If you've been diagnosed with cataracts, you probably been told that surgery is the only treatment option to permanently improve your vision, and that's true. Cataracts cannot heal by themselves, or with any sort of medication. Surgery is required to permanently correct your vision loss.
Mayo Clinic explains that most people still need to wear glasses, at least for some activities, following cataract surgery. Your vision should be greatly improved, but you will still need to get a new prescription for your glasses.
While there is no guarantee that cataract surgery will give you 20/20 vision, with new advances in technology your chances are quite high. Schedule an appointment with your eye doctor to discuss the benefits of cataract surgery, and determine which type of IOL is right for you.
Up to 50% of people experience blurred vision 2–5 years after cataract surgery due to posterior capsule opacification.
The Cons of Cataract Treatment
You might experience itching, discomfort, or pain during this process. Swelling and bleeding are also common side effects. It takes about eight weeks to heal from cataract surgery fully. Your eyes will need to adjust to the new lenses after surgery, which can cause discomfort.
In most people, cataracts start developing around age 60, and the average age for cataract surgery in the United States is 73.
Some known risks of cataract surgery include infection, eye floaters, scar tissue formation, inflammation, lens dislocation, glare, halos, droopy eyelid, high eye pressure, retinal tear, or retinal detachment.
However, as we usually do the operation on one eye at a time, this means that your eyes will be out of balance with each other until after the operation on your second eye. This vision imbalance is called anisometropia.
In most cases, vision improves immediately after surgery, although pupils may remain dilated for 1-2 days. As the eyes heal and adjust, some patients may experience blurry vision. Blurry vision usually clears the day following the surgery. However, for some people vision can take several days to return to normal.
About 90% of people see better after cataract surgery, and this will continue to improve for several months. But don't expect your vision to be perfect. You may still need to wear glasses or contacts, especially for reading, up-close work and driving.
It is very common to have blurry or unclear vision in the days and sometimes even weeks after cataract removal. Most of the time, this is caused by normal swelling in the eye which occurs as a part of surgery. Patients with larger, denser and/or firmer cataracts are more likely to experience more inflammation.
Cloudy or blurry vision
This is the most common symptom of cataracts. It can affect both distance and reading vision which may appear foggy. If left untreated, the clouding of the lens means the cataract will worsen, with less light able to get through the lens.
If the patient chooses a monofocal lens, generally the dominant eye is selected to undergo surgery first.
Post-surgery, it's common for vision to be blurry for a few days. Many people can drive again within 24 hours. However, it's highly recommended you do not drive until you've seen your eye doctor after the surgery. Your ophthalmologist may recommend you wait a few more days before driving.
Following removal of these cataractous lenses, there is a substantial increase in shorter visible-wavelength light reaching the retina and patients often report large shifts in color.
As such, most surgeons recommend that you opt to have the procedure performed one eye at a time and allow the first to heal fully and your vision to stabilize before having treatment on the other. This normally means a minimum of a few weeks between surgeries.
The Safety of Cataract Surgery
However, in that 1-2 percent, there is still some risk when it comes to cataract surgery.
What Happens if You Bend Over After Cataract Surgery? You should not bend over after cataract surgery for at least 2 weeks. Bending over will place pressure on the eye and this may cause unnecessary complications to your eye. The main complication will be a delay in the healing process.
This might all sound serious, but cataract surgery is the most commonly performed elective procedure in Australia, with the average age for surgery being just under 76 years¹, and 90% of cataract operations performed on those aged 60 years and over ².
Most cataracts happen because of normal changes in your eyes as you get older. When you're young, the lens in your eye is clear. Around age 40, the proteins in the lens of your eye start to break down and clump together. This clump makes a cloudy area on your lens — known as a cataract.
The operation can be performed at any stage of cataract development. There is no need to wait until your cataract is “ripe” before removing it. Most people choose to have their cataracts removed when the change in their vision starts to cause them difficulties in everyday life.
Here are some things that you may want to avoid before and after cataract surgery to ensure that you heal properly. Avoiding eating and drinking before your surgery. Don't wear makeup to the surgery appointment, and avoid wearing makeup until your ophthalmologist allows it so that you can better prevent infection.
Cataract surgery is not painful. While patients are awake during surgery, there is little or no discomfort involved. A mild sedative may be administered before the surgery, which calms the nerves, and eye drops are used to numb the eye.
Don't: Eat or Drink Right Before the Surgery
While under sedation, there is a chance of stomach acid going into your lungs, which can cause damage. You will need to fast for about 12 hours before surgery to ensure you are safe from this effect.