When is it time to have cataract surgery?


When cataracts are causing significant visual disturbances that affect your ability to see during necessary activities such as driving at night,  glare around headlights, and reading in lowlight, then it may be time for cataract surgery. You should not have to adjust your lifestyle due to fading vision when such an advanced procedure is available and performed by Dayton's most experienced surgeons.


What happens during cataract surgery?

Cataract Surgery is one of the most commonly performed surgeries in the United States. This is an outpatient procedure performed at the Eye Laser & Surgery Center, conveniently located within our facility.  

 Cataract surgery step-by-step :


  1. A small incision is made in the cornea, the clear part of the eye.  This allows tiny instruments into the eye.

  2. A tiny hole is made in the capsular membrane that surrounds the cataract.  (Think of an M&M.  The capsule is the candy coated shell, the cataract is like the chocolate on the inside.)

  3. Dr. Stahl or Dr. Knowles will carefully break up and remove the cloudy cataract. The cataract is gently broken apart by an ultrasonic instrument.  This process is called phacoemulsification.

  4. Then your doctor washes and vacuums out the broken down particles of the cataract.

  5. The new lens is folded up and inserted into the lens capsule, (the same membrane that once held the natural lens of the eye,) at which point it opens and its haptics, or “arms”, unfold to keep it in proper position. 

  6. The small corneal incision is self-healing and typically requires no stitches.  With the cataract removed, and the new lens in place, light can once again pass to the back of your eye, for clearer, more youthful vision.

From start to finish expect to be there about 2 hours even though the procedure itself only takes about 20 minutes. 



What is recovery time like?

You will return home take a 2 hour nap and then relax for the remainder of the day after your procedure. Most patients report improvement in their vision as soon as the next day. You should be able to resume normal activities, such as working or driving, within just two to three days. It’s important to follow your doctor’s instructions, use your medications as prescribed and keep your follow-up visits.  An aftercare sheet with these aftercare instructions will be given to you at the surgery center.




What are the different types of intraocular lenses implanted after cataract surgery?


  • Monofocal Aspheric Implant Lens (Standard Lens) - is designed to clear blurred vision caused by the cataract and is covered by insurance. This lens has one point of focus which is typically distance, but does NOT correct for astigmatism which up to half of patients have. Most patients notice improved clarity and sharpness to vision for distance, and more vibrancy with colors. You may need glasses for distance vision, and you WILL need glasses for intermediate (desktop computer) and near (phone and books).

  • Strengths: best night vision and improved sharpness, insurance covers the cost of this IOL.

  • Weaknesses: does not correct astigmatism and you will require glasses or readers for reading and intermediate distances.


 Advanced Lifestyle Implant Lenses 

With advancements in technology there are now several options available to renew your vision and regain control of your lifestyle. Today’s cataract surgery has the potential to not only eliminate your cataracts but also allow you to regain more youthful vision—often without the dependence on glasses or contacts to see. For patients considering cataracts surgery and also wanting to see more clearly WITHOUT glasses and contacts Stahl Vision is happy to offer Advanced Lifestyle Lenses. Unlike a bifocal lens in your glasses, you don’t have to look down or tip your head back to use these implants. Much like when you were younger, vision is good at multiple distances. Advanced IOL’s will increase the out-of-pocket cost of your cataract surgery, since the cost of these advanced lens implants is not covered by Medicare or other insurance plans.



Symfony (and Multifocal Tecnis) Implant Lens- is an extended depth of focus bifocal implant lens that offers distance, intermediate and reasonable near vision often without the need for glasses. This lens brings things like reading books, seeing your computer, and seeing your phone into focus. This lens uses advanced diffractive optics to extend the range that things are clear and corrects for astigmatism as well. Most bifocal lenses have some glare and halos with night driving that usually improves over time. The Symfony lens has good distance and intermediate vision, but you may need readers for some very small print.                                                 

Strengths: Good distance and intermediate. Fair near vision.

Weaknesses: some glare/halos with night driving that improves over time and may need readers for very small print​

PanOptix (replaces the Restor) Implant Lens- is a trifocal implant lens that offers distance, intermediate and near vision often without the need for glasses. This lens uses advanced diffractive optics to create multiple focal points for distance, intermediate, near vision and corrects for astigmatism as well. Most trifocal lenses have some glare and halos with night driving that usually improve over time. The PanOptix lens has all these features. In our experience, night vision is not quite as good as with a symfony lens. 

Strengths: good distance, intermediate, and near vision.

Weaknesses: Some glare/halos with night driving that improves over time, but night vision may seem "darker".

Toric- is NOT a bifocal implant lens but can correct for astigmatism allowing many patients to see better without their glasses for distance vision. Most patients will still need reading glasses (“readers”) or to wear bifocals for near vision, and often for intermediate vision. You may be able to wear non-prescription readers or magnifiers that are easily available.

Strengths: corrects for astigmatism thus great distance vision and good night visit.

Weaknesses: will need readers for near and sometimes intermediate vision.