In the clinic, I am often asked by patients which type and price range of IOL to choose. A few common phrases from patients are: 1. Dr. Chen, I’ll leave my surgery to you, choose one for me!
2. Dr. Chen, please recommend one!
3. Dr. Chen, how much should I choose a lens? Chen Xiaoyong, Ophthalmology Department, Peking University Third Hospital My unified answer is: You and your family decide for yourself!
I never participate in, nor do I suggest or recommend which brand or price range of IOLs a patient should choose. It is my custom to let the patient decide which price range to choose based on his or her financial situation, and the resident chooses the type of IOL (e.g. astigmatism-correcting lens, multifocal lens, color-changing lens, etc.) and the brand of IOL based on the patient’s condition.
Of course, for a very small number of patients, such as those with ultra-high myopia, torn suspensory ligaments, etc., special IOLs will be selected, but other than that, all brands of IOLs are available for almost all patients.
There are many countries and brands of IOLs in our hospital, and most of the patients choose which price range because they do not have the relevant knowledge. The choice of brand within this price range is based on the patient’s condition, the actual situation of the hospital, and the doctor’s individual experience. For example, if a patient requests an expensive IOL and has a large astigmatism, the hospital may choose an astigmatism-correcting crystal. If too many IOLs of any brand are used in the hospital, the hospital will balance the use of each brand internally; each doctor has his or her own experience in using IOLs, for example, some doctors prefer yellow IOLs, some doctors prefer one-piece IOLs, some doctors prefer aspheric IOLs, etc.
Regarding the selection of IOLs, please see the following two parts: I. Some common questions before cataract surgery: Part III, Article 9 9. What kind of IOL should I choose?
A: There are many kinds of IOLs, and for patients, they need to know the following points in general: (1) Whether they are imported or not: Beijing’s tertiary hospitals should all use imported IOLs, or at least all of our hospitals use imported IOLs. This is because the national situation determines that domestic patients have concerns about the quality of domestic products (national products should be self-improvement!!!) The domestic IOLs range from a few tens of dollars to a few hundred dollars, and rarely exceed one thousand dollars. For many years, patients in major hospitals have refused to use domestically produced IOLs, so even if patients want domestically produced ones, they are not available in our hospital.
(2) Do I need the most expensive IOLs?
IOLs are generally divided into three types according to the price: expensive, medium and cheap, the difference is Expensive: folding crystals, multifocal crystals, the use of the population: “people with particularly good eye conditions” (please refer, if the eye has other diseases or may have to do fundus treatment in the future, such as diabetes, it is recommended not to install) Medium. Generally around 4,000~5,000 RMB (the price is set by the price bureau, doctors have no right to set the price). It is a folded lens, aspheric IOL. It is suitable for use in small incisions (about 3mm) for ultrasound emulsion surgery.
Ordinary IOL: The price is usually around 1600~2500 RMB and is a spherical IOL. The visual effect of aspheric and spherical IOLs in bright environment is about the same, and the visual aspheric IOL in dark is a little better than spherical IOL.
There used to be cheaper domestic IOLs: generally between a few tens of dollars ~ 3 or 400 dollars, almost no one uses them, hard IOLs, which cannot be folded. Therefore, it is not suitable for ultrasound emulsion surgery with small incisions (about 3mm). Our hospital no longer has this type of IOL because no one has used it for many years.
(3) Why can’t some patients choose a “good” IOL?
My personal opinion is that expensive multifocal IOLs are not recommended if there is a risk of developing fundus disease. Older people often have other eye diseases and systemic diseases such as diabetes and hypertension, so I personally do not recommend expensive multifocal IOLs.
Patient Q & A Patient Question: Disease:What is the difference between IOLs made in the Netherlands and those made in the U.S. Description:I have familial high myopia. After laser repair of a retinal fissure. Now I have a moderate central cataract.
Help wanted:I have friends who have talked about their experiences with American-made IOLs, but I have not heard of any Dutch-made IOLs, so I would like to know the difference between the two. Thank you!
Doctor’s reply: There are many different kinds of IOLs, if you are interested in the brands you can refer to: IOL is an optical material and a medical consumable for human use. The IOLs used in clinical applications are qualified products that have undergone strict biological and safety studies. Chinese people are used to using imported IOLs, and there are no national brands in our hospital (of course, many national brands are of good quality, but no patients choose them clinically, so the hospital does not enter them).
The variety of surgical consumables in each hospital has nothing to do with the individual doctor, because the bidding for surgical consumables (including IOLs) varies from hospital to hospital in each region, and the brand chosen by the hospital is decided by the Beijing bidding and the collective discussion of the members of the equipment committee convened by the hospital equipment department. Doctors just use whatever the hospital has.
There are many countries and brands of IOLs in our hospital, and most patients choose which price range, and which brand is chosen within this price range is based on the patient’s condition, the actual situation of the hospital, and the doctor’s individual experience. If there are too many IOLs in the hospital, the hospital will also balance the usage of each brand; individual doctors have their own experience, for example, some doctors prefer yellow IOLs, some doctors prefer one-piece IOLs, etc. There is no single choice.
I don’t get involved and I don’t recommend which brand or which price range of IOLs a patient should choose. My custom is that the patient decides which price range to choose based on his or her financial situation, the resident chooses the type of IOL based on the patient’s condition, and the hospital chooses the brand of IOL based on the hospital’s actual situation.
For you, it is not necessary to choose an IOL from any country, as most IOLs are available to you. It is up to you to decide the type and origin of the IOL you choose.
Good luck with your surgery!
Patient Question: After this period of treatment, I can feel from Director Chen Xiaoyong why you are called “white angel”. I would like to send a sincere thank you to Director Chen. I am writing today with a very earnest request to use the “IOL with 150 degrees of myopia” when I have cataract surgery in my other eye on Monday morning (the 30th). Thank you again! Patient: Ms. Zhu Doctor’s reply: Clinically, it is rare to retain 150 degrees, because then the patient needs glasses for both near and far vision, which is inconvenient. Except for special occupations: for example, playing piano, etc. You are super high myopia, it is better to keep about 300 degrees. According to the doctor’s clinical experience, this is the most suitable for you.
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