Are the results after a successful cataract surgery permanent?

Doctor's Answers 1

Photo of Dr Claudine Pang
Dr Claudine Pang

Ophthalmologist

Hi Ke Xin,

Yes, the results after cataract surgery are permanent. This is because we do not expect the eye to change much in adulthood.

However, if there are external factors that cause the eyeball to grow or develop astigmatism, such as excessive eye rubbing or prolonged near work, there may be changes in the cornea or eyeball length that bring about a change in the spectacle power. This can easily be correct with a new spectacle prescription.

Another change which can occur to the lens implant is that it may develop lens opacification or ‘clouding’. This does not occur in everyone but approximately 50% of all post-cataract surgery patients. It normally develops within 1 to 5 years and it will appear as a ‘clouding’ of your vision.

Why it appears is because our lens proteins or cells proliferate to form a hazy film on the posterior capsule of the lens. This problem can be easily rectified by undergoing a simple laser procedure that is painless, takes 5 minutes with no downtime and can be done in the clinic.

You can think of it as a ‘polishing’ of the lens that has gotten ‘dirty’ over time. The good news is that you will only need to ‘polish’ your lens once, and it will be clean forever.

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Is it best for the cataract surgery to be done with or without anesthesia?

I prefer to perform cataract surgery with my patients under monitored sedation (this is different from general anaesthesia or GA). Monitored sedation is when patients are completely asleep (without the need for GA) and under the close monitoring of an anaesthetist. Monitored sedation (unlike GA) is very safe, even for patients who have pre-existing medical conditions. I believe that patients have the best experience and are most comfortable when they are completely unaware of the ongoings of the surgery.

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Answered By

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When should a cataract surgery be avoided?

Cataract surgery has evolved in recent years into a highly successful eye surgery, capable of removing a hardened lens and even improving one's eyesight free of power like myopia, hyperopia, astigmatism and even presbyopia. For that, it is really a type of refractive surgery, when a customized lens implant is chosen. When there is minimal cataract, one should weigh the pros and cons of the surgery before deciding for or against it. There may be benefit in a cataract surgery even when there is no cataract, such as when there is a threat of narrow angle glaucoma.

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