Hi, Ozarkwoodswalker!!
I hope that your surgery goes really well for ya!!! I am fairly certain you will be happy even if you only choose the basic, Medicare-covered option to simply fix your cataracts. I'm kinda in the same boat as you, I think. Cataracts, but I also have astigmatism issues. A guy I know well at my gun club, and my aunt, have both had just the basic lens replacement for cataract "repair(s?)" within the last year, and both have said that it helped them a
TON!!! I'm hoping whatever option you choose will do that for you, and maybe others here with these issues.
I have spoken to several people who have had their cataracts fixed with a new lens, and had the various versions/levels of distance fixing. Not one has had regrets. One of them is an Optometrist I went to church with. She simply got tired of wearing glasses and nearsightedness issues, so had the "level" of repair that fixes distance vision, but requires reading glasses at short focal ranges. She's really happy with that, and it is one that requires some money from the patient ($1850 per eye, currently).
I plan to get my cataracts repaired, along with astigmatism correction. This is the mid-level surgery/lens replacement that is what I described above: Improved distance vision, but still a need for readers. I will gladly pay for improved distance eyesight, if for no other reasons than for driving, hunting, shooting, dirt biking, and not having to feel as if I behave like the Mr. Magoo in the old cartoon series.
The clinic I'm planning to deal with does offer a 3rd level of lens replacement that is
*supposed* to eliminate the need for glasses of any sort. I'm told it's very spendy, and know only 2 folks that have had it done. One has nothing bad to say about it, and is happy with it for now, but is "young" enough at 58 yrs. old he has been told he still may possibly require glasses as he ages, for distance vision.
The other person is my son, who has always been a little tough to squeeze information out of. He is 37 yrs. old, and says he has no regrets about having his distance vision fixed. I do for certain know this about my son: 4-5 yrs. ago, he came along with me on a hunt. He didn't have a tag, so he didn't have a rifle, but carried my 10X binoculars. We spotted 2 feeding bucks at around 125-150 yards, after belly crawling up to them. At that time, with my glasses and the 9X rifle scope, I could not see antlers on one of the bucks. My son assured me they were both bucks, and "the one on the right" was the bigger of the two bucks. But hard as I tried, I could not put antlers on that deer on the right The background vegetation and the angle he was feeding at (butt facing us) wouldn't let me see anlers on that deer. Just couldn't see them at all, and we looked 'em both over for several minutes. Since they were feeding away from us, when the buck on the left turned slightly broadside I made an "executive decision", and shot that one on the left. Since it was ME pulling the trigger, I needed to be as certain as possible that I was taking a shot at a buck (which was all my tag was good for). The little buck went down right away, and the other deer, ran away in a route that plainly showed me I had, indeed, shot the smaller or the two bucks. After my boy finished bagging on me for shootin' the "little forky", I realized that he does indeed see much better than I do......

We both had optics, so I can't say for certain how much his eye surgery helped him, but his eeyes worked better than mine.......
Good luck with whatever you do, Ozarkwoodswalker! I hope it goes really well for ya!!
And clovishound, I totally get where you are comin' from about
ANY sort of lens replacement. Messin' with your eyes is a spooky thing to me. I dunno if I'd go for the multifocal lens replacement even if I could afford it. I don't know anyone personally that has had issues from it. That said, there is a similar thread to this one on another website I go to called Northwestfirearms.com. If I recall correctly, there are at least a couple of memebers there who had a multifocal "repair" done that had some ghosting or light flare issues. I believe these were done many years ago, with Lasik surgery??? I dunno...... I just know the Dr. that I will be getting to do my surgery did my aunt's cataracts, and my Optometrist friend's surgery. I think it's a gamble, sorta, but not really much of one nowadays.