The ideal treatment if you have a cataract and want to reduce your dependence on glasses

Start addressing your cataracts today, so you’re ready for the new world of tomorrow

In this video, we provide a brief explanation of refractive cataract surgery

Why you should get refractive cataract surgery

The best thing about refractive cataract surgery…

No more dull and murky vision

Refractive cataract surgery has not only removed your cataract, it has eliminated your dependency on glasses and contact lenses all together.

You feel like a new you

Deciding to have refractive cataract surgery is a transformative decision. Your vision is now as clear and bright as your future.

You can relax

Forget about all those pairs of reading glasses, having to take them on and off constantly – you don’t need those anymore. You can finally focus on what really matters.

Your life is enhanced

Refractive cataract surgery has removed the barrier between you and the world. You can now re-engage with the activities and people that make you happy.

Nothing is holding you back

You’ve ditched the grandad glasses and varifocals and you’re feeling more spontaneous, fun and free. Your only regret is that they didn’t do it sooner.

Our patients make more time for life

They benefited from our experience and expertise and no longer miss out on the life they want most

  • ★★★★★

    The procedure was so quick and the people performing it – in particular the surgeon, put me at ease – I wasn’t at all apprehensive. The next day my vision was perfect and I have had better than 20|20 vision ever since. I would recommend this to anyone, best thing I ever did.

    Claire Watson

    I had LASIK eye surgery with Dr Manek Patel and am extremely happy with the result. I only wish that I had had it done sooner. The surgery was unbelievably quick and painless and the recovery also very quick. I now have better than 20/20 vision.

    Sarah Clifton

    I had my LASIK wavefront intralase surgery on the sat 9th March and my surgeon was Mr Manek Patel.(the best). I’m a person who is scared of everything but decided to go for the op. I was -3.00 in both eyes and I now have better than 20/20 vision and so happy! I’m just so happy I can see. Thank you!

    Mustafa Nurten

    Had my LASEK with Manek Patel 1 month ago. Totally put me at ease considering this was an enhancement. 1 month on and I have 20/20 vision.

    Imran Rulia
  • ★★★★★

    On the day of the surgery Dr Patel was excellent, he explained everything clearly. I would not hesitate to recommend!

    Raj Billen

    Hi, I had Lasek eye surgery 3 weeks ago. Dr Manek did the procedure, he put me at ease and chatted throughout the surgery to keep my mind off the surgery. My vision is perfect now! I’m really happy I went through with the surgery, I would recommend it to anyone thinking about getting it done!

    Louise Hyland

    Great results. Achieved 20/20 vision. Should have done long ago!


    Had my LASEK with Manek Patel 1 month ago. Totally put me at ease considering this was an enhancement. 1 month on and I have 20/20 vision.

    Imran Rulia

How does it work? It’s simple

We know most of our patients wish they had refractive cataract surgery sooner. What holds them back? Time!

Everyone says “I’ll get to it, but honestly, how many things do we let get in the way of what we want? The first step is simply to call and request a consultation by phoning the number below.

Attend the consultation at the date and time that fits your busy lifestyle. After hours? No problem. We’ll make it work.

Recover your time. Glasses and contact lenses waste valuable time, and cannot directly treat or cure cataracts. Restore your vision, and free yourself up to enjoy hobbies and people you love.

Call 020 7521 4672

Cataract surgery & refractive cataract surgery explained

In these toggles you will find everything you need to know

Refractive cataract surgery suitability criteria

Cataract surgery removes your cataracts. It’s available on the NHS if you’re prepared to wait. However, refractive cataract surgery is ideal if you:

  • seek to reduce your dependence on glasses and contact lenses
  • want special care taken to address any astigmatism you might have
  • choose your own consultant eye surgeon
  • be seen by your consultant surgeon at every stage of the patient pathway
  • have a comprehensive choice of lens options to suit your needs and lifestyle

You may not be suitable for refractive cataract surgery if you have very high visual requirements for distant or near tasks or if you frequently drive at night.

Some patients with coexisting eye conditions, e.g. advanced glaucoma, may not be suitable.

How refractive cataract surgery works

Refractive cataract surgery is virtually the same as conventional cataract surgery. The difference is that the new lens we put in has been designed to allow you to be less dependent on glasses for distance and near vision.

Conventional cataract surgery with a standard single focal lens would typically improve your vision in either the distance or near, but not both.

Advantages and disadvantages of refractive cataract surgery

Advantages of refractive cataract surgery

  • You will be less dependent on spectacles
  • It can treat astigmatism
  • You will have enhanced convenience and lifestyle

Disadvantages of refractive cataract surgery

  • We must discuss your motivations and desired results before, to ensure they are achievable
  • You may require glasses for very fine print
  • There are possible visual side effects, e.g. glare

Refractive cataract surgery risks

The risks of refractive cataract surgery include:

  • There is an adaptation period where your eyes must adjust to the new lens. This can take time
  • Because we are operating inside the eye, there is a different risk profile to laser eye surgery
  • There is the possibility that you will not adjust to the multi-focal lens and may need it replaced with a single focal lens

Refractive cataract surgery options and alternatives

If you do not want to have the multi-focal lens, you can opt for a single-focal lens.

Refractive cataract surgery steps

With refractive cataract surgery, we can treat your cataracts and improve your vision in 4 simple steps:

  • We administer anaesthetic eye drops and can provide mild sedation so that you are comfortable and relaxed
  • Using keyhole surgery, we make two tiny incisions in the white of your eye and remove the natural lens
  • We then implant a small artificial lens called an intraocular implant
  • You can go home the same day

Refractive cataract surgery results

After surgery, you will have significantly reduced or eliminated your dependence on glasses or contact lenses.

Affiliations and memberships

We are proud to be associated with the following organisations

Learn more about refractive cataract surgery

Educate yourself further by reading the links below

NHS - Lens Replacement

A guide on lens replacement surgery, as well as laser eye surgery. Click here for more information.

WebMD - Intraocular Lens Implant

A guide that provides some information on intraocular lens implants. Click here for more information.

The Royal College of Ophthalmologists - Refractive Lens Exchange

A guide on refractive lens exchange. Click here for more information.

NHS - Cataract Surgery

The recovery time for cataract surgery or lens replacement. Click here for more information

About the experts

With a combined 55 years of knowledge and experience, Romil and Manek Patel are a formidable force in eye surgery

Mr Manek Patel


Highly respected by his peers and with many years of experience, Manek Patel specialises in LASIK and LASEK laser eye surgery and has given almost 50,000 people freedom from glasses and contact lenses throughout the course of his career.


Mr Romil Patel


Romil is a Consultant Ophthalmic Surgeon at Moorfields Eye Hospital London, a leading international eye hospital that provides access to state-of-the-art equipment, expertise and knowledge to solve the most complex patient cases. To compliment his private sector refractive surgery work, Romil also operates in the NHS domain as a cataract surgeon.