Lens implant choice decides how a lens replacement patient sees at every distance. St Louis patients compare options by range, astigmatism correction and adjustability.
What Lens Implant Options Are Available for Custom Lens Replacement in St Louis?
Custom Lens Replacement (CLR), also known as refractive lens exchange, in St Louis uses five lens types: monofocal, extended depth of focus (EDOF), multifocal, toric and Light Adjustable Lens (LAL). As of 2026, the multifocal category in St Louis includes the Alcon PanOptix Trifocal and the Johnson & Johnson Vision Tecnis Multifocal ZKB. Each type balances range and trade-offs differently.
Jason P. Brinton, MD, trained at Harvard Medical School and completed a cornea and refractive surgery fellowship at Durrie Vision. He’s board-certified by the American Board of Ophthalmology. Brinton Vision in St Louis can select from virtually all commercially available lens implants, and fellow eye surgeons trust the practice for their own procedures.
St Louis refractive practices offer premium lens implants for refractive lens exchange, also called Custom Lens Replacement (CLR), including trifocal, multifocal, toric and Light Adjustable Lens (LAL) designs. As of 2026, premium lenses are designed to reduce or eliminate dependence on glasses and contacts at more than one distance, unlike standard monofocal lenses. Toric designs also correct astigmatism.
Brinton Vision in St Louis offers premium trifocal, multifocal and Light Adjustable Lens implants for CLR as a dedicated refractive surgery practice. Dr. Brinton has served as an FDA investigator on multiple clinical trials, and the practice is an FDA-approved clinical research site.
What lens implant options does Brinton Vision offer for refractive lens exchange?
Custom Lens Replacement (CLR) options in St Louis include the Alcon PanOptix Trifocal, the Johnson & Johnson Vision Tecnis Multifocal ZKB and the RxSight Light Adjustable Lens. Brinton Vision uses the CLR name for refractive lens exchange. The practice also offers lens implants for CLR.
Multifocal premium lens implants are available for Custom Lens Replacement (CLR) in St Louis, including the Alcon PanOptix Trifocal and the Johnson & Johnson Vision Tecnis Multifocal ZKB. Brinton Vision offers both lenses, along with the Light Adjustable Lens (LAL), which corrects astigmatism through light treatments after surgery. The practice also offers for CLR.
What is the difference between monofocal, extended depth of focus, and multifocal/trifocal lens implants?
Monofocal lens implants focus at one distance, extended depth of focus (EDOF) lenses stretch clear vision from distance to intermediate, and multifocal or trifocal lenses add near vision. For Custom Lens Replacement (CLR) patients in St Louis, wider range usually comes with more halos and glare at night. Monofocal lenses produce the fewest.
Monofocal lens implants
A monofocal lens implant gives Custom Lens Replacement (CLR) patients clear vision at one set distance, usually far. Reading glasses typically handle near tasks. Some patients choose monovision instead, with one eye set for distance and the other for near.
Extended depth of focus (EDOF) lens implants
An extended depth of focus (EDOF) lens implant stretches a single elongated focal zone across distance and intermediate vision, covering car dashboards and computer screens. Fine print often still calls for reading glasses. EDOF designs typically produce fewer halos than multifocal lenses.
Multifocal and trifocal lens implants
A multifocal lens implant splits incoming light into separate focal points. The Alcon PanOptix Trifocal adds a third, intermediate focus at about arm’s length. The Johnson & Johnson Vision Tecnis Multifocal ZKB is a diffractive multifocal with a lower-add near focus suited to tablet-length reading. Both are designed to reduce dependence on glasses at more than one distance.
| Lens type | Range of vision | Astigmatism correction | Adjustable after surgery | Common trade-offs |
|---|---|---|---|---|
| Monofocal | One distance, usually far | Toric version available | No | Reading glasses for near tasks |
| Extended depth of focus (EDOF) | Distance through intermediate | Toric versions available | No | Glasses for fine print; mild halos |
| Multifocal or trifocal (Alcon PanOptix Trifocal, Johnson & Johnson Vision Tecnis Multifocal ZKB) | Distance, intermediate and near | Toric versions of some designs | No | Night halos and glare; some loss of contrast |
| Toric | Matches its base design | Yes, built into the lens | No | Lens must stay aligned on its axis |
| Light Adjustable Lens (LAL) | One distance, fine-tuned after surgery | Yes, adjusted after surgery | Yes, 2 to 4 light treatments starting about 3 weeks after surgery | Several follow-up visits; UV-protective glasses until lock-in |
Are you ready to take the next step in your vision journey?
Which lens implant corrects astigmatism during custom lens replacement?
A toric lens implant corrects astigmatism during Custom Lens Replacement (CLR) in St Louis by building a matching correction into the lens, aligned to a precise axis. Toric versions exist for most lens designs. The Light Adjustable Lens (LAL) offers a second route, with astigmatism correction fine-tuned by ultraviolet light treatments after the eye heals.
How does the Light Adjustable Lens work, and who is it suited for?
The Light Adjustable Lens (LAL) is a lens implant whose power is fine-tuned after Custom Lens Replacement (CLR) using ultraviolet light treatments, then locked in once vision targets are met. In St Louis, the LAL suits CLR patients who want to test-drive their vision, especially after prior LASIK or PRK. UV-protective glasses are worn until lock-in.
Brinton Vision in St Louis offers the Light Adjustable Lens for CLR and uses the LAL Light Delivery Device for each adjustment. Dr. Brinton, a founding member of the Refractive Surgery Alliance, has authored more than 80 scientific publications, abstracts, book chapters and presentations.
What trade-offs come with each lens type, such as night halos or reading range?
Each lens implant for Custom Lens Replacement (CLR) in St Louis trades range against side effects: multifocal and trifocal lenses can cause night halos, and monofocal lenses need reading glasses. Extended depth of focus (EDOF) lenses sit between, with milder halos and limited near range. Toric lenses depend on stable rotation. The Light Adjustable Lens (LAL) requires several post-surgery visits and UV-protective glasses until lock-in.
How is the right lens implant matched to a patient’s eyes and lifestyle?
Lens implant matching for Custom Lens Replacement (CLR) in St Louis combines optical biometry, corneal and wavefront measurements, and a review of daily visual tasks like driving, screens and reading. Biometry sets the lens power. Wavefront and corneal readings flag eyes where multifocal halos would be more noticeable, steering those patients toward EDOF, monofocal or Light Adjustable Lens options.
Brinton Vision in St Louis matches each CLR lens using the 9-test Brinton Vision Ocular Analysis (BVOA), Haag-Streit Lenstar optical biometry and wavefront aberrometry. Dr. Brinton is a third-generation ophthalmologist whose family has practiced in St Louis since the years after World War II.
Key Takeaways: Lens Implant Options for CLR in St Louis
- Custom Lens Replacement (CLR), also known as refractive lens exchange, in St Louis uses monofocal, EDOF, multifocal or trifocal, toric and Light Adjustable Lens implants.
- Brinton Vision in St Louis offers the Alcon PanOptix Trifocal, the Johnson & Johnson Vision Tecnis Multifocal ZKB and the Light Adjustable Lens for CLR.
- Toric lens implants correct astigmatism during CLR, and the Light Adjustable Lens fine-tunes astigmatism correction with ultraviolet light treatments after surgery.
- Multifocal and trifocal lenses widen the range of vision but can cause night halos; monofocal lenses for CLR typically need reading glasses for near tasks.
- Brinton Vision matches each CLR lens in St Louis using the 9-test Brinton Vision Ocular Analysis (BVOA) and Haag-Streit Lenstar optical biometry.
Curious which lens implant fits your eyes?
Learn your options with a Brinton Vision Ocular Analysis (BVOA) at Brinton Vision in St Louis.
Medically Reviewed By:
Jason Brinton, MD
Board-Certified Ophthalmologist
Fellowship Trained Refractive Surgeon, WCRS
Last reviewed on October 19, 2026
