Cataract surgery is one of the easy surgeries that millions of people around the globe have to experience to recover their vision as a consequence of cloudy lenses. While some get affected by cataracts in one of their eyes, many others meet this with both eyes.
In this guide, you will also find out more reasons why the procedure to separate surgeries is necessary, the chance of time between surgeries, and how a patient can undergo cataract operations on both eyes.
How long does it take to recover from cataract surgery?
In situations where the patient has bilateral cataracts, most surgeons do not operate on both eyes at once, and for a very good reason, as shall be seen below.
Patient Safety: This is because the second eye operation during the same operation session to the first eye is bound to have some complications. If there are some negative outcomes like infections or complications with anesthesia, then the eyes of the patient will also be vulnerable. Thus, by distinguishing the surgeries, the patient rules out any kinds of complications that may befall the two eyes.
Visual Adjustment: Cataract surgery, on average, leads to significant improvement in vision, but it takes your brain some time to 'settle' and accept the new status. When surgery is done halfway on one eye only, it gives a chance to adapt to new vision before the second surgery is done. This adjustment period can help avoid feelings of disorientation.
Evaluation of Surgical Outcome: Surgeons prefer to monitor the healing of the first eye before operating on the second. If any issues arise during the recovery of the first eye, such as delayed healing or vision changes, the surgeon may adjust the plan for the second surgery.
Post-Surgery Recovery: It requires a short recovery period, but it's essential for the first eye to be stable before the second eye is operated on. Spacing out the surgeries gives the patient time to recover properly from the first procedure and ensures they are in the best condition for the second surgery.
How Long Between Cataract Surgery on Each Eye
Recommended Time Between Cataract Surgeries
Two-Week Interval:
This is a common minimum waiting period between surgeries. Two weeks is often enough time for the first eye to heal sufficiently and for the patient to experience an improvement in vision. This time frame allows the surgeon to monitor the healing process and determine if any complications arise.
Four-Week Interval:
Many surgeons recommend waiting around four weeks between surgeries. At the four-week mark, the first eye should be almost fully healed, and any vision fluctuations are usually stabilized. By this point, the patient will have a good sense of how the first eye's vision has improved, allowing for a smoother transition when the second surgery occurs.
Six-Week Interval:
In some cases, surgeons may advise waiting six weeks or longer. This longer period is typically suggested for patients with underlying health conditions, such as diabetes, that may slow healing. However, in a scenario where the first surgery has complications or if the patient needs more time to adjust to his/her vision, a longer interval may be advised.
The reader needs to understand that these intervals are just ideal, and depending on your health status and how the initial surgery is likely to be, your surgeon is going to advise you on the best intervals to take.
Cataract Surgery and Preparing for the Procedure For Each of the Eyes
Eye Examination:
In the admission of a patient and prior to a pre-scheduled surgery, the surgeon is mandated to conduct a comprehensive eye checkup in order to assess the extent of damage of the cataract, the presence of other eye ailments, and the health of the eye in general. They will also consider the different measurements that are important in placing the correct lens implant for the eyes.
Medications:
Your surgeon may recommend medication in the form of eye drops to use prior to the surgery to minimize the chances of developing infection and inflammation. Ensure that you do as your doctor prescribes because these medicines are critical for a favorable outcome.
Lifestyle Adjustments:
Some of the treatments may need to be stopped sometime before the surgery, for example, blood thinners. It is essential that you consult your surgeon regarding the same, and he will advise when it is safe to stop taking them. Further, do not go for any rigorous workouts and exercise before the surgery, and also ensure that someone is around to accompany you as your vision may become blurry right after the surgery is done.
Recovery Between Surgeries
Follow Post-Surgery Instructions:
In the first surgery, everything is fine, and it is also important to follow all the surgeon's recommendations. Some of these measures may be applying eye drops, which the doctor has recommended, avoiding washing the eye with water, avoiding lifting heavy objects, and wearing cataracts sunglasses.
Manage Visual Disparities:
After the first surgery, many patients experience a difference in vision between their two eyes, especially if the untreated eye still has a significant cataract. Some patients may wear an eyepatch over the untreated eye, while others may find that their vision balance is manageable. Talk to your surgeon about solutions if you feel disoriented.
Allow Time for Healing:
What we are left with is the reality that although cataract surgeries can be done in the shortest time possible, there is flexibility that needs to be considered since there are two operations performed on two different eyes, and the first eye has to be allowed to heal before the second eye is operated on. Go for all the subsequent appointments; if you feel any pain, your vision is blurred, or you have other problems, inform your doctor.
Adapt to Changing Vision:
During the weeks between the two surgeries, you might be able to clearly see that the eye you've had surgery on is much better, but the other eye will still have poor vision due to the cataracts. This may seem rather unproportioned, but it is alright, as the state will change after the second surgery.
There are some unique factors that one needs to consider when performing bilateral cataract surgery.
Very occasionally, some patients may be suitable for what is known as 'two-stage cataract extraction' where both eyes are operated upon simultaneously. This strategy is often used in patients who cannot come to multiple appointments due to mobility problems or staying in rural areas.
The following are some advantages that come as a result of bilateral surgery; they include the general time that one will take to recover, as well as the time that one will need the anesthetic to be administered, which is also less as the procedure is done on one side only. But it also poses more danger if there are complications attached to pregnancy.
Sometimes called 'simultaneous cataract surgery,' your surgeon will evaluate your situation to decide whether you are eligible for bilateral cataract surgery.
Conclusion
The majority of patients with cataracts receive surgery on one eye, and the other eye is operated on after two to six weeks. This is an advantage for the safety of the patient, adequate healing, and adaptation of vision before the second surgery.
The duration between surgeries varies due to some of the following: the general health of the patient, recovery from the previous surgery, and consultation with the surgeon.
Cataract surgeries should be performed on both eyes, but this should only be done if your surgeon agrees to do so. Otherwise, you should make sure to take the following precautions to ensure that your cataract surgeries on both eyes yield the best possible results: