Cataracts are a leading cause of vision impairment, particularly as we age. They develop when the natural lens of the eye becomes cloudy, leading to symptoms like blurred vision, glare, light sensitivity, and trouble seeing at night. Left untreated, cataracts worsen over time and can cause significant vision loss.
Fortunately, cataract surgery is a safe and highly effective solution. In fact, over 4 million cataract surgeries are performed in the U.S. each year, making it one of the most common and successful procedures in modern medicine.
If you’ve been diagnosed with cataracts or suspect you may have them, this guide answers 31 of the most frequently asked questions—from how surgery works to recovery and costs—so you can feel informed and confident.
General Questions About Cataract Surgery
1. How do I know if I need cataract surgery?
If vision problems interfere with daily activities like driving, reading, or working, you may be ready for surgery. Your eye doctor can help determine the right time based on your symptoms and lifestyle.
2. How common are cataracts?
Very. According to the National Eye Institute, more than 50% of Americans over age 80 either have cataracts or have had cataract surgery. Over 24 million adults over 40 are affected in the U.S.
3. Is cataract surgery considered major surgery?
No. It’s a minimally invasive, outpatient procedure usually completed within 15–20 minutes.
4. How do I find the right cataract surgeon?
Look for board certification, high surgical volume, personalized care, and access to advanced technology like femtosecond lasers or intraoperative measurement tools like ORA (Optiwave Refractive Analysis).
5. What happens during cataract surgery?
Your eye is numbed, a tiny incision is made, the cloudy lens is removed (often using ultrasound or laser), and a clear artificial intraocular lens (IOL) is implanted.
6. What types of lenses are used?
- Monofocal: Corrects for one distance
- Multifocal: Helps you see near and far
- Toric: Corrects astigmatism
- Extended Depth of Focus (EDOF): Offers a continuous range of vision
Your doctor will recommend a lens based on your lifestyle and visual needs.
7. How long does the surgery take?
The actual procedure takes about 10–20 minutes, but plan for 2–3 hours total at the surgery center.
8. Are you awake during the procedure?
Yes, but you’ll receive a mild sedative and numbing eye drops. You won’t feel pain or see the details of the surgery.
9. Does it hurt?
Most patients report no pain—just mild pressure or cool sensations. You may feel scratchiness after the procedure, which resolves quickly.
10. What if I blink?
A gentle lid holder keeps your eye open, and because of the numbing drops, it’s typically not uncomfortable.
11. What are the side effects?
Most common are light sensitivity, floaters, or temporary blurry vision. Rare side effects include infection or swelling, both of which are treatable.
12. How long do results last?
Artificial lenses are designed to last a lifetime. However, some people may develop a secondary cataract, which is easily treated with a quick, painless laser procedure.
13. What’s the success rate?
Cataract surgery has a 95–98% success rate in restoring vision.
14. Can cataracts grow back?
No. Once removed, cataracts don’t return. Secondary cloudiness (posterior capsule opacification) is not a new cataract and is easily corrected with a YAG laser.
Your Vision After Surgery
15. What will my vision be like?
Most patients notice improved clarity within 24–48 hours. Visual recovery continues over a few weeks.
16. Why is my vision blurry after surgery?
Blurriness is usually from corneal swelling or inflammation and typically improves within a few days to a week.
17. Will I still need glasses?
It depends on your lens choice. Multifocal and toric lenses may reduce or eliminate your need for glasses, but many patients still use readers.
18. Do I need sunglasses after surgery?
Yes, especially during the first week, to protect your healing eye. Modern IOLs include UV protection, but sunglasses reduce glare and enhance comfort.
Recovery & Post-Op Care
19. Can I drive after cataract surgery?
Not immediately. Arrange a ride home. Most patients resume driving within 24–48 hours, once vision is stable.
20. When can I return to exercise?
Light walking is fine after a few days. Avoid heavy lifting, swimming, and strenuous activity for 1–2 weeks.
21. How long is the recovery?
Most healing occurs in 1–2 weeks, but complete recovery may take up to 6 weeks.
22. When does vision stabilize?
Vision typically stabilizes within 1–2 weeks, but your final prescription may take 4–6 weeks to finalize.
23. Do I wear an eye patch after surgery?
Your doctor may ask you to wear an eye shield at night for the first few days to avoid rubbing your eye.
24. How should I sleep after surgery?
Sleep with your head elevated and avoid pressing on the eye. Use the eye shield if recommended.
25. Can I watch TV or use a computer?
Yes, usually within a day or two. Rest your eyes often and use lubricating drops if needed.
26. Can I wash my hair?
Yes—after 24 hours, but keep your eyes tightly closed and avoid splashing water directly into your face.
27. Can I travel after surgery?
Typically yes, within a day or two, but it’s best to complete your follow-up appointment before flying.
28. Can I wear makeup?
Avoid makeup around the eyes for at least 7 days to reduce the risk of infection.
Cost & Insurance
29. How much does cataract surgery cost?
With insurance, basic cataract surgery is often fully or mostly covered. Expect $1,000–$3,000 per eye out-of-pocket if you choose premium lenses or laser-assisted options.
30. Does insurance cover cataract surgery?
Yes, most plans (including Medicare) cover the cost of standard cataract surgery. Premium IOLs and lasers are usually not covered.
31. Does Medicare cover it?
Yes. Medicare covers standard cataract surgery, the implant of a monofocal lens, and necessary follow-up. You may be responsible for copays or upgrades.
Set Yourself Up for Success
Cataract surgery is life-changing—but the outcome depends on choosing the right surgeon, lens, and post-op care. At Wellish & Abrams, our board-certified cataract specialists use the latest technology and a patient-first approach to deliver exceptional outcomes with comfort and confidence.
Schedule your cataract consultation today to see clearly tomorrow.