Navigate Up

Heart Center - A-Z Index

#
J
Q
X
Z

Print This Page

Cataract removal

Cataract removal is surgery to remove a clouded lens (cataract ) from the eye. Cataracts are removed to help you see better. The procedure almost always includes placing an artificial lens (IOL) in the eye.

Cataract surgery is an outpatient procedure. This means you likely do not have to stay overnight at a hospital. The surgery is performed by an ophthalmologist. This is a medical doctor who specializes in eye diseases and eye surgery.

Adults are usually awake for the procedure. Numbing medicine (local anesthesia) is given using eyedrops or a shot. This blocks pain. You will also get medicine to help you relax. Children usually receive general anesthesia. This makes them unconscious and unable to feel pain.

The doctor uses a special microscope to view the eye. A small cut (incision) is made in the eye.

The lens is removed in one of the following ways, depending on the type of cataract:

  • Phacoemulsification: With this procedure, the doctor uses a tool that produces sound waves to break up the cataract into small pieces. The pieces are then suctioned out. This procedure uses a very small incision.
  • Extracapsular extraction: The doctor uses a small tool to remove the cataract in mostly one piece. This procedure uses a larger incision.
  • Laser surgery: The doctor guides a machine that uses laser energy to make the incisions and soften the cataract. The cataract is then removed usually by suctioning. Using the laser instead of a knife (scalpel) may speed recovery and be more accurate.

After the cataract is removed, a manmade lens, called an intraocular lens (IOL), is usually placed into the eye. It helps improve your vision.

The doctor may close the incision with very small stitches. Usually, a self-sealing (sutureless) method is used. If you have stitches, they may need to be removed later.

The surgery lasts less than half an hour. Most times, just one eye is done. If you have cataracts in both eyes, your doctor may suggest waiting at least 1 to 2 weeks between each surgery.

Alternative Names

Cataract extraction; Cataract surgery

Why the Procedure Is Performed

The normal lens of the eye is clear (transparent). As a cataract develops, the lens becomes cloudy. This blocks light from entering your eye. Without enough light, you cannot see as clearly.

Cataracts are painless. They are most often seen in the elderly. Sometimes children are born with them . Cataract surgery is usually done if you cannot see well enough because of cataracts. Cataracts usually do not damage your eye, so you and your eye doctor can decide when surgery is right for you.

Risks

In rare cases, the entire lens cannot be removed. If this happens, a procedure to remove all of the lens fragments will be done at a later time. Afterward, vision of most patients is still improved.

Very rare complications can include infection and bleeding. This can lead to permanent vision problems.

Before the Procedure

Before surgery, you will have a complete eye exam and eye tests by the ophthalmologist.

The doctor will use ultrasound or a laser scanning device to measure your eye. These tests help determine the best IOL for you.

Your doctor may prescribe eyedrops before the surgery. Follow instructions exactly on how to use the drops.

After the Procedure

Before you go home, you may receive the following:

  • A patch to wear over your eye until the follow-up exam
  • Eyedrops to prevent infection, treat inflammation, and help with healing

You will need to have someone drive you home after surgery.

You will usually have a follow-up exam with your doctor the next day. If you had stitches, you will need to make an appointment to have them removed.

Tips for recovering after cataract surgery:

  • Wear dark sunglasses outside after you remove the patch.
  • Wash your hands well before and after using eyedrops and touching your eye. Try not to get soap and water in your eye when you are bathing or showering for the first few days.
  • Light activities are best as you recover. Check with your doctor before doing any strenuous activity, resuming sexual activity, or driving.

Recovery takes about 2 weeks. If you need new glasses or contact lenses, you can usually have them fitted at that time. Keep your follow-up visit with your doctor.

Outlook (Prognosis)

Most patients do well and recover quickly after cataract surgery.

If a person has other eye problems, such as glaucoma or macular degeneration , the surgery may be more difficult or the outcome may not be as good.

References

American Academy of Ophthalmology Cataract and Anterior Segment Panel. Preferred Practice Pattern Guidelines. Cataract in the Adult Eye. San Francisco, Ca: American Academy of Ophthalmology; 2011. Accessed August 29, 2013.

Davison JA, Kleinmann G, Greenwald Y, Apple DJ. Intraocular lenses. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology on CD-ROM - 2013 Edition. Philadelphia, Pa: Lippincott Williams & Wilkins; 2013: vol 6, chap 11.

Cionni RJ, Snyder ME, Osher RH. Cataract surgery. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology on DVD-ROM - 2013 Edition. Philadelphia, Pa: Lippincott Williams & Wilkins; 2013: vol 6, chap 6.

He L, Sheehy K, Culbertson W. Femtosecond laser-assisted cataract surgery. Curr Opin Ophthalmol. 2011;22:43-52.

Howes FW. Indications for lens surgery/indications for application of different lens surgery techniques. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 5.4.

Updated: 8/24/2013

Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.


©  UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences
Supplemental content provided by A.D.A.M. Health Solutions. All rights reserved.

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.

© UPMC
Pittsburgh, PA, USA UPMC.com