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More than 20,000 proceduresover 2,500 a year
Since 2003 in ophthalmologyevery procedure performed personally by Dr Derhartunian

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One Lens, Two Paths: RLE and Cataracts

The technology we use at EyeLaser Zurich is so advanced that it unites two patient groups. The implantation of a modern multifocal lens (hybrid) allows you to live without glasses. However, the path to achieving this differs depending on your initial situation.

Glaskörpertrübung im Auge

Path A: Refractive Lens Exchange (RLE)

You don’t have cataracts, but want to get rid of your progressive glasses?
From around 45–50 years of age, the natural lens loses elasticity (presbyopia). Corneal laser treatment has its limitations here. The replacement of the natural lens with a Odyssey hybrid lens permanently solves the problem.

  • Your status: You are a self-payer (lifestyle procedure).
  • The bonus: You can no longer develop cataracts in old age.

What does this lens cost?

The price depends not on the lens but on your situation. Three cases, three clear answers.

Cataract with basic insurance

We bill the operation to your basic insurance under the TARDOC tariff. For an EDOF or multifocal lens you pay a surcharge of CHF 2,700 per eye, plus CHF 1,000 with the femtosecond laser.

All cataract surcharges →

Lens exchange without cataract

Refractive lens exchange without cataract costs CHF 5,000 per eye, CHF 6,000 with the femtosecond laser — regardless of which implant is used.

Refractive lens exchange →

Cataract as a self-payer

Without Swiss basic insurance, cataract surgery is priced like lens exchange: CHF 5,000 per eye, CHF 6,000 with the femtosecond laser.

Your recovery

How your recovery progresses after lens exchange with multifocal lenses

Realistic guide values from practice — your personal course is closely monitored at the follow-up checks.

PLANNING

Both eyes on the same day or separately — entirely according to your wishes and findings.
DAY 1

Follow-up check at the clinic; usually good everyday vision already.
WEEK 1

No heavy lifting, do not rub your eyes.
WEEKS 2–12

Neuroadaptation: the brain has to get used to the multifocal optics for near and far — this takes time and is completely normal.
MONTHS 3–6

Full adaptation — reading, screen and distance without glasses. If necessary, fine-tuning is done now.

Transparency

What are the risks — and how do we manage them?

Multifocal lenses are a mature technology — we discuss these points openly:

iHalos and rings of light — inherent to the design, usually adapt within weeks to months.
iPosterior capsule opacification — corrected in minutes with a YAG laser as an outpatient.
iContrast vision may be slightly reduced at first — normalises with adaptation.
iInfection — very rare; emergency contact around the clock.
Dr. med. univ. Victor Derhartunian«Think of blood-pressure therapy: you start with one tablet, measure again — and adjust the dose until the value is right. It is the same with the correction of presbyopia: we correct, the brain gets used to the new vision, and if necessary we fine-tune. A touch-up is not a setback but part of a precise treatment — and included in our fixed price.»
— Dr. med. univ. Victor Derhartunian, FEBO
Your safety net: Should a touch-up be necessary, it is included in the fixed price at EyeLaser Zurich. And for emergencies you receive the surgeon’s personal mobile number — around the clock, including weekends.
Phake Linsen (ICL) in Zürich

Path B: Cataract Surgery as an Opportunity

In the past, cataract surgery was a purely “repair procedure.” The cloudy lens was removed and a standard (monofocal) lens was inserted. The patient could see brightly again but still needed glasses for distance and near vision.

  • The Upgrade: Today, we use the necessity of the surgery as an opportunity. Instead of a standard lens, we implant the Odyssey Premium Lens.
  • Your Status: Health insurance covers the basic procedure. You invest in the upgrade (lens & laser).

The result: You not only lose the cataract but also gain freedom from glasses.

The Technology: Evolution to the Hybrid Lens

For a long time, classic “trifocal lenses” were the standard. They had sharp rings that split light. This worked well but often led to glare (halos) and loss of contrast at night.

Refraktiver Linsentausch

At EyeLaser Zurich, we rely on the 2nd generation (Hybrid & EDOF), such as the Johnson & Johnson Tecnis Odyssey or Bausch + Lomb Envista.

  • Hybrid Technology: The Odyssey combines the best of two worlds: the excellent near vision of a multifocal lens with the tolerability and contrast of an EDOF (Extended Depth of Focus) lens.
  • Fewer Halos: Optimized surfaces massively reduce light circles around car headlights. This is crucial for road safety.
  • Glistening-Free Material: We only use lenses made from state-of-the-art hydrophobic acrylic. Older materials tended to have small inclusions (“glistenings”). Our lenses remain as clear in 50 years as they were on day one.

What does an multifocal lens cost?

Ein Leben ohne Brille – Erfolgsgeschichten aus Zürich

The price depends not on the lens but on your situation. Three cases, three clear answers.

Cataract with basic insurance: We bill the operation to your basic insurance under the TARDOC tariff. For an EDOF or multifocal lens you pay a surcharge of CHF 2,700 per eye, plus CHF 1,000 with the femtosecond laser. All cataract surcharges

Lens exchange without cataract: Refractive lens exchange without cataract costs CHF 5,000 per eye, CHF 6,000 with the femtosecond laser — regardless of which implant is used. Refractive lens exchange

Cataract as a self-payer: Without Swiss basic insurance, cataract surgery is priced like lens exchange: CHF 5,000 per eye, CHF 6,000 with the femtosecond laser.

We will explain the process to you in brief:

Multifocal lenses for presbyopia – the procedure in brief

Safety through AI & Laser Precision

A premium lens tolerates no errors. Therefore, we leave nothing to chance in planning.

Ein Leben ohne Brille – Erfolgsgeschichten aus Zürich

1. AI Calculation (Artificial Intelligence)

We measure your eye with the Heidelberg Anterion and CSO MS-39. This data flows into AI-based formulas (such as Kane, Barrett, or Hill-RBF). These algorithms “learn” from thousands of eyes worldwide and predict the position of the lens in the eye more precisely than any classical formula.

2. The Femto-Laser Surgery (FLACS)

We recommend performing the procedure with the femtosecond laser.

  • Precision: The laser opens the lens capsule with micrometre-accurate circularity and centration.
  • Why is this important? Perfect centration is crucial for the optical performance of the hybrid lens. This precision is hardly reproducible manually.
Eyelaser

3. Our Safety Net: Laser Fine-Tuning (Bioptics)

An eye is living tissue. Wound healing is individual.

  • Our promise: Should a small residual diopter (e.g., -0.5 dpt) remain after 3–4 months, we will perform a laser touch-up on the cornea.
  • The Difference: Pure cataract surgeons often cannot offer this. As a laser center, we have the in-house technology to elevate your result from “good” to “perfect.”

When We Say “No”: Anatomy & Risks

Tropfanästhesie oder Dämmerschlaf bei der Femto-LASIK

We only operate if the anatomy is correct. We rigorously check:

  • Kappa & Alpha Angles: We measure the distance between your pupil center and your actual line of sight. If the angle is too large, you will look past the optics of the lens. This leads to glare. In this case, we advise against the procedure.
  • Retinal Health: With the OCT scan, we ensure that your macula is 100% healthy. Any precursor to macular degeneration is an exclusion criterion.

Scientific Risk Calculator (Retinal Detachment)

Lens exchange is a procedure inside the eye. Especially in young patients with high myopia, there is a statistical risk that the retina may detach years later.

  • Transparency: We use scientific data (based on large European studies such as the Rotterdam Study) to calculate your individual risk.
  • Honesty: If the calculator indicates too high a risk, we decline the lens exchange and recommend safer alternatives (e.g., an ICL lens that leaves the eye intact).

What if I don’t tolerate the lens?

Presbyopie mit dem Laser korrigieren

In very rare cases (under 1%), the brain does not adapt to the new vision (“lack of neuroadaptation”).

The solution: We will not leave you alone. A Lens replacement is possible. We remove the multifocal lens and insert a classic monofocal lens. Thanks to our precise preliminary examination (simulation tests), however, this scenario is extremely rare.

Start your treatment process with confidence

Book your eligibility check in Zurich. Experience what happens when state-of-the-art technology meets true Swiss treatment quality.

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FAQ – Frequently Asked Questions in Zurich

What does a multifocal lens cost — for cataract and for lens exchange?

It depends on your situation, not on the lens. With a medically indicated cataract and basic insurance, the operation is billed under the TARDOC tariff; you pay the surcharge for the lens — CHF 2,700 per eye for EDOF and multifocal lenses, plus CHF 1,000 with the femtosecond laser. Refractive lens exchange without cataract costs CHF 5,000 per eye, CHF 6,000 with the femtosecond laser, regardless of the implant. Without Swiss basic insurance, lens-exchange prices apply to cataract surgery as well.

Why do I have to pay for the femtosecond laser (FLACS) myself?

Swiss basic insurance covers only what is “economical and appropriate”: the manual operation with a scalpel. The laser counts as comfort technology for higher precision. Because it is not strictly necessary to remove the cataract but is recommended for a premium result, it has to be paid privately. With us, femtosecond-laser assistance costs CHF 1,000 per eye.

Does the Odyssey lens last forever?

Yes. The material (hydrophobic acrylic) is ageing-resistant and glistening-free; it stays clear for life. What can happen: the natural capsule holding the lens may cloud after years (posterior capsule opacification). This is polished away painlessly in about two minutes with a YAG laser in the practice.

Is the operation painful?

No. We use modern anaesthetic drops. You are awake but feel no pain — only that work is being done on the eye, and you see coloured lights. The procedure takes only about 15–20 minutes per eye.

Can I still drive at night after the operation?

Yes. Modern hybrid lenses (Odyssey) are designed to minimise halos (rings of light) and are far better tolerated than older trifocal lenses. During the first 3–6 months the brain adapts (neuroadaptation): light effects are still noticed at first and fade with time.

Why is the laser fine-tuning (bioptics) so important?

Because biological tissue is never 100% predictable. Even with AI formulas a deviation of 0.5 dioptres can remain. A surgeon who only implants lenses often cannot do anything about it. At EyeLaser we use our excimer laser to smooth this residual error on the cornea. This is included in the premium package.

Am I suitable at −8 dioptres and 35 years of age?

Probably not. At this age the risk of retinal detachment after lens exchange is statistically higher, and you can usually still accommodate (focus) yourself. We would most likely recommend an ICL (implantable contact lens). We check this with our risk calculator.

What is the kappa angle and why does it matter?

The kappa angle is the difference between the optical axis of the eye and your line of sight. Multifocal lenses have rings. If you do not look exactly through the centre of these rings (because of a large kappa angle), you get glare and poor vision. We measure this beforehand. If the angle is too large, we do not implant a multifocal lens.

Does supplementary insurance contribute to RLE costs?

Some supplementary insurance policies (VVG) contribute to refractive procedures, similar to laser eye surgery. This varies between CHF 500 and CHF 1,500 per eye. We provide the documents you need to submit a claim.

How long does healing take?

You usually see well the next day. Full visual acuity and neuroadaptation (getting used to the new vision) settle over 3 to 12 weeks. Most patients are fit for work again after 2–3 days.