Cataract surgery is often a good option for people whose daily lives are affected due to cataracts whether it be blurry vision, difficulty doing up close tasks, driving at night, etc. It’s a safe outpatient procedure that typically takes less than 30 minutes.

During the surgery, an anesthesia doctor makes sure you are comfortable with IV medication. Dr. Kuriachan will also numb your eye. He makes a small incision on the front of your eye and removes the clouded lens. Then, he inserts the artificial lens, called an intraocular lens (IOL).

Your eye may take up to 4-8 weeks to heal. In the first few days, it may feel sore, itchy, or have a foreign body sensation. Dr. Kuriachan will give you written instructions and go over all the steps to minimize infection and promote healing.

After cataract surgery, most patients will see more clearly. Depending on your eyes and vision prescription, Dr. Kuriachan will discuss the best IOL option for you.

The American Academy of Ophthalmology provides a great summary of what you can expect: https://www.aao.org/eye-health/diseases/what-is-cataract-surgery

What types of intraocular lenses (IOLs) are available?
When we remove your cataract, we replace it with an artificial lens. Your needs, health of your eye, and lifestyle can help determine what lens will be best for you.

There are the things that need to be corrected for your eye to see well:

  • Power
  • Astigmatism (if you have it)
  • Intermediate Vision & Near Vision

If you want to see well far away (watching TV, driving)- you will need to correct BOTH the Power and Astigmatism (if you have it). If you want to see better for intermediate and near vision- you will need to correct that as well. Intermediate Vision means the computer or car dashboard. Near vision means seeing anything you can touch – reading books, doing crossword puzzles, seeing your food, stitching, etc.

At the Kuriachan Eye Institute, the following Lens Choices Offered to help meet your needs:

Panoptix IOL

  • Tries to correct power, astigmatism, and intermediate/near vision
  • Multifocal IOL that provides the best chance to be glasses free for every distance.
  • Less than 1% of patients can experience halos that are bothersome
  • Does require “neuro-adaptation” where the brain needs time to get used to the new lens
  • Please visit www.cataractsurgery.com for more information

Symphony IOL

  • Tries to correct power, astigmatism, and intermediate/near vision
  • Extended depth of focus (EDOF) IOL that provides a clear range of vision.
  • It does try to correct everything but it usually provides great distance and intermediate vision. Thus, you may still need reading glasses for very small print (i.e a medicine bottle)
  • Less than 1% of patients can experience halos that are bothersome
  • Please visit https://www.beyondcataracts.com/cataract-treatment/tecnis-symfony-iol for more information on this IOL.

Crystalens

  • An Accommodating IOL – a flexible lens that tries to mimic your natural lens flexibility. Tries to correct power, astigmatism, and intermediate/near vision
  • It can provide good vision at all ranges but you do have to do and continue near vision exercises to maintain intermediate and near vision
  • Is a good option for patients if they are not candidates for multifocal or EDOF IOLs.
  • Please visit https://www.bausch.com/our-products/surgical-products/cataract-surgery/crystalens-ao-lens for information on this IOL.

TORIC IOL

  • This will correct power and astigmatism and give you the best distance vision without any glasses
  • You will need readers for intermediate and near vision

Monofocal IOL

  • This only corrects the power. So, if you have astigmatism, you will still need glasses to see far away
  • You will need bifocals or readers for near vision and tasks

Our goal is to make sure you are happy with whichever choice you pick. We want you to be educated and make the best decision for you.