Zelenak Eye Institute · Wixom, Michigan
Compare Cataract Lens Implants: Michigan
Dr. Zelenak offers the full spectrum of premium intraocular lenses: from trifocals and EDOF lenses to toric and enhanced monofocal options. Use this guide to understand each lens category, compare clinical defocus curves side by side, and find the lens that best matches your vision goals.
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What Are Your Vision Goals?
The right lens depends on your lifestyle, visual demands, and how you weigh glasses independence against potential side effects. Start with your primary goal below, then explore the detailed comparison sections.
No two patients are the same. Dr. Zelenak will review your eye health, visual goals, and lifestyle before recommending any lens. This guide is educational: lens selection is always personalized.
The Selection Process
How Dr. Zelenak Chooses the Right Lens for You
Lens selection is the single most important factor in cataract surgery satisfaction. Dr. Zelenak believes every patient deserves an unhurried consultation where their lifestyle, visual goals, and eye health history are fully understood before any recommendation is made.
During your evaluation Dr. Zelenak will review your prescription and cataract severity, corneal topography and astigmatism from the ARGOS Biometer, your visual demands at work, while driving, and during hobbies, any history of prior LASIK, PRK, or RK surgery, and existing eye conditions such as glaucoma, macular degeneration, or dry eye that may influence candidacy for certain lens types.
Surgery is performed at Novi Surgery Center, where Dr. Zelenak uses the ORA System with VerifEye+ Technology to confirm lens power in real time during the procedure: particularly valuable for premium lens patients and those with prior refractive surgery.
There is no single best lens. The right lens is the one that matches your goals, your eye health, and your honest expectations: chosen together with a surgeon who takes the time to know you.
Side-by-Side Comparison
Available Lenses at a Glance
Star ratings are derived from published binocular clinical defocus curve data. Click any lens name to view its full page, defocus curve, and clinical sources.
| Lens | Manufacturer | Type | Near | Intermediate | Distance | Night Halos | Astigmatism Correcting |
|---|---|---|---|---|---|---|---|
| Trifocal & Full Visual Range | |||||||
| Clareon PanOptix | Alcon | Trifocal | ★★★★☆ | ★★★★★ | ★★★★★ | Moderate | ✓ Yes |
| Clareon PanOptix Pro | Alcon | Trifocal (Next-Gen) | ★★★★★ | ★★★★★ | ★★★★★ | Low-Moderate | ✓ Yes |
| enVista Envy | Bausch + Lomb | Trifocal | ★★★★★ | ★★★★★ | ★★★★★ | Low-Moderate | ✓ Yes |
| Extended Depth of Focus (EDOF) | |||||||
| TECNIS Odyssey | J&J Vision | Full Visual Range | ★★★★☆ | ★★★★★ | ★★★★★ | Very Low | ✓ Yes |
| Clareon Vivity | Alcon | Non-Diffractive EDOF | ★★☆☆☆ | ★★★★★ | ★★★★★ | Minimal | ✓ Yes |
| TECNIS PureSee New | J&J Vision | Refractive EDOF | ★★★☆☆ | ★★★☆☆ | ★★★★★ | Near-Zero | ✓ Yes |
| TECNIS Symfony | J&J Vision | EDOF | ★★★☆☆ | ★★★★☆ | ★★★★★ | Low | ✓ Yes |
| Enhanced Monofocal & Toric | |||||||
| TECNIS Eyhance Toric | J&J Vision | Enhanced Monofocal + Toric | ★★☆☆☆ | ★★★☆☆ | ★★★★★ | Negligible | ✓ Yes |
| enVista Toric | Bausch + Lomb | Monofocal + Toric | ★☆☆☆☆ | ★★★☆☆ | ★★★★★ | Negligible | ✓ Yes |
| Standard Monofocal | |||||||
| AcrySof IQ Monofocal | Alcon | Standard Monofocal | ★☆☆☆☆ | ★☆☆☆☆ | ★★★★★ | None | No |
Individual results vary. Star ratings are representative of published clinical data. ✓ Yes = toric version offered for astigmatism correction. All surgeries performed at Novi Surgery Center, Novi, MI.
Defocus curve data sourced from published peer-reviewed clinical literature where available. The Clareon PanOptix Pro curve is an optical estimate derived from Alcon ENLIGHTEN NXT published performance specifications (94% light utilization, 16% improved contrast vs standard PanOptix); long-term binocular clinical defocus data for PanOptix Pro are pending publication. All other curves are based on published clinical trial data cited in each lens section below.
Category 1 of 4
Trifocal & Full Visual Range IOLs
Trifocal lenses create three clear focal points at near (40cm), intermediate (60–66cm), and distance, delivering the highest level of spectacle independence. They are best suited for active patients who want to reduce or eliminate dependence on glasses at all distances. Most patients experience an adaptation period of 3–6 months to halos and rings around lights at night.
Sources: Kohnen et al. Am J Ophthalmol 2017 (PanOptix); Muzychuk et al. AAO 2024 / B+L PMA P240005 (enVista Envy). *Clareon PanOptix Pro curve is an optical estimate based on Alcon ENLIGHTEN NXT published performance data; published binocular clinical defocus data pending.
Category 2 of 4
Extended Depth of Focus (EDOF) IOLs
EDOF lenses extend the depth of focus to provide a continuous range from distance through intermediate, with varying degrees of functional near vision. Unlike trifocals, they produce a smoother defocus curve and generally fewer halos and rings at night. They are particularly popular with patients who drive frequently at night or work in visually demanding environments.
Sources: Springer 2025 multicenter (Vivity); ISPOR systematic review n=310 (Symfony); ASCRS prospective multicenter 2024 (Odyssey); JCM 14-04967 (PureSee).
Category 3 of 4
Enhanced Monofocal & Toric IOLs
For patients who prefer the simplicity, predictability, and near-zero nighttime side effects of a monofocal lens, enhanced monofocal and toric options provide outstanding distance clarity with astigmatism correction. Patients will typically still need reading glasses for near tasks, but achieve excellent distance vision with the cleanest possible visual profile.
Sources: JCM 14-04967 (TECNIS Eyhance, JCM 2025); enVista monofocal platform clinical data (enVista Toric).
Category 4 of 4
Standard Monofocal IOL
For patients who are comfortable wearing glasses to correct astigmatism and reading glasses for near tasks. This lens gives excellent distance vision and no nighttime side effects such as glare or halos. This may be the best option for patients who have other pre-existing eye conditions such as macular degeneration, glaucoma or severe dry eye.
Source: Alcon Vivity FDA PMA P200041 control arm; AcrySof IQ SN60WF, bilateral implantation, n=111 subjects, 6-month binocular defocus curve.
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Serving patients from Wixom, Novi, Northville, Livonia, Brighton, and throughout Metro Detroit.
