Cataract Surgery

The most effective vision surgery that exists.

Cataract surgery is performed over 550,000 times every year in Italy alone. It’s safe, proven, and often returns vision clearer than patients have had in decades. At Palazzo Manzoni in Brescia it is individualised, from the type of lens to the technique, to match your eyes and your life.

Cataract surgery at Palazzo Manzoni in Brescia uses phacoemulsification (an ultrasound technique that liquefies the clouded lens and removes it through a tiny incision) followed by implantation of an intraocular lens (IOL). Standard monofocal IOLs are covered by the Italian national health system (SSN); premium multifocal, trifocal and EDOF lenses are available privately. All five ophthalmologists at Palazzo Manzoni (Russo, Festa, Boldini, Cancarini and Zilioli) perform cataract surgery.

Most performed

~550,000 surgeries a year in Italy

15-20 min

Per eye, home the same day

Sutureless

2 mm self-sealing incision

Day one

Vision usually clear

The Quiet Progression

The cloudiness creeps in so slowly you almost don’t notice it.

Most cataracts develop over years. The lens — which should be crystal clear — gradually becomes more opaque. Colours begin to look faded or yellowed. You need more light to read. Glare around car headlights at night becomes more pronounced. You stop driving after dark without really deciding to. The world just looks less distinct.

Because the change is gradual, you adapt. You reach for a brighter lamp. You read fewer books. You let someone else drive at night. Then one day a photograph arrives where you can barely see your own eyes, and you realise the world has shifted further than you’d admitted to yourself.

Cataract doesn’t improve on its own. But cataract surgery — modern cataract surgery — can often return vision that’s clearer than you’ve had in years.

What Makes Our Approach Different

A considered assessment, then the right lens and technique for your eyes

Cataract surgery works best when the lens and the technique match your eyes and your life. That match is what the first examination is for. Not a sales conversation. A careful look at the degree of cloudiness, your retina, your prescription, and the way your vision fits into your daily life.

All five ophthalmologists at Palazzo Manzoni perform cataract surgery, to the clinical standard set by the department’s research and teaching under Dr. Andrea Russo, MD, PhD.

01

A plan built for your eyes

Each plan is built around your eyes, your lens choice and your daily life, not around a single default lens.

02

Everything under one roof

Diagnostics, surgery and follow-up in a single location. No referrals, no waiting between facilities.

03

Precision technology

The department works with current-generation phacoemulsification and diagnostic systems, with femto-laser assistance available for selected cases.

04

Day surgery in a palazzo

Hospital-grade operating rooms inside a restored historic building that feels nothing like a hospital.

Your Path to Clear Vision

From first visit to clear vision through cataract surgery.

Step 01

The assessment (about 60 minutes)

A thorough diagnostic examination, including visual acuity, a detailed look at the lens and the degree of cloudiness, assessment of the retina, measurement of eye pressure, and modern imaging to confirm the cataract is the primary cause of vision loss. A conversation about your daily life, your visual goals, and your tolerance for surgical risk. An honest recommendation about whether surgery now or later makes sense.

Step 02

Lens choice and pre-operative planning (a few days later)

A second consultation to discuss IOL options and your refraction target. Do you want your eyes corrected for distance, or would you prefer a slight undercorrection in one eye to preserve near vision? Do premium lenses appeal to you? What trade-offs are you willing to accept? You leave with a written plan, an itemised cost, and time to decide.

Step 03

Pre-operative work-up (1–2 weeks before surgery)

Standard pre-operative blood tests, anaesthesiology review if needed, updated IOL power calculations to ensure precise refraction targeting, and a signed informed-consent document. Final measurements confirm everything is ready.

Step 04

The day of surgery

You arrive at Palazzo Manzoni in Brescia in the morning. You’re welcomed, changed into comfortable surgical wear, and given anaesthetic drops. The procedure takes 15–20 minutes per eye (if both eyes are being done, usually one eye on one day and the other a few days later). You rest in recovery. You go home the same day, accompanied by a responsible adult.

Step 05

The first 24 hours

Your vision may be surprisingly clear immediately, though it may be slightly hazy on the first day. Mild irritation is normal. You use prescribed drops every few hours, keep the eye dry, avoid rubbing, and wear dark glasses outside. Most people wake up the next morning and see clearly for the first time in years.

Step 06

Follow-up visits and the weeks that follow

Follow-up appointments at one day, one week, one month, and three months. Your ophthalmologist confirms healing, measures your visual acuity, and checks intraocular pressure. By one month, vision is usually stable. By three months, the eye has fully settled.

Patient Stories

They see the world
clearly again

Stories grouped by the lens each patient chose. Placeholder copy until real patient consents are in place.

In their own words

I stopped reading because the cataracts made the page too blurry. After surgery with a standard lens, I see perfectly at distance again. I don’t mind reading glasses — I’ve used them for twenty years. The difference is the world is sharp again.

P., 71

Standard monofocal IOL

I was a dentist and spent all day at arm’s distance, plus I wanted to read without glasses. The specialist recommended a multifocal lens. The first week there were halos around car headlights, but they faded. Now I rarely touch my reading glasses.

T., 62

Multifocal IOL

I didn’t expect cataract at fifty-five. The surgery was straightforward. I chose a multifocal lens because I wanted to travel without a glasses case. I’ve been abroad three times since and haven’t opened that glasses case once.

S., 57

Multifocal IOL

Portrait of Dr. Andrea Russo

Who Leads the Department

Dr. Andrea Russo

Ophthalmologist. Founder of Palazzo Manzoni. Specialist in laser refractive surgery, ICL and cataract surgery.

International surgical training

including Moorfields Eye Hospital, London

Academic research and teaching

research fellow at the University of Brescia, 1,200+ peer-reviewed citations

Professional societies

fellow of the World College of Refractive Surgery (FWCRS), member of the American-European Congress of Ophthalmic Surgery (AECOS) and the European Society of Cataract and Refractive Surgeons (ESCRS)

Inventor

creator of D-Eye, a smartphone-based retinal imaging device used in clinical practice worldwide

15,000+

procedures performed

“Every pair of eyes tells a different story. Our role is to understand yours fully, explore every option that could improve your vision, and guide you with confidence toward the one that fits your life best.”

Options

If surgery isn’t right yet, that’s not the end of the story

Mild cataract that doesn’t yet interfere with your life can safely be monitored. Some vision loss comes from the retina, not the lens, and cataract no longer ripens into an emergency.

Surgery is recommended when the cloudiness is bothering you and affecting your life, not at a fixed cataract density. Your assessment will tell you honestly whether now is the right time.

Premium and multifocal lenses

Distance, intermediate and near vision in a single lens, reducing dependence on reading glasses.

ICL lens implantation

When the eye is better suited to a phakic lens than to lens-replacement surgery.

Femto-laser assistance

Laser-assisted steps for selected cases, adding precision to parts of the procedure.

Visual defects

Not sure cataract is the cause? Start with an assessment of myopia, hyperopia, astigmatism and presbyopia.

Your assessment will clarify which path is right.

Common Questions

Common questions
about cataract surgery

How do I know if I have a cataract?

Common signs include clouded or blurred vision, faded or yellowed colours, glare or halos around lights (especially at night), and difficulty reading or doing detailed work despite adequate lighting. Only an eye examination can confirm the diagnosis. Many people have early cataracts without noticeable symptoms.

Can I have cataract surgery on both eyes at once?

No. Cataract surgery is performed on one eye at a time, usually with a few days’ spacing. This allows your vision to improve in the first eye while the second eye heals, and also ensures we have full information from the first eye before optimising the target refraction for the second eye.

What happens if my cataract is mild — should I wait?

Mild cataract that doesn’t interfere with daily life can safely be monitored. Cataract doesn’t “ripen” or reach a critical stage that requires urgent surgery — that’s an old concept. Surgery is recommended when your vision loss is bothering you and affecting your life, not at a predetermined cataract density.

Do I need reading glasses after standard cataract surgery?

Yes, if your IOL is set for distance vision. A standard monofocal lens is optimised for clear distance sight, and close work requires reading glasses, just as it did before. This is fine for many patients.

Can I avoid reading glasses with a premium lens?

Multifocal, trifocal, and EDOF lenses reduce or eliminate dependence on reading glasses by providing good vision at multiple distances. However, they involve trade-offs: some glare or halos (usually temporary) and slightly reduced contrast sensitivity. Not every patient wants these trade-offs.

What’s the difference between multifocal and EDOF lenses?

Multifocal lenses have distinct focal zones (distance, near, sometimes intermediate). Your eye sees through whichever zone is relevant, and the brain integrates the image. EDOF lenses create a continuous range of focus with less glare but require careful refraction targeting. Both reduce glasses dependence; the choice depends on your preferences and your eyes’ individual characteristics.

Is cataract surgery painful?

No. The procedure is performed under topical anaesthetic drops. You feel no pain, only light pressure and the sensation of the surgical microscope light. If you experience actual pain during surgery, tell the surgeon immediately.

How long is recovery?

Visual recovery is often dramatic — many patients see clearly by the next morning. Full stabilisation of refraction takes about one to two weeks. Topical drops are continued for two to three weeks. You can resume normal daily activities immediately, with the exception of heavy lifting or strenuous exercise (usually cleared at two weeks) and getting water in the eye (usually cleared at one week).

Will cataract come back?

No. Once the clouded lens is removed and replaced with an IOL, cataract cannot redevelop in that eye. The IOL itself never clouds. However, posterior capsular opacification (PCO) — cloudiness of the membrane behind the IOL — can develop in some patients months or years later, but this is easily treated with a simple laser procedure.

What if I have astigmatism — does cataract surgery fix it?

Cataract surgery is an opportunity to correct astigmatism in the same procedure using a toric IOL. This is often recommended because it gives you clear distance vision without astigmatism, reducing dependence on glasses. Your ophthalmologist will discuss whether a toric IOL suits your prescription.

Can cataract surgery correct myopia or hyperopia that I’ve had for decades?

Yes. Cataract surgery allows precise targeting of your post-operative refraction. Many patients use the opportunity to correct a longtime refractive error that they’ve accepted for years. You can choose distance focus, or a slight undercorrection in one eye to preserve some near vision (monovision). The choice is yours.

What if my vision doesn’t improve as much as I hoped after surgery?

This is rare — the vast majority of cataract surgeries result in significantly improved vision. However, if another eye condition (like macular degeneration or diabetic retinopathy) is also limiting your vision, that condition will limit your improvement even after cataract surgery. This is determined during the pre-operative examination and discussed honestly.

Take the Next Step

Your next step starts
with a conversation

At Palazzo Manzoni in Brescia, every consultation is personal, unhurried, and designed to give you clarity about your next step.

Address

Via dei Mille 14, 25122 Brescia, Italia

WhatsApp

Hours

Mon-Fri 8:30-18:30 · Sat 9:00-13:00

01

Get in touch

Call, email, WhatsApp, or book online.

02

Meet your specialist

A personal consultation to understand your situation.

03

Your plan, your pace

Together you decide the best path forward.

Scientific research

Dr. Andrea Russo co-authored a study on intraocular lens power calculation by ray tracing in complex eyes, published in the Journal of Clinical Medicine (2026). The team’s full list of publications is available on PubMed.

Dr. Giulia FestaDr. Jacopo Zilioli

Content reviewed by Dr. Giulia Festa and Dr. Jacopo Zilioli, cataract surgeons at the Institute.