Standard
Cataract Surgery
Eyes can be nearsighted or farsighted. This describes the focal point of the eye. Nearsighted people can naturally see up close without glasses. Farsighted people see best far away when they are children, but as adults they often first get reading glasses before needing glasses full-time.
The IOL that is covered by insurance has one focal point and treats only nearsightedness or farsightedness. You can choose which intended focal point you want (near or far). Chances are you will not have to have glasses for the focus point you chose (near or far), but you will need glasses for other distances. “Standard Monofocal” lenses do not allow you to see both near and far without glasses. “Standard monofocal” IOLs do not correct astigmatism.
The two most common results with “Standard monofocal” lens implants are as follows:
If you choose a distance focus IOL, you will want glasses up close.
When choosing distance focus, many, but not all, patients may be able to drive, watch TV, and see in the distance with little need for glasses.
If you choose an up-close focus, you will want glasses for far away.
When choosing an up-close focus, many, but not all, patients can look at a phone, read books, use a computer or do crafts with little need for glasses.
What If the Patient Has Astigmatism?
In addition to being either nearsighted or farsighted, eyes can also have astigmatism. Astigmatism does not have anything to do with the focal distance of the eye. Astigmatism has to do with the shape of the eye, specifically the cornea. Astigmatism makes vision blurry at all distances.
The lens implant that comes with Medicare or other private insurance (the standard monofocal lens discussed above) does not treat astigmatism. If you have significant astigmatism and choose the “standard monofocal IOL,” you will likely need or want to wear glasses to correct your astigmatism.
Lens implant options not covered by insurance are intended to further decrease the patient’s need or desire for glasses. Patients may purchase these lenses for a fee that is in addition to usual copays and deductibles.
Your insurance helps cover cataract surgery no matter which lens you choose (though you will still be responsible for your usual copays or deductibles).
Summary of Your Lens Implant Choices
Scheduling
Cataract surgery is an outpatient procedure that is done when the patient feels their vision is affecting their quality of life. Except in rare cases, waiting weeks or months to have the surgery will not make the surgery or recovery any more difficult.
It is best to schedule the surgery at a time when you can take the best care of your eyes. If you have an upcoming trip, busy work schedule, important activity, or family commitment, consider waiting until after these events have passed.
Usually, 5–10 days after surgery, patients are free of restrictions and can return to normal activities and travel.
Cataract surgery is a medical procedure that is covered by your medical insurance. You do not need a vision plan or vision supplement for eye surgery. You may be responsible for copays or deductibles, depending on your insurance plan.
On the day of surgery, you will be at the surgery center or hospital for 2–3 hours. You should rest and take it easy for the next couple of days.
You will have a follow-up appointment the next day or later that same afternoon. You will have a second follow-up appointment 1 to 2 weeks later. If your other eye needs surgery, that procedure is usually scheduled 2–4 weeks after the first.
Some patients may be able to schedule follow-up appointments with the optometrist who sees them regularly. You are free to choose whether to follow up with your optometrist or the operating surgeon.
You will need someone to drive you on the day of surgery and for your first postoperative appointment. Most patients are cleared to drive after the first postoperative appointment.
The surgery scheduler will provide the exact addresses and times for all your appointments.
Hear From Our Cataract Surgeons
for more information on all your cataract questions
Meet The surgeons
Nathan Hesemann, MD
Dr. Hesemann grew up Gasconade County and graduated from the University of Missouri School of Medicine, where he also trained to be an eye surgeon. After practicing in St. Louis for several years, he returned to Columbia. He has been part of Missouri Eye Consultants since 2016. He also provides patient care, student teaching, and research at the Harry S Truman VA and MU School of Medicine. He is a comprehensive ophthalmologist, which means he takes care of medical and surgical diseases like cataracts, glaucoma, macular degeneration, and diabetes. He enjoys teaching eye care and goes on medical mission trips each year.
Dr. Hesemann lives in Columbia with his wife and three daughters. He enjoys spending time with family, being on the water and coaching basketball.
Maggie Cardonell, M.D.
Originally from Kansas City, her professional journey includes medical and surgical work in Asia, Africa, Central and South America, and across the Midwest. This experience has not only shaped her empathetic approach to eye care but also fueled her ongoing passion for travel. When she’s not improving vision, she enjoys exploring, spending time at the lake, and creating memories with her husband, three children, and their dog Cookie.
Dr. Cardonell is a dedicated ophthalmologist committed to enhancing the quality of life for her patients through exceptional eye care. She brings a compassionate approach and unique global perspective to our practice, which are both enriched by her extensive travels.
Seven Convenient Locations
for All of Your Eye Care Needs
Missouri Eye Consultants -
Columbia (Keene St.)
500 N Keene St Suite 103
Columbia, MO 65201
Missouri Eye Consultants - Columbia on Nifong
900 W Nifong Blvd Suite 125
Columbia, MO 65203
