I recently had cataract surgery. In terms of what type of lens to get, I went with the standard lens that is covered by Medicare. My understanding of the more expensive lens's is they are more if your goal is to not have to wear glasses. They have lens that are multifocal, so you can see both distance and close, which my doctor did not recommend as he found they did not work as well as they should. Or you can get one eye set for distance and the other for close work/reading. the brain makes the adjustment. I opted for regular lens's, they are set to make my distance vision the best and I need glasses for reading. I have been very happy with my choice. My sister opted for the more expensive and now 10 years later her eyes have changed and she needs glasses again, so just be clear on what your goal is and why. I just wanted clear vision and did not care if I needed glasses. Astigmatism can make it a bit more complicated but still regular lenses should work just fine. I can now drive at night and see clearly and reading is once again a joy. My maculer degeneration is very early and not affecting my vision at all.