Cataracts are a common vision issue that many people face as they age. While surgery can be daunting, understanding the process and what to expect can help alleviate concerns. This guide aims to demystify cataract surgery, addressing common questions and clarifying the procedure.

How Long Between Cataract Surgery on Each Eye?

For those requiring cataract surgery in both eyes, you can undergo a singular procedure for both eyes to be operated on. Once upon a time, ophthalmologists would space out your cataract surgeries by about one to four weeks between eyes but with industry advancements, there is benefit to only requiring one surgery. With this approach, patients appreciate the convenience and efficiency it affords them as they no longer need to account for multiple surgery dates and recovery/healing times. Plus, a singular surgery date means patients do not have to experience those pre-procedure anxieties more times than needed.

Your surgeon should work with you to understand your specific case, and if it is determined that separate surgery dates for your cataracts is the best approach, there would be about 15 days between each procedure.

What Are the Advantages/Disadvantages of Cataract Surgery?

Advantages:

Improved Vision: The primary benefit is the restoration of clear vision, which can significantly enhance quality of life.

Quick Recovery: Most patients experience a rapid recovery, often noticing improved vision within days of the procedure.

Outpatient Procedure:  Cataract surgery is usually performed as an outpatient procedure, meaning no overnight hospital or clinic stay is required and recovery can occur in the comfort of your own home. 

Disadvantages:

Surgical Risks: As with any surgery, risks are involved, such as infection, bleeding, or anesthesia-related complications.

Early Side Effects: Essentially all side effects can be successfully treated with medication and allowing the eye(s) to fully heal. Some patients may experience swelling, increased eye pressure, inflammation, dry eye, or temporary glaring around lights in the evening.

Possible Need for Glasses: Some patients may still require glasses after surgery, depending on the type of lens implanted and their specific vision needs.

How Long Does Cataract Surgery Take?

Refractive cataract surgery (RCS) takes about 15 minutes per eye, meaning patients will have both cataracts removed and their intraocular lens implanted within 30 minutes total. If a patient has chosen the Light Adjustable Lens (LAL) technology, the procedure would take 5-15 minutes. While the surgery time is relatively short, patients should also plan for some additional time at the facility for pre-op and post-op monitoring. 

How Long Does It Take to Recover?

Typically, discomfort will improve dramatically within 12-24 hours. Recovery from cataract surgery can vary, but most patients can resume normal activities within a few days. Full visual recovery may take several weeks, during which patients should follow their doctor’s post-operative care instructions closely.

Does OHIP cover Cataract Surgery?

Cataract surgery is always covered by OHIP. It’s the lenses and measurements that may be extra.   

Can Cataracts Return After Surgery?

While cataracts themselves cannot return after surgery, a condition called posterior capsule opacification (PCO) can occur, where the lens capsule becomes cloudy. This is easily treated with a quick outpatient procedure using a YAG laser.

Can You Fly After the Surgery?

Most ophthalmologists recommend waiting at least a week after the surgery before flying. This allows sufficient time for initial healing and reduces the risk of complications related to changes in air pressure.

Is Cataract Surgery Painful?

Cataract surgery is generally not painful. Patients receive anesthetic eye drops to numb the eye, and many report only mild discomfort during the procedure. The surgical team also takes measures to ensure the patient is as comfortable as possible throughout the process. Post-operative pain is usually minimal, and any discomfort can typically be managed with prescribed medications if necessary. Patients are encouraged to communicate any concerns with their surgeon to ensure a positive experience and address any issues that may arise during recovery.

Cataract surgery remains one of the safest and most effective ways to restore your vision. With proper preparation and a clear understanding of the procedure, you can feel confident and ready to enjoy clearer vision in no time.