Bilateral Prelex with Trifocal IOL - Couple from Fiji Treated Together

Kenia Eye Hospital | Mumbai | Spring 2026

PATIENT PROFILE

THE PROBLEM

Condition

Mr. Adish Narayan, a practising barrister from Fiji, had been dependent on reading glasses for approximately 20 years. As his work involved continuous reading of legal documents, this had become a significant occupational hazard. Forgetting his glasses at home or in chambers would leave him effectively unable to function in court. Mrs. Anita Narayan, his wife and the practice manager at their law firm, faced a similar dependence on near-vision correction. Both were assessed as candidates for Prelex (Presbyopic Lens Exchange), a refractive procedure in which the natural lens is replaced with a premium intraocular lens to restore clear vision at all distances.

Emotional & Psychological Impact

For Mr. Adish, the daily reliance on reading glasses had been a steady frustration over two decades of demanding professional work in law. Mrs. Anita, working alongside him in the same practice, shared the same concern. The couple wanted a permanent, modern solution that would allow them to read, work, and travel without constantly searching for spectacles. Mr. Adish had previously had a minor ophthalmic procedure at Kenia Eye Hospital two years earlier and was already familiar with the team. After researching premium IOL options online and reviewing the hospital's standing in the field, he and Anita decided to travel from Fiji and have the procedure performed together.

CONSULTATION & TREATMENT PLAN

What Was Assessed During the Consultation?

• Comprehensive refractive evaluation of both eyes for each patient
• Biometry and intraocular lens power calculation tailored individually to each patient
• Detailed discussion of refractive lens exchange and the trifocal IOL platform
• Lifestyle and occupational review, with emphasis on extensive reading for professional work
• Corneal health, ocular surface, and retinal status confirmed suitable for premium IOL
• International travel logistics discussed, including post-operative care and follow-up after return to Fiji

Why Prelex with a Trifocal IOL Was Chosen

Prelex (Presbyopic Lens Exchange) involves removing the natural lens, which has lost its focusing flexibility with age, and replacing it with a premium intraocular lens that restores vision at multiple distances. For Mr. Adish and Mrs. Anita, a trifocal IOL was selected as the most appropriate choice. A trifocal lens provides clear vision at three focal points: near, intermediate, and far. Given the couple's heavy reading requirements and shared desire to be free of spectacles, this lens platform was best aligned with their lifestyle and professional needs. Eligibility was confirmed through complete pre-operative testing for both patients before the procedure was scheduled.

• Trifocal IOL chosen to give simultaneous near, intermediate, and far vision
• Prelex selected over spectacle dependence due to long-standing reading-vision issues
• Both patients' eyes confirmed suitable for a premium IOL through detailed pre-operative testing
• Surgeries planned together to allow shared travel from Fiji and parallel recovery

PROCEDURE DETAILS

Step-by-Step Overview

• Patient identity, eye to be operated, and IOL details confirmed prior to entering the operating room
• Topical anaesthetic eye drops administered; patient positioned comfortably under the microscope
• Small self-sealing corneal incision created using current-generation instrumentation
• Natural lens emulsified and removed using phacoemulsification
• Trifocal intraocular lens implanted into the capsular bag in the correct orientation
• Wound integrity confirmed; protective eye shield placed and patient escorted to recovery
• Same protocol followed for the second eye, and for the second patient, within the same treatment window

POST-OPERATIVE RESULTS

By the second post-operative day, both Mr. Adish and Mrs. Anita reported clear improvements in their vision. Both patients confirmed they could already read material that had previously required reading glasses, and both reported being free of pain through the healing process. Mr. Adish described the early results as "amazing" and noted that the surgical team had counselled him to expect further refinement over the next four to five weeks as the healing process completed. The couple expressed strong satisfaction with the outcome and the experience overall.

OUTCOMES AT A GLANCE

PATIENT FEEDBACK

"I am a barrister from Fiji and have depended on reading glasses for nearly 20 years. Forgetting them at home or in chambers would leave me almost useless in court. I researched Kenia Eye Hospital online, and having had a minor procedure here two years ago, I felt confident in the team. My wife Anita and I both decided to have the Prelex done together with trifocal intraocular lenses. After the second day, I can already see things I could not read before. No pain. The results are fairly incredible. We are both very happy and totally satisfied."

Profile: Mr. Adish Narayan | Male | 61 years | Barrister | Fiji

Profile: Mrs. Anita Narayan | Female | Practice Manager, Malika Lawyers | Fiji

Procedure: Bilateral Prelex with Trifocal IOL | Kenia Eye Hospital, Mumbai | Spring 2026

Surgeon: Dr. Vaishal Kenia | Kenia Eye Hospital

POST-PROCEDURE CARE & RECOVERY

Instructions Given to the Couple

• Prescribed antibiotic and anti-inflammatory eye drops; complete the full course as directed
• Avoid rubbing or pressing on the operated eyes during the healing period
• Protective eye shields to be worn while sleeping for the first week
• Avoid swimming, dusty environments, and direct sunlight without UV-protective eyewear
• Avoid heavy lifting and strenuous exertion for the recommended period
• Special consideration for international travel: a clear post-operative care plan was provided before return to Fiji, including remote follow-up guidance

Recovery Timeline