Who are good candidates for light adjustable lenses?

Ideal Candidates

• Desire for spectacle independence, especially those motivated to fine-tune vision after surgery.
• High expectations for visual precision — e.g., engineers, pilots, or patients highly sensitive to small refractive errors.
• Previous refractive surgery (LASIK, PRK, RK)** — where IOL power calculations are less predictable. The ability to adjust postoperatively is a huge advantage.
• Astigmatism correction needs — the LAL can correct postoperative residual cylinder precisely.
• Patients ...

Who is a great candidate? The LAL is a great option for a wide range of patients. In general, patients who prioritize quality of vision but want to achieve meaningful freedom from glasses are excellent candidates for LAL technology. The prototype candidate in my experience is a patient with a history of monovision contact lens wear or a motivated patient averse to possibility of glare/halos.

Who is not a great candidate? Pupil dilation is important to evaluate prior to implanting the LAL. Patie...

It is important to remember that the LAL will not fix irregular astigmatism. It is tempting to use the LAL in irregular corneas that are hard to predict, but at the same time, patients' expectations go up with this lens, and you need to keep that in check on atypical corneas. Of course, patients who do not dilate well are not good candidates for LAL. I am also cautious of Fuchs' Dystrophy and bad ocular surfaces because you can end up chasing refractions post-operatively. I don't consider these ...

The people who use these say it is a good lens, but a really bad process. It seems to be very expensive and tedious.