The Progressive Lens Trap: Why You Need a Permanent Solution

Augenlaser

Progressive glasses unconsciously force you into a rigid behavioral pattern. Whether you have to unnaturally lower your head to avoid the dangerous “swimming effect” when descending stairs in the subway, or you develop chronic neck tension (cervical spine syndrome) when working on a PC in the office – glasses are a physical and psychological barrier.

Multifocal lenses break through this barrier directly in the eye. Our goal is to give you back visual spontaneity: to let your gaze flow smoothly from the horizon while playing golf to the smartwatch on your wrist, without having to fumble for a visual aid.

The Lens Evolution 2026: We Implant the World Elite

Technology has evolved rapidly. At EyeLaser Vienna, we no longer implant outdated bifocal lenses (with only 2 focal points). We independently rely on the absolute world elite of the latest lens generation:

Eyelaser
  • The new generation of trifocal lenses (Focus: Absolute Near Vision): These diffractive lenses bundle light into three exact focal points: distance, intermediate range (PC), and absolute near vision (fine print). The latest models have reduced nocturnal light rings (halos) to a minimum and maximized contrast.
    (Our premium selection: enVista ENVY from Bausch + Lomb, PanOptix® Pro from Alcon, ODYSSEE from J&J).
  • Refractive EDOF lenses (Focus: Dynamics & Night Vision): “Extended Depth of Focus” offers a seamless visual channel from distance to smartphone – often with a smooth principle without rings. The huge advantage: brilliant contrast and almost zero halos at night. Ideal for frequent drivers.
    (Our premium selection: PureSee™ from J&J, LuxLife from B&L).

Radical Honesty: Visual Acuity vs. Visual Quality (The Optical Compromise)

In leading international clinics, patients are taught a physical truth that we also uncompromisingly uphold at EyeLaser Vienna: Every multifocal lens splits light. Nature cannot be tricked. There is a difference between “sharpness” (quantity) and “contrast” (quality).

The MTF Principle (Modulation Transfer Function):
For you to see a book and the mountains on the horizon sharply at the same time, diffractive lenses (trifocal) must split the incoming light.

Gray star cataract
  • The physical fact: Due to this splitting, the eye loses approximately 10 to 15% of light energy for the respective focal point. While you can read tiny letters (high sharpness), the contrast (the ability to distinguish fine shades of gray in dim light) decreases minimally.
  • What this means for your daily life: In a dimly lit restaurant, you may sometimes need a little more light (mobile phone flashlight) to read the menu than a healthy 20-year-old. In addition, slight light rings (halos) may appear at night due to the optical grooves.
  • The Neuroplasticity of the Brain: Your brain learns to filter these new optical signals and largely suppress halos within the first 3 to 6 months after surgery (neuroadaptation).

Our promise: Through our “Visual Lifestyle Mapping” in the preliminary examination, we find exactly the optical compromise that feels like a gain for you.

The Medical Masterclass: Swept-Source OCT, AI & FLACS

A multifocal lens tolerates no errors. If it is decentered by even a fraction of a millimeter or if the cornea is rough, the optical side effects are enormously potentiated.

Alterssichtigkeit
  • Ocular Surface Optimization: A multifocal lens only works perfectly if your tear film is intact. Dry eyes scatter light and distort AI measurements. We absolutely treat dry eyes before biometry (e.g., with IPL light therapy) to create a perfect basis.
  • AI Biometry (Swept-Source OCT): We measure your eye with high-resolution laser technology. The data is processed using the most modern artificial intelligence formulas (such as the Kane formula or Hill-RBF) to predict the power of the artificial lens with micrometer precision.
  • Scalpel-free with the Femto Laser (FLACS): We offer lens exchange as robot-assisted Femtosecond Laser-Assisted Cataract Surgery . The femto laser opens the lens capsule in a mathematically perfect, centered circle. The result: The premium lens sits mechanically absolutely stable on your individual visual axis.

Safety First: Why We Often Decline Myopic Patients Under 45

Many clinics immediately operate on every patient over 45 with multifocal lenses to make a profit. We at EyeLaser Vienna do not do that.

Femto-LASIK

If you are severely myopic, your eyeball has grown anatomically too long. Your retina is under mechanical tension. If we now remove your voluminous natural lens and replace it with a very flat artificial lens, the vitreous humor in the eye moves.
The consequence: For myopic individuals, this massively increases the risk of a dangerous retinal detachment (ablatio retinae)!

If you are severely myopic and younger than 55-60 years old, we usually decline lens exchange for your safety. We then evaluate gentler alternatives, such as implantable contact lenses (EVO ICL) or the PresbyMAX laser.

Method Comparison: Trifocal vs. EDOF vs. Public Health Insurance Surgery

Which subtype of multifocal lens suits your life?

Feature Trifocal Lenses (enVista ENVY, PanOptix Pro, ODYSSEE) Refractive EDOF Lenses (PureSee, LuxLife) Cataract Surgery (Public Health Insurance)
Optical Principle Diffractive (With fine optical rings) Smooth, without grooves Monofocal (One focal point)
Sharp Distances Distance, PC & absolute reading near vision Distance to extended near vision Distance only (reading glasses mandatory!)
Night Vision / Halos Slight halos during adaptation phase 🥇 Excellent (Almost no halos) Very good
Contrast Sensitivity (MTF) Very good (slight light-splitting loss) 🥇 Outstanding (no light loss) Outstanding
Cataract Protection 🥇 Yes, lifelong 🥇 Yes, lifelong 🥇 Yes

The EyeLaser Suitability Check: Traffic Light System for Multifocal Lenses

EDOF-Linsen

🟢 Green Light (Ideal Conditions):

  • Age approx. 50-55 years with pronounced presbyopia.
  • Farsightedness (hyperopia) with reading problems.
  • First signs of natural lens opacity (cataract).
  • Good lighting in daily work and the absolute desire to be glasses-free.

🟡 Yellow Light (Precise Medical Clarification Needed):

  • Dry eyes (MGD): A disrupted tear film drastically worsens the halos of multifocal lenses. The tear film must be treated before AI measurement (Ocular Surface Optimization).
  • Extreme frequent night drivers: We evaluate whether EDOF lenses are the safer choice.
  • Previous laser surgery (LASIK) in youth: Requires more complex AI special calculations for the lens.

🔴 Red Light (Strict rejection for multifocal lenses):

  • Severe myopia under 55-60 years (Due to massive risk of retinal detachment).
  • Advanced macular degeneration (AMD) or advanced glaucoma with visual field defects. (Here, the diffractive lens further reduces the already weakened contrast. We strongly advise standard monofocal lenses).
Dr Victor Derhartunian

“The implantation of a premium multifocal lens is a decision for the rest of your life. We use the most innovative lenses in the world – such as the enVista ENVY or PanOptix Pro – and center them with robot-assisted precision (FLACS). Nevertheless, one thing is particularly important to me in the medical consultation: Radical Honesty. I will not make you unrealistic promises, but will transparently explain the physics of light and the compromise of neuroadaptation. Only if you understand these processes will you be 100% happy with the brilliant result for a lifetime.”
– Dr. med. univ. Victor Derhartunian, FEBO

Experience the world sharply at all distances.

Put away your progressive glasses forever. Invest in maximum retinal safety, robot-assisted femto precision (FLACS), and the world’s most innovative multifocal lenses (enVista ENVY, PanOptix Pro, ODYSSEE).

100% non-binding. No hidden costs. Practice in a prime location in the heart of Vienna.

Book a free eligibility check in Vienna now (15 min.)

Frequently Asked Questions (FAQ) about Multifocal Lenses in Vienna

What is the difference between multifocal lenses, trifocal lenses, and EDOF lenses?

“Multifocal lens” is the general umbrella term for all multi-power lenses. Trifocal lenses (e.g., enVista ENVY, PanOptix Pro, ODYSSEE) are the most modern subtype: They have three fixed focal points (distance, PC, near). EDOF lenses (e.g., PureSee, LuxLife) have a smooth principle without rings. They offer excellent vision at distance and on the PC without halos at night, but you may need slight reading glasses for the finest print.

Is the procedure painful?

No. Your eyes are completely numbed locally with drops. During the surgery (which only takes 10 to 15 minutes per eye), you will only feel slight pressure, but no pain whatsoever.

Will I feel the multifocal lens in my eye?

Absolutely not. The premium lens is inserted with micrometer precision into the capsular bag of your eye. Since there are no pain nerves inside the eye, you will not feel the implant when blinking or rubbing.

How long does the artificial lens last?

The biocompatible high-performance acrylates do not decompose or become cloudy. The multifocal lens lasts your entire life and never needs to be replaced.

Can I still get cataracts after lens exchange?

No! Since your natural lens, prone to clouding, has been removed and replaced with a crystal-clear artificial lens, you can never again develop cataracts in your lifetime.

What is a secondary cataract and how is it treated?

Months or years after the surgery, the body’s own tissue capsule, in which the new lens sits, can become slightly cloudy (posterior capsule opacification). Vision becomes milky. We “polish” this capsule painlessly in our practice with a YAG laser in 60 seconds. After that, vision is crystal clear forever.

What is neuroadaptation?

Since diffractive multifocal lenses project multiple images (distance, near) onto the retina simultaneously, your brain must learn through neural plasticity to focus on the currently needed image and suppress the others. This fascinating neurological learning process usually takes 3 to 6 months.

What are halos and do they disappear?

Halos are fine light circles that appear at night around bright light sources (e.g., car headlights) because light is refracted at the grooves of the lens. Through neuroadaptation, the brain learns to suppress these halos. For most patients, they are no longer bothersome in daily life after a few months.

Why do I sometimes need more light to read?

Due to the physical splitting of light into multiple focal points, not 100% of the light energy reaches the retina for the near image (physical contrast loss of approx. 10-15%). In a dimly lit restaurant, a little more light (mobile phone flashlight) often helps to read the menu sharply.

When will my vision be sharp after the surgery?

Visual recovery is rapid. Most patients see excellently at a distance on the first day after surgery. The fine-tuning of reading near vision stabilizes in the following weeks.

When can I return to work?

Most patients are able to return to work and work on a screen 2 to 3 days after the operation. Heavy physical work should be avoided for 1 week.

How long do I have to wait to exercise?

Light exercise (jogging, cycling) is permitted after 3 to 4 days. Swimming (Old Danube, thermal baths) and sauna are strictly forbidden for 3 weeks to avoid severe bacterial infections inside the eye (endophthalmitis).

Am I allowed to drive myself after the surgery?

Absolutely not on the day of surgery. At the medical check-up the following day, Dr. Derhartunian will give you consent as soon as the legally required visual acuity is achieved.

What does FLACS mean?

FLACS (Femtosecond Laser-Assisted Cataract Surgery) is the robot-assisted premium method. A femto laser opens the lens capsule in a mathematically perfect circle. This guarantees the exact centering of the multifocal lens – a crucial factor, as decentration would massively reduce optical quality.

Why can't I use face cream or make-up on the day of the surgery?

Make-up particles and cream vapors jeopardize the absolute microbiological sterility in the operating room. Come with a freshly washed, “naked” face.

Can I wear make-up after the procedure?

Please completely refrain from eye make-up for at least 1 week to prevent dangerous infections from mascara bacteria.

Why can't I wear contact lenses before the preliminary examination?

Contact lenses deform the cornea and distort the AI-supported biometry values we need to calculate your multifocal lens with micrometer precision. You must remove soft lenses 1 week and hard lenses 4 weeks before the examination.

Are both eyes operated on the same day?

For lens exchange, we often prefer a gap of a few days to a week between the right and left eye. This allows us to optimally monitor wound healing and the brain’s initial visual response.

Can I be operated on despite astigmatism?

Yes, absolutely. We order multifocal lenses in a special “toric” version. These are precisely adapted to your axis and correct presbyopia and astigmatism simultaneously.

Is blindness possible due to the procedure?

The risk of a severe complication leading to blindness is extremely low (far below 1:10,000). The greatest theoretical danger is infection. We uncompromisingly minimize this risk through highly sterile operating conditions (Class 1 OR) and strict hygiene protocols.

Why do you often reject myopic individuals under 60?

Myopic eyes are anatomically longer, and the retina is under mechanical tension. If we remove the body’s own, voluminous lens and insert a flat artificial lens, the vitreous humor moves. The risk of a retinal tear or retinal detachment increases significantly. We do not unnecessarily expose you to this risk (especially before the age of 60).

Why is dry eye treatment BEFORE surgery so important?

The tear film is the very first refractive layer of the eye. If it is rough and disrupted, light scatters on the cornea, which massively worsens the halos of the multifocal lens and distorts the AI measurement. We treat dry eyes beforehand (Ocular Surface Optimization).

What does "Mix & Match" (Blended Vision) mean?

To utilize the perfect advantages of both lens systems, we sometimes implant a halo-free EDOF lens (e.g., PureSee) in the dominant eye (for perfect night vision/driving) and a trifocal lens (e.g., enVista ENVY) in the non-dominant eye (for fine reading). The brain seamlessly blends both visual impressions.

Why does the preliminary examination at EyeLaser take almost two hours?

Premium safety tolerates no haste. The optical AI measurement (Swept-Source OCT), pupillary dynamics analysis (pupillometry), endothelial cell count, and retinal examination with dilated pupils (cycloplegia) require time. In addition, there is the detailed consultation about the physical compromise of the lens.

What are the costs for multifocal lenses in Vienna?

The procedure with the very latest premium lenses (2026 generation) usually costs between 3,000 and 4,500 Euros per eye. The price reflects the high-precision AI customization, the use of the femtosecond laser (FLACS), and the enormous development costs of the global market lenses.

Does the Austrian health insurance fund (ÖGK) cover the costs?

No. Public health insurance only covers a simple standard lens for medically pronounced cataracts. Lens exchange with multifocal lenses for glasses-free vision is considered a private service. However, you can deduct the costs for tax purposes in your employee tax assessment.

Do you offer installment payments?

Yes, in cooperation with our reliable financing partners, we offer flexible installment payment models.

Can it happen that the diopters are not 100% accurate?

Yes. Since every body heals individually, in rare cases (approx. 2-5%), there may be a small residual refractive error. Here, our EyeLaser quality promise applies: We can usually perfect the optical result without problems with a fine laser touch-up on the cornea (e.g., with Trans-PRK).