Premium Lens Questionaire Am I a candidate for Advanced Lens technology to gain FREEDOM FROM GLASSES? –Answer these 4 questions to find out! 1. Are you interested in seeing well without glasses in any of the following situations Distance (driving, golf, tennis, other sports, watching TV) Mid-range (computer, menus, price tags, cooking, board games, items on a shelf) Near (reading books, smartphones, tables, e-readers, sewing, detailed handwork) 1. Are you interested in seeing well without glasses in any of the following situations Yes No That’s ok. Once you have cataract surgery, the goal is always to improve your vision to as close to 20/20 as possible. This questionnaire is trying to determine if you are interested in the next level of cataract surgery – which is freedom from glasses. If you have any more questions, ask your surgeon.2. Would you be able to tolerate some slight imperfections in night vision? Yes No You may still be a candidate for distance vision or for some of our less powerful (i.e. non multifocal lens options). Ask your surgeon about these options.3. If you could have good Distance, Mid-range, and Near Vision all without glasses, but the compromise was that you might see some halos, rings, or starbursts around lights at night, would you like that option? Yes No 4. If you could have good Distance and Mid-range without glasses, but the compromise was that you might need glasses for the finest print at near, would you like that option? Yes No CONGRATULATIONSYour personality and desires match the potential of advanced lens technology to give you freedom from glasses.MULTIFOCAL (‘all-in-one — distance, intermediate, near’) Learn MoreTORIC (‘astigmatism’) Learn MoreMONOFOCAL (‘single vision’) Learn More (adopted from 2017 revised Dell questionnaire)
