Total Eye Care

Office Hours

Monday: 8:30 am - 4:30 pm
Tuesday: 8:30 am - 4:30 pm
Wednesday: 8:30 am - 4:30 pm
Thursday: 8:30 am - 4:30 pm
Friday: 9:00 am - 2:00 pm

Cataract Options

Cataract Technology

In the early stages, cataracts might simply require a stronger eyeglass or lens prescription, force you to turn on brighter lights, or use a magnifying glass. You might also reduce glare by repositioning lights indoors or by wearing polarized sunglasses outside. For patients with posterior subcapsular cataracts, the use of dilating eye drops can help keep their pupils large, thus allowing more light into the eyes.

Depending on the severity of your vision loss, you may be able to delay surgery for a while, but eventually, surgery may be inevitable, as lenses and glasses will never reverse the process. Talk to Dr. Peyser about when surgery may no longer be avoidable for your own safety and quality of life.

Cataract Surgery Procedure

The cataract surgery procedure is very common throughout most of the world. Dr. Peyser   makes a tiny incision on the side of the cornea, removes the eye's clouded natural lens (using a procedure known as phacoemulsification), and then replaces it with an artificial intraocular lens (IOL). Phacoemulsification is the most common technique used today. Because the incision is less than an eighth of an inch, stitches are not typically required and the eye heals quickly. In 97 percent of cases, no complications occur.

Fortunately, modern procedures are outpatient, lasting only 15 to 30 minutes, and cause little to no pain. They even allow you to return to work the same day, if you choose.

If you have cataracts in both eyes, Dr. Peyser may recommend surgery on the weaker eye first, and then complete the second round after the first eye has healed.

Intraocular Lenses (IOLs)

How IOLs Work

CataractAn intraocular lens (IOL) is the artificial lens surgeons implant to replace the eye's crystalline lens that must be removed once it becomes cloudy. The main job of the IOL is to focus light onto the back of the eye (or retina), just as a natural, healthy eye lens would.

From here, the light rays are converted into electrical impulses that travel to the brain, where they are then converted into images. If the light isn't focused correctly on the retina, then the brain can't process the images accurately.

IOLs share the same basic construction as earlier versions—a round, corrective central portion of the lens with 2 arms, or haptics, to keep it in place in the eye—but other than these shared characteristics, modern IOLs can vary widely in ' design, being made of plastic, silicone, or acrylic.

Most of today's IOLs are about a quarter of an inch or less in diameter and soft enough to be folded so they can be placed into the eye through a very small incision.

Types of IOLs

The most common type of IOL is called a posterior chamber lens, meaning it is placed behind the iris within the capsule where the natural lens used to be. When it is placed in front of the iris, as might happen when the lens capsule is damaged, it is called an anterior chamber lens.

Here we focus on the most common type of IOL and the different lenses that have evolved from this technique:

  • Monofocal IOLs, such as the AcrySof® IQ IOL, provide a set focal point, usually for distance vision. This allows cataract surgery patients to see clearly within a range. About 95 percent of people who receive a standard IOL have their vision restored to its pre-cataract state.1 However, most patients still require glasses for reading or distance vision.
  • Monovision is a technique the surgeon may choose to perform that involves inserting an IOL in one eye for near vision and an IOL in the other eye for distance vision. This technique requires adaptation, since each eye will then be oriented towards different needs.

Advanced Technology IOLs

  • Multifocal IOLs, or advanced technology IOLs, are a newer type of lens that treats multiple focal points and reduces or eliminates the need for eyeglasses or contact lenses after cataract surgery. Part of the rapid evolution in IOL innovations, these newer lenses are made from cutting-edge materials with unique features. This is made possible through highly specialized optics that divide light and focus it on more than one point to provide a range from near to far eyesight
  • Accommodative IOLs are considered monofocal, meaning they have a fixed focal point. This type of lens is
  • designed to move in response to your eye's own muscle, which translates into the ability to see multiple focal points.


While there are several advanced technology IOLs on the market today, the newer and most popular ones are made by Alcon®, such as the AcrySof® IQ ReSTOR® IOL.

Astigmatism Correcting IOLs

In addition to treating the cataract, some IOLs can also correct astigmatism at the time of surgery. These lenses will minimize the need for distance vision glasses after surgery. One such IOL that has gained widespread popularity is the Alcon® AcrySof® IQ Toric IOL (made specifically to address cataracts with astigmatism).

No single lens works best for everyone. Only your eye doctor can determine the most appropriate option for you and will work with you to help select the right course of treatment.


For Cataract Eye Surgery

With more than 50 million implants in cataract surgeries worldwide, the AcrySof® family of lenses are the most frequently used intraocular lenses (IOLs) in the world, largely because physicians appreciate the long-term clinical results and unmatched stability.

The first multifocal IOL of its kind, the AcrySof® IQ ReSTOR® IOL draws upon decades of expertise and technology for an intraocular lens that truly helps cataract patients see it all—near, far, and everything in between—without the need for reading glasses or bifocals after surgery.

See this You Tube Video Alcon Restor Multifocal IOL - Cataract Surgery

In a clinical trial, after having the AcrySof® IQ ReSTOR® IOL implanted in both eyes, at 6 months post-op, 78 percent of patients reported not needing glasses.

Nearly 94 percent of patients (implanted with the +3.0 D IOL) indicated that they would have the lenses implanted again, according to a patient satisfaction survey.

Here’s what makes AcrySof® IQ ReSTOR® IOLs so unique:

  • The majority of modern IOLs are made from either silicone or a hard plastic called polymethylmethacrylate (PMMA), but AcrySof® IQ ReSTOR® IOL uses a soft, foldable acrylic, which makes implantation easier for the surgeon and more comfortable for the patient. A smaller incision also removes the need for stitches, providing faster recovery times and clearer, more youthful vision.
  • With AcrySof® IQ ReSTOR® IOL, patients with both cataracts and presbyopia can have both conditions corrected at the same time, eliminating the need for spectacles after surgery in most patients.

AcrySof® IQ Toric IOL

Cataract and Cornea Astigmatism Correction

Referred to as “the emerging standard” and a "triumphant moment in cataract surgery," the AcrySof® IQ Toric IOL corrects for cataracts with pre-existing astigmatism simultaneously by delivering more precise, predictable outcomes and quality distance vision—without the need for glasses following surgery.

The AcrySof® IQ Toric IOL may also eliminate, in many cases, the need for limbal relaxing incisions, a technique in which incisions are made at the edge of the cornea to cause it to heal in a more spherical shape.   Cornea: The clear, curved surface at the front of the eye through which light enters the eye. Along with the sclera, the cornea provides external protection for the eye.  

The latest in a long line of IOL innovations from Alcon, the new AcrySof® IQ Toric IOL takes the most trusted platform for precise astigmatism correction and adds the enhanced image quality of an aspheric lens.

See this You Tube Video: Alcon Toric Astigmatism IOL - Cataract Surgery