Thanks to advances in technology and surgical techniques, cataract surgery has become one of the safest and effective surgical procedures performed today. Each year millions of people have their cataracts successfully removed. After a cataract is removed, an intraocular lens implant (IOL) is put in its place. This lens is necessary for providing clear and sharp vision.
In the past, patients only had one option for lens implant. Today, with technologically advanced lenses such as Multifocal, Accommodating, Toric and Aspheric IOLs, patients have more choices. Should cataract surgery be recommended, you will be presented with different options in consult with your physician and Surgical Coordinator. Your surgeon will base his recommendation for surgery and a specific IOL type based on your exam, lifestyle needs and your eye health.


During cataract surgery, a small incision is made in the cornea. A small ultrasonic device is then inserted through the incision. The lens capsule, which is the front part of the lens, is opened so that the lens material can be removed. The small ultrasonic device inserted into the eye is used to gently wash away the hardened yellow proteins that cause the cataract, while the material is simultaneously removed from the eye. Then a pre-determined Intraocular Lens (IOL) is inserted into the eye. This new lens will remain inside the eye, allowing light to be clearly focused on the retina and providing clear vision. It will not move, and it can’t be felt or sensed in any way by the patient. Once the new lens is in place, where your natural lens used to exist, the opening will self-seal, without the need for stitches.

During your cataract surgery, the doctors at Eye Specialists of Delaware can also correct standard vision issues, like astigmatism and some issues with near vision. Our doctors offer a wide array of lens options to help you receive the vision you want.


Single Vision Correction – You may choose to have a monofocal (single focus) IOL (Intraocular Lens) implanted for distance or near vision. An implant set for distance vision will require reading glasses to see up close. Alternatively, an implant set for near vision would require some form of distance prescription to see far away. This correction is typically achieved with a “standard” Monofocal lens implant.

Astigmatism Correction – You may choose to have any corneal astigmatism treated by elective surgical options such as: Toric IOL, Limbal Relaxing Incision (LRI), and/or Refractive surgery. Choosing not to correct your astigmatism surgically may require wearing glasses or contact lenses after surgery for you best corrected visual acuity.

Multi-Focus/Accommodative Correction – The Ophthalmologist could implant a multifocal IOL. This is a newer “premium” type of IOL that provides distance vision AND restores some or all of your eye’s ability to focus. It corrects for both distance vision and other ranges, such as near and intermediate. Choosing this option will usually lead to a higher out-of-pocket expense since most insurance companies only pay for a monofocal (single) lens.