Eye Clinic
Chief Physician

Vision After Cataract Surgery

Professor MD Ulrich Weber

Chief Physician

Patient rating
    4.3/5 (12 votes)
Statistics 2017
  • 2113 patient admission
  • 9 physicians
  • 16 medical staff
  • 1088 microsurgery
  • 55 keratectomy
  • 85 operations on the cornea
  • 188 reductions of intraocular pressure by filtering operations
  • 79 operations on the iris
  • 198 operations on the sclera
  • 502 extracapsular extractions of the lens
  • 329 operations on the retina

Vision After Cataract Surgery

According to the statistics, 95% of patients can see after cataract surgery the same as they saw before the disease had developed, but those patients who chosen premium intraocular lens even have improved their vision after cataract surgery. In Eye Clinic of Braunsweig, Germany we study what happens to vision our patients after surgery and we have found that more problems experience those people who have any co-morbidity as other eye disease, e.g. glaucoma or macular degeneration, or system diseases as diabetes.

Vision After Cataract Surgery

What Was before Cataract Surgery?

To understand better how the vision of a patient can change after cataract surgery, let us look what symptoms of cataract the patient had before. The people with cataract experience the following vision problems:

  • Blurry and unclear vision
  • Glares and difficulty seeing in fright light
  • Seeing halos around lights in the night
  • Difficulties to distinguish objects on non-contrast background
  • Double vision (for cortical cataract)
  • Reduction of vision (for nuclear cataract)

It is interesting, that on early stage of development of nuclear cataract, patient can experience temporary improvement of near sight vision but, then, it will degrade shortly. The colors can appear faded as opaque clouding has a brownish tinge.

What Patients Experience Shortly after Cataract Surgery?

Some patients can see clearly almost immediately after surgery but they are few and most of people need time for recovery of vision after cataract surgery.

There are some distortions you may have after cataract surgery that are temporary side effect of the operation:

  • Distorted or wavy vision
  • Blurred vision
  • Nearsighted vision symptoms (not seeing clearly far away)

Normally, the symptoms will go shortly (from a few hours to several days).

Quit soon after cataract surgery patients claim improved contrast vision and brighter colors that were distorted before by the clouding.

If Distorted Vision after Cataract Surgery Does Not Go

If a few days you after cataract surgery you still experience blurred visions or see glares you are better to visit your doctor as your signs may be result of complications:

  • Wrong lens choice can cause blurred vision.
  • Blurred vision also may be result of retinal swelling which starts not immediately after surgery and a quite rare conditions.
  • Glaring can be caused by multifocal lenses.
  • Blurred vision and glare can be also a result of eye dryness; in this case tear drop can be useful.

When You Have to See Your Doctor Immediately

You should consult with an ophthalmologist immediately if you have the following vision problems after cataract surgery:

  • Dramatically increasing floaters and black spots in your sight and flashes that could lead to retinal detachment
  • Blind spots
  • Loss of vision

Those are quite rare conditions (less than 0.5%) but they should be treated without delay.

Other Complications

There are some other complications that can lead to vision problems.

Posterior Capsule Opacity

One of the common complications of vision after the cataract surgery is a posterior capsule opacity, when back side of the eye capsule becomes cloudy and causes blurred vision. It happens some time after the surgery because remaining lens epithelial cells grow into the capsule. This complication occurs in 20% of patients and is treated by another laser surgery.

Intraocular Lenses Displacement

We always try to be very accurate and position IOS highly precisely but sometimes dislocation can happen. In this case, a patient may develop double vision and deteriorating of vision acuity. You need another surgery to fix the problem. Sometimes, it is enough to sew dislocated implant but, in others cases, it should be replaced with a new one.

Complete Restoration of Vision after Cataract Surgery

With uncomplicated recovery of vision you may expect complete restoration your vision a few weeks (a month maximum). Now you can enjoy colors, contrasts and acuity of the vision. If you had any sight problems before surgery as nearsightedness you may expect they will remain if you did not have vision correction together with cataract surgery. 2-3 weeks later you can examine you vision and have a prescription for spectacles if needed.

Make an Appointment with Eye Doctor in Germany

If you consider cataract surgery or have any complication after previous one, call to our Eye Clinic of Braunschweig for appointment with German Doctor.

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