Posted by: Clear Vision Cataract & LASIK Center

Choosing a cataract lens is a big decision — and it’s one of the most important steps in shaping your vision for the next 20+ years. At Clear Vision Center, two of the most common premium lenses patients ask about are:

• The Light Adjustable Lens (LAL)
• Multifocal intraocular lenses (IOLs)

Both offer outstanding results, but they serve different needs. If you’re feeling overwhelmed about choosing the “best” one, this guide will help break it down simply and clearly.

What Is the Light Adjustable Lens (LAL)?

The Light Adjustable Lens is the only cataract lens that allows us to precisely adjust your vision after surgery using specialized UV light treatments.

Patients love it because:

✔ It offers the sharpest distance vision
✔ Adjustments happen while the lens is already inside your eye
✔ It reduces the risk of unpredictable outcomes
✔ It’s ideal for patients who previously had LASIK or PRK
✔ It helps minimize nighttime glare and halos

If precision is your top priority, LAL is unmatched.

What Is a Multifocal Lens?

Multifocal lenses have multiple focal points built into one lens, giving you functional vision at:

• Distance
• Intermediate
• Near

The goal is to give you the highest level of glasses freedom for everyday tasks like:

• Driving
• Using your phone
• Working on the computer
• Reading menus
• Checking emails

Key Differences Between the LAL and Multifocal Lenses

1. Customization

LAL:
Can be adjusted after surgery, allowing us to fine-tune your final result.
Multifocal:
Vision is “set” at the time of surgery and cannot be adjusted afterward.

If you value precision or have a previous refractive history, LAL shines here.

2. Night Vision & Halos

LAL:
Less glare and fewer night halos; excellent contrast sensitivity.
Multifocal:
May cause halos or starbursts, especially at night — some patients adapt, others do not.

Patients who drive frequently at night often prefer the LAL.

3. Reading Vision vs. Distance Vision

LAL:
Best for achieving crystal-clear distance vision. Near vision may still require reading glasses unless blended vision is chosen.

Multifocal:
Offers reading, computer, and distance vision — closer to “spectacle independence” for everyday use.

If avoiding readers is your goal, multifocal may be ideal.

4. Previous LASIK or PRK Patients

Post-LASIK eyes are harder to predict. Because the LAL can be adjusted after surgery, it is usually the most accurate and safest choice for these patients.

So Which Lens Gives the Best Vision?

It depends on what “best” means to you:

Choose the Light Adjustable Lens if you want:

✔ The sharpest, clearest distance vision
✔ The most precise visual outcome
✔ Fewer night halos
✔ A great option for post-LASIK patients

Choose a Multifocal Lens if you want:

✔ The highest level of glasses-free living
✔ Strong near and intermediate vision
✔ More convenience with daily tasks

Struggling to Know Which Fits Your Lifestyle?

You’re not expected to decide alone — our cataract team will listen to your goals, evaluate your eyes, and walk you through every option.

Schedule your cataract consultation today!