)

Spec Sheets
MF 3-piece
CT Lucia | Zeiss
Material

3-piece Aspheric
Hydrophobic Acrylic

Model Types

CT Lucia 602 (3 piece)

Spec Sheets
MF 3-piece
Sensar 3-piece | Johnson & Johnson
Material

Acrylic 3-piece

Model Types

AR40M
AR40E
AR40e

Spec Sheet
MF 3-piece
Acrysof 3-piece | Alcon
Material

Acrylic 3-piece

Model Types

MA60AC

Spec Sheet
MF 3-piece

Overview

Pros

- Maintains same quality distance vision.

Compared to monofocal lens.

- Enhances clarity of intermediate vision.

Without adding significant risk of glare, halos, or night vision disturbances.*

*Compared to multifocal lenses.

Cons

- Dependent on glasses.

For full range of vision (near vision).

- Can increase visual disturbances.

Less likely compared to multifocal IOLs.


Eyhance | Johnson & Johnson
Material

1-piece Aspheric
Hydrophobic Acrylic

Model Types

DIB00
DIU 150-600(toric)

Spec Sheet
MF(+) ± Toric
Aspire | Bausch & Lomb
Material

1-piece Aspheric
Hydrophobic Acrylic

Model Types

EA
ETA (toric)

Spec Sheets
MF (+) MF (+) Toric

RayOne EMV | Rayner
Material

1-piece Aspheric
Hydrophilic Acrylic

Model Types

RAO200E (EMV)
RAO210T (Toric)

Spec Sheet
MF ± Toric

Overview

Pros

- Can eliminate need for glasses.

Cons

- Associated with an increased risk of visual disturbances compared to monofocal IOLs.

Glare, halos, starbursts.

- Relative contraindication for retinal pathologies.

- Reduced contrast sensitivity.*

- Not covered by insurance.

And more expensive than monofocal lens.

*Compared to monofocal and monofocal 'plus' and monofocal IOLs.


Pan-optix & Pan-optix Pro | Alcon
Material

Acrylic 1-piece

Model Types

CCWTT0
CCWTT0-6 (toric)
CNWTT
CNWTT0-6 (toric)

Spec Sheets
BLF UVF
Odyssey | Johnson & Johnson
Material

Acrylic 1-piece

Model Types

DRN00V
DRT150-375 (toric)

Spec Sheet
Multifocal ± Toric
Envy | Bausch & Lomb
Material

Acrylic 1-piece

Model Types

EN
ETN (toric)

Spec Sheet
Multifocal ± Toric

Overview

Pros

- Allows for distance and intermediate vision.

Can offset non-dominant eye toward near to provide better near vision.

- Can eliminate need for glasses.

- Lower risk of visual disturbances.*

*Compared to multifocal lenses.

Cons

- Greater risk of visual disturbances

- Lower contrast sensitivity.*

*Compared to monofocal and monofocal 'plus' and monofocal IOLs.


Light Adjustable Lens (LAL)* | RxSight
Material

Silicone 3-piece

Model Types

RxLAL
RxLAL+

Spec Sheet
LAL

*The only IOL that can be personalized to the patient’s vision post cataract surgery.

Vivity | Alcon
Material

Acrylic 1-piece

Model Types

CCWET0/X
CNWET0/X

Spec Sheets
UVA ± Toric BLF ± Toric
Symfony | Johnson & Johnson
Material

Acrylic 1-piece

Model Types

DR00VZXR00
DXW###ZXT###

Spec Sheets
EDoF EDoF ± Toric
IC-8 Aphtera | Baucsh + Lomb
img-fluid
Material

Acrylic 1-piece

Model Types

IC8APT-XXX

Spec Sheet
EDoF