Planning for Cataract Surgery: What Every Patient Should Ask
Cataracts remain one of the most common causes of vision loss, particularly among adults over 60. Fortunately, cataract surgery is a highly effective and safe procedure that restores vision for millions of patients every year. Despite its excellent success rate, many individuals feel uncertain when preparing for surgery, especially if it’s their first experience with any form of eye surgery.
Being informed is essential. Asking the right questions ahead of time can significantly reduce anxiety, set realistic expectations, and ensure the best outcome for your vision and lifestyle. Below are the five most important questions to ask your ophthalmologist before cataract surgery, based on the clinical insights and patient care approach followed at our practice.
1. What Type of Intraocular Lens (IOL) Is Best for My Vision Needs?
During cataract surgery, the eye’s clouded natural lens is replaced with an artificial intraocular lens (IOL). The type of IOL selected plays a major role in determining the quality of your post-operative vision. Several IOL types are available, each designed to meet different needs.
Monofocal lenses are the standard choice and provide clear vision at a single distance—typically for far vision—meaning patients will usually need reading glasses afterward. Multifocal lenses are designed to offer both near and distance vision, reducing the need for spectacles. Extended Depth of Focus (EDOF) lenses provide a more seamless range of vision and often result in fewer visual disturbances such as glare or halos. For patients with astigmatism, toric lenses correct both the cataract and the irregular curvature of the cornea.
Choosing the right lens involves careful consideration of your daily activities, visual goals, and existing eye conditions. During your pre-operative consultation, we assess these factors to recommend the most appropriate IOL for your unique needs.
2. What Are the Potential Risks and Complications of Cataract Surgery?
While cataract surgery is considered one of the safest procedures in modern medicine, every surgery carries some level of risk. Understanding the potential complications helps set realistic expectations and allows for informed decision-making.
Possible risks include infection (such as endophthalmitis), inflammation, increased intraocular pressure, and retinal detachment, although the latter is rare. Posterior capsule opacification (PCO), a clouding of the membrane behind the lens implant, can occur months or years after surgery and is easily treated with a quick outpatient laser procedure. Other uncommon complications include swelling of the cornea or retina, lens dislocation, and persistent visual disturbances.
In our practice, strict sterilisation protocols, advanced surgical techniques, and detailed pre- and post-operative care are implemented to minimise risk and ensure rapid intervention should any complications arise. Patients are also carefully monitored through scheduled follow-up visits to support optimal recovery.
3. What Is the Expected Recovery Timeline and What Should I Avoid?
Recovery from cataract surgery is typically fast and uneventful. Many patients notice a significant improvement in vision within 24 to 72 hours after surgery, although complete visual stabilisation may take several weeks.
In the first few days, it’s normal to experience mild discomfort, scratchiness, or light sensitivity. These symptoms usually resolve quickly. Most patients can resume normal, non-strenuous activities within a few days, but certain precautions must be taken to protect the healing eye. These include avoiding eye rubbing, swimming, exposure to dust or smoke, and heavy lifting. Protective eye shields may be provided for use while sleeping.
A prescribed regimen of antibiotic and anti-inflammatory eye drops must be followed carefully to prevent infection and support healing. Routine follow-up appointments allow us to track your progress, address concerns, and confirm that your eye is recovering as expected.
4. Will I Still Need Glasses After the Surgery?
The need for glasses after cataract surgery depends on the type of intraocular lens implanted and your specific refractive condition. With monofocal lenses, you will likely still need reading glasses, especially for close-up tasks. Multifocal and EDOF lenses are designed to reduce or eliminate the need for glasses for most daily activities, though some patients may still prefer to use spectacles in certain situations, such as reading fine print or driving at night.
Toric lenses, which correct astigmatism, can reduce dependence on glasses for both near and distance vision, but they may not eliminate it completely. It’s important to have a clear discussion about your visual priorities, whether that’s reading without glasses, driving without correction, or minimizing eyewear overall. This helps us match your expectations with the most appropriate surgical plan and lens selection.
5. How Should I Prepare for the Day of Surgery?
Proper preparation plays a crucial role in ensuring the procedure runs smoothly. Most patients will be instructed not to eat or drink anything for at least six hours before surgery. Some medications may need to be paused or adjusted, especially blood thinners or diabetic medications, and this will be discussed during your pre-operative visit.
On the day of surgery, patients should avoid wearing makeup, facial creams, or perfume, and should wear comfortable, loose-fitting clothing. You will not be able to drive yourself home after the procedure, so arrangements should be made for transport. Bring your identification documents, medical aid information, and a list of your current medications.
Our team provides each patient with a comprehensive checklist and clear instructions before surgery. This ensures that you arrive fully prepared and reduces the likelihood of last-minute issues or delays. We also make time to address any remaining concerns or questions you may have during your pre-surgical visit.
Final Thoughts: Empowering You for a Successful Cataract Journey
Cataract surgery is a highly successful procedure that can restore vision, independence, and overall quality of life. Asking the right questions before your operation ensures that you are well-prepared, informed, and confident in your care. The five questions covered in this article—about lens options, risks, recovery, visual outcomes, and preparation—form a strong foundation for making the best decisions about your eye health.
At our practice, we are committed to delivering personalised care, informed guidance, and surgical excellence to every patient. Whether you’re in Middelburg, Ermelo, Piet Retief, or surrounding areas, we’re here to support you throughout your cataract surgery journey with clarity and compassion.
If you’re ready to schedule your cataract consultation or have further questions, please contact our rooms at 013 243 1632 or visit our contact page to book an appointment.
