Cataract Surgery Options: A Guide for Melbourne Patients

Cataract surgery is one of the most commonly performed and successful surgical procedures in the world. If you've been told you have a cataract, the good news is that treatment can be tailored to your lifestyle, visual goals, and eye health.

As a cataract surgeon performing operations at Northpark Private Hospital in Bundoora and Wonthaggi Hospital, I want to give my patients a clear picture of what modern cataract surgery involves and what choices are available to them.

What Happens During Cataract Surgery?

Modern cataract surgery uses a technique called phacoemulsification, where a small ultrasound probe breaks up the cloudy lens into tiny pieces, which are then gently removed through a tiny incision (usually less than 2.4mm).

An artificial intraocular lens (IOL) is then folded and inserted through the same small incision, where it unfolds and is positioned inside the eye.

The procedure typically takes 15–20 minutes. Local anaesthesia with sedation is standard — general anaesthesia is available on request. Most patients notice improved vision within days.

Choosing Your Intraocular Lens (IOL)

This is the most important decision in cataract surgery. The lens you choose will determine your vision for the rest of your life. The options are:

Monofocal IOLs

The standard lens. Provides excellent clear vision at one distance — most commonly distance. You will likely still need reading glasses for near work. Covered by Medicare and private health insurance.

Best for: Patients who are happy to use reading glasses and want the most straightforward, proven option.

Toric IOLs

A monofocal lens with built-in astigmatism correction. If you have astigmatism, a toric IOL can give you sharper distance vision without glasses than a standard monofocal.

Best for: Patients with significant pre-existing astigmatism.

EDOF IOLs (Extended Depth of Focus)

These lenses stretch the range of clear vision across a continuous zone from distance to intermediate. Most patients can drive, use a computer and watch television without glasses. Fine print may still require reading glasses.

Best for: Patients who want reduced glasses dependence with minimal optical side effects.

Multifocal IOLs

Multiple focusing zones allow light to be directed to near, intermediate, and distance simultaneously. Many patients achieve complete independence from glasses. A small proportion experience halos or glare around lights at night, particularly in the early months.

Best for: Patients highly motivated to be free of glasses at all distances and who have realistic expectations about the adjustment period.

Where Does Surgery Take Place?

I perform cataract surgery at two accredited facilities:

• Northpark Private Hospital, Bundoora — servicing Melbourne's northern suburbs
• Wonthaggi Hospital — servicing the Bass Coast and South Gippsland region

Both facilities maintain the highest standards of surgical care.

How Do I Know Which Lens Is Right for Me?

During your consultation, I will measure your eye carefully using optical biometry, assess your corneal shape, and discuss your lifestyle and visual priorities. Together, we will select the lens that best fits your needs.

---

Dr Ross MacIntyre consults at Northern Eye Consultants in Bundoora. Book an appointment →