Reviewed by Vance Thompson, MD

Intraocular lenses (IOLs) are medical devices that are implanted inside the eye to replace the eye’s natural lens when it is removed during cataract surgery. IOLs also are used for a type of vision correction surgery called refractive lens exchange.

Before the use of intraocular lenses, if you had cataracts removed, you had to wear very thick eyeglasses or special contact lenses in order to see clearly after cataract surgery, since no device was implanted in the eye to replace the focusing power of the natural lens.

Today there is a wide variety of premium IOLs to choose from. The best intraocular lens for you depends on many factors, including your lifestyle and your specific visual needs.

The following is an overview of premium IOLs currently that are FDA-approved for use by cataract surgeons in the United States. These are considered “premium” intraocular lenses because they have advanced features beyond those found in basic single vision

IOLs that are covered by Medicare and other types of health insurance.

During your preoperative exam and consultation, your cataract surgeon can help you choose the best IOL for your needs, as well as additional cataract surgery costs involved if you choose one of the following premium lens implants.

Aspheric IOLs

Traditional intraocular lenses have a spherical optical design, meaning the front surface is uniformly curved from the center of the lens to its periphery. Though a spherical IOL is relatively easy to manufacture, this design does not mimic the shape of the natural lens inside the eye, which varies in curvature from center to periphery. In other words, the eye’s natural lens is aspheric (“not spherical”).

Why is this important?

A spherical intraocular lens can induce minor optical imperfections called higher-order aberrations (HOAs), which can affect quality of vision, particularly in low-light conditions such as driving at night.

Premium aspheric IOLs, on the other hand, match more closely the shape and optical quality of the eye’s natural lens, and thereby can provide sharper vision – especially in low light conditions and for people with large pupils.

Popular aspheric IOLs that are FDA-approved and available in the U.S. include: Tecnis (Johnson & Johnson Vision), AcrySof IQ (Alcon), and enVista (Bausch + Lomb).

Toric IOLs

Toric IOLs are premium intraocular lenses that correct astigmatism as well as nearsightedness or farsightedness.

Like toric soft contact lenses, toric IOLs can correct astigmatism because they have different powers in different meridians of the lens. They also have alignment markings on the peripheral part of the lens that enable the surgeon to adjust the orientation of the IOL inside the eye for optimal astigmatism correction.

Just prior to cataract surgery, the surgeon places temporary markings on the patient’s cornea that identify the location of the most curved meridian of the front of the eye. Then, when the toric IOL is implanted during the cataract procedure, the surgeon rotates the IOL so the markings on the IOL are aligned with the markings on the cornea to insure proper astigmatism correction.

Prior to the development of toric IOLs, cataract surgeons had to perform a procedure call limbal relaxing incisions (LRI) to correct astigmatism during or after cataract surgery.

In LRI, small incisions are made at opposite ends of the cornea, very near the junction between the cornea and the surrounding white sclera. When these incisions heal, the cornea becomes more spherical in shape, reducing or eliminating astigmatism.

In some cases — even when a toric IOL is used — limbal relaxing incisions may be needed after cataract surgery to fully correct astigmatism. But typically in such cases, the amount of astigmatism remaining after implantation of a toric IOL is far less, making a better LRI outcome more likely.

LASIK and PRK also can be performed after cataract surgery to correct residual astigmatism, but toric IOLs decrease the likelihood of needing these additional surgical procedures.

FDA-approved toric intraocular lenses available in the U.S. include: Tecnis Toric (Johnson & Johnson Vision), AcrySof IQ Toric (Alcon), and enVista Toric (Bausch + Lomb).

Conventional spherical IOLs are monofocal lenses, meaning they are designed to provide clear vision at a single focal point (usually far away for good driving vision, for example). With conventional IOLs, typically you must wear eyeglasses or contact lenses in order to use a computer, read or perform other close-up tasks within arm’s length.

Multifocal IOLs

Multifocal IOLs are another category of presbyopia-correcting IOLs that can decrease your need for reading glasses or computer glasses after cataract surgery.

Like multifocal contact lenses, these premium IOLs contain added magnification in different parts of the lens to expand your range of vision so you can see objects clearly at all distances without glasses or contact lenses.

Some studies have shown multifocal IOLs tend to provide better near vision than accommodating IOLs, but they also are more likely to cause glare or mildly blurred distance vision as a tradeoff.

Your cataract surgeon can help you decide if you are a good candidate for multifocal IOLs at your preoperative exam and consultation.

Laser cataract surgery often is recommended if you are interested in multifocal IOLs, because precise alignment of these lenses is very important to give you the best visual outcome at all distances.

Popular FDA-approved multifocal IOLs include: Tecnis Multifocal (Johnson & Johnson Vision) and AcrySof IQ ReSTOR (Alcon).

Monovision

An alternative to accommodating and multifocal IOLs for correcting presbyopia is monovision.

There is no such thing as a “monovision IOL.” Monovision is the technique of fully correcting the refractive error of one eye and intentionally making the other eye mildly nearsighted.

In this scenario, the fully corrected eye sees distant objects clearly (but cannot see very well up close without glasses), and the mildly nearsighted eye sees very well up close without glasses (but not so clearly far away).

Monovision may sound odd the first time you hear about it, but this technique has been used very successfully with contact lenses for many years. And it is now being used frequently with cataract surgery to decrease a person’s dependency on reading glasses and computer glasses after surgery.

Any combination of premium IOLs can be used for monovision cataract surgery.

When accommodating or multifocal IOLs are used for monovision, the term “modified monovision” often is used, since these lenses offer an expanded range of vision by nature of their design in addition to a prescribed monovision effect.

A different type of IOL for each eye

Sometimes, the best visual outcome after cataract surgery is achieved by using a different type of premium IOL in each eye.

For example, you may have more astigmatism in one eye than the other. If this is the case, your cataract surgeon may recommend a toric IOL in that eye, and perhaps an accommodating IOL in the other eye to also decrease your need for computer glasses.

Another scenario is for your cataract surgeon to recommend one brand of multifocal lens for one eye and a different brand for the other. This is because one brand may provide better computer vision and the other may provide sharper vision at a closer distance, for reading and other close-up tasks.

Your cataract surgeon can fully evaluate your specific needs during your pre-op exam and consultation, and help you choose the best combination of premium IOLs for a successful visual outcome.

Cost of premium IOLs

Premium IOLs have additional features not found in conventional monofocal IOLs and cost more than conventional IOLs.

Unfortunately, health insurance companies do not consider these additional features as medical necessities. Therefore, you will incur additional out-of-pocket expenses for your cataract surgery if you choose a premium IOL.

Medicare and private health insurance policies generally do cover the cost of cataract surgery, including the cost of a conventional monofocal IOL (though a deductible amount may be required, depending on your policy).

If you choose a premium IOL like one described above, typically you will have to pay the difference in cost between a conventional monofocal IOL and the premium lens implant. This out-of-pocket expense could range from $1,500 to $3,000 per eye or more, depending on the type of IOL and whether you opt for advanced laser cataract surgery as well.

Also, ask plenty of cost-related questions at the business office of your eye doctor and cataract surgeon before consenting to surgery, to avoid unpleasant financial surprises afterward.

ElmerJ Fudd
ElmerJ Fudd
14:41 21 Oct 21
The office staff was very nice and professional. They all did a thorough job and enjoyed talking with them.Disappointed they required masks to be worn. I can’t believe they are perpetuating the fear and deceitful practices of masks even when the overwhelming number of studies show they don’t prevent transmission of viruses. The only reason I would return is the competence of the staff.read more
Laura Moore
Laura Moore
14:25 21 Oct 21
The staff is very friendly and genuinely interested in helping. Dr. Stowe was very thorough and made sure that I was comfortable with everything since I’m a new patient. I was very happy and satisfied with my entire experience.read more
Carol Brown
Carol Brown
02:04 21 Oct 21
If you are looking for an organized and professionally run practice this is it! All in formation is given both verbally and in writing.The follow up is tremendous! You are treated as an individual person not just a patient.read more
Linda Weimann
Linda Weimann
18:39 20 Oct 21
Coastal Vision has provided my vision care for over 30 years and that speaks volumes. There have been changes in staffing and computer systems over the years but the care, technology and professionalism remain outstanding.read more
Ed Joella
Ed Joella
15:06 19 Oct 21
It was a treat to watch Dr. Herron act as a medical detective to identify the cause of my double vision. She was tenacious as she went through test after test to rule in or rule out different potential causes. In the end, she identified an abnormality that is likely the cause. Her efforts were exceptional.read more
Dolores Sanderson
Dolores Sanderson
20:03 05 Oct 21
Dr Marks is great. She is very thorough/knowledgeable and explains very clearly her findings. I have been going there for the last 2 years after moving into the area.read more
William B
William B
21:27 11 Aug 21
Dr. Stackhouse is amazing when it comes to LASIK. He did a great job with my eyes, bringing me from not being able to tell there were any letters on the eye chart to being able to read the 15/20 line.While I was definitely scared going in, since they were about to operate on my eyes, he and his staff did a great job of making me feel comfortable and making it a smooth and painless process. Honestly, I can't recommend them enough, since normal eyesight has changed my life so much.read more
Patti Shaffbower
Patti Shaffbower
15:25 11 Aug 21
I completely trust my eye care to Dt. Mark's at Coastal Vision Center. She is very thorough always! She always greets you with a smile. She is like a ray of sunshine, while remaining very professional . I am so BLESSED to have found Coastal Vision Center and Dr. Marks.read more
Prudence Hostetter
Prudence Hostetter
14:35 11 Aug 21
Enjoyed Lauren's professional, in-depth exam & preliminary study before Dr. arrived. She had it all set up & explained each step to me. Thank you.read more
Robert Rose
Robert Rose
13:54 11 Aug 21
Very pleased with the overall experience. The staff was very courteous and the Doctor was very thorough! Recommend them highly!read more
Kay Birden
Kay Birden
14:17 15 Jul 21
As always my experience with the doctors and staff was professional, pleasant and thorough. I highly recommend this group for all your optometry needs. Excited to get my new glasses.read more
Gary Roberson
Gary Roberson
13:46 14 Jul 21
Moving my vision care from Jacksonville to Fernandina, very impressed with patient attention to detail. Excellent job of explaining examination and direction of care. I would highly recommend Coastal Vision for anyone looking for vision care.read more
Evil Genius
Evil Genius
15:26 01 Jul 21
New in town 4 years ago. After trying multiple optometrist; thousands of dollars wasted do to wrong alignment, prescription among other things, my wife recommended Coastal Vision Center.While there I crossed path with some famous locals and you know if they go there its a reputable business.Love this place!read more
Ambar Cordova
Ambar Cordova
01:35 23 Jun 21
Fantastic staff!Extremely patient but worked at a great pace! Very respectful and knowledgeable. First time going to an ophthalmologist that explained everything they were doing, including what they were looking for when looking at my eye. I also was able to learn how to put contacts on after failing miserably at 2 other doctor’s offices.read more
Joanna Cason
Joanna Cason
18:33 18 Jun 21
I had cataract surgery at Amelia Surgery Center. The staff was very professional, courteous and made you feel comfortable through the entire process. I would recommend this facility, staff and Dr. Stackhouse for anyone needing these services! Great job done by all.read more
Rosalie DeVore
Rosalie DeVore
13:38 16 Jun 21
Pleasant, clean, and “user friendly”. The staff was professional and helpful. Dr.Stackhouse was patient and explained my options for treatment to the extent that all my questions were answered before I even asked them. I feel comfortable with my option and have confidence in the skill and knowledge offered to me by this team of excellent professionals.read more
Angela Wasdin
Angela Wasdin
15:10 11 Jun 21
Dr. Roberts and her staff treat you as an important individual by taking time to heal you and not just mask your illness. Wait times may be long but she’s worth the wait as each patient gets her best quality.read more
Anne Ley
Anne Ley
00:03 25 May 21
Through two medical procedures, Coastal Vision has been wonderful to me. I was treated like I was their most important patient. The staff is beyond reproach, always kind & considerate.Dr Stackhouse is a professional & caring surgeon. I trust him implicitly & would recommend him & his practice without hesitation.read more
Grace Padgett
Grace Padgett
00:11 13 May 21
A rock flew into my eye while doing yard work and I was in such pain. I called the office at 4:45pm to see about getting an appointment for the morning. The staff stayed open later in order to see me tonight and greeted me with such kindness. I cannot say thank you or rave enough on the women in this office. The hospitality, efficiency and knowledge in this office is superb!read more
Sonja Hinkle
Sonja Hinkle
18:35 05 May 21
I used Dr. Stubits in the 90's then moved away. After returning to the area recently I went back for my yearly checkup. I decided to have laser cataract surgery. Everything went extremely well. Dr. Stubits and Dr. Stackhouse are wonderful and the entire team. I would recommend them both!read more
Holly Calingo
Holly Calingo
16:10 06 Apr 21
Love Dr Herron , so caring and professional. Febe was so helpful picking out glasses and working with our insurance . Great experience every time !So nice to have such a fantastic vision center so low to home .read more
Paula Troise
Paula Troise
12:56 18 Mar 21
Absolutely the best!! Not even a patient yet, my hub had an emergency due to something in his eye. Coastal Vision saw him right away and took care of the problem. I recently went for an appointment for new glasses. Last year I was told my right eye wasn't correctable by another eye center due to RK surgery almost 30 years ago. Well.... My new glasses from Coastal Vision are perfect. I can see near and far with clarity. I feel so happy to know there's a team if people who can help me as eyes change as you age. Thank you!read more
T Lac
T Lac
23:14 25 Feb 21
Coastal Vision Center is a very diverse practice that can handle practically any eye care need and is great for all ages.Their optical shop will be the largest you’ve ever seen with a wide range of frames that can fit any budget (not like the hole in the wall eye practices that have a small selection for budget frames (on top of making you feel bad for choosing them)). They also have quite a selection of high end frames (if this is tempting, I suggest leaving the good credit cards at home - you can do some serious damage LOL). Regardless of what you choose, the optical shop will help you every step of the way and is very patient and accommodating when giving you options that work with your insurance. Even if you received your prescription elsewhere, I suggest going to Coastal Vision Center to purchase your glasses... you are much more apt to find a pair you like, with exceptional service on top of it.This practice likes to share their knowledge and has many train/intern under them, which shows how much experience they have. Each member of the clinic staff treats their patients with the highest regard and makes you feel like you’re important. The doctors are very down to earth and helpful and treat their exams more as a two-way street versus just telling you what you need and leaving. They want to make sure you’re leaving happy and comfortable with the right solution for you, as well as answering any questions or concerns you have.Overall, the clinic is caring and helpful, the optical shop is phenomenal and the front staff is friendly and efficient. Your visit may be quite a bit more lengthy than you would get at another practice, but it is worth it to get a higher level of service, care and better optical experience. I definitely would suggest this practice to anyone that is looking to make their eye care be an experience, and not “just another appointment”.read more
Natalie Block
Natalie Block
00:50 25 Feb 21
All staff was very professional and efficient!! Highly recommend this office for your eye care needs.read more
Megan
Megan
13:12 09 Jan 21
I am delighted to express my gratitude and appreciation to Dr. Herron and her staff at Coastal Vision Center.Upon arrival, the receptionists were very friendly, polite and accommodating and the wait time was very short. Dr. Herron was phenomenal! She’s very knowledgeable, diligent and attentive to my needs and concerns. She thoroughly explained to me the images and reports to help me fully understand the health of my eyes. Her ability to convey genuine concern and interest in me as a patient resonated with me. All of the staff followed the CDC guidances including sanitizing the equipment before each use, wearing masks, etc. This has been my best experience in over 15 years of wearing corrective lens! This is definitely my new home for all of my vision needs. I typically don’t leave reviews but Coastal Vision Center deserves the recognition and acknowledgement for their outstanding service. I highly recommend!read more
Brian T.R.
Brian T.R.
19:21 23 Dec 20
Be advised, there will be a 40.00 dollars charge for a procedure to test your eyes that is not covered by most insurances. I did not have a credit card on me and luckily had cash to pay it. A reminder of the charge added to the text for the appointment reminder would be nice. So, bring 40.00 dollars with you or a credit card. Dr. Heron is my doctor and she is very good at her job.read more
Johnnie Williams
Johnnie Williams
22:07 06 Nov 20
After years of traveling back and forth to South Carolina from my home on Amelia Island for my twice yearly eye exams because I trusted my doctor so much I finally decided to make an appointment in Fernandina Beach. I did and had my first visit with Dr Herron at the Coastal Vision Center.The office staff were super nice and efficient and Dr Herron was great. Very professional . Not only do I have a new Doctor who ( whom ? ) I trust I have also saved myself two 800 mile round trips to SC every year.PS ,The office area and exam rooms/equipment were immaculate.read more
dennis engers
dennis engers
16:29 14 Oct 20
Highly professional staff from arrival thru examination and check out. Best approach use of text for appt confirmation.read more
Judy S
Judy S
19:52 05 Oct 20
This is my second exam and my eyes have cataracts, Dr Herron was great did not try to sell me stronger contacts but set me up with Dr Stackhouse to review my options. Very much appreciate their professional and friendly care of me. Get staff to work with.read more
Joanna K
Joanna K
21:42 24 Aug 20
Coastal Vision is the best! The staff are so professional and friendly, and they are doing a great job cleaning and sterilizing everything. My eye exam was so thorough, and the doctor answered all of my questions with care. I highly recommend this office!read more
Lawrence Tipton
Lawrence Tipton
22:51 18 Aug 20
I've been going to Coastal Vision for 20+ years and I have always gotten scale 10 service 😊
Lexa Shontz
Lexa Shontz
16:14 16 Jul 20
I can't say enough good things about this entire office and staff! We were on vacation and my daughter had an ant in her eye and experienced severe swelling. We called in a panic at 4 p.m. and the front office was so nice and accommodating and said they could see her that day. When we arrived, we were greeted by a caring front office staff and there was little waiting time before she was examined by the doctor and medical staff and given a prescription that worked like a charm! From start to finish, everyone was friendly and professional. We are truly thankful for the care she received and would highly recommend Coastal Vision Center.read more
Patricia Kirschling
Patricia Kirschling
04:03 19 Jan 20
Great doctors and a fabulous support staff.
Michael J Smith
Michael J Smith
13:27 07 Dec 19
Excellent and the most thorough exam I've ever had.
Dootsie Krenach
Dootsie Krenach
12:22 21 Nov 19
Dr. Herron is the BEST!! My husband had an irritation in his eye & Dr Herron found a microscopic piece of grey eyelash embedded in it & removed it. She just did not give up until she could find out what was irritating his eyeread more
Dootsie Krenach
Dootsie Krenach
01:17 21 Nov 19
Dr. Herron is the BEST!! My husband had an irritation in his eye & Dr Herron found an eyelash embedded in it & removed it. She just did not give up until she could find out what was irritating his eyeread more
Gerrilyn Sylvester
Gerrilyn Sylvester
22:01 25 Jun 19
Fantastic, caring service for my father Paul. He is in a wheel chair and has ALS. The whole team at Coastal Vision Center made him feel like family. The eye exam was professional, thank you for the great care.read more
Kelly Ranch
Kelly Ranch
20:12 16 May 19
Professional service and staff. I have been twice with different doctors and both were very thorough and efficient. The wait was a little long the second visit, but the place was buzzing, so very understandable. Eyeglass frames are a bit expensive as most are at any optician outside of Walmart, but I don't mind paying a little more for higher quality and better fashion.read more
Dena Godwin
Dena Godwin
00:21 28 Mar 19
Had a Dr on call for emergency visit on a Saturday. Very professional and knowledgeable. Very friendly and thoroughread more
Dena Godwin
Dena Godwin
00:21 28 Mar 19
Had a Dr on call for emergency visit on a Saturday. Very professional and knowledgeable. Very friendly and thoroughread more
Ray Wollberg
Ray Wollberg
20:05 05 Mar 19
On time with appointment and friendly staff. Also got a picture of captain Jack. I say if it's good enough for captain Jack it's gotta be ok.read more
Mary Ann Narayanan
Mary Ann Narayanan
01:40 27 Feb 19
Dr. Stackhouse and Dr. Herron and ALL the staff at Coastal Vision are the absolute best!Recently had cataract surgery for both eyes and the treatment and care were superb both at Coastal Vision and Baptist Medical Center.Highly recommend!read more
Carol Blanchard
Carol Blanchard
15:49 26 Feb 19
I am so pleased with Dr Stackhouse and the entire staff at Coastal Vision Center. Everyone is friendly, welcoming, professional and helpful. I have always been seen on time, everything explained as we go through the eye exams and solutions are recommended. Everything is done efficiently and easily. And I want to mention that everyone was friendly and personable. They made me feel comfortable about a procedure I needed and their knowledge and professionalism made it easy to trust that all would be well. Indeed all is well...and my eyesight is 20/20 again. I will definitely be seeing these great folks again for my yearly check up.read more
Ted Ingraham
Ted Ingraham
18:24 14 Feb 19
Saw me same day for eye issue. I just moved and had no doc here. Extremely thorough and professional evaluation by Dr Shelby, then saw Dr McClane who referred me to a retina specialist. I have long history of experience with all kinds of eye docs and these folks are professional and personal.read more
Michael Whiffen
Michael Whiffen
15:15 14 Oct 18
Very professional office. Opticians, optometrists, and ophthalmologists are available for any eye care needs you have. Not the cheapest, but if you value your eye health and vision, this is the place to go.read more
Joe-Annis Iodice
Joe-Annis Iodice
16:22 17 Aug 18
Dr McClane rocks! He is the perfect doc, quick at figuring out what is going on gives excellent care, it’s kind focused, professional and he has a really great staff. His associate, and intern on ophthalmology was stellar, I hope he keeps her! They have a fabulous assortment of glasses they are not pushy and reasonably priced. Now if only they would open up the swimming pool to patients… lol! Great group recommend them highlyread more
Melinda NesSmith-Picard
Melinda NesSmith-Picard
16:07 06 Aug 18
Friendly, helpful and professional staff. Clearly explain your vision status and treatment/improvement options. Also knowledgeable of insurance coverage.read more
Yorkiemom5
Yorkiemom5
20:29 21 Jun 18
Dr. Rebecca was AWESOME. She explained the results of my eye exam in clear and simple language. It won't take me 4 years to go back again.read more
Roy Kecskes
Roy Kecskes
17:02 03 Mar 18
I showed up with an employee of mine at the last minute Right at 5:00 No appointment And they took him in and removed a foreign body from his eye They were fast, friendly and saved me a bunch of money for keeping me out of the emergency room It was a very pleasant experience And we were even from out of state and they still didn’t turn us away Thank you Coastal Vision Center Your staff was awesome and you Office is beautifulread more
Next Reviews
6 S 14th St, Fernandina Beach, FL 32034
Mon-Fri: 8:00am - 5:00pm