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Importantly, the increase in speed did not compromise quality, he said. These decisions are made by the ophthalmologist at the time of surgery. Cataracts may develop in one eye at first, but very typically go on to affect both eyes. The private sector has had a reputation of being expensive. Many patients are perfectly happy wearing varifocal glasses with astigmatism correction in them. The main difference is that the optic can be folded during insertion.