1. INTRAOCULAR LENS (IOL) BASIC MONOFOCAL LENS ASTIGMATISM CORRECTING LENS CRYSTALENS AO TRULIGN TORIC TECNIS MULTIFOCALRESTOR METHOD OF CATARACT SURGERY REMOVALManual Surgery (bladed incisions) Laser Cataract Surgery ASTIGMATISM CORRECTIONNoYes ZONES OF VISION WITHOUT GLASSES: 1) Distance (TV, Driving) 2) Mid-Range (computer, desk-work) 3) Near (reading documents up-close) Bifocals required for distance and near Distance OnlyDistance and Mid-rangeDistance and Near NEED FOR GLASSES AFTER SURGERY Bifocals or progressivesReading glasses needed for mid- range and near Reading glasses needed for near Occasional reading glasses STRENGTHS AND BENEFITS OF THE LENS IMPLANT Improved vision through bifocal glasses Excellent vision far away without glasses Excellent far and computer vision Excellent night vision Very little night glare or halos Excellent far and near vision Good computer vision (mid- range). Ability to read small print in all lighting environments. Excellent far and near vision Good computer vision (mid- range) WEAKNESSES OR SIDE-EFFECTS OF THE LENS IMPLANT Glasses needed full-time for best vision Does not correct astigmatism No ability to refocus mid-range (computer) or near (reading printed documents) Patients will definitely use glasses to see computer and reading distances Most patients will need +1.50 over-the-counter reading glasses to read printed documents up- close. May need over-the-counter (+1.25) glasses to see the computer or mid-range. Possible halo effect around lights at night May need over-the-counter (+1.25) glasses to see the computer or mid-range Possible halo effect around lights at night Reading in low light may require glasses Lens reflection may be seen cosmetically at times NIGHTTIME GLARE AND HALOMinimal Moderate COST PER EYE (No Insurance or Elective surgery) Private Payment $5200 (does not include pre-op measurements and exam) $5900 (does not include pre-op measurements and exam) $5900 (does not include pre-op measurements and exam) $5900 (does not include pre-op measurements and exam) COST PER EYE (With medical Insurance and a visually significant cataract) Your insurance copayment and deductible $2600 (plus copay and deductible) $4000 (plus copay and deductible) $4000 (plus copay and deductible) $4000 (plus copay and deductible) Austin Eye Lens Implants – Comparison & Benefits

2. TYPE OF SURGERYBASIC CATARACT SURGERY LASER ASTIGMATISM CORRECTING SURGERY LASER PREMIUM CATARACT SURGERY Laser SurgeryNoYes Accuracy and Precision of Surgery Good – Less precise when performed manually. Excellent – More precise and exact when laser controlled. Type of Lens UsedBasic Monofocal Lens Astigmatism Correcting Lens or Basic Monofocal lens with laser corneal astigmatism correction Premium Multifocal or Accommodating Lens Dependence on glasses after surgery Full Time. Bifocals or Progressives for best near and far vision. Reading Glasses OnlyLittle to no dependence on glasses Method of removing the cataract Manual Blades or forceps combined with Phacoemulsification (Ultrasound energy) Laser Laser energy is used to soften the cataract and less ultrasound energy is required. Laser Laser energy is used to soften the cataract and less ultrasound energy is required. ORA optiplus analysis during surgery (Intra-operative measurement for more predictable surgical outcomes) NoYes Patient benefits and surgical results Safe results Improved vision Bifocals needed for near and far vision Excellent outcomes with greater precision, predictability and accuracy Potentially safer results Minimal to no reliance on glasses to see far away Reading glasses needed Excellent outcomes with greater precision, predictability and accuracy Potentially safer results Minimal to no reliance on glasses to see far away, mid-range and near Cost per eye (No insurance or Elective Surgery) Private Payment $5200 (does not include pre-operative measurements and exam) $5900 (does not include pre-operative measurements and exam) Cost per eye (With Medical Insurance and a visually significant cataract) Your insurance copayment and deductible $2600 (plus copay and deductible) $4000 (plus copay and deductible) AUSTIN EYE Basic and Laser Cataract Surgery Shannon Wong, MD Mitchel Wong, MD John Odette, MD Marie Bui, MD