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  • Cataract

Your First Day After Cataract Surgery

November 2014 by Dr Nita Shah

Cataract surgery recovery is usually very smooth and easy. This is great news, as Cataract surgery is the most commonly performed surgery in the world.

Most of my patients feel cataract surgery recovery is a far easier experience than they feared, vision improves quickly and they wish it had been done sooner.

You likely have friends or family members who would agree.

In most cases where the eye is healthy, cataract surgery recovery is quick and painless. Certain diseases can influence your recovery, but a thorough pre-operative eye examination should give your surgeon all the information needed to counsel you properly.

Eye patch

Eye Patch or No Patch - Cataract Surgery Recovery

My patients barely need an eye patch.

If at all an Eye patch is put it is removed 2-3 hours after surgery because I use only topical eye drops to numb the eye and I.V. medicine for sedation.

With cataract surgery, an eye patch or protective glasses protects the numbed eye from inadvertent scratches. Topical anesthesia allows faster cataract surgery recovery, is highly effective and, most of all, is the safest method for my patients.

No pain

No Pain after Cataract Surgery

I expect your cataract surgery recovery to be painless. Your eye may feel dry, scratchy or mildly irritated, but do NOT expect to have frank pain.

Pain during cataract surgery recovery is unusual. Pain could indicate problems with a corneal abrasion, infection, or high eye pressure.

Your eye doctor should be made aware of any of these symptoms. Make sure you have a contact number for any emergencies.

At our center, we’ll follow up with a phone call after your surgery to make sure your recovery is smooth.

Vision during surgery

Vision During Cataract Surgery Recovery

For the first three hours of your cataract surgery the vision is usually somewhat blurry because your pupil is still dilated and there is still some swelling.

Some patients have good vision right away, but the majority are surprised by how blurry it still is .There is gradual improvement in your vision throughout the rest of the day.

Color vision usually improves the fastest during your cataract surgery recovery. Most of my cataract patients comment on how vibrant colors are now that they don’t have to look through a yellow cataract. The clarity of vision then starts to improve.

The first morning of your cataract surgery recovery, the vision varies. You may already be 20/20 without glasses or vision could still be quite blurry if there is dryness or swelling on your cornea.

Eye drops

Eye Drops for Cataract Surgery Recovery

You will be on several different eye drops during your cataract surgery recovery. You will start these immediately after the surgery or after you remove your eye patch. One of the drops will be an antibiotic to help prevent infection and the other drops are anti-inflammatory drops to decrease swelling to speed your cataract surgery recovery.The anti-inflammatory drops is usually a cortisone type drop and the other maybe an ibuprophen type drop unless you have allergies to one of these.Lubricants may also be prescribed.


Activity During Cataract Surgery Recovery

It is wise to rest when you return home the day of your eye surgery. It is OK to watch TV or read if you desire. The first day of your cataract surgery recovery at your first post operative visit, your eye doctor will outline the appropriate level of physical activity you can resume based on the findings of his/her exam.

Generally, my patients can resume normal activity the day after surgery except that I ask them to not go swimming and to avoid activities where they are at higher risk to be hit in the eye. Exercise is generally OK after the first week of your cataract surgery recovery. Again, it will depend on the findings of post-operative exam and should be discussed with your eye doctor.

Light sensitivity

Light Sensitivity During Cataract Surgery Recovery

Most patients have some increased light sensitivity during their cataract surgery recovery. That is why we provide wrap around sunglasses to you. As the incisions and inflammation from the surgery heal, and you wean off of the surgical eye drops, the light sensitivity usually resolves. Many patients are less sensitive to light after cataract surgery than they were before after their cataract surgery recovery is completed.

If you have more specific questions about your eye care during your cataract surgery recovery, please schedule a time to meet with me or send me your questions.

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