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If translations differ or are incomplete, the Traditional Chinese (zh-Hant) text on this site prevails.

Lens and refraction · K

Choosing an intraocular lens — detail

Monofocal · toric · EDOF · multifocal

Last reviewed: 2026-10-03 · 潘家健醫生

Key points

  • IOL optical classes include monofocal, toric, EDOF and multifocal — individual preoperative discussion.
  • No brand names here; newer or costlier models are not automatically best.
  • Macular disease, severe dry eye or clear glaucomatous field loss usually argue against multifocal and many EDOF designs.
  • Day-of implant sequence is on the cataract day-of page.
FarIntermediateNearHalosMacular disease
MonofocalBest at the targeted distanceDepends on targetDepends on targetUsually fewer (varies)Often still considered
Enhanced monofocalGood at targetOften a bit better than standard monofocalUsually still needs glassesGenerally less than diffractive multifocal; not a guaranteeOften still considered
ToricAdded to any of the aboveAs base designAs base designAs base designAs base design
EDOFGoodGoodFine print often still needs glassesMild to moderate; product-dependentUse with caution
Multifocal / trifocalGoodGoodNear often needs fewer readers; not guaranteed spectacle-freeMore noticeableNot suitable

For regular corneal astigmatism of about ≥0.75–1.00 D a toric lens may be discussed; about 1° of rotation loses roughly 3.3% of the cylinder correction. The newest model or a higher fee is not automatically the best fit. Macular disease, severe dry eye, or clear glaucoma visual-field loss: multifocal and most EDOF designs are not suitable. Brand choice is an individual preoperative discussion. This page lists no product names. The order of implantation on the day is on The day of cataract surgery and lens implantation. This page still covers optical classes only, and lists no product names.

This is general medical information, not a diagnosis, and cannot replace an in-person consultation with a registered ophthalmologist, refraction, or a dilated fundus exam. It is not advice to use any medicine or undergo any procedure. Medicines (including off-label use), laser or surgery must be decided by a registered doctor after examination, according to indications and Hong Kong registration. Figures from the literature are published averages, not any clinic’s results. This site does not book, prescribe or refer. Do not change treatment on your own.