Cataract Surgery

Experienced Surgeon. Advanced Lens Technology. Custom Vision Solutions.

Cataract Surgery in Rochester Hills, MI

Cataracts cloud the normally clear lens of the eye, eventually making it difficult to perform daily activities such as reading, driving, or computer work. If you feel like cataracts might be impacting your life, you can trust that Dr. Vrabec is a highly-skilled and experienced Board-certified cataract surgeon with a vast knowledge and personal experience with the latest techniques and vision correction options. At your cataract consultation, we will conduct a detailed evaluation of your entire eye, perform advanced testing, and discuss the procedure and lens options with you.

What Happens During Cataract Surgery?

Prior to cataract surgery, you'll have a detailed pre-operative consultation with your surgeon. Here you will learn about the benefits and risks of the procedure, including the pros and cons of the various lens replacement options. Cataract surgery is performed as an outpatient, most commonly in our on-site office-base procedure suite. Before your surgery we ensure you are feeling relaxed with a mild oral sedative (Valium), and numb the surface of the eye thoroughly with an eye drop. Rest assured, you will not feel or see anything during the procedure! It takes about 10 minutes for the entire procedure, where Dr. Vrabec will carefully wash away the cloudy cataract lens through microscopic incisions before restoring and improving your vision with the artificial lens placement. With most cataract surgery, we correct one eye at a time in staggered fashion, two weeks apart, although exceptions can be made. Our goal is two-fold: a successful AND comfortable experience!

What are the Different Lens Options?

In addition to having the cloudy lens removed, most of our patients elect to reduce or eliminate their need for glasses or contacts with an advanced technology artificial lens. We will determine if you are a candidate for vision correction depending on your unique goals and overall eye health. Dr Vrabec will personally review all options with you to help you choose the best lens for your unique situation, whether it be a RxSight light-adjustable lens, PanOptix Trifocal lens, Vivity lens, or a basic lens.

cataract vision correction testimonial

Does Cataract Surgery Correct Astigmatism?

Yes! With an advanced technology toric lens, or laser LRIs (laser relaxing incisions), we are able to minimize or eliminate astigmatism. All advanced technology lenses such as PanOptix, Vivity, and the Light-Adjustable Lens can also correct astigmatism in addition to their ability to correct distance and near vision.

Can you have Cataract Surgery after LASIK?

Yes! Traditionally, having cataract surgery after LASIK can create lens prediction problems for the surgeon, leading to a higher rate of refractive surprises (under or over-correction of vision with the new artificial lens). However, with advanced pre-operative measurements, AI-based lens calculation formulas, and the advent of the light-adjustable lens (RxLAL), we are more precise than ever with our visual outcomes in patients whom have had previous LASIK. If you were happy with the glasses-free benefits of LASIK in the past and now need cataract surgery, chances are we have the perfect solution for you!

Does Cataract Surgery Hurt?

In short, the answer is no! Cataract surgery is performed under something called topical anesthesia. Topical anesthesia means that we give you a very light sedation (typically a low-dose of Valium), and numb the surface of the eye with eye drops. In fact, these are the same eye drops you sometimes receive in the eye clinic as part of your routine exam! The combination of Valium and numbing eye drops means that we can remove the cataract painlessly. The incisions are so tiny, they can only be made while your surgeon is working under the microscope, and will never be visible to the naked eye after the procedure either. During the rest of the procedure, you remain in a very content, relaxed state, and all you will notice are some bright, colored lights, some funny sounds coming from our cataract-removing ultrasound machine, and the calming voice of Dr. Vrabec telling you that things are moving along nicely. After your surgery is over, the eye is typically quite comfortable, although some patients notice irritation, dryness, or watering of the eye for 3-4 hours after the procedure. In those cases, we recommend heading home for a short nap, which typically alleviates those symptoms quickly. The vast majority of patients feel that the eye is back to normal within 24-48 hours, although some will experience temporary dryness of the eyes for 2-4 weeks after surgery.

What is the Recovery Time with Cataract Surgery?

Like any procedure, there is a recovery period where the body (eye in this case) needs to heal. We talk about recovery time from cataract surgery occurring in three phases. The first phase (24-hours post-procedure) you'll want to plan for some down time. It's common for the eye to be scratchy, dry, watery and the vision will still be blurry. During the second phase (Day 2-7), your vision typically starts to improve rapidly and the eye feels back to normal in most cases. However, we still ask that you don't do any heavy lifting, bending, or straining during this period to reduce the possibility of infection or disruption of the artificial lens position. The good news is that most patients are able to drive and return to work (with restrictions) during this phase. The final phase, which occurs over the 3-4 week period after surgery, we ask that you use steroid eye drops on a tapering schedule to help the eye heal to completion. In addition, during this time, the new lens is finding its permanent place in the eye, which sometimes leads to some fluctuations in vision. Mild dry eye symptoms are also common during this stage, and many patients use OTC artificial tear eye drops to keep the eyes well-lubricated as they heal. At the end of this phase, we can prescribe your new glasses prescription (if you opted for a basic monofocal lens), or return you to your normal life full of the activities you desire!

Does Cataract Surgery Need to be Repeated?

Most likely, the answer is no. Once the cloudy cataract lens has been removed, it does not come back. The new artificial lens is designed to stay with you and perform its job the rest of your life! This is why we remind patients to make a careful choice about what lens (and visual lifestyle) they are looking for in the decades to come. Despite a high success rate, less than 1% of patients heal differently than "normal" and are left with under-corrected or over-corrected vision. In many cases, we are able to correct these minor imperfections with glasses, contacts, or laser vision correction (LASIK), but in more significant corrective errors, we may need to re-align or even exchange the lens for a different size. If performed within the first two months after your original cataract surgery, this can be done as safely and comfortably as your original procedure in the office.

What is a Secondary Cataract?

A secondary cataract or posterior capsule opacification (PCO) occurs in >50% of patients undergoing cataract surgery. This occurs when a thin film of scar tissue develops behind the new lens implant, and begins to obstruct vision. The timeline for development of a PCO can vary from just a few months to many years. In mild cases, a PCO is asymptomatic and can be safely observed. However, if the PCO is significantly impacting vision, it can safely and painlessly be corrected with an in-office laser procedure called a YAG Capsulotomy. If this happens to you, don't worry! It is very common, covered by insurance like regular cataract surgery, and we can help you correct this right in our office.

Is Cataract Surgery Covered by Insurance?

In most cases, yes! Provided that you have a visually-significant cataract as determined by your eye surgeon, most insurance companies will cover the removal of the cloudy lens and replacement with a basic, monofocal lens. If you wish to fully correct your vision beyond the limitations of a monofocal lens using an advanced technology lens such as PanOptix, Vivity, or the Light-Adjustable lens, there are additional out-of-pocket expenses which we will review with you at your consultation.

Top Reasons to Have Cataract Surgery at Michigan Ophthalmology:

  • Comfortable, spa-like office-based setting
  • Experienced surgeon with 5000+ successful procedures
  • No IV required: can eat morning of procedure and fast recovery
  • Enhanced precision with advanced screening and computer-guided procedure
  • Fully array of advanced technology lens options, including the light-adjustable lens (RxLAL)
  • Modern procedure suite only used by one surgeon and only his patients
  • Complimentary enhancements for patients opting for a vision-correcting lens package
  • Friendly, helpful staff and family-like atmostphere

Take our Cataract Self-Test to learn more about your vision and options. Or click below to schedule your cataract consultation:

Book a Cataract Consultation

Explore Your Lens Options

View the videos below for more information on some popular artificial lens options, and start thinking about which IOL might be the best fit for your goals!

Light-Adjustable Lens

RxSight Light-Adjustable Lens The light-adjustable lens is the only lens that allows you to customize your vision after the procedure. We use a revolutionary lens implant that can be adjusted or fine-tuned to your liking in the weeks following surgery. This allows us to correct your astigmatism after the eye has healed, and has the highest rate of 20/20 vision following surgery! More Information On Light-Adjustable Lens

PanOptix Trifocal IOL

Alcon PanOptix IOL - Trifocal IOL With skilled selection and placement by an experienced surgeon, the PanOptix IOL corrects distance, intermediate (computer), and near vision. It also corrects mild-moderate degrees of astigmatism. Patients may in some cases require mild readers for very tiny print, particularly in dim lighting conditions. Nighttime glare and halos are a possibility, but in most cases do not impact your ability to drive at night. A large-scale study of the PanOptix IOL found that 99.8% of patients said they would choose the PanOptix IOL if they had to make the decision again!

View Vivity IOL Video

Alcon Vivity IOL - Extended Depth of Focus IOL With skilled selection and placement by an experienced surgeon, this IOL will correct your distance vision, as well as the intermediate zone (computer distance). It also corrects mild-moderate degrees of astigmatism. It has a lower rate of nighttime glare and halos compared to the PanOptix IOL, but would still require reading glasses for fine print in most cases.

View Toric IOL Video

Toric IOL - Monofocal IOL for Astigmatism With skilled selection and placement by an experienced surgeon, a Toric IOL more optimally corrects either distance, intermediate (computer), OR near vision in patients with astigmatism in comparison to a standard monofocal IOL. By correcting astigmatism with the IOL, you may reduce your dependence on glasses for primarily one are of focus, but will continue to need glasses for the other areas of focus.

What are our patients saying about cataract surgery?


Before my cataract surgery, I was very nervous. Dr. Vrabec and his team made me feel very relaxed and comfortable. Dr. Vrabec’s reassuring manner and clear explanation of the procedure put me at ease. The procedure for my eyes has had the most wonderful results. Everything has become bright and clear, even on the darkest and dreariest of days. I see things in nature I have not noticed in a long time. The color of the leaves, the dew on the branches, even the sunsets look more intense with their spectacular light show of colors. I can now drive without any problem of the oncoming light. I felt like I was just a number with my previous ophthalmologist, but Dr. Vrabec made me feel like I am important to him as a patient.

DH - Surgery Patient

Totally “Amazing & Unbelievable” is how I felt the day after eye surgery, especially when the office measured my eye sight as 20/20. I could hardly wait to schedule surgery for my other eye. No more glasses or contacts. I was able to work on my computer the same day, right after surgery. My vision is now perfect, colors more vivid. Dr Vrabec was the second eye surgeon that I visited regarding my cataracts. He removed all my concerns by explaining throughly and clearly each process. We discussed my options and I opted for the PanOptix Lens implant. The surgery was totally without discomfort during or after surgery. Dr. Vrabec is an excellent eye surgeon with a compassionate demeanor. His personal follow up is reflective of the pride he takes in helping his patients improve their vision. I was very happy with his great office staff and the supporting teams at the Eye Surgery Center of Michigan (COVID-19 protocol was definitely followed). I highly recommend Dr Joshua Vrabec M.D. for corrective eye surgery. Thank you again, for my new vision with the PanOptix Lens.

RG - Surgery Patient


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