I tried one (finding one for $2 at a thrift store)... I did and didn't like it.
Perhaps because of it's age (the box graphics indicated a late 60's/early 70's manufacture date) it isn't as good as the current ones.
First, it DID increase the size of the picture, and quite well in fact.
However, it ended up basically making streaks towards the center of the monitor out of everythign that was lit.
(The BEST example of what I mean is, take a look at how Tempest draws its screens.. A tiny representation of the screen starts in the center of the screen, and then "explodes" twoards you getting bigger (e.g. "warp speed"

) Think of this now with PacMan loaded up... you can see traces from the "big" picture on the lens back towards the screen in the original position.)
Its annoying, and of course the whole thing looks sorta 3D then, and it shifts with your eyes as you move from the center of the screen.
(You dont notice this as much on a TV picture because the screen isn't so full of sharp, distinct graphics, rather smooth pictures)
Plus it gets distorted if you move too far off of center (e.g if a second person is standing watching you play from the side of the cabinet, it will be about 50% unviewable.)
Therefore this would suck for 2 player cooperative/competetive games (e.g. original mario bros).
Like I said, perhaps newer lenses are made better, but I was not happy with the results from a 19" monitor and an early 70's 25" version of the lens.