How thoughts around cataract surgery have changed over my 25 years
When I graduated Optometry school many years ago, the main focus of cataract surgery and surgeons was simply to remove the natural cloudy lens in the eye.
Lens implants were commonplace. Procedures were safe with good success outcomes. However, post-surgery refractive (glasses/no glasses) accuracy was hard to predict.
Safety and clarity was the measure of success. The refractive result was of less concern to patients/surgeons.
With now over 4 million cataract proceedures performed annually in North America, the speed and efficiency of surgery has improved greatly over 25 years but these days, cataract surgery success is viewed as
 surgery to remove the natural lens and restore clear vision AND
 a refractive surgery opportunity when the end refractive (glasses/no glasses) result is highly tuned with many enhanced options.