Neo VisionEye Care & Laser Centre

Cataract Guide: Understanding Cataract and Lens Options

General information to help you prepare for a conversation with your Neo Vision doctor.

What is a cataract?

The lens is a clear, flexible disc behind the pupil. It focuses light onto the retina, the light-sensing layer at the back of the eye. A cataract is when this lens slowly turns cloudy, so less light gets through. Vision becomes dimmer, blurrier and less colourful, like looking through a dirty window.

How a cataract changes what you see

Illustrated street with a house, road, red sign and sun
Clear lensAdvanced cataract
Illustration only. Real symptoms vary from person to person. This is not a diagnosis.

Common signs

  • Blurry or misty vision
  • Glare or halos around lights, especially at night
  • Colours looking faded or yellowish
  • Difficulty reading or driving at night
  • Changing your glasses number often

Why glasses stop helping

Glasses fix the focus of a clear eye, but they cannot clear a cloudy lens. When daily life is affected, surgery is the way to remove the cloudy lens.

Types of cataract

Nuclear
Cortical
Posterior subcapsular
TypeWhere it formsWhat you may notice
NuclearCentre of the lens, which hardens and yellowsBlurry distance vision, faded colours, trouble reading
CorticalOuter edge of the lens, in white wedge-like streaksGlare, especially at night
Posterior subcapsularBack of the lensTrouble in bright light and when reading. Can progress faster

What can raise the risk

Ageing is the most common reason. Other factors include diabetes, long-term steroid use, smoking, eye injury and long sun exposure.

Why reading gets harder after 40

The natural lens loses flexibility with age, so close focus slips. This is called presbyopia. It is one reason some patients choose a lens that helps with near vision.

Cataract surgery at Neo Vision

Cataract surgery at Neo Vision is a day-care procedure. It is described as no injection, no stitch, with no hospitalisation. In surgery, the cloudy lens is replaced with a clear artificial lens called an intraocular lens (IOL).

Day-care: no hospital stay
No injection
No stitch

Your doctor will discuss what the day-care visit involves for you.

See the Pre-appointment Checklist

Choosing the right lens for your cataract surgery

In cataract surgery, your cloudy natural lens is replaced with a clear artificial lens, called an intraocular lens (IOL). Different lenses focus light in different ways. The right choice depends on your eyes, your daily activities and your doctor's advice.

Monofocal lens

What it is
A lens set to focus sharply at one distance, usually far.
May suit you if
Your main aim is clear distance vision, and you are comfortable wearing glasses for reading or phone use.
Good to know
Most people still need glasses for near work. It has the lowest chance of glare or halos at night.

General tendencies, not guarantees

Near
Glasses usually needed
Intermediate
Glasses usually needed
Distance
Clear
Astigmatism
Not corrected

General tendencies, not guarantees

Extended depth of focus (EDOF) lens

What it is
A lens that stretches the range of clear vision, mainly far and arm's-length distance (computer, dashboard, cooking).
May suit you if
You use screens a lot and want less dependence on glasses for everyday tasks.
Good to know
Fine print and close reading may still need glasses. Some people notice mild glare at night.

General tendencies, not guarantees

Near
May need glasses for fine print
Intermediate
Clear
Distance
Clear
Astigmatism
Not corrected

General tendencies, not guarantees

Trifocal lens

What it is
A lens with several focus zones, giving clear vision at far, intermediate and near distances.
May suit you if
You want the greatest freedom from glasses in daily life.
Good to know
Halos or glare around lights at night are more likely, and not every eye is suitable. Your doctor will check your eye health before recommending it.

General tendencies, not guarantees

Near
Clear
Intermediate
Clear
Distance
Clear
Astigmatism
Not corrected

General tendencies, not guarantees

Toric option (for astigmatism)

What it is
Astigmatism means the eye surface is slightly oval, causing blurred or stretched vision. A toric lens includes extra correction for this.
May suit you if
Your eye tests show astigmatism.
Good to know
Toric is added to a monofocal, EDOF or trifocal lens. Your doctor will measure whether you need it.

General tendencies, not guarantees

Near
Depends on base lens
Intermediate
Depends on base lens
Distance
Depends on base lens
Astigmatism
Corrected

General tendencies, not guarantees

Lens comparison

MonofocalEDOFTrifocalToric add-on
DistanceClearClearClearDepends on base lens
Intermediate (screens)Glasses usually neededClearClearDepends on base lens
Near (reading)Glasses usually neededMay need glasses for fine printClearDepends on base lens
AstigmatismNot correctedNot correctedNot correctedCorrected
Night glare or halosLowest chanceLow to moderateMore likelySame as base lens
Dependence on glassesHighestLowerLowestReduces astigmatism-related glasses

These are general tendencies, not guarantees. Your doctor will advise based on your examination.

Which lens might suit my lifestyle?

  • Mostly driving and watching TV: monofocal may be worth discussing. Discuss with your doctor
  • Lots of computer or desk work: EDOF may be worth discussing. Discuss with your doctor
  • Want the least dependence on glasses and accept some night glare: trifocal may be worth discussing. Discuss with your doctor
  • Known astigmatism: ask whether a toric option is right for you. Discuss with your doctor

Frequently asked questions

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1st Floor, Sandhya Enclave, H No 7-102/7Habsiguda Main Rd, Nagendra Nagar, HabsigudaHyderabad, Telangana 500007
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