What Happens If You Rub Your Eye After Cataract Surgery?
Cataract surgery can be a life-changing experience, offering clearer vision and renewed independence. But the journey doesn’t end when you leave the operating theatre. The days and weeks following your procedure are key for proper healing and optimal results. One of the most important rules during this time is to avoid rubbing your eyes, no matter how tempting it might be.
For those considering Private Cataract Surgery in Cheshire and North Wales, understanding post-operative care is essential and, while it’s natural to want to rub your eyes when they feel itchy or irritated, this simple action could have serious consequences.
So, what exactly happens if you rub your eye after cataract surgery? And how can you protect your vision during the healing process? You may also be wondering How long are you off work after cataract surgery? Let’s explore these questions and more to ensure you have all the information you need for a successful recovery.
If you’re curious about your suitability for cataract surgery, why not take a cataract suitability self test? For personalised advice, you can even book a free video appointment with our expert ophthalmic surgeon Mr Dan Nguyen.
What Happens If You Rub Your Eye After Cataract Surgery?
Rubbing your eye after cataract surgery can lead to a range of complications, from minor irritation to serious damage that might require additional medical intervention. The main risk is that you could dislodge or damage the newly implanted intraocular lens, potentially affecting your vision and necessitating further surgery.
Additionally, rubbing can introduce bacteria into your eye, increasing the risk of infection. It can also put pressure on the healing incision, potentially causing it to reopen or heal improperly. These issues can delay your recovery and, in some cases, lead to long-term vision problems.
Immediate Effects of Rubbing Your Eye After Surgery
The consequences of rubbing your eye after cataract surgery can be immediate and significant. Below, we’ll take a closer look at what might happen in the moments following this seemingly harmless action.
Pain and Discomfort
The most immediate effect you’re likely to notice is increased pain and discomfort. Your eye is in a delicate state after surgery, and rubbing can irritate the healing tissues. This can lead to a sharp, stinging sensation or a feeling of grittiness in your eye.
The discomfort might last for several hours or even days, depending on how vigorously you rubbed your eye. In some cases, it can also cause swelling or redness, making your eye look and feel worse than before.
Blurred Vision
Another immediate effect of rubbing your eye post-surgery is blurred or distorted vision. This happens because rubbing can temporarily change the shape of your cornea or move the newly implanted lens out of position.
Your vision might clear up after a few minutes or hours, but in some cases, the blurriness can persist. If your vision doesn’t return to normal within a day, it’s crucial to contact your eye doctor.
Reopening of the Incision
Perhaps the most serious immediate effect is the potential reopening of the surgical incision. During cataract surgery, a small incision is made in your eye to remove the cloudy lens and insert the new artificial one. This incision is designed to seal itself without stitches, but it takes time to heal completely.
Rubbing your eye can put pressure on this incision, causing it to reopen. This can lead to leakage of intraocular fluid and increase your risk of infection. If you notice any unusual discharge or a sudden increase in pain after rubbing your eye, seek medical attention immediately.
Potential Complications and Risks
While rubbing your eye after cataract surgery can cause immediate discomfort, it’s the potential long-term complications that make it important to avoid this action. Understanding these risks can help you appreciate the importance of protecting your eye during the recovery period.
Infection
One of the most serious risks of rubbing your eye after cataract surgery is infection. Your eye is particularly vulnerable to bacterial invasion during the healing process, and rubbing can introduce harmful microorganisms.
An eye infection after cataract surgery, known as endophthalmitis, can be sight-threatening if not treated promptly. Symptoms may include increased pain, redness, and vision loss. If you suspect an infection, seek medical help immediately.
Treatment for post-surgical eye infections often involves aggressive antibiotic therapy. In severe cases, additional surgery might be necessary to clear the infection and prevent permanent damage to your vision.
Lens Dislocation
Another important consideration is the potential for dislocation of the intraocular lens (IOL) implanted during your cataract surgery. The IOL is carefully positioned to provide optimal vision correction.
Rubbing your eye can disrupt this positioning. Even a minor shift can cause visual changes, such as double vision or halos around lights. In some instances, significant lens displacement may necessitate surgical repositioning.
If you notice any sudden changes in your vision, such as objects appearing distorted or double vision, it’s essential to contact your eye doctor promptly. These symptoms may indicate a dislocated lens.
Corneal Abrasion
Rubbing your eye can also lead to a corneal abrasion, which is essentially a scratch on the surface of your eye. While corneal abrasions can happen to anyone, your eye is particularly susceptible after surgery.
A corneal abrasion can cause significant discomfort, including a feeling of something being “stuck” in your eye, increased sensitivity to light, and excessive tearing. While most corneal abrasions heal on their own within a few days, they can increase your risk of infection and delay your overall recovery.
If you suspect you’ve scratched your cornea, it’s best to have it checked by your eye doctor. They can provide treatments to ease your discomfort and ensure the abrasion heals properly.
How Rubbing Can Affect the Healing Process
The healing process after cataract surgery is delicate and complex. Your eye needs time and the right conditions to recover fully. Rubbing your eye can disrupt this process in several ways, potentially leading to longer recovery times or suboptimal results.
Firstly, rubbing can irritate the surgical site, causing inflammation. While some inflammation is a normal part of healing, excessive irritation can prolong this stage and delay overall recovery. It can also increase your risk of developing scar tissue, which might affect your vision in the long term.
Secondly, rubbing can interfere with the natural healing of the corneal incision. This incision is designed to seal itself, but constant rubbing can prevent it from closing properly. A poorly healed incision can lead to vision problems and increase your risk of infection.
In addition, rubbing can affect the stability of the implanted lens. In the days following surgery, the lens settles into its final position. Rubbing during this time can disrupt this process, potentially leading to vision problems down the line.
Lastly, rubbing can introduce bacteria into your eye, as mentioned earlier. Your eye’s natural defences are compromised after surgery, making it more susceptible to infection. Even if you don’t develop a full-blown infection, the presence of extra bacteria can slow down the healing process.
Remember, healing after cataract surgery isn’t just about avoiding complications. It’s about creating the best conditions for your eye to recover fully and achieve the best possible vision outcomes. By resisting the urge to rub your eyes, you’re giving yourself the best chance at a smooth, complication-free recovery.
Signs and Symptoms of Complications
Being aware of the signs and symptoms of potential complications can help you seek timely medical attention if needed. Here are some key things to watch out for after cataract surgery.
Increased Pain or Discomfort
While some discomfort is normal after surgery, severe or increasing pain is not. If you experience a sharp, persistent pain in your eye, especially after rubbing it, this could indicate a problem.
The pain might be accompanied by a feeling of pressure in your eye. It’s important not to ignore these symptoms, as they could signal an infection or other serious complication.
Vision Changes
Any sudden changes in your vision after surgery should be taken seriously. This could include blurred vision, double vision, or the appearance of new floaters or flashes of light in your visual field.
If you notice that your vision has become cloudy or you’re seeing halos around lights, especially after rubbing your eye, contact your doctor. These could be signs of lens dislocation or other complications.
Redness and Swelling
While some redness and swelling are normal after surgery, excessive or increasing redness and swelling are not. If your eye becomes increasingly red or swollen, particularly after you’ve rubbed it, this could indicate an infection or an inflammatory reaction.
Pay attention to how your eye looks compared to your other eye. If the difference is significant or worsening, it’s time to call your doctor.
Steps to Take If You’ve Rubbed Your Eye
Despite your best efforts, you might find yourself accidentally rubbing your eye after cataract surgery. If this happens, don’t panic. Here are some steps you can take to minimise potential damage.
Stop and Assess
The moment you realise you’re rubbing your eye, stop immediately. Try to recall how hard you rubbed and for how long. This information can be helpful if you need to speak with your doctor.
Next, assess how your eye feels. Is there any pain? Has your vision changed? Are there any immediate signs of redness or swelling? Make a mental note of any symptoms you’re experiencing.
Clean Your Hands
If you haven’t already, wash your hands thoroughly with soap and water. This can help reduce the risk of introducing bacteria into your eye if you accidentally touch it again.
Use clean paper towels to dry your hands, as cloth towels can harbour bacteria. If you’re not near a sink, use an alcohol-based hand sanitiser as a temporary measure.
Apply Prescribed Eye Drops
If you’ve been given antibiotic or anti-inflammatory eye drops as part of your post-surgery care, now would be a good time to apply them. These can help prevent infection and reduce any inflammation caused by rubbing.
Ensure you follow your doctor’s instructions on how to apply the drops correctly. If you’re uncertain, it’s better to wait and contact your doctor for guidance.
Preventing the Urge to Rub Your Eyes
Preventing the urge to rub your eyes is crucial for a smooth recovery after cataract surgery. While it might seem challenging, there are several strategies you can employ to resist this temptation. If you find yourself reaching for your eyes often, try to identify what triggers this behaviour. Is it dry eyes? Itchiness? Once you know the cause, you can address it more effectively.
For instance, if your eyes feel dry, increase your use of artificial tears. If itchiness is the problem, speak to your doctor about antihistamine eye drops.
Keeping your eyes well-lubricated can also help reduce irritation that might tempt you to rub. Use artificial tears as recommended by your doctor. These can soothe your eyes and wash away any debris that might be causing discomfort.
Another effective method is to wear the protective eye shield provided by your doctor, especially when sleeping. This physical barrier can prevent accidental rubbing and serve as a reminder not to touch your eye.
Lastly, find alternative ways to relieve eye discomfort.
Safe Alternatives to Relieve Eye Discomfort
While rubbing your eyes is off-limits after cataract surgery, there are safe alternatives to relieve discomfort. These methods can help you manage common post-surgical symptoms without risking your recovery. There’s a brief overview of these below, but always check with your eye doctor before attempting any of these alternatives, as there may be important reasons why they may not be safe for your specific case.
Artificial Tears
Using artificial tears is one of the safest and most effective ways to relieve eye discomfort after cataract surgery. These over-the-counter drops can help keep your eyes moist and wash away any irritants.
Your doctor might recommend a specific brand or type of artificial tears. Be sure to follow their advice on how often to use them. Some people find it helpful to refrigerate the drops, as the cool liquid can be extra soothing.
Remember to never touch the tip of the dropper to your eye or any other surface to avoid contamination.
Cold Compress
A cold compress can help reduce swelling and provide relief from discomfort. However, it’s vitally important to use this method safely to avoid introducing bacteria to your healing eye.
Use a clean washcloth soaked in cool water. Gently place it over your closed eyelid for a few minutes at a time. Avoid applying pressure or rubbing the compress over your eye.
Always use a fresh, clean cloth each time. Never reuse a compress, as this could lead to infection.
Gentle Eyelid Massage
In some cases, your doctor might recommend a gentle eyelid massage to relieve discomfort. This should only be done if specifically advised by your eye care professional.
If recommended, there will be a specific technique you will need to follow. Make sure you are clear on what this is and ask your eye doctor to demonstrate if you’re not certain. Ask if you can film the demonstration to refer back to later.
This option is not suitable for everyone. Always check with your doctor before trying this method.
When to Seek Medical Attention
While most cataract surgeries result in smooth recoveries, it’s crucial to know when to seek medical attention. Prompt action can prevent minor issues from becoming serious complications.
If you experience sudden, severe pain in your eye, seek immediate medical care. This could indicate an infection or other serious problem that requires urgent treatment.
Similarly, any abrupt changes in your vision warrant immediate attention. This includes increased blurriness, new floaters, flashes of light, or a curtain-like shadow in your visual field.
Excessive redness, swelling, or discharge from your eye are also reasons to contact your doctor right away. These symptoms could signal an infection or an inflammatory reaction.
If you’ve rubbed your eye and notice any changes in how it feels or looks, it’s best to err on the side of caution and contact your eye care provider. They can assess whether you need to be seen in person.
Remember, it’s always better to seek medical advice if you’re unsure. Your eye health is too important to take chances with.
Long-term Care and Maintenance After Cataract Surgery
While the initial recovery period after cataract surgery is key to successful recovery, taking care of your eyes in the long term is equally important. This ongoing care can help ensure the best possible outcomes from your surgery.
Regular check-ups with your eye doctor are essential. These visits allow your doctor to monitor your eye health and catch any potential issues early. The frequency of these check-ups will depend on your individual needs and your doctor’s recommendations.
Protecting your eyes from UV light is another important aspect of long-term care. Wear sunglasses with UV protection when outdoors, even on cloudy days. This can help prevent damage to your eyes and maintain the clarity of your vision.
Maintaining a healthy lifestyle can also benefit your eye health. Eating a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support overall eye health. Regular exercise and avoiding smoking can also contribute to better eye health [1-3].
Lastly, continue to practise good eye hygiene. This includes washing your hands before touching your eyes or applying eye drops, and avoiding rubbing your eyes even long after your surgery.
Conclusion
Cataract surgery can dramatically improve your vision and quality of life. However, the success of the procedure depends not only on the skill of your surgeon but also on how well you care for your eyes during recovery.
Avoiding rubbing your eyes is a crucial part of this care. While it might seem like a small action, it can have significant consequences, potentially leading to complications that could affect your vision in the long term.
By understanding the risks, recognising the signs of potential problems, and knowing how to safely manage discomfort, you can play an active role in your recovery. Remember, if you’re ever in doubt about your eye health after surgery, don’t hesitate to contact your eye care provider.
With proper care and attention, you can look forward to enjoying clearer vision and all the benefits it brings. Your journey to better sight doesn’t end with surgery. It’s an ongoing process of care and maintenance that you can embrace for years to come.
Don’t leave your eye health to chance. Take control of your vision journey today by booking a free video appointment or taking our suitability self-test. Your clearer, brighter future is just a click away.
FAQs
1. How long after cataract surgery should I avoid rubbing my eyes?
You should avoid rubbing your eyes for at least a month after surgery, or longer if advised by your doctor.
2. What should I do if I accidentally rub my eye after cataract surgery?
Stop immediately, wash your hands, and monitor for any changes in vision or discomfort. Contact your doctor if you notice any issues.
3. Can I use eye drops to relieve discomfort instead of rubbing?
Yes, artificial tears or other eye drops recommended by your doctor are safe alternatives to relieve discomfort.
4. How can I prevent myself from rubbing my eyes while sleeping?
Wear the protective eye shield provided by your doctor when sleeping to prevent accidental rubbing.
5. When is it safe to resume normal activities like swimming after cataract surgery?
Follow your doctor’s specific instructions, but generally, you should avoid swimming for at least 1 month after surgery.
References
Mayo Clinic News Network. (2017, November 7). Mayo Clinic Q and A: Fish oil supplements and dry eyes. Retrieved from https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-fish-oil-supplements-and-dry-eyes/
Mayo Clinic Press. (n.d.). The best vitamins for your eyes. Retrieved from https://mcpress.mayoclinic.org/living-well/the-best-vitamins-for-your-eyes/
EyeHealthLeader. (n.d.). Diet and nutrition. Retrieved from https://www.aoa.org/healthy-eyes/caring-for-your-eyes/diet-and-nutrition
DISCLAIMER: The information provided in this article is intended for general informational purposes only and should not be construed as medical advice, diagnosis, or treatment. The products and methods mentioned are not a substitute for professional medical advice from a trained healthcare specialist. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. Use of the information and products discussed is at your own risk.
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Mr Dan Nguyen
MBChB MBA FRCOphth FRANZCO
Consultant Eye Surgeon
Hello, I’m Dan Nguyen!
I‘m your guide to better vision. In times when long waiting lists and unclear options are the norm, it’s easy to feel stuck and worried about your eye health. Don’t let that hold you back. I’m here to show you that you can skip the endless queues and make real progress. Remember, you’re unique, not just another name on a list. Every patient I see receives top-notch care, tailored to their specific needs and lifestyle. Once you’ve had your treatment, you’ll be able to embrace a life that’s vivid, colourful, and just the way you like it. So what are you waiting for? Stop waiting and start living!
