Zelenak Eye Institute · Wixom, Michigan
TECNIS Eyhance Toric: Enhanced Monofocal Cataract Lens for Astigmatism in Michigan
Excellent distance vision, functional intermediate to 66cm, and precise astigmatism correction, with a near-monofocal dysphotopsia profile that minimizes nighttime glare and halos.
About This Lens
The TECNIS Eyhance Toric IOL by Johnson & Johnson Vision uses a higher-order aspheric anterior surface that modestly extends depth of focus beyond a standard monofocal, while maintaining the predictability and near-monofocal dysphotopsia profile that make monofocal lenses so reliable.
The defocus curve is from a published head-to-head study (JCM 2025) directly comparing Eyhance and PureSee. Eyhance maintains functional vision to approximately -1.5D (66cm), a modest but real improvement over a standard monofocal. This clearly illustrates the difference between an enhanced monofocal and a true EDOF lens like PureSee.
Clinical Performance
Defocus Curve: TECNIS Eyhance Toric
The defocus curve below is based on published binocular clinical trial data, showing visual acuity (logMAR) across a range of distances. Lower values indicate sharper vision. The gray dashed line shows a standard monofocal lens for comparison. Stars reflect clinical performance at distance, intermediate, and near based on the published data.
Source: JCM 14-04967, Fig. 1. Binocular distance-corrected defocus curves, TECNIS PureSee vs TECNIS Eyhance (Journal of Clinical Medicine 2025). Functional vision (0.2 logMAR) maintained to approximately -1.5D (66cm). Lower logMAR = better vision. 0.0 = 20/20. Green shaded area = functional vision (20/32 or better). Gray dashed = monofocal reference.
Key Features
What Sets the TECNIS Eyhance Toric Apart
- Enhanced monofocal design: higher-order aspheric anterior surface extending functional depth of focus to approximately -1.5D (66cm)
- Toric astigmatism correction: addresses corneal astigmatism for cleaner, sharper distance vision
- Near-monofocal dysphotopsia profile: negligible halos and glare, ideal for patients sensitive to nighttime disturbances
- Clear functional limit at 66cm: JCM 2025 data confirm gradual VA decline beyond -1.5D, setting honest performance expectations
- TECNIS platform: 25+ years of proven performance and the highest spherical aberration correction available
Patient Candidacy
Who Is the TECNIS Eyhance Toric Best For?
The Eyhance Toric is ideal for patients with astigmatism who want outstanding distance vision and functional intermediate at arm’s length, while maintaining the reliability and comfort of a monofocal.
- Patients with astigmatism who are comfortable wearing reading glasses for near tasks
- Patients highly sensitive to halos, glare, or nighttime visual disturbances
- Patients with demanding visual occupations where contrast and low-light clarity are critical
- Patients with mild corneal irregularities where diffractive designs are less suitable
Patients who want to eliminate reading glasses will need a trifocal or full-range IOL. The Eyhance Toric provides functional intermediate to approximately 66cm but is not a presbyopia-correcting lens.
Frequently Asked Questions
TECNIS Eyhance Toric: Common Questions
What is the TECNIS Eyhance Toric lens?
The TECNIS Eyhance Toric is an enhanced monofocal IOL by Johnson & Johnson Vision. Its continuous power profile extends intermediate vision beyond a standard monofocal, while simultaneously correcting corneal astigmatism. Because it uses a refractive rather than diffractive design, it produces a near-monofocal dysphotopsia profile, meaning very few halos or rings at night. This makes it an excellent option for patients who are sensitive to visual side effects.
How does the Eyhance Toric compare to EDOF or trifocal lenses?
The Eyhance Toric produces fewer visual disturbances than EDOF or trifocal lenses because it uses a refractive enhanced monofocal design. It offers better intermediate vision than a standard monofocal, but near vision at 40cm is more limited than EDOF or trifocal options. Patients who prioritize minimal nighttime side effects, or who have conditions like macular degeneration or corneal irregularities that make them poor candidates for diffractive IOLs, are often excellent Eyhance Toric candidates.
Is the Eyhance Toric available in Michigan?
Yes. Dr. Jonathan Zelenak, D.O. offers the TECNIS Eyhance Toric IOL at Zelenak Eye Institute in Wixom, MI. Surgery is performed at Novi Surgery Center using the ARGOS Biometer and ORA System with VerifEye+ Technology for precise toric alignment. Serving Novi, Northville, Livonia, Walled Lake, Brighton, and throughout Metro Detroit. Call (248) 232-1777 to schedule.
Who is the best candidate for the TECNIS Eyhance Toric?
The Eyhance Toric is ideal for cataract patients with astigmatism who have a low tolerance for nighttime halos, or who have eye conditions such as macular degeneration, glaucoma, or corneal irregularities that make diffractive premium lenses less appropriate. Dr. Zelenak will evaluate your eye health, astigmatism measurements, and lifestyle needs to determine if Eyhance Toric is the right fit.
Getting Started
Discuss the TECNIS Eyhance Toric with Dr. Zelenak
Dr. Zelenak will evaluate your eyes, review your visual goals, and help you determine whether the TECNIS Eyhance Toric is the right lens for your cataract surgery. No two patients are the same, and lens selection is one of the most important decisions in cataract surgery.
Visit our Custom Cataract Surgery page to learn about the full lens selection process, or review our Cataract Surgery FAQ for common questions.
Schedule a Lens Consultation
Serving patients in Wixom, Novi, Northville, Livonia, and Metro Detroit.