Initial Review of the Alcon PanOptix IOL

The Alcon PanOptix IOL has been available in the USA for about three months. What are our initial impressions? How does this lens perform? Are patients happy with the results?

My artistic representation of the lens performance is shown in this graph.

The Alcon PanOptix lens is good and it performs well. Like any man-made body part, particularly lens implants, there are some limitations. Nothing is as good as being young and healthy. The PanOptix certainly performs better than the bifocal IOLs that we have been using, such as the ReStor. But is the PanOptix a good choice for a plano presbyope without a cataract? What about a hyperopic presbyope without a cataract?

Click below to see some surgical footage of the PanOptix and to listen to our review:


    1. Yes, for the right patient, it is a great choice. The patient and the surgeon should discuss this at length.

      1. I’m very impressed with your videos and knowledge. I’m 51F with 28mm eyes at a -13.25 bilaterally. I was diagnosed at -6.00 at 9y/o, but have almost no astigmatism, no problems with presbyopia. Cataracts have gradually worsened for 20 years and now affect vision. I’ve been told to get Panoptix but I’m worried about loss of light in the long eyes. Should I wait for something better? Should I travel for a better doctor (like you)?

  1. Does the Haloing and Glaring with the Alcon Pan Optix lens eventually go away or is it permanent? Does it provide good close as well as distance vision for a 74 year old

  2. I am a 72 yr old female who has worn corrective lenses, either eyeglasses or contacts, since I was 16 for distance vision. My close up vision has always been excellent. I was diagnosed with small cataracts a few yrs ago but they had not affected my vision until this year. July of 2020 my dr. asked me during annual eye exam if I was having a problem visually and I told him No but in retrospect I realized I was squinting a little for distance sign reading etc. As the year went by, just didn’t accept it but as I moved into 2021, I realize since I’m out and about more that the clarity, while still OK, is not as sharp and 20 ft from a TV screen the words at the bottom of the screen is slightly blurred. I suppose I wanted the dismiss the whole process and wouldn’t escalate. Good answer but wrong. I was told that I would lose my close up vision as it has always been once the lens were placed. To me, that is overwhelming because I knew the distance would be handled with the lens but losing my close up vision is very depressing. I am trying the research this panoptic lens which I read is a trifocal lens that would take care of distance and close vision. Yes, I do know nothing is as good as what I’ve had or born with and the reality check is overwhelming to me but it is what it is and I just want to make the right decision for the best quality of life that I can. I read that the panoptic is a good lens but could compromise night vision with a glare and a halo. In your opinion, based on my statement, what do you think my best option would be. I’m a little scared because I’m a very active person and I want my best affordable option but I don’t know the right questions to ask and I don’t want to be sorry for my decision. Thank you!

    1. these are great questions and issues that you need to bring up with your eye surgeon!
      It is sad that you are forced to ask strangers on the internet (who have never examined or measured your eyes) about what would be best. Your surgeon should answer all of your questions to your satisfaction — if not, then you are in the wrong clinic. Find a better surgeon.

    2. Skye, my doctor said you can have your new lenses be for close vision or distance vision, but not both. This bi- focal may be an option, but it looks like close like 3 inches from your nose may not work with the bi-focal. I have put cataract surgery off, because I don’t want to lose my close vision until I must make that choice.

  3. Cool flick Doc. Me: 65 male, progressively myopic from age 7. Soft contacts at 17 to up girl-chasing game. PRK at Howie Gimbel’s joint in Calgary in ‘93 at age 37, flawless results except night light corona effects. Current, epiretinal membrane right eye last 3 years or so. Now significant pucker so graph paper now quite wavy and splotches via that eye. Cataract development in both eyes. BUT, I’d sure like those IOLs. Partial retinal detachment in left eye lasered and fixed in Bangkok in 2013 at Bumrungrad hospital – no issues since. Anything in all this that you see as disqualification for the IOLs?

    Best, Jack

  4. The graph seems to suggest that it pertains to nighttime vision, specifically. Is that correct? If so, what are the results for daytime vision?

    Are the results with PanOptix “only” clear because of the halos and glare? If so, if we take that out of the equation, how is the clarity?

    Thank you for your time. This page is very informative. 🙂

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