Cataract Surgery

Cataract Surgery in Oakland

Cataract surgery is the number one surgical procedure performed on American patients older than 65. Each year, more than 14.2 million patients undergo the procedure. And within the East Bay, more people choose Batra Vision for their cataract surgery than any other local or non-local provider.

Cataract surgery is a onetime event where we replace the lens inside of your eye when it becomes cloudy and difficult to see through. This is an important time to consider all of your options and carefully select the treatment that is right for you.

At Batra Vision we go beyond removing the clouded lens in your eye by offering advanced lens replacement implants that have the ability of restoring your uncorrected vision to a point better than it was before you had cataracts.

In addition to correcting your distance vision, the most advanced lens implants have the ability to actually improve your middle and near vision as well. Imagine having the flexibility to see in the distance as well as improved vision to see the computer or read a magazine.

Batra Vision also offers the newest version of cataract surgery itself: Laser Cataract Surgery. Batra Vision was the first provider in the Bay Area to perform cataract surgeries with the LenSx, VERION, and ORA systems. With the new LenSx Cataract Laser system, we offer the most precise method of performing cataract surgery. Utilizing the newest surgical laser and real-time refractive measurements, we can measure what your prescription is during the surgical procedure. Using this information we can select the exact treatment necessary to maximize your vision without glasses. This is why at Batra Vision, we offer more than cataract surgery; we offer Refractive Cataract Treatment.

Batra Vision is led by Dr. V. Nicholas Batra, who has earned a reputation among eye care professionals as an expert on cataract surgery. Considered an expert on laser assisted cataract surgery and Premium IOLs, and refractive, Dr. Batra also travels around the country providing educational lectures to other doctors looking to learn more about these procedures. Most recently Dr. Batra was one of 3 surgeons involved with presenting live surgical techniques to surgeons around the world at the 2016 annual American Society of Cataract and Refractive Surgery meeting in New Orleans. He also frequently hosts visiting doctors from around the country to his surgical center to see his techniques in person. Click here to view some educational material we recently shot: (will provide link in the next week or two) He is also pleased to be the president elect for the California Academy of Eye Physicians and Surgeons for 2016. In May 2016, he will perform live surgery for the American Society of Cataract and Refractive Surgery. He has also lectured on the topic for many professional organizations, including:

Monofocal lenses are often referred to as the standard lens because they can correct vision at a single distance. During cataract surgery, this lens is the only one that Medicare will usually cover.

Because it’s a basic intraocular lens, it does not correct astigmatism, and patients will need to wear glasses after cataract surgery. This is to ensure that they can see at other distances that the monofocal lens can’t correct.

There are no extra out-of-pocket expenses for patients that choose this lens, as Medicare covers this and cataract surgery.

Lens Brands

Acrysof IQ (Monofocal), Tecnis, Staar NanoFLEX IOL

Multifocal lenses offer a continuous range of sight from distance to intermediate distances. Patients that choose multifocal lenses report fewer visual disturbances like halos.

Patients with a multifocal lens may need to use reading glasses when performing tasks like reading things with fine print. Multifocal IOLs are premium lenses, meaning you will have to pay out of pocket for them. These lenses have several regions with different powers. This allows people to see up-close, far away, and intermediate distances.

This lens can cause more glare and loss of contrast than monofocal or toric lenses. Multifocal lenses cannot correct astigmatism unless the lens comes in a toric model. Some patients may still need to wear glasses or contact lenses after cataract surgery for clear vision.

Lens Brands

Acrysof IQ Restor, Symfony, Symfony Toric, AcrySof™ IQ Vivity™ Extended Vision Intraocular Lens (IOL), AcrySof™ IQ Vivity™ Toric Extended Vision IOLs, AcrySof™ IQ Vivity™ Extended Vision UV Absorbing IOL, and AcrySof™ IQ Vivity™, Toric Extended Vision UV Absorbing IOLs

Toric lenses share some similarities with monofocal lenses, but they are specifically designed to correct astigmatism. This allows patients with astigmatism to see well at a distance or far away.

They will then need to wear glasses to compensate for the distance that the lens didn’t correct for. Insurance, Medicare, and secondary insurances do not cover this lens, so there is an out-of-pocket expense. Many advanced lens implants will have a toric component. This enables an extended range of vision as well as astigmatism correction.

Lens Brands

Tecnis Toric, Staar C2 Aspheric Optic

The trifocal lens provides clear vision up-close, far away, and at intermediate distances. Intermediate tasks include things like shaving, applying makeup, and working on a computer. Up-close tasks include sewing, writing, and reading.

This lens provides patients with good distance, computer, and reading vision. Some patients may see halos or starbursts in certain light conditions. There is an out-of-pocket expense for this premium lens.

Lens Brands

Panoptix, Panoptix Toric

Accommodating IOLs are unique because they move inside your eye to accommodate focusing at different distances. They are designed to change shape like the eye’s natural lens, explains the American Academy of Ophthalmology (AAO).

With an accommodating IOL, most people find that they do not need glasses or contact lenses after having cataract surgery. Some people prefer to wear glasses for extended periods of reading or other close-up activities.

Lens Brands

Crystalens by Bausch and Lomb

RxSight’s Light Adjustable Lens™ is the first intraocular lens that allows you and your physician to optimize your vision after cataract surgery. This lens gives you the unique ability to adjust and preview your vision until it meets your personal desires and lifestyle requirements.

This optimization is done by your eye doctor after lens implantation during a series of light-treatment procedures. The light-treatment procedures only take a few minutes each at your eye doctor’s office.

Lens Brands

RxSight’s Light Adjustable Lens™


What are Cataracts?

Closeup of a Cataract

A cataract is a condition in which the natural lens of the eye becomes milky or cloudy. The clear lens of the eye focuses light onto the retina allowing us to see images clearly. When a cataract forms, our ability to focus is hindered and images, regardless of distance, tend to look blurry or out of focus.

Cataracts are caused by the clumping together of protein within the lens. Cataracts often start small and initially do not affect your vision. You will begin to notice changes in vision as the cataract grows.

Some visual symptoms of cataracts include haziness, dullness of color, poor vision at night, sensitivity to bright light, and double vision. Cataract surgery, as performed at our offices, can remedy the various vision problems associated with cataracts.

There are three types of cataracts, each of which can cause their own unique vision problems:


Nuclear Cataract

A nuclear cataract is caused by the natural aging process. This type of cataract forms in the center of the lens.

Cortical Cataract

A cortical cataract is often found in patients with diabetes. This type of cataract forms on the outer region of the lens and later extends toward the center.

Subcapsular Cataract

A subcapsular cataract is often found in patients with diabetes, retinitis pigmentosa (a degenerative retina disorder), extreme farsightedness, or patients using high doses of steroids. This type of cataract develops at the back of the lens.

What is Cataract Surgery?

Cataract surgery is an outpatient procedure we perform at our Berkeley and East Bay area offices. The traditional procedure is performed under topical or local anesthesia and uses a technique called phacoemulsification. Phacoemulsification involves the use of a special probing device that is introduced into the eye through a 1/8 inch incision. The device emits localized high-frequency waves that break a cataract into tiny pieces. The fragmented cataract is then sucked from the eye using the same probe device.

Chart Illustrating the Cataract Surgery Process

A more modern procedure — laser cataract surgery — is a high-tech option that in many cases may produce better vision than traditional approaches. With the laser approach to cataract surgery, the surgeon creates a precise surgical plan with a sophisticated 3-D image of the eye called an OCT (optical coherence tomography). The goal is to create an incision with a very specific location, depth and length in all planes, and with the OCT image and an advanced femtosecond laser, it can be performed exactly without the myriad variables associated with traditional surgical incisions. Batra Vision Medical Group is proud to be the first practice in the San Francisco Bay Area utilizing the most advanced femtosecond laser and laser-enhancement technologies: the LenSx™ laser and the ORA/OptiPlus™ refractive analysis system.

Once the cataract has been removed, a lens implant (crystalens®, ReSTOR®, ReZoom™, or TECNIS®) will be put in its place. Our surgeons will determine the best lens implant to use based on your expectations, your lifestyle, and the unique nature of your case. Since cataract surgery and the lens implant surgery are both performed through such a small incision, the eyes will heal quite rapidly allowing you to return to normal activities in a relatively short amount of time.

To schedule a consultation for cataract surgery at our East Bay and Oakland area offices in Concord and San Leandro, contact Batra Vision Medical Group today.

TRULIGN Toric Intraocular Lens Implants

Toric Lens
Toric Lens

We offer the ultra-advanced TRULIGN® toric lens implants at our Oakland and East Bay offices in San Leandro and Concord. BatraVision Medical Group is the first ophthalmological practice in the Bay Area to offer this amazing new lens, which is quickly gaining renown amongst surgeons due to its ability to deliver a much broader range of vision to patients as well as increased freedom from glasses. If you suffer from astigmatism, the TRULIGN lens helps to correct this as well.

The TRULIGN lens is an intraocular implant used after cataract surgery to replace a cataract patient’s cloudy lens. TRULIGN is just one of the fine lens implant options that we offer at Batra Vision Medical Group to accommodate your particular eye care needs.

The best way to determine if you are a good candidate for TRULIGN is to visit our offices serving the East Bay and Oakland area from San Leandro and Concord. We will be happy to discuss all of the eye care options available to you and help you determine the procedure that is best suited to meet your individual needs.

ORA Systems OptiPlus

ORA® Systems OptiPlus™ is a revolutionary new option used during your cataract procedure to optimize your postoperative visual outcomes. Yet another innovative option available at BatraVision Medical Group, OptiPlus is a proven state-of-the-art analysis that provides your surgeon with an unprecedented new level of valuable information about your eye. And it’s on-demand — during the procedure — which is exactly when it is needed the most. When OptiPlus is included as part of your cataract surgery procedure, you can have the confidence of knowing that your surgeon has the information needed to optimize your visual outcome.

ORA System - Advanced Cataract Technology: ORA Wavefront Technology is Truly a Game Changer

BatraVision Medical Group now offers its ORA patients the enhanced power of VerifEye®, the latest innovation in intra-operative wavefront aberrometry. VerifEye is an advanced monitoring hardware add-on that continuously provides refrative information, resulting in more refined measurements.

If you are diagnosed with cataracts and have chosen to undergo a surgical procedure to correct your condition, you may be a candidate for the OptiPlus refractive analysis enhancement.

If you would like to know more about how your vision after your cataract procedure can be optimized by choosing OptiPlus with VerifEye, ask one of our surgeons or surgical consultants for more details during your visit to BatraVision Medical Group. See how this innovative option can help ensure the best results possible.

Lens Implants

Apart from performing state-of-the-art cataract surgery and other refractive procedures, Batra Vision Medical Group also stays at the forefront of lens implant surgery. Our East Bay offices in San Leandro and Berkeley offer different types of lens implants to meet each patient’s individual needs.

Lens implants are artificial lenses used to replace the natural lens of the eye. A number of conditions such as presbyopia and cataracts may necessitate the removal and replacement of the natural lens of the eye in order to restore or maintain a patient’s vision.

Patient Instructions for Cataract Surgery

Below are some general instructions for patients undergoing cataract surgery at our East Bay offices in San Leandro and Berkeley. You will receive a more detailed set of instructions including important reminder dates and detailed eye drop instructions prior to your surgery.

  • Eat NOTHING after midnight the night before surgery except a small sip of water to take your medicines the morning of surgery
  • You may shampoo your hair two nights before the surgery and wash your face the night before surgery
  • Start eye drops four times a day (while awake) one day before surgery. Restart day of surgery
  • You MUST have transportation to take you home. You will be unable to drive the rest of the day following surgery
  • Wear loose-fitting, comfortable clothing the day of surgery
  • Leave your jewelry at home the day of surgery
  • Bring all eye medicines with you to each office visit

Following cataract surgery, you can expect the treated eye to be sensitive to light for a while. This is fairly common and is no cause for concern. We recommend that you wear the dark sunglasses included in the surgery pack over your glasses or on their own for at least two weeks after cataract surgery.

You may need to take additional medications following cataract surgery. Dr. Batra or Dr. Farber will discuss any additional medications with you. Continue to take all medication prescribed by other doctors unless specifically told otherwise. A final glasses prescription will be provided two to four weeks after cataract surgery.

  • DO continue taking any prescribed medications when you return home unless instructed otherwise
  • DO wear the shield we provide over the operated eye for the first night after surgery
  • DO NOT rub, scratch, or press on the operated eye for one week after surgery
  • DO NOT wear eye makeup for one week after surgery
  • DO NOT allow water, shampoo, or other foreign material to get into the eye during the first week after cataract surgery
  • DO NOT engage in contact sports for the first week after surgery

If you experience eye pain or irritation of a significant degree over what you experienced on the first postoperative day or if you notice a sudden change in your vision, contact our office immediately. We are available 24 hours a day, seven days a week at our emergency number: (510) 895-3461.

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