Thank you for attending Insight Eye Surgery

    Insight Eye Surgery requests information about your vision lifestyle so that we can recommend the most suitable Intraocular lens (IOL) for your eye lens surgery. Your responses will be discussed at your upcoming cataract or refractive lens exchange appointment.

    Background reading on cataracts and the types of IOL available for your eye lens surgery can be found on our website here.

    Please select one answer for each of the below:

    1. Do you spend time performing near tasks - eg reading, craftwork, painting, fine electrical work?

    Yes - most of my timeYes, sometimesNo - hardly ever

    2. How do you feel about wearing glasses?

    I hate themI love themI don't mind them

    3. If you had to wear glasses for some tasks, which would you chose?

    Near work, eg readingDistance, eg driving

    4. Do you drive at night?

    FrequentlySometimesNever

    5. IOLs which give you the biggest range of vision without glasses are most likely to cause occasional haloes or glare around lights. This is generally most noticeable at night.
    Are you willing to accept this as a trade-off for being able to see at both distance and near without glasses?

    YesNo

    Enter your full name so we can identify your response (otherwise this form will not be able to be submitted):

    Submit your questionnaire by pressing the submit button below: