What is it like to have cataract removal surgery?
Cataracts can make your world appear cloudy, dull, and blurred, stealing the clarity of vision that many of us take for granted. The surgical solution, cataract removal surgery, is a transformative procedure that restores your vision by removing the clouded lens and replacing it with an artificial one.
If you’ve been advised to undergo this surgery, you might wonder: What exactly happens during the procedure? Will it hurt? What is the recovery period like? Understanding the mechanics of how it works is one thing, but experience is another.
You might be considering cataract surgery for your vision issues, or perhaps you’re on the fence about whether you need it just yet. For more information about cataract surgery tailored to your specific vision needs, book a free appointment with Mr Dan Nguyen or take our suitability self-test today. We provide premium solutions for cataracts and glaucoma in the Cheshire area.
In this article, we’ll walk you through every step so you know exactly what to expect. You may also want to take a look at our article “Should cataract surgery be put off as long as possible?”
What is cataract removal surgery?
Cataract removal surgery is a common and highly effective procedure to treat cataracts. Cataracts occur when the lens in your eye becomes cloudy, making it harder to see clearly. This condition happens naturally with age but can also result from or be aggravated by certain health conditions or injuries to the eye.
During surgery, the cloudy lens is removed and replaced with a clear artificial lens known as an intraocular lens (IOL).
This surgery not only improves vision but also enhances quality of life. It’s one of the safest and most frequently performed procedures worldwide, benefiting millions each year.
Why do cataracts develop?
Cataracts often form as part of the natural ageing process, but other factors can contribute. Genetics, chronic health conditions such as diabetes, lifestyle factors like smoking and prolonged UV exposure, and past eye injuries or surgeries may all increase the likelihood of developing cataracts. Understanding these causes can help you take proactive steps to maintain your eye health.
Other contributing factors
Some medications and medical treatments, such as long-term use of corticosteroids or radiation therapy, may also increase your risk. While cataracts are not entirely preventable, wearing UV-blocking sunglasses, avoiding smoking, and maintaining a healthy diet can help delay their onset.
What is it like to have cataract removal surgery?
The idea of eye surgery can feel intimidating, but understanding the steps involved can ease your concerns. Cataract removal surgery typically takes about 15 to 30 minutes and is done as a day procedure, meaning you won’t need to stay overnight.
Preparation before surgery
Before the surgery, your eye will be numbed with anaesthetic drops, and additional drops will dilate your pupil. You’ll meet the surgical team, who will explain the process and answer any last-minute questions. In the operating room, you’ll lie down comfortably while your head is positioned to keep your eye steady. A sterile drape will cover the area around your eye to maintain a clean surgical environment.
The surgical process
Using a specialised microscope, the surgeon will make a tiny incision in your eye, usually near the edge of the cornea. Through this incision, a small probe is inserted to break up the cloudy lens using either ultrasound energy (a process known as phacoemulsification) or advanced laser technology. These methods are designed to minimise trauma to the eye and ensure precise removal of the affected lens.
Once the cloudy lens is fragmented, the pieces are carefully removed through suction. Afterwards, a clear intraocular lens (IOL) is inserted into the same location where the natural lens once sat. The IOL is specifically chosen to match your vision needs, which may include correcting nearsightedness, farsightedness, or astigmatism. This replacement lens restores your ability to focus and see clearly, effectively enhancing your overall quality of vision.
The incision made during surgery is exceptionally small, typically less than 3 millimetres, and is designed to be self-sealing. This means that stitches are rarely needed, as the eye’s natural pressure helps close the incision during the healing process. This advanced technique significantly reduces recovery time and minimises the risk of complications, making cataract removal surgery a highly efficient and effective procedure.
Will cataract surgery hurt?
Modern techniques and anaesthesia ensure that cataract surgery is not painful. Anaesthetic drops are applied to numb the eye, effectively preventing you from feeling any sharp or uncomfortable sensations. During the procedure, some people describe mild pressure or a sensation of movement in the eye, but these feelings are not painful. In fact, many patients are pleasantly surprised at how straightforward and stress-free the experience is.
For individuals who feel anxious about surgery, a mild sedative may be offered. This helps you feel relaxed while still allowing you to remain awake and cooperative during the procedure. The surgical team will ensure you are comfortable at all times and will guide you through what to expect. Additionally, many patients report seeing bright lights and vivid colours during the surgery, which can be disorienting if your vision is blurred at the time. While this might feel unusual, it is completely normal and not a cause for concern.
Comfort during surgery
Your comfort is a top priority throughout the entire process. Our surgeons and teams are highly trained to create a calm and reassuring environment. They will frequently check on your well-being and adjust their approach as needed to ensure you remain at ease. The use of modern surgical techniques, advanced equipment, and customised patient care plans contribute to making cataract surgery a remarkably comfortable experience.
Post-operative discomfort, if any, is typically minor and short-lived. Common sensations include mild itchiness or a watery feeling in the eye, which usually subside within a day or two. Any residual discomfort can be effectively managed with over-the-counter pain relief and prescribed eye drops, ensuring a smooth recovery experience.
What is it like after cataract removal surgery?
Immediately after the procedure, you may feel slightly groggy if a sedative was used. Your eye will be covered with a protective shield, and you’ll receive detailed instructions for recovery. It’s normal to experience mild discomfort, such as itchiness or watery eyes, but this usually subsides within a day or two.
Initial recovery
The first 24 hours after cataract surgery are vitally important for setting the stage for a smooth recovery. During this time, you’ll need to rest at home and avoid any activities that could strain or irritate your eye. Touching or rubbing your eye is strongly discouraged, as it can interfere with the healing process or introduce bacteria that may lead to infection.
To promote healing, your doctor will prescribe eye drops that prevent infection, reduce inflammation, and keep the eye comfortable. These drops must be used exactly as instructed, as they play an essential role in protecting your eye and ensuring a healthy recovery.
Activity restrictions
In the early recovery phase, it’s important to avoid strenuous activities such as heavy lifting, bending over, or engaging in vigorous exercise. These actions can increase pressure in the eye, which might disrupt the healing process. Additionally, exposure to bright sunlight should be minimised, so wearing sunglasses when outdoors is highly recommended. High-quality sunglasses that offer 100% UV protection are ideal for shielding your sensitive eye from harmful rays and bright glare.
Swimming pools, hot tubs, and other environments where water might come into contact with your eye should also be avoided for at least two to three weeks. Waterborne bacteria can increase the risk of infection, and avoiding these settings ensures your eye remains protected.
Additional precautions
To further support recovery, keep your protective eye shield in place as advised by your surgeon, especially while sleeping. This shield prevents accidental rubbing or pressure on the eye during rest. It’s also helpful to plan for assistance with household chores or tasks during the initial days, allowing you to focus on rest and recovery without unnecessary strain.
Follow-up appointments
In the days following surgery, you’ll attend follow-up appointments to ensure your eye is healing properly. These appointments are critical for monitoring your recovery and addressing any concerns that may arise. During these visits, your doctor will examine your eye to check for signs of infection, inflammation, or any other complications. They will also assess how well the intraocular lens has settled and may adjust your medication regimen to suit your healing process.
Your doctor will likely ask about any symptoms you’re experiencing and provide tailored advice on managing discomfort or improving your recovery. These follow-ups also serve as an opportunity for you to ask questions or seek clarification about your recovery timeline, activity restrictions, or vision changes. By attending all scheduled appointments and following your doctor’s guidance, you can ensure optimal results and reduce the risk of long-term complications.
When will my vision improve?
Your vision may be slightly blurry immediately after surgery, but most patients notice significant improvement within a few days. Sharper vision often develops within a week, with continued improvement over the next few weeks.
If both eyes require surgery, the procedures are usually spaced apart to allow one eye to heal before operating on the other.
Factors influencing recovery
The speed of visual recovery can vary significantly from one individual to another. Several factors contribute to this variation, including the presence of pre-existing eye conditions such as glaucoma, diabetic retinopathy, or macular degeneration, which may complicate the healing process or limit visual improvement. Additionally, your overall health plays a key role—conditions like diabetes or autoimmune disorders can slow recovery and increase the risk of complications.
Another important factor is the type of intraocular lens (IOL) implanted during the surgery. For instance, premium lenses like multifocal or toric IOLs may provide enhanced vision but could require a longer adjustment period as your brain learns to adapt to the new visual inputs. The surgical technique used, such as traditional phacoemulsification or laser-assisted cataract surgery, can also influence recovery speed, with advanced techniques often leading to faster healing and improved outcomes.
Finally, adherence to post-operative care instructions is perhaps the most controllable factor. Patients who diligently follow their doctor’s advice, use prescribed eye drops as directed, and avoid activities that could strain the eye tend to recover more quickly and experience fewer complications. Ensuring regular follow-up appointments allows any potential issues to be addressed promptly, further supporting a smooth recovery process.
Are there any risks or complications?
Cataract surgery is very safe, but like any procedure, it carries some risks. Rare complications include infection, swelling, or retinal detachment. Attending follow-up appointments and following post-operative instructions help minimise these risks. Notify your doctor immediately if you experience prolonged pain or sudden vision changes.
Secondary cataracts
Other potential risks include posterior capsule opacification (PCO), sometimes referred to as a secondary cataract. This condition can develop months or years after surgery but is easily treatable with a quick and painless laser procedure.
Will you need glasses after surgery?
Many patients find their need for glasses decreases significantly, especially if a multifocal or toric lens is used. However, some people may still need glasses for specific tasks, such as reading or driving at night. Your surgeon will discuss your lens options before surgery, ensuring your choice aligns with your lifestyle and vision needs.
Long-term recovery and lifestyle adjustments
While most patients experience a smooth recovery, maintaining healthy habits post-surgery can optimise your results. This includes regular eye check-ups and protecting your eyes from UV exposure. If you have underlying conditions such as diabetes, managing them effectively is essential to preserving your eye health, as while you will not develop cataracts again in that eye, other eye conditions can affect your vision.
Adapting to your new vision
Adapting to your new vision after cataract surgery may take a few weeks. If you experience any lingering issues or concerns, your eye care team is there to support you.
Common questions about cataract removal surgery
Can both eyes be treated at the same time?
No, cataract surgeries are typically performed on one eye at a time. This approach allows your first eye to heal before the second surgery, reducing the risk of complications.
How soon can you return to normal activities?
Most people can resume light activities, such as walking and watching television, the day after surgery. Driving is usually safe within a week, but you’ll need your doctor’s approval first. Avoid heavy lifting or vigorous exercise for at least two weeks.
Are there any risks or complications?
As mentioned earlier, cataract surgery is highly safe. However, it’s essential to follow your surgeon’s advice to minimise risks. Attending all follow-up appointments ensures any potential issues are detected early and addressed promptly.
What types of lenses are available?
There are various types of intraocular lenses, including monofocal lenses for clear distance vision, multifocal lenses for near and far vision, and toric lenses for astigmatism correction. Your surgeon will recommend the best option based on your eye condition and lifestyle.
Final thoughts
Cataract removal surgery is a safe, quick, and effective way to correct vision clouded by cataracts. Knowing what to expect before, during, and after the procedure can help you feel confident and prepared. For those interested in understanding what it’s like to have this surgery, with the latest advancements in technology, the experience is a comfortable one, and the recovery process is manageable.
At Dan Nguyen Ophthalmology, we are dedicated to restoring and protecting the clarity of your vision. With a personalised approach and a focus on patient comfort, we aim to make your journey to better vision as smooth as possible. Contact us to schedule a consultation and take the next step towards seeing the world clearly again.
Cataract Surgery with Dan Nguyen
Choosing to have your cataract surgery with us means opting for a personalised, expert approach to your eye care needs. By visiting us here in Manchester, you can bypass the waiting lists and access state-of-the-art treatments designed for your lifestyle and vision goals.
Don’t let long wait times or changing vision stand in your way. Be proactive about your eye health and book a free video appointment with us today or take our suitability self-test. We’re ready to ensure your journey to clear vision is smooth and successful!
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!
