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Refractive Cataract Surgery

A procedure designed to remove your cataract AND your bifocals? Yes, it exists.
Refractive cataract surgery is redefining cataract surgery as you know it.

Cataracts are a natural part of the aging process in which the lens inside the eye progressively becomes hard, yellow, and cloudy, resulting in blurred and poor quality vision. To restore vision that has been lost or impaired by a cataract, the cloudy lens must be removed and replaced with a clear artificial lens implant. While cataract surgery is one of the safest and most common out-patient procedures performed today, not all cataract surgery is the same. Refractive cataract surgery is an advanced procedure that goes above and beyond traditional cataract surgery to deliver exceptional results designed to fit your vision and your lifestyle. This advanced procedure can only be performed by a refractive surgeon, an important distinction when considering your options. If your goal is to achieve the best possible vision without a dependency on bifocals following surgery, scheduling a refractive cataract consultation with a refractive surgeon is an important first step.

Refractive vs traditional cataract surgery, see the difference:

Refractive Cataract Surgery

  • Premium, multifocal IOL implanted
  • Real-time IOL power calculation with ORA used during cataract surgery to optimize vision correction
  • Corneal laser vision correction (LASIK, PRK) to optimize visual outcome if needed post-operatively
  • Vision restored at near, intermediate, and far distances to eliminate the need for readers or bifocals post-operatively

Traditional Cataract Surgery

  • Standard, monofocal intraocular lens implanted
  • Does not correct common refractive errors – nearsightedness, farsightedness, astigmatism, and presbyopia
  • Readers or bifocals prescribed for distance and near vision following surgery

3 Reasons to Choose a Refractive Surgeon to Perform Your Cataract Surgery


A refractive surgeon is familiar with all the treatment options available today – from the latest advancements in IOLs to laser vision correction post-cataract surgery to optimize vision.

Surgeon Expertise

Refractive surgery is a sub-specialty of ophthalmology. This narrow field of focus enables our doctors to refine techniques and provide the highest level of patient care.


Our surgeons are committed to delivering exceptional outcomes and helping each patient achieve their desired visual goals. If excellent vision without bifocals following cataract surgery is your goal, a refractive surgeon is best suited to meet your needs.

Who is a Candidate for Refractive Cataract Surgery?

Refractive cataract surgery is recommended when your vision begins to affect your quality of life or interfere with your ability to perform daily activities. Some signs of a cataract include:

  • Clouded, blurred, or dim vision
  • Increasing difficulty with vision at night
  • Sensitivity to light and glare
  • Halos around lights
  • The need for brighter light for reading and other activities
  • Frequent changes in eyeglass or contact lens prescription
  • Fading or yellowing of colors
  • Double vision in single eye

What to Expect on the Day of the Procedure

Cataract surgery is an outpatient experience. It usually takes 10-15 minutes to complete.

Topical or local anesthesia is used with a mild sedative to prepare you for surgery.

The surgery is not painful. Patients may note a pressure sensation and a “light show” during the procedure.

The natural lens is broken up using ultrasound into minute particles and removed from the eye.

Most of the time, no sutures are needed as the incision is small and usually self-seals.

Surgery is done one eye at a time, but the fellow eye may be scheduled as early as 1-2 weeks later.

Post-Operative Care and Recovery

There are minimal restrictions, even immediately after surgery. You will be using antibiotic and anti-inflammatory eye drops for a few weeks to aid in the healing process. Standard post-op visits are 1 day, 1 week, 1 month, 3 months, and 1 year.

Patients are required to have a driver take them home after surgery and drive them to their one day post-op visit. Patients can usually return to work after the first post-op visit.The following morning we will see you for a quick one day, post-operative visit with our team of doctors, and review any questions you may have.

Ready to see if refractive cataract surgery is right for you?
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