# Trifocal Toric Intraocular Lenses (IOL)

Source page: https://www.kudretgozistanbul.com/en/treatments/trifocal-toric-intraocular-lenses

**Author:** Opr. Dr. Nail Sönmez | **Medical Approval:** Op. Dr. Mehmet Ali Özdil | **Date:** 2026-09-05

> **Summary:** Trifocal toric intraocular lenses give clear vision at near, intermediate and far distances while also correcting astigmatism, together with myopia or hyperopia. For patients who have astigmatism alongside a cataract, both are addressed in a single operation, with the aim of living without glasses.

## Quick Facts
- **Operation Duration:** 15-20 minutes per eye
- **Recovery Time:** Back to daily life in 3-4 days, full recovery in 3-4 weeks
- **Anaesthesia Type:** Topical eye drops
- **Implanted During:** Cataract surgery

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## What Is a Trifocal Toric Lens?
A premium multifocal intraocular lens, placed during cataract surgery in place of the natural lens, that offers near, intermediate and distance vision like a natural lens and additionally corrects astigmatism. Cataract (clouding of the lens) is mostly age-related and becomes more common after the age of 55-60; presbyopia is the loss of lens flexibility that makes near vision difficult. Standard lenses cannot correct astigmatism and all distances at once.

## Who Is It For?
- People with cataract, or with astigmatism, myopia and hyperopia; if astigmatism accompanies myopia or hyperopia, toric lenses should be used.
- Applied during cataract surgery when the astigmatism comes from the cornea and is regular; it gives more successful results in high astigmatism.
- Especially those who do not want to wear glasses.
- A thorough pre-operative evaluation is required; the doctor explains lens choice by the degree of the eye problem.

## Advantages
- Corrects astigmatism, myopia and hyperopia permanently, with clear vision at near, intermediate and far distances.
- Lifelong and highly durable.
- Good vision in different lighting conditions.
- No discomfort in the eye.

## Lens Types

| Lens type | How it works | Who it suits | Advantages | Considerations |
| :--- | :--- | :--- | :--- | :--- |
| **Monofocal** | Single focus, usually far | Cataract patients who do not mind keeping reading glasses | Sharpest distance vision, least night-time glare, most affordable | Reading glasses still needed, limited intermediate vision |
| **Monofocal Toric** | Monofocal that also corrects astigmatism | Cataract patients with significant astigmatism | Corrects astigmatism in one go, sharp distance vision | Reading glasses still needed, precise positioning required |
| **Trifocal (Multifocal)** | Far, intermediate and near focus | Those wanting freedom from glasses who do little night driving | Glasses-free at every distance | Halos at night in the first 6 months, adaptation time |
| **Trifocal (Multifocal) Toric** | Trifocal that also corrects astigmatism | People with astigmatism who want to live without glasses | Complete solution in one operation | Halos at night in the first 6 months, extra charge for the astigmatism correction |
| **EDOF** | Extended depth of focus; near focus around 40 cm instead of 30 cm (about 10 cm further out than a trifocal) | Previous laser surgery, very sharp distance vision wanted, long night driving | Very sharp far and intermediate, fewer halos, phone and computer without glasses | Reading glasses may be needed for very small print |

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## Prices

All packages include: accommodation (4 nights), 3 meals a day, round-trip airport transfers, doctor examination, all eye tests, lenses and operation, surgery control, pay on-site. Prices vary with the underlying cause, lens type and operation; the plan is set individually after examination.

| Lens | Price (Per Eye) | Method |
| :--- | :--- | :--- |
| **Johnson & Johnson Odyssey Toric Multifocal** | £1,650 | Distance & Near & Intermediate |
| **Alcon Clareon PanOptix Trifocal (Multifocal) Toric** | £1,525 | Alcon Clareon PanOptix Toric IOL |

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## The Treatment Journey
- **Before:** Very careful evaluation before surgery to confirm suitability.
- **During:** Not very different from standard cataract surgery; done under topical (drop) anaesthesia, 15-20 minutes per eye.
- **After:** Back to daily life in 3-4 days, full recovery in 3-4 weeks; regular check-ups help spot problems early.

## Risks and Possible Side Effects
Among the most common operations in the world, with a very high success rate; risks are unlikely and mostly treatable.
- **Infection:** Very rare; antibiotic drops before and after surgery minimise it.
- **Temporary rise in eye pressure:** First few days, controlled with drops.
- **Posterior capsule opacification:** Months or years later; cleared with a quick, painless YAG laser treatment lasting 1-2 minutes.
- **Night halos and glare:** First weeks, usually fade considerably as the brain adapts.
- **Toric lens rotation:** Uncommon; if correction is less than expected, the lens is turned back to the correct axis in a short procedure.
- **Retinal detachment:** Very rare; sudden flashes, new floaters or a shadow need immediate contact.

## Understanding Your Prescription
A prescription is usually valid for two years. Sphere (SPH): minus (−) for distance trouble, plus (+) for near; Cylinder (CYL): astigmatism, blank means none; Axis: 0 to 180 degrees; Addition (ADD): near power usually after 40; Prism: only for double vision or squint.

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## Frequently Asked Questions (FAQs)

**Q: What does "toric" add to a multifocal lens?**
A: Toric multifocal lenses are also used to correct visual impairment in people with astigmatism.

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## References
- Toric IOLs, EyeWiki (AAO)
- Trifocal Intraocular Lenses, EyeWiki (AAO)
- Intraocular Lenses (IOL) for Cataract Surgery, American Academy of Ophthalmology