First few Months after Cataract Surgery

The first few months after cataract surgery is the time to witness a major healing process in the operated eye. Although the healing time varies from person to person and eye to eye the healing in small incision cataract surgeries is faster compared to older techniques. When you have observed the precautions and instructions as mentioned you will begin to notice the changes in your overall visual condition improving day by day. It is in this adjustment period that the brain takes to adjust gradually with your new lens in stages.

What could be expected within the first several days of cataract surgery?

  • Considerable improvement in vision.
  • Ability to resume normal activities most of them from day 1.
  • Gradual and steady decrease in the mild eye discomfort.
  • Mild Floaters in some cases.
  • Discharge from the operated eye at times.
  • Minor discomfort is normal on the first day.
  • Mild light sensitivity would wane off.

Points to note:

  • Make your follow up visit as discussed.
  • Continue with eye drops and other general instructions as discussed. Cataract Surgery alters the focus for the operated eye. Your old spectacle cannot be used and you would require new spectacle depending on the IOL.
  • Avoid rubbing the eye and ensure eye is protected with eye shield.
  • Any abnormal or unusual side effects need to be reported immediately like bleeding, nausea or persistent pain without any improvement.

What could be expected within the 1st month of cataract surgery?

  • In case your eyes require glasses after surgery, it would be prescribed only after vision gets stabilized. The power of the new glasses depends on the type of IOL selected (normally after 3-4 weeks). Some may not need glasses at all. You would be informed about the appointment for the measurement for glasses.

What happens at the first post-operative visit?

  • Eye pressure tested. In case higher side, medicated would be prescribed.
  • Dosage of medicines (eye drops) would be reduced as required.

What happens at the final post-operative visit?

  • At the final post-operative visit, your vision would be tested. Measurements to be taken to see if glasses are fine, in case you need them. Next visit would be advised to you after a specific gap time. It is advisable to have a yearly eye check up even in case you don’t face any issues.

Precautions to be taken:

  • It may take around 3 months for most people to recover completely from a cataract surgery. You would notice clarity in fine details more vividly by then.
  • PCO (secondary cataract) and Retinal detachment. It is relatively rare and not be ignored. Do report if you have pain or discomfort, blurring after cataract surgery.

In case you are advised cataract surgery for the second eye, the time schedule would be intimated to you as per the healing of the first operated eye. Normally one month gap is maintained to avoid infection. Overall vision can be judged when both the operated eyes are back to the new vision pattern.

The healing transformation from cataract surgery is a journey from blurred vision to better vision and with us you will experience the power of enhanced vision. Shroff Eye Hospital extends all support to ensure that you have a speedy recovery in the best possible manner.


Immediately after Cataract Surgery

At the hospital after surgery:

  • Post cataract surgery you would be seen by the surgeon before you leave the hospitalHe will answer any queries that you may have. You will be discharged from the hospital soon after the instructions are completed and with your caretaker as you are not allowed to leave by yourself alone.
  • The nurse will brief you regarding all post operative care and instructions at time of discharge.
  • Generally there is very little discomfort following surgery. However, if you do experience some mild pain, you may take the any pain-killers suitable to you.

At home after surgery:



  • For the first week following surgery you should protect the eye from injury. Do not rub or put pressure on the eye.
  • Take small pieces of cotton wool and place them in a bowl containing water. Boil for 10 minutes and keep the bowl covered. After washing your hands with soap, take a small piece of the sterilized cotton wool from the bowl. Squeeze out the excess water. Clean the discharge around the lids without applying pressure on the eye.


  • Retract the lower lid and instill one drop of the prescribed eye drop into the eye. Gently close the eye just once and keep it closed after putting the eye drops. If you blink after instilling eye drops, they will reach the throat causing a sore throat and headache. Eye drops should be used as per the prescription. Ensure that your do not touch the dropper and that dropper does not touch the eye while instilling. This is to avoid infection.
  • Do not apply drop by yourself on your eye.


  • Put on protective eye wear provided by us throughout the day and continue to do so for one week outdoors
  • Wipe tears or eye drops which have over flown below the margin of the dark glasses. Do not touch the eye.
  • At night you will be instructed how to use a protective eye shield over the operated eye
  • Before going to sleep, cover the eye with the shield provided to you with sticking plaster.This is to be used for a week post surgery.
  • Do not place cotton wool between the shield and the eye.
  • Do not sleep on the operated side for one week.
  • For the first 5 days from the time of operation, take a bath below the neck. Hair can be washed after 5 days.


  • Avoid strenuous activities.
  • Do not lift any objects heavier than 10 kg for about 15 days after the surgery.
  • Do not bend with your head below waist level for about 10 days after the surgery.
  • You may start reading and watching TV after 2 days.
  • Many people return to light work immediately after surgery, but please discuss your needs with your doctor during your post operative visit (next day).
  • Ask your surgeon about any specific activities you may have in mind as in leaving town, driving, yoga, walks, gym etc.


You would be required to come for a post operative check up as advised upon discharge. Please make sure that you call and confirm the appointment 2 days earlier.

If you have any further questions regarding your surgery or post operative treatment kindly speak our Nurse who will coordinate with your surgeon to answer your queries.


Practicing with your New Lenses

IOL technology, being a widely developing and highly researched field has given rise to a wide range of designs and types of IOLs to resolve vision problems. IOL’s today are designed to not just treat your cataract but also to improve your lifestyle.

Visual outcome from IOLs:

Enhanced vision is the aim of a cataract surgery. Most patients experience enhanced vision after cataract surgery.

The process of healing:

It is important to note that the vision gets stabilized when the eyes recover from the surgery and any minor issues faced by you resolve with time. Those who have any other eye problems like glaucoma, retinal issues, corneal issues etc and also systemic disorders like diabetes or high blood pressure, it is important to know that healing differs on case to case basis. What to expect in your case should be discussed with the treating surgeon.

Consultation post surgery is aimed at keeping a check on infection or any other complications. As regards need for spectacles, this also depends upon the type of lens used. Some patients may need glasses only for reading, driving at night, while others may not require glasses at all. Some IOLs acts as a UV barrier to protect your eyes from ultra violet rays, which help those patients who are at a higher risk of macular issues in the retina.

IOLs for Children: Children with congenital cataract or any other type of cataract are treated with the same surgery per se as in adults ie. phacoemulsification, however lenses [IOLs] may be advised at a later age.

What are the key areas of change with new IOLs?

  • Colour vision: Initially some may see bright colours and have difficulty in facing bright light. However, subsequently it settles down with improved colour vision.
  • Vision correction: Depending on your vision requirement, the presbyopia, myopia or astigmatism is corrected by the IOL best suited for you. The new advanced IOL’s have the advantage of correcting distance, intermediate and near vision.
  • Spectacle Independence: Glasses would not be required in certain cases. Use of premium IOLs could reduce the need of glasses. Standard Monofocal IOL helps those who are happy to wear glasses after cataract surgery.

Points to note:

  • Precautions to be taken with new IOL’s: Unlike contact lenses, IOL’s being a permanent implant, due care needs to be taken.
  • Complications after IOL implant are very rare e.g. Infections, inflammations etc. Rarely variations in post operative power calculations may need correction as no IOL is perfect.
  • Safe guard your eye against any eye trauma and UV rays.
  • Avoid eye rubbing.
  • Visit the ophthalmologist as advised and definitely annually to ensure good health of your eyes.


How to achieve success with the newly implanted IOL?

Shroff Eye hospital utilizes various ways to enable you to have best accommodation with your new IOL’s after cataract surgery.

  • Post-operative eye check up and advise.
  • Determine the level of adjustment with the new vision.
  • Monitoring the reading with fonts of various sizes and reading from distances. This is recorded and observed to understand progress.
  • Suggestion of corrective remedies to adjust to the new vision requirement.
  • Identifies if any issue exists and recommends medications if necessary like checking of the ocular surface for conditions like dry eyes.
  • Vision issues mentioned are checked with the actual prevailing vision conditions so as to rule out any case of neural adaptationor sensory adaptation.
  • Eye Exercises according to your vision needs.

In case you find any difficulties in vision like flashes, glare, blurred vision, poor quality of vision, halos, pain, do let us know. In rare cases, if posterior capsular opacification is found then YAG laser capsulotomy is considered.

YAG Laser Capsulotomy Risks

Posterior capsule opacification is a complication after cataract surgery. Nd: YAG laser capsulotomy treatment is done to correct this complication which improves vision, contrast sensitivity and reduce the glare. The occurrence of PCO makes the lens opaque. In this procedure a YAG laser is used to create a minute hole in the posterior position of the lens capsule in order to let the light rays pass through for clear vision. It is a safe and effective procedure; nevertheless it also has certain risk factors.

Risks of YAG laser capsulotomy:

  • Elevation of IOP (Intraocular Pressure): This is a commonly observed risk after the YAG laser capsulotomy. Certain types of glaucoma if present, could elevate IOP. Acute conditions could cause loss of light perception vision. Preventive medication is administered before and after the procedure to control the IOP(Intraocular pressure).
  • Floaters: Floaters are normally experienced and it settles down after some time.
  • Cystoid Masular Edema : It is the swelling of the center of the retina occurring after the laser capsulotomy. This built up of fluid cause the blurring of vision.
  • Retinal detachment: The nerve layer gets detached at the back of the eye. It may occur a year after the capsulotomy. The occurrence is less common after laser capsulotomy. The experience of flashing lights or vision like dark curtain over the eye mainly affecting the side vision from unspecific direction.
  • IOL Damage (IOL Pitting): Lenses made of acrylic material create more damage compared to silicone lenses. The choice of IOL design and type is another factor to this complication. Factors that influence the risk to IOL damage are the inherent resistance of IOL to damage by laser, energy used, IOL position etc.
  • IOL Displacement: In some cases the IOL could get displaced into the eyes vitreous as in case of larger /rigid implant or in case of posterior capsule rapture during the initial cataract surgery.
  • Endophthalmitis: Uveitis and loss of vision is experienced in some cases.
  • Corneal edema: A mild bruising response in the retina is experienced. Corneal edema leads to reduction visual clarityfor a short duration.
  • Re-formation of Elschnig’s pearls: This risk is found at the opening of the capsulotomy. This generally resolves without treatment in most cases.
  • Other complications: Rarely occurring is corneal endothelial cell loss, Iritis (inflammation of iris). Glaucoma etc.

The follow up checkups and medication routine after surgery are beneficial to keep a check on the eye conditions. It is advisable to report any sign or symptom of excessive pain in the eyes, redness, floaters, vision and get treated and corrected immediately. As observed in any other surgical procedures, Nd:YAG laser capsulotomy treatment also has risks that are easily correctable. These differ according to your eye condition. Serious complications are normally very rare.

In case of any discomfort as mentioned above specifically in terms of vision loss, pain or blurring, it is advisable to immediately report and get it treated as soon as possible.

Vision after Cataract Surgery

Gone are the days when cataract surgery was a painful ordeal with lengthy recovery months and finally resulting practically with no improved vision as there were no lenses available for replacement. With the evolution of Intra-ocular lenses and laser, the cataract surgery turned to restore vision completely. With present advancement, ocular calculations are more accurate in reducing the residual refractive error resulting in better visual outcome.

Factors that determine vision after surgery:

  • Type of surgery: Surgeries with smaller incisions have resulted in faster recovery rate for restoring vision. Vision gains normalcy with first few days after the surgery in case of Phacoemulsification and generally it takes a month for vision to stabilize. Visual acuity results vary from person to person and visual challenges like glare, halos and loss of contrast sensitivity are overcome.
  • Absence of other eye disorders: There will decreased improvement in vision if untreated eye disorders like glaucoma or macular degeneration are present.
  • Type of lens replaced: Multifocal IOL (near and distance vision) usually makes it less dependent on glasses although it could be used for vision enhancement.
  • PCO: Immediately after a cataract surgery one may experience blurring, floaters, flashes of light for a day and it improves steadily to clearer vision as the eye heals. In case the vision does not get clear after cataract, you need to report and check if it is not the cause for PCO. PCO is effectively treated through YAG laser capsulotomy. The lens implanted also depends on the willingness to wear glasses.
  • Postoperative Refractive Outcome and use of corrective measures: Near sighted dominant eyes may require glasses for distance. In some cases glasses are prescribed for near vision. Postoperative refractive outcome is not exactly predictable before the surgery.
  • Successful Recovery: This happens when one recovers without complications and secondary infections.

Methods to restore normal vision:

Glasses: Whenever lOL cannot be implanted, glasses are prescribed. Moreover presbyopic cataract eyes may require bifocals for near vision.

Contact lens: Hard or soft lenses are used. Reading glasses in addition may be used for near vision.

IOL: Multifocal IOL caters to near, distance, intermediate vision. If Monovision is suitable, you could have suitable lens in one eye for distance and other to supplement for near vision.

How cataract surgery enhances vision:

  • Astigmatism correction- With IOL implants like Tonic lens, LRI’s or both, astigmatism correction is possible during the cataract surgery.
  • Various aspects of vision also changes after cataract surgery like colour perception, near, immediate and distance vision.
  • Refractive surgeries like LASIK, PRK enhances vision after cataract surgery heals. Reduces the need of glasses.
  • Presbyopia correction possible during cataract surgery.
  • Improved vision reduces accidents.

Pre-operative consultation is an opportunity to clear your doubts and discuss your visual needs and lifestyle which would help in taking the right decision in the choice of cataract surgery and right IOL. Post-operative care and follow ups are vital too. Any case you experience any blurring of vision, double vision, difficulties in night vision do consult with us for detailed diagnosis and treatment.

We care for your visual needs without compromise.

Cataract Surgery Recovery

Cataract surgery is an inevitable treatment for cataract.

A successful cataract surgery recovery depends on:

  • Your co-operation in observation of medications, instructions and follow up meeting schedulewith us.
  • Type of cataract surgery conducted.
  • Freedom from related infections or complications.

Complications: Generally cataract surgery is the safest outpatient procedure but sometimes complications may occur although not common.

  • Posterior capsular opacification commonly known as secondary cataract (the back of the lens capsule which is retained to hold the IOL gets cloudy obstructing vision) could be easily corrected by a painless outpatient procedure called (YAG) capsulotomy.
  • Dislocation of the lens.
  • Retinal detachment -It is possible to re-attach on early detection.
  • Muscular edema – Swelling of the macular portion of the retina.
  • Corneal oedema- Excessive fluid in the cornea.
  • Raised intraocular pressure.
  • Others – Infection, bleeding, Inflammation like Uveitis in the eye.

Post Operative Instructions

  • Let you be driven back home instead of driving yourself.
  • A pair of sunglasses as instructed is best to avoid direct sensitivity with sunlight.
  • You need to use eye shield during naps or night.
  • Rubbing or touching eyes should be avoided.
  • Any activity that is likely to cause extra pressure on the eye should be avoided like bending to pick up objects or lifting heavy object, exposure to wind or any irritants.
  • Immediate swimming or head bath to be avoided.
  • Correct usage and dosage of antibiotic eye drops as prescribed at the right time. Ensure dosage is completed as instructed.
  • Avoid entry of soap, shampoo or foreign particles like dust etc.

(Post operative instructions vary according to the type of cataract surgery and gradually reduce according to the healing time)

What do I expect after the cataract surgery?

  • You would be given an instruction handout/checklist with the details.
  • You can expect a direct telecon from our surgeon enquiring about your condition.
  • You need to be relaxed and calm during the adaptation period as the first removal of the eye shield may have a blurred vision as the internal visual adjustments will take some time. Some persons may have redness or experience floaters which is normal and will heal within days.
  • It is necessary to take precautionary steps, follow up treatment and medication to ensure a speedy healing and best visual outcome.
  • You would need to meet the operating surgeon one day after the surgery and as indicated for post operative follow up.
  • Need to report dry eye or watery eyes, Pain after several days or No vision improvement. Do contact us in case you are facing any difficulties, we would be glad to assist you.
  • You would be informed when you can take your glasses after through check up and final prescription which is normally after 6 weeks.

Above all you can expect the joy of getting back your vision gradually. You would be able to enhance your routine life style and enjoy an improved health related quality of life. Moreover depending on your choice of IOLs implanted will make you least depend on eye glasses any more.

The complete healing time after surgery is gradual and normally approximately 1-2 months. There could be slight variation in the healing time between eye to eye, person to person and type of surgery conducted etc e.g. modern small-incision cataract surgeries have reduced restriction and heal faster.

With our surgeon’s expertise and advanced technology in its very best, we assure you the best treatment and will help you to have a speedy recovery after your cataract surgery

……….a successful journey on the path of recovery to a better vision.