Commonwealth Eye Surgery - Cataract Self Evaluation

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Have you been told you have cataracts?

YesNo

Have you noticed any deterioration of your vision in the last 5 years?

YesNo

Is your vision...(check all that apply)

Blurry or Cloudy
Halos and lights and/or over-sensitivity to light
Poor at night
Double or multiple images in one eye
Not as colorful or as vibrant as it used to be
None of the above

Is it most important to you to have...(check all that apply)

Good distance vision (driving, golfing, watching TV)
Good intermediate vision (computer work)
Good close up vision (reading)
All of the above

If you could enjoy good distance vision during the day for most activities without glasses, would you be able to tolerate some halos or glare at night?

YesNo

Please only submit once, it may take a moment to calculate your results