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Digital Outsert | May/June '22

Vivity™ and PanOptix® Expand Patients’ Visual Possibilities – Dr. Neda Shamie

As a cataract, refractive, and cornea surgeon in Los Angeles, Neda Shamie, MD, knows there’s no better time to bring premium lenses into a practice than right now. With the advent of lenses like the Clareon® Vivity and Clareon® PanOptix® Trifocal IOLs, she has such confidence in these lenses that she plans to implant the Vivity for her own mother later this year. Dr. Shamie chooses to live her life with boldness and positivity, both personally and professionally, and the Vivity and PanOptix® make this possible.1,2

As you implant the PanOptix® and Vivity, lenses, the results will encourage you to consider them more and more.

For myself, I would choose a PanOptix® lens, based on my patients' reports of excellent distance vision and the ease of reading.2

“When I see my Vivity and PanOptix® patients postop, they are happy and really fulfilled with the excellent vision at all distances that the implanted lens offers them.”1,2

“It’s nothing new that patients want good vision at all distances. With Alcon, 20/20 near, intermediate, and distance vision are now possible with PanOptix®, and over 99% of patients who get the PanOptix® IOL would choose it again.”2*†

“I'm becoming bolder as a surgeon as I offer this lens to more patients. I'm seeing patients with great confidence.”

IMPORTANT PRODUCT INFORMATION - Clareon® Panoptix® and Vivity Family of IOLs

CAUTION: Federal (USA) law restricts this device to the sale by or on the order of a physician.


The Clareon® PanOptix® Trifocal Hydrophobic IOL, Clareon® PanOptix® Toric, Clareon® Vivity Extended Vision Hydrophobic Posterior Chamber IOL and Clareon® Vivity Toric IOLs are indicated for visual correction of aphakia in adult patients following cataract surgery. In addition, the Clareon® Toric IOLs are indicated to correct pre-existing corneal astigmatism at the time of cataract surgery. The Clareon® PanOptix® lens mitigates the effects of presbyopia by providing improved intermediate and near visual acuity, while maintaining comparable distance visual acuity with a reduced need for eyeglasses, compared to a monofocal IOL. The Clareon® Vivity lens mitigates the effects of presbyopia by providing an extended depth of focus. Compared to an aspheric monofocal IOL, the lens provides improved intermediate and near visual acuity, while maintaining comparable distance visual acuity. All of these IOLs are intended for placement in the capsular bag.

WARNINGS/PRECAUTIONS: Careful preoperative evaluation and sound clinical judgment should be used by the surgeon to decide the risk/benefit ratio before implanting a lens in a patient with any of the conditions described in the Directions for Use labeling. Physicians should target emmetropia, and ensure that IOL centration is achieved.

For the PanOptix® Toric and Vivity IOLs, the lens should not be implanted if the posterior capsule is ruptured, if the zonules are damaged, or if a primary posterior capsulotomy is planned. Rotation can reduce astigmatic correction; if necessary lens repositioning should occur as early as possible prior to lens encapsulation.

For the Clareon® PanOptix® IOL, some visual effects may be expected due to the superposition of focused and unfocused multiple images. These may include some perceptions of halos or starbursts, as well as other visual symptoms. As with other multifocal IOLs, there is a possibility that visual symptoms may be significant enough that the patient will request explant of the multifocal IOL. A reduction in contrast sensitivity as compared to a monofocal IOL may be experienced by some patients and may be more prevalent in low lighting conditions. Therefore, patients implanted with multifocal IOLs should exercise caution when driving at night or in poor visibility conditions. Patients should be advised that unexpected outcomes could lead to continued spectacle dependence or the need for secondary surgical intervention (e.g., intraocular lens replacement or repositioning). As with other multifocal IOLs, patients may need glasses when reading small print or looking at small objects. Posterior capsule opacification (PCO), may significantly affect the vision of patients with multifocal IOLs sooner in its progression than patients with monofocal IOLs.

For the Clareon® Vivity IOL, most patients implanted with the Vivity IOL are likely to experience significant loss of contrast sensitivity as compared to a monofocal IOL. Therefore, it is essential that prospective patients be fully informed of this risk before giving their consent for implantation of the Clareon® Vivity IOL. In addition, patients should be warned that they will need to exercise caution when engaging in activities that require good vision in dimly lit environments, such as driving at night or in poor visibility conditions, especially in the presence of oncoming traffic. It is possible to experience very bothersome visual disturbances, significant enough that the patient could request explant of the IOL. In the parent AcrySof® IQ Vivity IOL clinical study, 1% to 2% of AcrySof® IQ Vivity IOL patients reported very bothersome starbursts, halos, blurred vision, or dark area visual disturbances; however, no explants were reported.

Prior to surgery, physicians should provide prospective patients with a copy of the Patient Information Brochure available from Alcon informing them of possible risks and benefits associated with these IOLs.

ATTENTION: Reference the Directions for Use labeling for each IOL for a complete listing of indications, warnings and precautions.

*Snellen VA was converted from logMAR VA. A Snellen notation of 20/20-2or better indicates a logMAR VA of 0.04 or better, which means 3 or more of the 5 ETDRS chart letters in the line were identified correctly.

†Response to the following question on IOLSAT questionnaire (Version 1.0, December 20, 2018) at 6 months post-op: “Given your vision today, if you had to do it all over, would you have the same lenses implanted again?"

1. Vivity DFU.

2. PanOptix DFU.

Dr. Neda Shamie is a paid Alcon consultant. PanOptix and Vivity are trademarks for Alcon. All other brand/product names are the trademarks of their respective owners.

© 2022 Alcon Inc. 7/22 US-CPO-2200055