Cataract Surgery

Clouding of the eye’s natural lens; phacoemulsification and intraocular lens options.

An eye examination at a slit lamp

A cataract is a clouding of the eye’s natural lens. It most commonly develops with age; diabetes, long-term steroid use, eye injury and some congenital conditions can also cause cataract.

Treatment is surgical: the cloudy lens is removed and replaced with a permanent intraocular lens.

Signs and symptoms

  • Gradually worsening blurred or foggy vision
  • Glare and difficulty driving at night
  • Colours appearing faded
  • Frequent changes in prescription

Diagnosis

A slit-lamp examination, intraocular pressure measurement and fundus evaluation are performed. If surgery is planned, biometry is used to calculate the power of the intraocular lens.

Treatment options

Phacoemulsification
The lens is broken up with ultrasound and removed through a small incision, usually under topical anaesthesia as a day procedure.
Intraocular lens options
Monofocal, astigmatism-correcting (toric) and multifocal lenses are available; the choice is made together based on the eye and expectations.
Post-operative care
Recovery is monitored with eye drops and follow-up visits.

Frequently asked questions

Do I need to wait for the cataract to “ripen”?

No. With modern techniques there is no need to wait; surgery can be planned once the cataract begins to affect daily life.

Will I need glasses after surgery?

It depends on the lens chosen. With monofocal lenses, reading glasses may be needed; multifocal lenses can reduce dependence on glasses.

The information on this site is general and does not replace an examination, diagnosis or treatment.