Goodbye glasses! Hello multifocal lens
A multifocal lens is not only used in cataract surgery, but can also be a meaningful alternative to laser eye surgery for age-related vision problems (presbyopia) and particularly severe visual disorders (ametropia).

clear lens extraction (CLE)

Multifocal contact lenses instead of laser eye surgery

Clear lens extraction (CLE), also called lens replacement surgery or refractive lens exchange, is a procedure to treat visual disorders or cataracts. The multifocal contact lens used within the CLE procedure is a multifocal intraocular lens (IOL). This lens is inserted into the eye in place of the eye’s own natural lens. A multifocal contact lens is an artificial lens that sharpens your vision for near, far and intermediate distances.

The multifocal contact lens is often, but not solely, used in the context of cataract surgery if your eye’s natural lens is cloudy. Cataract surgery is the most common eye surgery in Germany. A CLE can, however, also be performed to correct age-related vison problems (presbyopia) if a laser eye surgery with the PRESBYOND method is not possible or desired. Moreover, having CLE contact lenses can also be a useful alternative for patients with particularly severe visual disorders where treatments with conventional laser eye surgery using PRK/LASEK or Femto-LASIK are not possible. With the help of CLE contact lenses (for example, multifocal contact lenses), any standard visual problem can be corrected.

Ein älteres Paar fährt auf dem Motorrad
How to choose the right lens (monofocal or multifocal?)

Choosing the right type of lens that meets all your personal needs may seem a little confusing at first. There are basically only two differences between contact lenses – the way they refract the light and the number of focal points they create. Your choice of contact lens therefore comes down to whether you want to generally stop wearing glasses or whether you are willing to continue wearing reading glasses.

Differences at a glance

With a multifocal toric contact lens, astigmatism can be corrected in addition to nearsightedness (myopia) or farsightedness (hyperopia).

Mono­focal lens
Single-strength lens

Bifocal lens
Dual-strength lens

Tri­focal lens/ multifocal lens
Triple/ multi-strength lens

  • Only one focal point
  • Sharp vision only near or far distance
  • BUT, through the use of monovision, sharp vision can be achieved in all areas
  • In general, glasses not necessary* (for monovision)
  • Two focal points
  • Sharp vision near and far distance
  • No sharp vision in the intermediate distances
  • In general, glasses not necessary*
  • Multiple focal points
  • Sharp vision near, far and intermediate distances
  • In general, glasses not necessary*

* Under certain circumstances, glasses may be necessary for reading in long periods or driving at night.

Multifocal contact lenses vs. PRESBYOND

Multifocal contact lenses

With a multifocal lens, you can see sharply in the near, intermediate and far distances. Nevertheless, a multifocal contact lens can have side effects compared to your “natural” vision. Multifocal lenses do not work equally well at all levels of distance. This means that scattered light can occur with intermediate viewing distances and that glare and light reflections can interfere with vision, especially at dusk. A preferable alternative to multifocal contact lenses can therefore be the laser eye surgery PRESBYOND.

PRESBYOND

Visual problems can be corrected with laser eye surgery PRESBYOND. In this procedure, the dominant eye is corrected for far distances and the non-dominant eye is corrected for near distances. The eye’s own natural lens remains unaffected. In contrast to monovision, this correction creates a so-called “blend zone”, which increases the depth of field in the near and intermediate range of vision.

With both eyes having different types of corrections, they send two different images to the brain. One of these images is always blurry and the brain must first learn to suppress the blurred image. The level of tolerance in order to process these new visual impressions is not the same for everyone. To test for this, your tolerance of the correction is tested in advance by using contact lenses.

 

Femtosecond laser instead of ultrasound

In the case of clear lens extraction (CLE) or cataract surgery, your eye’s natural lens is first removed before the new artificial contact lens can be inserted. In order to remove the lens, it must first be softened and broken up into pieces. During the procedure, this is done with either an ultrasound or femtosecond laser.

The conventional procedure consists of breaking up the eye’s natural lens and removing it with an ultrasound probe. At Lasermed, however, we more and more recommend this procedure with the femtosecond laser as it works much more precisely and is gentler on the surrounding tissue. Additional risks can therefore be avoided by using the laser.

Zwei Pfeile

lens exchange with intraocular lens

Auge

also very strong vision disorders

Auge mit Sternen

for every regular vision problem

Person mit einem Buch

sharp vision at any distance

Auge durchgestrichen

no chance of deve­lop­ing cataracts

Lesebrille

no need for reading glasses as you age

Questions about the multifocallens? Call us and we will discuss them together.

Our team of laser eye experts has 10 years of experience and are happy to advise you by phone. If you need more help or have additional questions, we are ready to find the best solution you.

– Dr. med. Safwan Rihawi

Your Lasermed advantages at a glance

Personal advice from experts

Our in-person consultations take place at one of our laser eye centers located throughout Berlin. After measuring your refractive values, one of our specialized refractive consultants will advise you individually on your way to enjoying life without glasses.

Holistic ophthalmology

Lasermed is not simply a place to get your eyes lasered. We offer our clients the entire spectrum of holistic ophthalmology. We draw on decades of experience and know-how in laser eye surgery to achieve this in correcting any regular visual disorder.

Free of charge and without obligation

Laser eye surgery is a unique decision for each person individually. We understand how important it is to feel safe and be well-informed. For this reason, we would be happy to give you the in-depth advice you need and answer your individual questions free of charge and without obligation.

Daytime availability

Would you like to be advised personally? You can always reach us from Mo – Fr | 8:00–18:00. Schedule your consultation appointment today by simply calling us at 030 555 753 115 or via via online booking.

MULTIFOCAL CONTACT LENSES

The surgery

An artificial contact lens – whether it be a monofocal lens, bifocal lens, trifocal lens or multifocal contact lens – is inserted into your eye as part of a clear lens extraction (CLE) or cataract surgery. Our experienced team of eye surgeons and optometrists will be at your side at all times during the surgery.

Clear Lens Extraction (CLE) – Multifocal Lenses

  • Your eye will first be anaesthetized, making the procedure completely painless. Additionally, you will also be given a monitored anesthesia so that you hardly notice anything during the surgery.
  • Two small openings are then made at the edge of your transparent cornea. These openings will close again naturally on their own.
  • From here, the front capsule of the eye is opened carefully and with the help of an ultrasound, the inside of the lens is softened and suctioned off.
  • Finally, the artificial contact lens is inserted. The contact lens is folded as it is inserted and will unfold on its own. The lens doesn’t need to be sutured because its “arms” hold it in the right position in your eye.
  • Your vision will continuously improve in the following days.

 

Before the surgery
Die vermessung ihrer augen
  • If you have opted for a clear lens extraction (CLE) surgery for cataracts, age-related vision problems (presbyopia) or a particularly severe vision problem, first make an appointment for a preliminary examination.
  • In the preliminary examination, your eyes will be measured accurately and comprehensively again by one of our qualified optometrists. Your eyes will then be examined by an ophthalmologist and, as with any operation, you will be informed about risks and side effects.
  • You can expect the following eye measurements in the preliminary examination:
    • Determination of eye length
    • Measurement of anterior chamber depth
    • Measurement of refractive values in dioptres
    • Control for anterior and posterior segments of the eye
    • Control for eye pressure
Kosten der Vor­unter­suchung
  • The preliminary examination is a medical service with a fixed cost being pre-determined by law. However, the costs of the preliminary examination are included in the procedural costs.
Before the treatment
What you need to keep in mind
  • You should bring someone with you on the day of your eye surgery as you will not be allowed to actively drive afterwards. After the surgery, your eye will be covered with an opaque bandage that will restrict your vision.
  • No make-up, perfume, or hairspray on the day of the surgery.
  • Do not eat or drink before the surgery.
The preparation
  • The procedure takes place in a light half-sleep, so you hardly notice the operation. In addition, your eye is numbed with eye drops making the procedure completely painless.

  • You lie down on a surgery chair where the ophthalmologist sits at the direction of your head. A small clamp keeps your eye open, so you won’t have to worry about accidentally blinking.

More details about clear lens extraction (CLE) multifocal lenses
CLEAR LENS EXTRACTION
  • We don’t want to take any risks. Out of safety reasons, both eyes are not treated in one day.
  • To prepare for the clear lens extraction (CLE), two small incisions are made at the edge of the transparent cornea. This is done either manually with a small scalpel or computer-controlled with the femtosecond laser. The small incisions close on their own after the surgery.
  • This is followed by the actual procedure in which the anterior capsule of the eye is carefully opened to allow access to the lens. Here, the lens is broken down by ultrasound waves or by the femtosecond laser. The broken-down lens is then removed by a small cannula.
  • Finally, the artificial contact lens is implanted into the empty capsular bag. It is inserted folded into the eye and will unfold by itself. The correct positioning is checked by the attending surgeon. The lens does not have to be fixed in place with sutures because it is held in the correct position by its “arms”.
DIRECTLY AFTER CLEAR LENS EXTRACTION (CLE)
  • As this is an outpatient procedure, you can go home shortly after the surgery.
  • You can already see relatively clear immediately after clear lens extraction. However, it takes a few days until full vision is reached.
  • As a precaution, you will receive a blindfold for your eye, so it is important that someone takes home as your vision will be limited.
  • In the days following the treatment, you will take eye drops according to a prescribed eye drop schedule. This helps to prevent the risk of inflammation.
  • On the following day, you will come for a follow-up appointment, in which we will remove the bandage for you.
After the surgery
AFTER THE CLEAR LENS EXCTRACTION (CLE)

 

  • After the surgery, there will be follow-up appointments 1 day, 1 week, 1 month and 1 year after. This allows us to ensure that your eye safely recovers and that there are no risks during the recovery time.
  • You will notice your vision improving from day to day and that you will not feel any side effects of the surgery after a few days. However, you should avoid wearing make-up or rubbing your eyes during the first few days to avoid the risk of inflammation.
  • In the weeks after the surgery, you may still be slightly sensitive to light or have dry eyes – wearing sunglasses and eye drops can help to alleviate these side effects.

Questions about the lens exchange? Call us and we will discuss them together.

Our team of laser eye experts has 10 years of experience and are happy to advise you by phone. If you need more help or have additional questions, we are ready to find the best solution you.

– Dr. med. Sopie Burzer

Your Lasermed advantages at a glance

Personal advice from experts

Our in-person consultations take place at one of our laser eye centers located throughout Berlin. After measuring your refractive values, one of our specialized refractive consultants will advise you individually on your way to enjoying life without glasses.

Holistic ophthalmology

Lasermed is not simply a place to get your eyes lasered. We offer our clients the entire spectrum of holistic ophthalmology. We draw on decades of experience and know-how in laser eye surgery to achieve this in correcting any regular visual disorder.

Free of charge and without obligation

Laser eye surgery is a unique decision for each person individually. We understand how important it is to feel safe and be well-informed. For this reason, we would be happy to give you the in-depth advice you need and answer your individual questions free of charge and without obligation.

Daytime availability

Would you like to be advised personally? You can always reach us from Mo – Fr | 8:00–18:00. Schedule your consultation appointment today by simply calling us at 030 555 753 115 or via via online booking.

Potential candidates

Prerequisites for a Lens Exchange

No need for glasses
You want a life without glasses

Cataract
You need
cataract surgery

Health
You don’t have
any eye disease

Eyesight
no functional monocularity

No medication
that interferes with wound healing

A clear lens extraction (CLE) with multifocal contact lens or monovision is recommended for different target groups due to diverse application possibilities. Typically, the lens is replaced during cataract surgery with old age. Moreover, CLE contact lenses can be a possible alternative to PRESBYOND in the correction of age-related vision problems (presbyopia). Even for younger patients with particularly severe visual problems, CLE contact lenses are an alternative to laser eye surgery that can significantly improve vision.

Lasermed Quickcheck

Your glasses-free life - take the test now

Free of charge and without any commitments, you can find out whether your eyes can be lasered by simply entering your diopter values from your prescription.

By submitting the form, you agree to the data protection declaration and the processing of your data.

Treatment costs

Costs

The cost of replacing a lens with a multifocal lens depends on the individual refractive values of your eyes. The exact costs for your lens exchange can be calculated in a free consultation. In addition, the costs vary somewhat depending on the treating ophthalmologist. A cost overview for the multifocal lens can be found here.

TYPES OF TREATMENT

Variations and Comparisons

Monofocal Lens
Visual freedom in near or far distances
Negative Eigenschaft
For cataracts and severe visual problems
Negative Eigenschaft
Reading glasses still required
Gute Eigenschaft
In the case of cataracts, costs are covered by health insurance
Gute Eigenschaft
Lenses last a lifetime
Gute Eigenschaft
Can be combined with monovision and simulated with contact lenses
Multifocal Lens
Visual freedom in all distances
Gute Eigenschaft
For cataracts, age-related vision problems (presbyopia) and severe visual problems
Gute Eigenschaft
No reading glasses required
Gute Eigenschaft
Cataracts cannot develop
Gute Eigenschaft
Correction of very high visual problems (ametropia)
Gute Eigenschaft
Lenses last a lifetime
PRESBYOND
Laser eye surgery
Negative Eigenschaft
For age-related vision problems (presbyopia)
Gute Eigenschaft
No reading glasses required
Gute Eigenschaft
Laser eye surgery using Femto-LASIK, the eye’s own natural lens is retained
Gute Eigenschaft
Correction of corneal astigmatism is included
Gute Eigenschaft
Simulation of visual values using contact lenses prior to surgery

Lasermed FAQ

Frequently asked questions

What is a CLE?

In CLE (clear lens extraction), the eye’s natural lens is replaced by an artificial lens. The procedure is usually used from the age of 40 to permanently correct age-related visual problems (presbyopia), for example when reading glasses are required. In addition, CLE contact lenses can also be used to correct nearsightedness, farsightedness or astigmatism when classic laser eye surgery with PRK/LASEK or Femto-LASIK is not possible. This can significantly improve vision. If the lens is replaced due to cataracts, it is a cataract surgery.

What are multifocal contact lenses?

In contrast to a monofocal lens, a multifocal contact lens has several visual depths. A multifocal lens can therefore be used to correct both the near and far ranges. As a result, your new eyesight usually means that reading glasses are no longer necessary. With a multifocal toric contact lens, an existing astigmatism can also be corrected.

How much do multifocal contact lenses/ CLE cost?

Costs for CLE with a multifocal toric contact lens and Femto-LASIK start from 3,800 Euro per eye at Lasermed.

What are toric contact lenses?

Toric contact lenses are used in clear lens extraction (CLE) when replacing the eye’s own natural lens. You’re correcting astigmatism. In addition to astigmatism, a multifocal toric contact lens also corrects presbyopia.

What does the term addition mean for multifocal contact lenses?

An addition is also known as your near addition, which is the vision power that you need for reading. With a multifocal contact lens, addition therefore means that you achieve a vision with which you usually no longer need additional reading glasses.

What are monofocal contact lenses?

Monofocal lenses are single vision lenses that correct visual problems either at far or close distances. They are used in CLE (clear lens extraction) to correct visual problems in place of the eye’s own natural lens.

What are trifocal contact lenses?

Trifocal lenses correct far, intermediate and close ranges. They are used in CLE (clear lens extraction) to correct general visual problems and age-related visual problems (presbyopia) in place of the eye’s own natural lens.

Does my health insurance pay for multifocal contact lenses?

If you are diagnosed with cataracts, health insurance companies cover a portion of the costs for implantation of a multifocal contact lens (cataract operation). If it is a CLE (clear lens extraction) – the exchange of the eye’s own natural lens for the correction of general vision problems as well as age-related vision problems (presbyopia) – health insurance companies typically do not cover the costs of the procedure. In order to understand if the surgery costs work for you, we will gladly provide you with a cost estimate.

What is the difference between monofocal and multifocal contact lenses?

Monofocal lenses correct only one depth of vision: either farsightedness or nearsightedness. On the other hand, multifocal contact lenses correct both near and farsightedness simultaneously. Both mono- and multifocal lenses are used in CLE (clear lens extraction). This surgery corrects general and age-related visual problems, as well as cataracts. The contact lens can significantly improve your vision.

Why use multifocal contact lenses for cataract surgery?

During cataract surgery, the eye’s natural lens is clouded and is replaced by an artificial lens. A monofocal lens is used as the standard. If you wish to no longer use reading glasses, this can be corrected with a multifocal contact lens during cataract surgery. In contrast to the monofocal contact lens, the multifocal contact lens has multiple visual depths so that you can also see sharply at a close range.

What is refractive lens replacement?

Refractive lens replacement is a method of correcting a visual disorder or treating cataracts. The eye’s own natural lens is replaced with an artificial lens. Monofocal, trifocal or multifocal lenses can be used. In some cases, refractive lens replacement can also be used to correct nearsightedness, farsightedness or astigmatism if classical laser eye surgery is not possible.

How much does a refractive lens replacement cost?

The costs for a refractive lens replacement at Lasermed start from 2,200 euros per eye.