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Cataract Center


What Is Premium Cataract Surgery?

Cataracts develop when the eye’s natural lens becomes cloudy, leading to blurred vision, glare, faded colors, and difficulty with daily activities such as reading or driving at night. Cataract surgery removes this cloudy lens and replaces it with a clear artificial lens, restoring vision.

Premium cataract surgery combines advanced diagnostic testing, precise surgical techniques, and specialized intraocular lenses (IOLs) to not only improve clarity, but also reduce dependence on glasses and address pre-existing vision issues such as astigmatism or difficulty with near and intermediate vision.

Gary S. Hirshfield, MD, Eye Physician & Surgeon, has extensive experience helping patients understand their cataract surgery options and guiding them toward solutions that align with their vision needs and lifestyle.


The Role of the Eye’s Natural Lens

The eye’s natural lens sits behind the iris and works with the cornea to focus light onto the retina. Over time, this lens can harden and become cloudy, forming a cataract. As cataracts progress, vision becomes less sharp, contrast sensitivity declines, and glare from lights often increases.

During cataract surgery, the cloudy lens is removed and replaced with an intraocular lens (IOL). The type of lens selected plays a key role in how patients see after surgery.

If you’re noticing glare, trouble reading, or difficulty driving at night, a cataract self-test can help determine whether lens changes may be affecting your vision.

Cataract Symptom Checker

Standard vs. Premium Lens Options

Standard Monofocal Lenses

Standard monofocal lenses provide clear vision at a single distance, typically far. Most patients still require glasses for reading, computer use, or both.

Premium Intraocular Lens Options

Premium cataract surgery offers advanced lens technologies designed to address additional visual needs:

Toric Lenses (Astigmatism Correction)

Toric lenses are designed to correct astigmatism, a common condition caused by an irregular curvature of the cornea or lens. Correcting astigmatism at the time of cataract surgery can significantly improve distance vision clarity and reduce reliance on glasses.

Multifocal & Extended Depth of Focus Lenses

Some premium lenses are designed to provide a broader range of vision:

PanOptix® trifocal lenses

PanOptix® trifocal lenses are designed to provide vision at near, intermediate, and far distances. These lenses may reduce the need for glasses for reading, computer work, and distance activities.

Vivity® extended depth of focus lenses

Vivity® extended depth of focus lenses provide a continuous range of vision from distance to intermediate, with functional near vision. These lenses are often chosen by patients seeking improved range of vision with fewer visual disturbances.

These advanced lenses are not ideal for every eye. Careful testing and evaluation are essential to determine candidacy and set realistic expectations.

Light Adjustable Lens (LAL)

The Light Adjustable Lens allows vision to be fine-tuned after surgery. Once the eye has healed, the lens power can be adjusted using specialized light treatments to optimize visual outcomes. This technology offers a highly customized approach for patients seeking precise visual results.

A cataract self-test can help identify whether your symptoms and lifestyle goals may align with premium lens options.

Femtosecond Laser (Femto) Cataract Surgery

Premium cataract surgery may also incorporate femtosecond laser technology, commonly referred to as femto cataract surgery. This advanced laser assists with key steps of the procedure, including:

  • Creating precise corneal incisions
  • Softening the cataract for removal
  • Improving accuracy for certain premium lens placements

While traditional cataract surgery is extremely safe and effective, femto-assisted surgery can offer enhanced precision and consistency for select patients, particularly those choosing advanced lens options.

Dr. Hirshfield will discuss whether femtosecond laser technology is appropriate based on your eye health and surgical plan.

Recovery and Visual Outcomes

Cataract surgery is one of the most commonly performed and successful procedures in medicine. Most patients notice improved vision within days, with continued refinement over the following weeks.

Patients who choose premium lenses may enjoy a broader range of functional vision and reduced dependence on glasses, although outcomes vary and adaptation time differs between individuals. Careful evaluation helps ensure premium options are recommended only when they are likely to provide meaningful benefit.

Not sure if cataracts are causing your vision changes?

A quick cataract self-test can help you decide whether it’s time for a comprehensive eye exam.

Personalized Premium Cataract Care

Premium cataract surgery is not a one-size-fits-all solution. Successful outcomes depend on careful diagnosis, advanced testing, thoughtful lens selection, and surgical experience.

Patients of Gary S. Hirshfield, MD, Eye Physician & Surgeon, receive individualized cataract care from evaluation through recovery, with a focus on safety, precision, and long-term visual quality.

This overview highlights common premium cataract technologies and lens options. A full range of diagnostic and surgical treatments is available following a comprehensive eye examination.

Dr. Hirshfield is proud to announce that he is no longer affiliated with Northwell Physician Partners but has now joined Optum.  His new office location is:

2 Ohio Drive, Suite 200
New Hyde Park, NY 11042
347-229-1350

Appointments will be opening at the beginning of March 2025.  Please enter your contact information and we will contact you to prioritize your visit. 

In the mean time request your record from:
Northwell Health Physician Partners
176-60 Union Turnpike, Suite 110
Fresh Meadows, NY 11366

or call 718-460-1200 for your records. You can also download the following application for android or iphone.

You can then make an account with Epic Mychart and be able to share your chart with any other provider. You will have the opportunity to share your chart with Dr. Hirshfield or other providers electronically.

Please also enter your contact information in our contact page and we will reach out to you when the appointment booking becomes active.