How bad do cataracts have to be to qualify for surgery?

Asked by: Ms. Ophelia Wehner Jr.  |  Last update: August 26, 2023
Score: 5/5 (11 votes)

Cataract surgery is considered “medically necessary” by some insurance companies (like Medicare) only when certain conditions are met. The service is often covered only after a cataract has caused visual acuity to be reduced to below 20/40 — the legal vision requirement for driving in most states.

How bad should cataracts be before surgery?

If a cataract makes it difficult for you to carry out your normal activities, your doctor may suggest cataract surgery. When a cataract interferes with the treatment of another eye problem, cataract surgery may be recommended.

What determines if cataract surgery is medically necessary?

In basic terms, cataract surgery is considered medically necessary when the cataracts caused significant vision impairment. In these cases, the vision loss is too severe to be addressed through less invasive means, such as corrective lenses and assertive devices.

What grade of cataract requires surgery?

Cataract surgery is considered “medically necessary” by some insurance companies (like Medicare) only when certain conditions are met. The service is often covered only after a cataract has caused visual acuity to be reduced to below 20/40 — the legal vision requirement for driving in most states.

What is stage 3 cataract?

Stage 3: The 'Clear' Cataract

The image that is generated is a little blurry even though the lens material is clear. This type of blur cannot be corrected with glasses or contacts. Contrast goes down, and glare becomes noticeable.

When is it time to have Cataract Surgery?

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Can your eyes be too bad for cataract surgery?

Operations on such 'high-risk' eyes are also more likely to yield a poor visual outcome (defined as best corrected vision less than 6/60 after surgery). Learning to recognise when eyes are at greater risk, and acting accordingly, will help you to avoid complications.

What helps cataracts while waiting for surgery?

Avoid bright unshaded central room lights and use blinds and net curtains to shield you from bright sunshine. Sitting with your back to the window when reading also helps to make the most of the sunlight.

What is the average age for cataract surgery?

In most people, cataracts start developing around age 60, and the average age for cataract surgery in the United States is 73. However, changes in the lenses of our eyes start to affect us in our 40's.

Does cataract surgery mean you no longer need glasses?

In general, after cataract surgery people do not need glasses for distance viewing– this means for activities such as driving, golf or watching TV, you should not need to continue wearing glasses. However, in many circumstances people still may need glasses for reading or near work.

Is cataract surgery minor or major?

Major versus Minor Surgery

In minor surgeries, there is no need for the surgeon to open the body cavity, neither breathing assistance nor general anesthesia are typically required, and recovery does not require hospitalization. In all these regards, cataract surgery meets the definition of minor surgery.

Is it better to have cataract surgery sooner or later?

In some cases, this can cause complications during surgery. Usually, the best results for cataract surgery occur when surgery is performed soon after vision problems develop, whether it is due to age, disease, or injury.

How long are you off work after cataract surgery?

Most people are able to return to work or their normal routine in 1 to 3 days. After your eye heals, you may still need to wear glasses, especially for reading. This care sheet gives you a general idea about how long it will take for you to recover.

How long do you wear an eye patch after cataract surgery?

After your cataract surgery procedure has been performed, you will need to wear a protective eye shield whenever you sleep, whether it's during the recommended eight hours per night or for an afternoon nap. Most eye care professionals agree that seven days is the required time frame for wearing an eye shield.

Who should not do cataract surgery?

However, there are some patients who don't meet the requirements for cataract surgery: Are in poor health or have a serious medical condition. Have advanced macular degeneration. Have a detached retina.

Can I drive 2 days after cataract surgery?

Driving After Cataract Surgery

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.

What does vision look like with cataracts?

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.

How do you sleep after cataract surgery?

After your cataract surgery, you'll be provided with an eye shield to protect your eye from dust, grime and anything else that could irritate your eye or cause infection. Sleeping on your back instead of your side can reduce the possibility of your eye shield slipping while you're wearing it overnight.

How long after cataract surgery can you lift 20 lbs?

Though it may be quite tempting, don't try to lift anything that's over 10 pounds in the first week after cataract surgery. If you consider yourself a weight lifter, avoid this exercise for at least 5 weeks to be safe.

Is it safe to drive home after cataract surgery?

Typically, vision is greatly improved immediately after surgery. For driving, the minimal amount of time before you should be OK to drive is 24 hours after the fact, though you are strongly advised to wait for confirmation from your doctor based on your follow-up examination.

How many pounds can I lift after cataract surgery?

Avoid bending over or lifting anything that weighs more than 10 to 15 pounds, including groceries and laundry. Your eyes may become more stressed as a result, which might prevent appropriate recovery.

Which eye is chosen first for cataract surgery?

If the patient chooses a monofocal lens, generally the dominant eye is selected to undergo surgery first. This provides the patient with good distance vision and fewer night vision disturbances, given that these patients prefer good distance vision over the ability to read without glasses.

Do both eyes see the same after cataract surgery?

There is probably little to no difference between the two in visual outcomes, one to three months after surgery. There was probably little to no difference between the two in the answers people gave in questionnaires after surgery. The questionnaires asked about visual function and patient satisfaction with vision.

Can I go for a walk after cataract surgery?

We've included some examples of common exercises and activities below, along with recommended timeframes for resuming them. Light exercise can be resumed one week after cataract surgery. You should be fine to go for short walks before then, as long as you avoid dusty or smoky environments.

What activities are restricted after cataract surgery?

Here are 7 things that you shouldn't do after cataract surgery:
  • Drive. You shouldn't drive at least 24 hours after cataract surgery. ...
  • Wear Makeup. Makeup is full of bacteria! ...
  • Perform Any Strenuous Activity. ...
  • Go Near Dusty Areas. ...
  • Swim. ...
  • Forget To Wear Sunglasses Outside. ...
  • Rub Your Eye.

Why can't you bend over after cataract surgery?

Strenuous activity can create pressure in your optical veins and inhibit healing. Immediately after procedure, avoid bending over that brings more pressure to the eyes. Just like with strenuous activity, bending over can cause a rush of blood to your head that interferes with your recovering eyes.