One of the most common questions my patients ask is:
“Doctor, which lens is best for cataract surgery ?”
With so many options available today, it is natural to feel confused. Cataract surgery is no longer just about removing the cloudy lens; it is also about choosing the right intraocular lens (IOL) that suits your eyes, lifestyle, and expectations.
Understanding lens options in cataract surgery
During cataract surgery, the natural cloudy lens is removed and replaced with an artificial lens called an intraocular lens (IOL). Broadly, IOLs are divided into standard (monofocal) lenses and premium lenses.
A standard monofocal lens usually gives clear vision for one distance, most commonly distance vision. Patients typically need glasses for near work like reading or mobile use after surgery. While this option works well for many, it does not address the modern need for visual independence.
Why I often prefer premium IOLs
Premium IOLs are designed to provide better quality vision and greater freedom from glasses. In suitable patients, premium lenses can significantly improve comfort in daily activities such as reading, using digital devices, and working on computers.
There are different types of premium lenses:
Multifocal and trifocal IOLs provide vision for distance, intermediate, and near
EDOF (Extended Depth of Focus) IOLs offer a smoother range of vision with fewer night-time visual disturbances
Toric IOLs correct astigmatism along with cataract removal
For patients who want reduced dependence on glasses after cataract surgery, premium IOLs are often a very good option.
Is every patient suitable for premium IOLs?
No lens is perfect for everyone. Before recommending any lens, I always consider factors such as retinal health, presence of glaucoma, dry eye condition, and the patient’s daily visual needs. Premium IOLs work best when expectations are realistic and the eyes are healthy.
Some patients may still need glasses for very fine print or prolonged reading, even with premium lenses. Clear counselling before surgery is essential to ensure satisfaction after surgery.
How to choose the right lens
Choosing the right cataract lens is a personalised decision. It should be based on:
Eye health and test results
Lifestyle and work requirements
Comfort with or without glasses
Long-term visual expectations
There is no “one best lens” for everyone. The best lens is the one that fits your eyes and your life.
My message to patients
Cataract surgery is a once-in-a-lifetime procedure for most people. Choosing the right lens plays a major role in long-term visual comfort. While cataract surgery is successful even with standard lenses, premium IOLs offer added visual convenience and independence for patients who are suitable candidates.
A detailed eye examination and honest discussion help ensure the right decision—one that you will be happy with for years to come.
-- Dr. Sonal Hinge
Ophthalmologist
EyeLens Hospital, Seawoods, Navi Mumbai
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