Cataract and lens condition
Cataract with a strong goal of reducing spectacle dependence at several distances.
About the service
A multifocal IOL provides several optical foci to reduce dependence on glasses at different distances. Selection requires assessment of eye health and discussion of optical limitations and patient expectations.
Who the service is for
Refractive stability
Stable cornea and predictable refraction on repeatable measurements.
Macular region
Macula and optic nerve without significant pathology likely to limit image quality.
Understanding photic effects and adaptation
Patients who understand the possibility of halos, glare and an adaptation period.
Assessing benefits and risks
Presbyopia or a refractive indication in which lens surgery is clinically appropriate after risk assessment.
Laser correction for astigmatism
Regular corneal astigmatism when a toric presbyopia-correcting model is selected.
Monovision and visual balance
Patients willing to compare alternatives such as monofocal, mini-monovision or EDOF strategies.
Posterior capsule opacification
A multifocal IOL does not guarantee complete spectacle independence and does not restore natural youthful accommodation. Halos, glare, starbursts, reduced contrast, dissatisfaction in dim light and the need to correct residual refractive error are possible.
Realistic expectations
Macular disease, progressive glaucoma, significant corneal disease, irregular astigmatism, substantial ocular-surface disease and unrealistic expectations may make complex presbyopia-correcting optics less suitable.
Retinal tears and detachment
Standard intraocular-surgery risks remain, including infection, inflammation, increased IOP, corneal or macular oedema, capsular rupture, IOL displacement, posterior capsule opacification and retinal complications.
Intermediate-distance vision
Before consultation, identify your priorities: driving, computer work, smartphone use, small print, sport and night vision. Tell the doctor about macular and retinal disease, glaucoma, corneal disease, dry eye, astigmatism, LASIK/PRK/SMILE, vitrectomy and other operations.
Realistic expectations
Do not choose a multifocal IOL solely on a promise of freedom from glasses: first assess the visual potential of both eyes and tolerance of photic phenomena.
When urgent care is needed
Sudden vision loss, severe pain, marked redness, flashes or a curtain-like shadow require urgent review.
Limitations and safety
A multifocal IOL does not guarantee complete spectacle independence and does not restore natural youthful accommodation.
Book a consultation
Stages
Stage 1
Confirming indications
Cataract diagnostics and confirmation that lens surgery is clinically indicated.
Stage 2
Eye examination
Visual acuity, refraction, IOP, slit-lamp examination and fundus assessment.
Stage 3
Biometry and IOL calculation
Biometry and IOL calculation are performed for the selected optical option.
Stage 4
Cornea and astigmatism
Corneal and astigmatism assessment, including Pentacam when needed; treat ocular-surface disease before final measurements.
Stage 5
Macular assessment
Macular OCT to assess visual potential when indicated or when selecting complex presbyopia-correcting optics.
Stage 6
Optical option selection
The doctor and patient discuss IOL options, possible glasses use and photic effects.
Stage 7
IOL implantation
Phacoemulsification and implantation of the selected IOL.
Stage 8
Postoperative review
Postoperative assessment of refraction, IOL position, pressure, cornea and macula as indicated.
Service benefits
Vision at different distances
Multifocal optics can provide useful vision at several distances when eye health is suitable.
Selection of focal range
Differences between models allow near, distance and, with suitable optics, intermediate vision needs to be considered.
Less dependence on glasses
When indicated, a multifocal IOL can reduce the need for glasses, although it may not eliminate it completely.
Compatibility with eye health
Optics are selected according to retinal, corneal and optic nerve health, with the model's benefits and limitations discussed.
A. Multifocal, trifocal and adjacent optical strategies
Criterion
Monofocal
Multifocal ZMB00
Trifocal PanOptix
Synergy full-range
EDOF Symfony/Vivity
Primary range
One main focus
Distance + near
Distance + intermediate + near
Broad full range
Distance + intermediate; near depends on model
Spectacle need
Higher for other distances
Lower, not zero
Usually lower, not guaranteed
Usually lower, not guaranteed
Fine near may still need glasses
Halos / glare
Generally fewer
Possible
Possible
Possible
Often fewer than diffractive multifocal, but possible
Contrast
Generally higher
May be reduced
May be reduced
Depends on optics and eye
Often a milder trade-off than diffractive multifocal
Macula/cornea requirements
Less restrictive
Careful selection
Careful selection
Careful selection
Careful, model dependent
KazRIED lens price
from 40 500 ₸
from 326 000 ₸
from 522 000 ₸
from 522 000 ₸
from 496 000 ₸
Monofocal
Primary range
Spectacle need
Halos / glare
Contrast
Macula/cornea requirements
KazRIED lens price
One main focus
Higher for other distances
Generally fewer
Generally higher
Less restrictive
from 40 500 ₸
Distance + near
Lower, not zero
Possible
May be reduced
Careful selection
from 326 000 ₸
Distance + intermediate + near
Usually lower, not guaranteed
Possible
May be reduced
Careful selection
from 522 000 ₸
Broad full range
Usually lower, not guaranteed
Possible
Depends on optics and eye
Careful selection
from 522 000 ₸
Distance + intermediate; near depends on model
Fine near may still need glasses
Often fewer than diffractive multifocal, but possible
Often a milder trade-off than diffractive multifocal
Careful, model dependent
from 496 000 ₸
B. Presbyopia-correcting IOL models in the current tariff
Criterion
ZMB00
PanOptix
Synergy
PanOptix Toric / Synergy Toric
Optical concept
Classic multifocal
Trifocal
Full-range presbyopia-correcting
Multiple foci + cylindrical correction
Astigmatism
Non-toric
Non-toric
Non-toric
Yes, for suitable regular astigmatism
Intermediate vision
May be weaker than trifocal
Dedicated intermediate focus
Broad range
Depends on base model
Photic phenomena
Possible
Possible
Possible
Possible + axis-accuracy requirements
Current KazRIED price
from 326 000 ₸
from 522 000 ₸
from 522 000 ₸
from 595 000 ₸
ZMB00
Optical concept
Astigmatism
Intermediate vision
Photic phenomena
Current KazRIED price
Classic multifocal
Non-toric
May be weaker than trifocal
Possible
from 326 000 ₸
Trifocal
Non-toric
Dedicated intermediate focus
Possible
from 522 000 ₸
Full-range presbyopia-correcting
Non-toric
Broad range
Possible
from 522 000 ₸
Multiple foci + cylindrical correction
Yes, for suitable regular astigmatism
Depends on base model
Possible + axis-accuracy requirements
from 595 000 ₸
C. Diagnostics and calculation before selection
Test
IOL Master
Multifocal IOL calculation with A/B-scan
Verion multifocal/toric
Pentacam
Macular OCT
Purpose
Biometry and spherical IOL power
Additional calculation pathway for complex IOLs
Planning complex IOL optics
Corneal tomography and astigmatism
Detect macular disease limiting multifocal image quality
KazRIED price
Cost determined after consultation
from 5 300 ₸
from 6 600 ₸
from 4 400 ₸
from 4 900 ₸
IOL Master
Purpose
KazRIED price
Biometry and spherical IOL power
Cost determined after consultation
Additional calculation pathway for complex IOLs
from 5 300 ₸
Planning complex IOL optics
from 6 600 ₸
Corneal tomography and astigmatism
from 4 400 ₸
Detect macular disease limiting multifocal image quality
from 4 900 ₸
Note
Table prices are per lens, starting from the lowest listed model price in the class. Surgery is considered separately.
Book an appointment
Book cataract diagnostics and a KazRIED ophthalmic-surgeon consultation. After biometry and corneal/macular assessment, the surgeon can compare monofocal, EDOF and multifocal strategies and explain which model fits your visual goals.
Procedure prices
Service name
Price
TECNIS Multifocal ZMB00 (per lens)
from 326 000 ₸
TECNIS Synergy OptiBlue ZFR00V (per lens)
from 522 000 ₸
IQ PanOptix (per lens)
from 522 000 ₸
TECNIS Synergy Toric II (per lens)
from 595 000 ₸
IQ PanOptix Toric (per lens)
from 731 000 ₸
TECNIS Symfony (per lens)
from 496 000 ₸
AcrySof Vivity (per lens)
from 561 000 ₸
Multifocal IOL calculation: A/B-scan + calculation (per eye)
from 5 300 ₸
Multifocal/toric IOL calculation on Verion (per eye)
from 6 600 ₸
Pentacam (per eye)
from 4 400 ₸
Phaco + multifocal / multifocal toric IOL (per eye)
from 405 000 ₸
Our doctors
A team of experienced doctors across specialties.
Experience: 22 years
Head
Orazbekov Lukpan Nurlanovich
Candidate of Medical Sciences, Associate Professor; Highest-category ophthalmologist
Experience: 26 years
Head
Zhakybekov Ruslan Adilovich
Candidate of Medical Sciences; Highest-category ophthalmologist
Experience: 32 years
Sabyrbaev Nurlan Berdauletovich
Candidate of Medical Sciences; Highest-category ophthalmologist
Experience: 26 years
Ophthalmologist
Tuletova Aygerim Serikbaevna
Candidate of Medical Sciences; Highest-category ophthalmologist
Experience: 8 years
Head
Ruslanuly Qayrat
Doctor of Philosophy (PhD)
Experience: 17 years
Ophthalmologist
Dzhapparkhanova Asel Urazovna
Highest-category ophthalmologist
Experience: 13 years
Ophthalmologist
Kalshabekov Alibi Sembaevich
Highest-category ophthalmologist
Experience: 12 years
Ophthalmologist
Tadzhimetov Murat Mikhaylovich
Highest-category ophthalmologist
Experience: 10 years
Ophthalmologist
Qyryqbaev Dastan Rakhmetollauly
First-category ophthalmologist
Experience: 6 years
Head
Dostangaliev Eset Marinuly
Second-category ophthalmologist
Multifocal IOLs: benefits and limitations
A multifocal IOL creates more than one focal point to support distance and near vision. Modern trifocal and full-range designs also provide a distinct intermediate range.
What are the benefits and limitations?
These optics reduce the likelihood of needing glasses all the time. However, light is distributed between several optical zones, so halos, glare, starbursts, and reduced contrast may occur, particularly under challenging lighting conditions.
How do the models and optical concepts differ?
- TECNIS Multifocal ZMB00 uses a conventional multifocal optical design.
- PanOptix is a trifocal IOL.
- TECNIS Synergy combines diffractive multifocal and extended-range concepts and belongs to the category of full-range presbyopia-correcting optics.
- Symfony and Vivity are classified as extended depth of focus (EDOF) IOLs in KazRIED’s price list and are considered a separate alternative to multifocal lenses.
What determines the choice and outcome?
The final choice depends on the patient’s goals and the quality of the entire visual system.
The outcome is influenced by the condition of the cornea, macula, and optic nerve, the accuracy of biometry, residual refractive error, and adaptation to the optics.
Which options are listed at KazRIED?
KazRIED’s current price list includes TECNIS Multifocal ZMB00, TECNIS Synergy, and Clareon PanOptix, as well as toric presbyopia-correcting IOL options.
Additional advice and situations
Follow-up and IOL adaptation
After surgery , the doctor checks refraction, IOL position, the cornea, intraocular pressure and the macula when indicated. Neuroadaptation to multiple focal distances may take time.
If visual quality does not meet expectations, the doctor seeks a specific cause: dry eye, residual refractive error, astigmatism, posterior capsule opacification, IOL decentration, macular disease or another problem. Decisions follow diagnostics, not a single symptom.
Intraocular-lens selection
IOL Master: Non-contact optical calculation
Pentacam
Pentacam: Particularly useful when topography is uncertain
Macular OCT: As indicated / clinic protocol
TECNIS Synergy Toric II: A toric presbyopia-correcting IOL.
TECNIS Symfony: An extended depth of focus (EDOF) IOL is an alternative optical option.
AcrySof Vivity: An extended depth of focus (EDOF) IOL is an alternative optical option.
Facts and offers
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Related services
Frequently asked questions
What is a multifocal IOL?
It is an intraocular lens with specialized optics designed to provide useful vision at multiple distances and reduce spectacle dependence after lens surgery.
Does a multifocal IOL restore natural accommodation?
No. It creates multiple optical foci or ranges of vision but does not restore the physiologic accommodation of a young natural crystalline lens.
Will I definitely be free from glasses after a multifocal IOL?
No. These IOLs can substantially reduce spectacle dependence, but complete independence cannot be guaranteed. Additional correction may still be needed for certain distances or tasks.
How is a trifocal IOL different from a multifocal IOL?
“Multifocal” is a broad term for IOLs with multiple optical foci. A trifocal IOL is one such design specifically intended to provide distance, intermediate and near vision.
Is PanOptix a multifocal or trifocal IOL?
PanOptix is a trifocal presbyopia-correcting IOL designed to reduce spectacle dependence at distance, intermediate and near in suitable patients.
Is TECNIS Synergy an EDOF IOL?
Not exactly. TECNIS Synergy combines multifocal and EDOF optical concepts and is a presbyopia-correcting IOL designed for a broad range of vision. It should not simply be described as a conventional EDOF lens.
Are Symfony and Vivity conventional multifocal IOLs?
No. TECNIS Symfony is an EDOF/Extended Range of Vision IOL, while Vivity is a non-diffractive EDOF/extended-vision IOL. Their optical principles differ from conventional multifocal or trifocal designs.
What are halos after a multifocal IOL?
Halos are rings around headlights, lamps and other bright light sources. They are a possible dysphotopsia with complex IOL optics and are often more noticeable in low-light conditions.
Why can glare occur after a multifocal IOL?
Complex optics distribute light between multiple foci or optical zones. Glare is also influenced by pupil size, ocular-surface health, residual refraction and other ocular factors.
Who may not be a good candidate for a multifocal IOL?
Caution is needed with macular or retinal disease, significant optic-nerve damage, progressive glaucoma, substantial or irregular corneal disease, unstable ocular surface and unrealistic visual expectations.