Care After Cataract Surgery

Postoperative Care after Cataract Surgery (Phacoemulsification + Intraocular Lens)

Cataract surgery with phacoemulsification and intraocular lens (IOL) implantation is a safe and effective procedure, but requires specific care during the recovery period to avoid complications and ensure optimal visual results.

General Instructions (First 24-48 Hours)

✔ Relative rest: Avoid physical exertion, bending, or lifting heavy objects (>5 kg).

✔ Use of eye protection (at night for the first week).

✔ Strict application of eye drops (antibiotic, anti-inflammatory, and lubricant).

✔ Do not rub the operated eye.

✔ Attend all postoperative checkups (day 1, week 1, month 1).

Postoperative Drop Management

Type of Drops

Antibiotic

1-2 weeks: Prevent infection.

Anti-inflammatory

3-4 weeks: Reduce inflammation.

Preservative-free lubricant

1-3 months: Avoid dry eyes.

🚫 Restricted Activities (First Month)

❌ Swimming or using hot tubs (risk of infection).

❌ Wearing makeup near the eyes (wait 1 week).

❌ Exposure to dust, smoke, or strong wind (wear sunglasses with UV protection).

❌ Contact sports (soccer, boxing, etc.) until medically cleared.

❌ Driving until the ophthalmologist confirms adequate vision.

Normal Symptoms vs. Warning Signs

✅ Normal Symptoms

Fluctuating blurred vision (first few days).

Mild itching or foreign body sensation.

Moderate redness.

⚠️ Emergency Signs (See an Ophthalmologist Immediately)

🔴 Severe pain that does not subside with common painkillers.

🔴 Sudden vision loss.

🔴 Increased redness or purulent discharge (possible infection).

🔴 New flashes of light or floaters (risk of retinal detachment).

Recovery Progression

Period of Expected Improvements Precautions

First Week

Vision less blurred, but still unstable. Avoid dusty environments.

First 2-3 Weeks

Visual acuity stabilizes. Resume light activities.

One Month After Surgery

Maximum visual recovery. Evaluate the need for glasses adjustment.

Potential Complications (Rare)

Corneal edema (cloudy vision, improved with drops).

Posterior capsule opacity (corrected with a YAG laser in 5 minutes).

Infection (endophthalmitis) (<1% of cases, requires urgent treatment).

Additional Recommendations

✔ Wear sunglasses with UV 400 protection outdoors.

✔ Maintain a diet rich in antioxidants (fruits, vegetables, omega-3s).

✔ Do not discontinue eye drops without medical advice.

When to Contact an Ophthalmologist?

If you have questions about the use of medications.

Before resuming risky activities (e.g., swimming).

If you notice any abnormal symptoms.