For Cataract Surgery Practices

Are Your Cataract
Patients Saying No
to Premium Lenses?

Many patients don't understand why premium IOLs are better, so they default to whatever insurance covers. This means lost revenue for your practice and a missed opportunity for your patients to see their best.

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Doctor & Patient – Cataract Consultation
3.8 Million
cataract surgeries performed in the US every year
10–12%
of patients typically upgrade to premium IOLs
$3,500+
in additional out-of-pocket revenue per eye with premium IOL selection
52%
of patients make their final decision
at home, not in your office
The Problem

You're Losing Revenue Because Patients Aren't Choosing Premium IOLs

You have a steady flow of cataract patients, but most hesitate to upgrade. Even with thousands of surgeries performed, only 10 to 12 percent of patients choose a premium lens, leaving significant revenue on the table with every case.

The Decision Happens at Home, Not in Your Office

Patients leave consultations overwhelmed. They sit at the kitchen table that night and talk themselves out of it, second-guess the cost, or find conflicting information online. Without a trusted voice following up, hesitation wins.

Why Patients Don't Upgrade
They don't understand what premium IOLs actually do differently
You don't have time to fully explain every option in one appointment
They go home and talk themselves out of the upgrade
The out-of-pocket cost feels hard to justify without context
You want to educate, not sell
Brochures, websites, and staff explanations don't build the same trust you do
Why This Matters

Every hesitating patient is premium
revenue that walked out the door

The consultation happened. The recommendation was made. But without education to bridge the gap at home, 88% of those patients will never upgrade. Here’s the math for a typical cataract practice.

1,000
Cataract Patients Recommended Per Year
At $3,500 per eye for a premium lens upgrade, the revenue potential is significant
→
870–880
Choose Standard Lens
Worried about out-of-pocket cost, don't understand the value difference, leave the office without committing
→
400–500
Made Decision at Home
Without physician follow-up, they choose whatever insurance covers and never come back to upgrade
→
$350K–700K
Lost Practice Revenue
Per year, per practice location, before factoring in long-term patient loyalty and referrals
The math is simple: 1,000 patients → 880 choose standard → $350K–700K in premium IOL revenue that never materializes. Hoot closes that gap without adding to your workload or your staff’s.
Our Origin

We had the same problem in our own practice.

Dr. Shefali Miglani had cataract patients in her chair every day who were good candidates for premium IOLs, but not the time to fully explain the difference in a single appointment. She invested in patient education materials, trained her staff, and still watched patients hesitate and choose the standard lens.

Appointments were short, questions came late, and conversations felt rushed. By the time the patient got home, the moment had passed, and so had the upgrade.

Shefali Miglani, OD
Shefali Miglani, OD
Optometrist
Owner of Monroe Eye Care
Chief Medical Officer at Hoot
Bob Miglani
Bob Miglani
Founder & CEO of Hoot
Ex-Pfizer
Marketing Expert
We Tried Everything
✕
Patient brochures
✕
Websites with more information
✕
Paid advertising
✕
Staff selling and scripting
✕
Longer consultations
Nothing moved the needle.

The Doctor and the Marketer found the real answer: patients don't need more information, they need to hear it from someone they already trust. Their doctor, on video, at the exact moment they're making their decision at home.

The Solution

Doctor-Led Patient Education At Every Critical
Decision Point in the Cataract Journey

Hoot creates physician-led video education so cataract patients hear directly from their own doctor at every step, from the initial consultation through post-surgery follow-up. Doctor-delivered education via SMS builds understanding, drives premium IOL conversion, and sets realistic expectations before surgery day.

How Hoot Creates the Content
Physician video content, produced entirely by Hoot
AI Doctor Clone
Hoot builds a digital clone of your doctor. Record once, deploy to every patient at scale.
Physician-Recorded
Hoot films and produces your physician on-site or via Zoom.
Pre-Made Video Library
A complete set of 30 ready-to-deploy cataract videos featuring Dr. John Kung, a verified ophthalmologist. No recording required.
How Hoot Delivers the Content
Automatically sent to the patient at every critical moment
Via SMS
Delivered directly to the patient's phone with 98% open rates. No app download required.
Via Email
Physician video emails sent to the patient's inbox with a single tap to watch.
Triggered Automatically
No manual outreach. Videos fire after consultation, before a procedure, after first treatment, and at every follow-up milestone.
How Hoot Works

Complete Patient Education Platform & Service

Co-Design the Patient Journey
1

Co-Design the Patient Journey

We map every critical decision point in your cataract patient's journey, from first inquiry to post-surgical follow-up, and build education sequences around IOL selection, surgery prep, and recovery so the right content reaches patients exactly when hesitation is highest.

Create Physician Video Content
2

Create Physician Video Content

You record on Zoom, we shoot professionally in your practice, our AI generates content in your likeness, or you select from a complete pre-made library of 30 cataract videos featuring Dr. John Kung, a well-known ophthalmologist. Every option is ready to deploy immediately.

Deliver, Track & Optimize
3

Deliver, Track & Optimize

Education reaches patients within 24 to 48 hours of leaving your office, via SMS and email, at every key moment: post-consultation, before surgery, and through recovery. Real-time analytics show open rates, video completion, and patient engagement.

Sample Patient Journey

Video-Based Patient Journey

Sample flow for Cataract Surgery. When patients are educated before they see the doctor, they are more inclined to say yes to premium IOLs.

1
Patient Inquiry
SMSVideo Sent
SMSVideo Sent
SMSVideo Sent
2
Evaluation
SMSVideo Sent
3
IOL Decision
SMSVideo Sent
4
Pre-Surgery
SMSVideo Sent
5
Surgery
SMSVideo Sent
Choose between recording your own videos or selecting from Hoot’s pre-made library of 30 cataract videos featuring Dr. John Kung, MD
Ready to Grow?

Stop Losing Premium Lens
Upgrades. Start Educating
Patients Automatically.

Join cataract surgeons who use Hoot to convert hesitant patients into confident ones, and turn every consultation into a premium IOL opportunity.

Book a Discovery Call