Everything you need to know

Lens options

During cataract surgery, the eyes’ natural lens must be removed and replaced with an artificial lens. There are several lens options available – from simple like-for-like lens replacement to an upgraded lens that will mean you no longer have to wear glasses. Lens choice is an important decision. 

Mr Jonathan Ross looking down a microscope during cataract surgery

Monofocal lens cataract surgery

A monofocal lens will give you good vision at one distance but you will need to wear contact lenses or glasses for other distances. Most people choose to restore their distance vision and wear glasses for close up tasks such as reading. 

It is important to remember that you do not retain the vision you had pre-surgery. If your close vision was perfect before cataracts but you opt for a lens that gives you good distance vision, you will not retain the perfect close vision you had. Your new lens effectively resets your vision. This lens is a good choice for people who don’t mind wearing glasses. 

Trifocal lens cataract surgery

As well as removing your cataracts we can also improve your vision and reduce your reliance on glasses. For trifocal / multifocal cataract surgery your eyes must be in good health, with no sign of macular degeneration or glaucoma.

If you have needed glasses your whole life and you select trifocal lenses, your will most likely be glasses-free after surgery. These lenses are a great choice if you really don’t enjoy wearing glasses or are intolerant to contact lenses.

Diagnostic testing for RLE surgery at Vision Scotland
risks of surgery

Monofocal lens cataract surgery

A monofocal lens will give you good vision at one distance but you will need to wear contact lenses or glasses for other distances. Most people choose to restore their distance vision and wear glasses for close up tasks such as reading.

It is important to remember that you do not retain the vision you had pre-surgery. If your close vision was perfect before cataracts but you opt for a lens that gives you good distance vision, you will not retain the perfect close vision you had. Your new lens effectively resets your vision. This lens is a good choice for people who don’t mind wearing glasses.

Toric lens cataract surgery

This option can help correct astigmatism.You can select a combination of toric lenses with either monofocal lenses or trifocal lenses.
Mr Sanjay Mantry, Consultant Ophthalmic surgeon in scrubs

Lens options

The lens simulator allows you to see how your vision will be affected by the various lens options available to you. From the top tabs, select the description that best matches your prescription. The image below will represent your own vision (For example, you will see that when you select ‘short sighted’ from the top tabs, the ‘pre-surgery’ image will show that the objects in the fore ground are focused but those in the distance are blurry). You can then select the various lens options so understand how your vision will be affected post cataract surgery.

Type-of-lens-sim-long-sighted
trifocal toric

Vision before surgery

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision

  • Pre surgery
  • Monofocal for close vision
  • Monofocal for far vision
  • Trifocal
Type-of-lens-sim-long-sighted
Type-of-lens-sim-long-sighted
trifocal toric

Vision before surgery

Good distance vision, blurry close vision

Good close vision, blurry in distance

Good all round vision

  • Pre surgery
  • Monofocal for far vision
  • Monofocal for close vision
  • Trifocal
short sighted with astigmatism pre surgery
short sighted with astigmatism pre surgery
Type-of-lens-sim-long-sighted-astigmatism2
Type-of-lens-sim-long-sighted
Type-of-lens-sim-normal-astigmatism
trifocal toric

Vision before surgery

Good close vision, blurry in distance + double vision all over

Good distance vision, blurry close vision + double vision all over

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision + double vision all over

Good all round vision

  • Pre surgery
  • Monofocal for close vision
  • Monofocal for far vision
  • Monofocal toric for close vision
  • Monofocal toric for far vision
  • Trifocal
  • Trifocal toric
Type-of-lens-sim-long-sighted-astigmatism2
Type-of-lens-sim-long-sighted-astigmatism2
short sighted with astigmatism pre surgery
Type-of-lens-sim-long-sighted
Type-of-lens-sim-normal-astigmatism
trifocal toric

Vision before surgery

Good distance vision, blurry close vision + double vision all over

Good close vision, blurry in distance + double vision all over

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision + double vision all over

Good all round vision

  • Pre surgery
  • Monofocal for far vision
  • Monofocal for close vision
  • Monofocal toric for close vision
  • Monofocal toric for far vision
  • Trifocal
  • Trifocal toric
Type-of-lens-sim-long-sighted
trifocal toric

Vision before surgery

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision

  • Pre surgery
  • Monofocal for close vision
  • Monofocal for far vision
  • Trifocal
Type-of-lens-sim-long-sighted
Type-of-lens-sim-long-sighted
trifocal toric

Vision before surgery

Good distance vision, blurry close vision

Good close vision, blurry in distance

Good all round vision

  • Pre surgery
  • Monofocal for far vision
  • Monofocal for close vision
  • Trifocal
short sighted with astigmatism pre surgery
short sighted with astigmatism pre surgery
Type-of-lens-sim-long-sighted-astigmatism2
Type-of-lens-sim-long-sighted
Type-of-lens-sim-normal-astigmatism
trifocal toric

Vision before surgery

Good close vision, blurry in distance + double vision all over

Good distance vision, blurry close vision + double vision all over

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision + double vision all over

Good all round vision

  • Pre surgery
  • Monofocal for close vision
  • Monofocal for far vision
  • Monofocal toric for close vision
  • Monofocal toric for far vision
  • Trifocal
  • Trifocal toric
Type-of-lens-sim-long-sighted-astigmatism2
Type-of-lens-sim-long-sighted-astigmatism2
short sighted with astigmatism pre surgery
Type-of-lens-sim-long-sighted
Type-of-lens-sim-normal-astigmatism
trifocal toric

Vision before surgery

Good distance vision, blurry close vision + double vision all over

Good close vision, blurry in distance + double vision all over

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision + double vision all over

Good all round vision

  • Pre surgery
  • Monofocal for far vision
  • Monofocal for close vision
  • Monofocal toric for close vision
  • Monofocal toric for far vision
  • Trifocal
  • Trifocal toric
  • Short sighted
  • Long sighted
  • Shortsighted with astigmatism
  • Long sighted with astigmatism

Type-of-lens-sim-long-sighted
trifocal toric

Vision before surgery

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision

  • Pre surgery
  • Monofocal for close vision
  • Monofocal for far vision
  • Trifocal

Type-of-lens-sim-long-sighted
Type-of-lens-sim-long-sighted
trifocal toric

Vision before surgery

Good distance vision, blurry close vision

Good close vision, blurry in distance

Good all round vision

  • Pre surgery
  • Monofocal for far vision
  • Monofocal for close vision
  • Trifocal

short sighted with astigmatism pre surgery
short sighted with astigmatism pre surgery
Type-of-lens-sim-long-sighted-astigmatism2
Type-of-lens-sim-long-sighted
Type-of-lens-sim-normal-astigmatism
trifocal toric

Vision before surgery

Good close vision, blurry in distance + double vision all over

Good distance vision, blurry close vision + double vision all over

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision + double vision all over

Good all round vision

  • Pre surgery
  • Monofocal for close vision
  • Monofocal for far vision
  • Monofocal toric for close vision
  • Monofocal toric for far vision
  • Trifocal
  • Trifocal toric

Type-of-lens-sim-long-sighted-astigmatism2
Type-of-lens-sim-long-sighted-astigmatism2
short sighted with astigmatism pre surgery
Type-of-lens-sim-long-sighted
Type-of-lens-sim-normal-astigmatism
trifocal toric

Vision before surgery

Good distance vision, blurry close vision + double vision all over

Good close vision, blurry in distance + double vision all over

Good close vision, blurry in distance

Good distance vision, blurry close vision

Good all round vision + double vision all over

Good all round vision

  • Pre surgery
  • Monofocal for far vision
  • Monofocal for close vision
  • Monofocal toric for close vision
  • Monofocal toric for far vision
  • Trifocal
  • Trifocal toric

Disclaimer: This tool is only a simulation and does not claim to be medically acrrurate.

How lenses work

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