Cataract surgery: outpatient and pain-free
Clear vision without glasses or contact lenses – treatments for cataracts from your experts at the LaserZentrum Wiesbaden.
Cataracts are clouding of the lens of the eye that only occurs in old age. If you look closely, you can see a slightly grey discolouration behind the pupil, hence the name “cataract”. Cataracts are usually the result of the natural aging process and the metabolic changes that come with it. But genetic predisposition, UV radiation or diabetes can also play a role.
Typical symptoms of cataracts include a continuous decline in visual acuity and increased sensitivity to light or glare.
Cataracts can be treated surgically. The body's own clouded lens is replaced with an artificial lens implant (intraocular lens) and visual acuity is restored.

Cataracts – surgery and premium lenses
At LZW, we are leading experts and offer you the most effective treatment for cataracts. Through precise surgical procedures that are performed on an outpatient basis and with low risk, we effectively prevent progressive loss of vision.
- Short, gentle operation duration of approx. 15 minutes.
- Outpatient procedure with the option for short anesthesia
- After a few days, very good vision again
What is cataract?
Cataracts, medically known as cataracts, are an age-related clouding of the lens of the eye, often accompanied by a gradual decrease in visual acuity and increased sensitivity to light. This clouding results from the accumulation of debris in the lens, causing a visible gray discoloration behind the pupil. Cataracts are often caused by natural aging processes, but can also be influenced by genetic factors, UV radiation or diabetes.
The symptoms at a glance
The typical symptoms of cataracts include a gradual deterioration of visual acuity, loss of contrast, increased sensitivity to glare and difficulty seeing in twilight. Patients often also report altered color perception. These symptoms usually develop gradually.
cause of cataracts
Cataracts usually develop as part of the natural aging process. In addition, factors such as long-term UV exposure, certain medications (e.g. cortisone therapy), diabetes or eye injuries can contribute to the development of cataracts. Very rarely, there are also congenital variants.
Alternatives to surgery
In the early stages of cataracts, visual aids such as stronger glasses or contact lenses can help improve the quality of vision. However, these measures cannot stop or reverse the clouding of the lens, so surgery often remains the most effective solution.
Cataract surgery: step by step in the LZW
Preparation on the day of cataract surgery
Preparation for cataract surgery plays a crucial role in its success and patient safety. Here are some key points to consider:
- No cosmetics: Avoid creams, makeup, aftershave and perfume to reduce the risk of infection.
- Comfortable clothing: Choose clothing for maximum comfort before and after the procedure.
- Light meal: Eat a light meal a few hours before the procedure and drink enough clear liquids to ensure a stable circulation. If you are using a short-term anesthetic, please remain fasting.
- Planned return journey: Organize a safe ride home, as you will not be able to drive yourself after the procedure.
- Find a companion: Make sure you have someone to accompany you home safely after the procedure and provide support if needed.
Following these guidelines will go a long way in ensuring patient safety and comfort before, during and after cataract surgery.
procedure of cataract surgery
The surgeon makes a minimal incision (approx. 2 mm) and a paracentesis to gain access to the eye and thus operate "in a closed system". A viscoelastic substance is injected to protect the internal structures of the eye and create space for the surgical instruments. The cloudy lens is then removed using phacoemulsification, a technique that uses ultrasound waves. The final placement of the intraocular lens is carried out precisely in the capsular bag of the eye. The small incision closes itself thanks to the special tunnel technique, so that no stitches need to be removed later. A transparent eye patch is placed for postoperative protection.
Behavior after surgery
Minimize stress:
- Do not rub or press on the eye
- Wear eye patch at night for 1 week
- No heavy physical activities for 2 weeks
- Avoid swimming, sauna, gardening for 4 weeks
- screen work after 1 week, take frequent breaks
- Avoid bright light, wear sunglasses, avoid direct sunlight
medications:
- Application according to the enclosed drip scheme
Washing hair & applying make-up:
- Allowed, but make sure that no water, soap or shampoo gets into the eyes during the first week
- Do not use makeup such as mascara, eyeliner or eye shadow for 2 weeks
Sport:
- No sporting activities for 2 weeks, then restricted (no weight training, swimming, etc.)
Drive a car:
- Driving a car after at least 3 days, only after consultation with the ophthalmologist and eye test
Aftercare:
- Appointments on the day of surgery, 1-2 weeks after and about 6 weeks after surgery (depending on healing process)
Pain/vision deterioration:
- If you have any complaints, contact the LZW immediately (phone or email).
effectiveness of the operation
Cataract surgery is one of the most effective treatments for cataracts. Most patients experience a significant improvement in the quality of their vision, which means a significant increase in their quality of life.
The intraocular lenses used are long-lasting and usually do not need to be replaced. However, it is important to discuss possible risks and side effects with your ophthalmologist in order to make an informed decision about the procedure.
What kind of vision do you want?
Choosing the right intraocular lens (IOL) for cataract surgery can significantly improve your vision. Modern IOLs offer advanced solutions that allow you to enjoy everyday activities without constant dependence on glasses.
Innovative technologies that enable precise vision correction allow you to fully enjoy your leisure activities such as reading, traveling and sports. These lenses are designed to follow the natural movements of the eye and offer a customized solution for your vision needs.
As an experienced expert and chief physician of the LZW, Dr. Beate Steinhorst will be happy to advise you comprehensively on this topic.


quality standards with premium lenses from ZEISS

We rely on Zeiss premium lenses - a synonym for quality and precision in ophthalmology. As the world market leader, Zeiss lenses offer unrivalled clarity and visual acuity, which guarantees our patients optimal vision and improved quality of life. Choose the LZW for the highest standards in your lens treatment, supported by leading technology from Zeiss.
Get detailed advice from our chief physician and find the right premium lenses for your eyes.
Premium lenses are standard for us - lens types & methods
In contrast to the past, when artificial lenses were only used for cataracts, lens operations have become much more important today. In particular, due to the availability of multifocal lenses, which are better than progressive lenses and enable clear vision in the distance and in various close-up areas, including overhead, with a completely natural head position and without "zone reduction". We have specialized in this at the LZW and only use premium lenses (e.g. Zeiss).
However, individual advice from an ophthalmologist is essential for selecting the right lens.
- Multifocal lenses
- Monofocal lenses
- EDOF lenses
- Aspherical lenses
- Toric lenses
Multifocal intraocular lenses (MIOLs) represent a common solution to open up a visible world to those affected without the need for visual aids. Such lenses enable wearers to clearly see objects at all distances - whether close, in between or far away - without the support of glasses. MIOLs are particularly advantageous for individuals who value independence from glasses in their daily lives. Due to their special nature, halo effects around light sources can occur after implantation, especially in poorly lit environments. However, users usually quickly get used to this side effect.
TRIFOCAL intraocular lenses for good vision without glasses _ pdf
Monofocal lenses have a defined quality of vision at a specific distance, usually optimized for distance vision.
Advantages: Provide the best contrast and a clear, stable vision (usually) for distance. Easy and reliable to use.
Application: Ideal for patients who prefer clear vision at a specific distance without the complexity of multifocal lenses. Typically requires glasses for near or other viewing distances.
EDOF lenses are a modern solution in the field of ophthalmology that offer a continuous focal length over different distances. They differ from traditional multifocal lenses in their design, which allows for significant visual acuity over a wider range of distances. Ideal for patients seeking improved vision quality over different distances, especially for those with high demands on night vision, such as drivers.
Advantages:
- Provide clear vision for normal print size up to close, making them practical for everyday visual tasks such as reading.
- Improved night vision compared to traditional multifocal lenses, making them beneficial for people who drive at night or frequently work in low light conditions.
EDOF intraocular lenses for excellent vision for an active lifestyle _ pdf
Aspheric lenses represent an advancement in monofocal IOL technology by utilizing a special geometry that flattens from the inside out. This advanced design sets them apart from standard lenses.
ASPHERICAL monofocal lenses for good vision in all lighting conditions _ pdf
Toric lenses, which are used in all types of lenses, correct visual acuity caused by a non-spherical cornea (astigmatism).
TORIC intraocular lenses for precise astigmatism correction _ pdf
FAQ: Frequently Asked Questions
Is cataract surgery painful?
Cataract surgery is usually painless. Most patients experience only minimal pressure and discomfort.
How much does cataract surgery cost?
The cost of cataract surgery varies and depends on several factors, including the type of IOL lens and the technology chosen.
How long does the IOL lens last?
The durability of the IOL lens depends on the type of lens, but they are usually long-lasting and last a lifetime.
During the first few days after surgery, it is advisable to avoid physical exertion and protect the eye from unnecessary pressure. Regular follow-up examinations are necessary to monitor the healing process.
When will my eye be completely healed?
Recovery time after cataract surgery can vary, but most patients experience a significant improvement in their vision within a few weeks. Our chief physician will give you detailed recovery instructions.
What are the advantages of premium lenses?
Premium lenses offer several benefits, including the ability to see near or far without glasses. These lenses often allow for a more natural vision. However, it is important to note that premium lenses may incur additional costs.
How long will I be out of work?
The amount of time off work after cataract surgery can vary and depends on your job and recovery. In most cases, patients can return to work after 10-14 days.
Is follow-up treatment possible?
Yes, in some cases follow-up treatment may be necessary to further improve vision quality.
When can I drive and exercise again after cataract surgery?
The time when you can drive and play sports again after cataract surgery depends on your individual recovery. As a rule, you should rest your eyes and avoid strain for at least a week.