Is it necessary to have cataract surgery?

Asked by: Estefania Bruen  |  Last update: December 16, 2023
Score: 4.5/5 (26 votes)

Not all cataracts need to be removed. It depends on how much they bother you. Many people get along very well without surgery by wearing contact lenses or glasses. Poor eyesight caused by cataracts happens slowly over time, so you probably don't need to rush into having surgery.

What happens if you don't have cataract surgery?

What happens if cataracts are left untreated? Untreated cataracts will eventually block light from entering the eye and result in a loss of vision. Worldwide, they are the leading cause of blindness.

How long can I avoid cataract surgery?

For the vast majority, cataract surgery is not urgent, and can be safely delayed until the person wishes to pursue surgery. Delaying surgery does not cause harm to the eye, however the vision just gets worse over time until the cataract is removed.

What stage should cataracts be removed?

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.

How do you know if cataract surgery is necessary?

6 Signs You May Need Cataract Surgery
  1. Blurry Vision. Eye care is very important but many people don't know much about it. ...
  2. Difficulty Seeing in Low Light. Suppose the sun is setting but it isn't dark yet. ...
  3. Double Vision. ...
  4. Changes to Color. ...
  5. You Can No Longer Perform Close up Tasks. ...
  6. Halos.

When is it time to have Cataract Surgery?

28 related questions found

Do you always see better after cataract surgery?

While many people will obtain 20/20 vision from their IOL, 30 to 50 percent of people who choose a monofocal IOL will still require corrective lenses after surgery. Schedule a consultation with an eye doctor near you to see if you qualify for surgery.

Does your eyesight stay the same after cataract surgery?

No, your vision generally doesn't deteriorate after cataract surgery unless other problems arise, such as macular degeneration or glaucoma. In cataract surgery, the eye doctor (ophthalmologist) removes the clouded lens from your eye and replaces it with a clear, artificial lens.

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.

At what age are cataracts normal?

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. Over time, the cataract gets worse and makes more of your lens cloudy.

Who shouldn't get 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.

What are the disadvantages of delaying cataract surgery?

There is increased risk of other intra-operative problems like wound burns, rupture of the capsular bag of the lens, increased surgery time, loss of lens support etc. Also, some postoperative complications like high eye pressure, corneal edema, etc. can happen.

When is the best time to get cataract surgery?

Although it's never too late to have a cataract removed, it is better to have cataracts removed while they are immature, as this reduces the length of surgery and the recovery time. Earlier removal also means that you avoid the significant visual impairment associated with very mature (hypermature) cataracts.

What is the main cause of cataract?

Most cataracts develop when aging or injury changes the tissue that makes up the eye's lens. Proteins and fibers in the lens begin to break down, causing vision to become hazy or cloudy.

How do you know if cataracts are worse?

Your view may look foggy, filmy, or cloudy. Over time, as the cataracts get worse, less light reaches the retina. People with cataracts may have an especially hard time seeing and driving at night.

Is cataract surgery covered by Medicare?

Cataract surgery is usually an outpatient procedure, covered under Medicare Part B. Once you pay the annual Part B deductible, which is $233 in 2022, you're responsible for the Part B coinsurance.

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.

How long does it take for the eye to heal after cataract surgery?

The full recovery period for cataract surgery typically lasts around 8 weeks, during which you will likely have several follow-up appointments with your eye doctor to ensure proper healing. While the full recovery period lasts around two months, 9 out of 10 patients are seeing better immediately following surgery.

What are the most common problems after cataract surgery?

Complications
  • Posterior Capsule Rupture/Vitreous loss.
  • Cystoid Macular Edema.
  • Endophthalmitis.
  • Vitreous/Suprachoroidal Hemorrhage.
  • Retinal Tears/Detachment.
  • Lens Dislocation.

Why does my vision seem worse after cataract surgery?

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.

Can you watch TV after cataract surgery?

You can read or watch TV right away, but things may look blurry. 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 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.

Who is more prone to cataracts?

Age is the greatest risk factor for cataracts. Age-related cataracts may develop between 40 and 50 years old. Where you live. Recent studies have shown that people who live in high altitudes are more at risk of developing cataracts.

What are the three stages of cataracts?

What are the stages of cataracts?
  • Early cataract. This refers to the very beginning stages of cataracts. ...
  • Immature cataract. By this stage, proteins will have started to cloud the lens of the eye, making it opaquer than before. ...
  • Mature cataract. ...
  • Hypermature cataract.

Why is my eye no better after cataract surgery?

A person's eyes should feel better by 1–2 days afterward. However, it may take up to 8 weeks to completely heal. If a person's vision starts blurring again years later, they may have developed posterior capsule opacification (PCO). PCO occurs in 20–50% of people within 2–5 years of cataract surgery.