What happens if my vision becomes cloudy again after cataract surgery?

Doctor's Answers 2

Photo of Dr Claudine Pang
Dr Claudine Pang

Ophthalmologist

After cataract surgery, your vision can get cloudy again - this is because the intraocular lens that was implanted in your eye could get 'cloudy' or 'dirty' with time. This happens because our body's cells may proliferate and 'grow' on the intraocular lens to make it less clear than before. This happens in 50% of people about 1-5 years after cataract surgery.

Fortunately, it usually happens only once in your lifetime and can be rectified easily with a quick 5-minute, non-invasive, painless laser procedure that 'polishes' or 'cleans' the lens to make it clear again. This laser procedure can be done in our clinic and is fully claimable from Medisave/Medishield depending on your insurance plan. Simply, have a chat with your eye doctor to assess if you require this.

Hope this helps!

Dr Claudine Pang

D2D. Patients experiencing cloudy vision again after cataract surgery are likely to have posterior capsular opacities or “after cataracts”. This refers to the regeneration of cells along the “bag” or membrane that is left behind to contain the intraocular lens.

This is not a complication from the initial cataract surgery, but it can happen to some patients months or years after a successful cataract surgery.

This condition can be managed effectively by undergoing a laser procedure known as YAG capsulotomy. YAG capsulotomy is a quick and effective procedure without the need for fasting and has a very short down time. Recovery is very quick and vision can improve on the same day the procedure is performed.

It is important that any patient with cloudy vision consult an eye surgeon and have a complete eye examination done to ensure that there are no other problems with the eye apart from having posterior capsular opacities.

Similar Questions

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.

Photo of Dr Claudine Pang

Answered By

Dr Claudine Pang

Ophthalmologist

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.

Photo of Dr Daphne Han

Answered By

Dr Daphne Han

Ophthalmologist

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