Cataracts occur when there is a build-up of protein in the lens, causing your vision to become cloudy. Since new lens cells form on the outside of the lens, all the older cells are compressed into the core of the lens, resulting in the cataract. Your optometrist in Royal Oak MI explains the types of cataracts:

  • Age-related cataracts. As the name suggests, this type of cataract develops as a result of aging.

  • Congenital cataracts. Babies are sometimes born with cataracts as a result of an infection, injury or poor development before they were born, or they may develop during childhood. 

  • Secondary cataracts. These develop as a result of other medical conditions such as diabetes or exposure to toxic substances, certain drugs (such as corticosteroids or diuretics), ultraviolet light or radiation.

  • Traumatic cataracts. These types of cataracts form after an injury to the eye.

Other reasons that cataracts develop include consistent exposure to cigarette smoke, air pollution and heavy alcohol consumption.


- Jack A.

"I cannot say enough about how good Dr. Manzo has been. It is due to his care and attention to details that I can see. He spent the time with me, explained every step during and prior to surgery. I highly recommend him."


Once necessary, our ophthalmologist, Dr. Manzo, would perform cataract surgery. Cataract surgery involves removing the clouded, natural lens and replacing it with an artificial lens called an intraocular lens implant (IOL). Prior to cataract surgery, you will have a consultation with Dr. Manzo that involves measurements of the eye and the cataract itself. As part of the consultation your eye care professional will explain what types of IOL's can go in your eye. If you will not be getting an IOL, ask about the pros and cons of contact lenses or eyeglasses.

Cataract FAQ's

1. My optometrist told me I need cataract surgery, now what?

If you were seen by another doctor and they informed you that you would benefit from cataract surgery the next step would be to see Dr. Manzo for a full cataract evaluation. Here, Dr. Manzo would take measurements and go over the procedure and any available options with you. 

2. How soon could I have cataract surgery?

It all depends on Dr. Manzo's availability, the surgery centers availability, and the time of year. Generally, the end of the year is busier and there is less availability. After you have a full consultation you will meet with Megan, our surgical coordinator, who will go over available dates and any necessary paperwork you need signed. 

3. How much will it cost?

There is no definite answer that we can give every patient on what the cost of cataract surgery will be. Every patient has a different insurance plan and it is best to call your insurance company directly to ask what your out-of-pocket expense would be for cataract surgery. 

4. Can I drive myself?

For this procedure you will need a driver for both the surgery and your follow-up appointment the next day.

5. How long is the procedure?

The procedure itself is only 20-30 minutes. However, the surgery center will require you to be there early for pre-op and it will take time to be discharged. Therefore, you should expect to be at the surgery center anywhere from 2-3 hours.

6. Do you have to be put under anesthesia for cataract surgery?

Not necessarily, Dr. Manzo can discuss different anesthetic options with you at your consultation. Generally, a topical anesthetic is used. 

See videos below about different type of lenses and laser procedures after surgery

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621 W. 11 Mile Rd. 

Royal Oak, MI, 48067


Tel: 248-541-4200

Fax: 248-541-4969

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