{"id":8831,"date":"2020-11-11T11:29:38","date_gmt":"2020-11-11T11:29:38","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=8831"},"modified":"2021-07-22T09:49:54","modified_gmt":"2021-07-22T09:49:54","slug":"cataract-surgery-complications","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-cataracts\/cataract-surgery-what-to-expect\/cataract-surgery-complications\/","title":{"rendered":"Cataract Surgery Complications"},"content":{"rendered":"<h2><b>Every year, over 9.5 million cataract surgeries are performed, worldwide.<\/b><\/h2>\n<p>While the overwhelming majority (98%) of <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-cataracts\/cataract-surgery-what-to-expect\/\">cataract surgeries<\/a> are successful, like any surgical procedure there are risks involved.<\/p>\n<p>It is important to understand these risks and be able to recognize the symptoms that may require immediate medical attention following your procedure.<\/p>\n<p><i>While complications can arise both during and after cataract surgery, most are not life threatening or vision threatening and can be effectively treated with medical or surgical intervention.<\/i><\/p>\n<h2><b>Secondary cataract<\/b><\/h2>\n<p>During cataract surgery, only the anterior (front) part of the eye\u2019s lens capsule, the \u201cbag\u201d that holds the lens in place, is removed\u2014 while the posterior (back) part of the lens capsule remains intact. Then, the entire eye lens is replaced with a clear artificial lens.<\/p>\n<p>A secondary cataract, also called a <b>posterior capsule opacification (PCO)<\/b> occurs when <i>the posterior part of the capsule<\/i> becomes cloudy. This is the most common complaint following cataract surgery, and can occur from a few months to a few years post-operation.<\/p>\n<p>With a quick and painless in-office procedure, called a YAG laser capsulotomy, your eye doctor can easily correct the condition by removing the PCO. During this procedure, your eye doctor will insert two different types of eye drops, to dilate your pupils and to reduce any corneal inflammation.<\/p>\n<p>Using a laser, your eye doctor will then break up the new cataract of the posterior capsule to allow light to pass through for clearer vision.<\/p>\n<h2><b>Infection<\/b><\/h2>\n<p>If bacteria enter your eye during surgery, you can develop an infection. While this is uncommon, it can cause serious complications. It is therefore important to recognize the signs of an infection and seek immediate treatment.<\/p>\n<p><i>Symptoms of infection include:<\/i><\/p>\n<ul>\n<li style=\"font-weight: 400;\">Eye pain<\/li>\n<li style=\"font-weight: 400;\">Red eyes<\/li>\n<li style=\"font-weight: 400;\">Light sensitivity<\/li>\n<li style=\"font-weight: 400;\">Blurred vision<\/li>\n<\/ul>\n<p>An antibiotic medication is the most effective treatment for a bacterial infection. If your eye becomes infected post-surgery, your eye doctor may prescribe an antibiotic that is directly injected into your eye.<\/p>\n<p>To stop the infection from spreading, your eye doctor may also remove the vitreous of your eye, the clear gel-like matter that fills the center of your eye, and replace it with a new gel that is free of bacteria.<\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><strong>Contact an eye doctor near you<\/strong><\/a>, to find out more about cataract surgery.<\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-cataracts\/cataracts\/\">What are Cataracts?<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Inflammation<\/b><\/h2>\n<p>Eye swelling is not usually a cause for concern following a surgical procedure, though <i>excessive <\/i>swelling requires a call to your eye doctor.<\/p>\n<p>If you notice that your eye continues to appear swollen after a couple of days, contact your eye doctor.<\/p>\n<p>Your eye doctor can prescribe an anti-inflammatory eye drop or medication to help reduce the swelling.<\/p>\n<h2><b>Retinal detachment<\/b><\/h2>\n<p>If your <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-anatomy-the-back-of-the-eye\/\">retina<\/a> pulls away from its normal position on the posterior wall of your eye, <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-eye-conditions\/retinal-diseases\/\">retinal detachment<\/a> can occur.<\/p>\n<p>This condition requires immediate medical attention, as it could threaten permanent loss of vision.<\/p>\n<p><strong>If you notice any of the following symptoms, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">contact an eye doctor immediately<\/a>:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\">Loss of vision<\/li>\n<li style=\"font-weight: 400;\">Floaters in your visual field<\/li>\n<li style=\"font-weight: 400;\">Flashes of light<\/li>\n<\/ul>\n<h2><b>Lens fragments<\/b><\/h2>\n<p>During cataract surgery, the eye\u2019s lens is removed and replaced with a new artificial one. During removal, fragments from your old lens may fall into the back of your eye and get lodged there. This can cause retinal and corneal inflammation, <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/why-is-eye-pressure-important\/\">high eye pressure<\/a>, and even permanent vision loss.<\/p>\n<p>To remove the lens fragments and protect your eye, a second surgery will be required.<\/p>\n<h2><b>Increased retinal fluid (bleeding)<\/b><\/h2>\n<p>Bleeding during surgery is rare, but can occur if the retinal blood vessels begin to leak. Mild bleeding is not a cause for concern, but moderate to severe bleeding that leaks into the space between the cornea and iris, can cause vision loss.<\/p>\n<p>Many times, this condition can be treated with eye drops and typically does not cause any permanent vision problems \u2014 though it can take a couple of months to heal.<\/p>\n<p>However, if the eye drops are not effective in helping the blood drain from your eye, the blood accumulation can lead to eye pressure build-up and steroid eye drops and\/or surgery may be required.<\/p>\n<h2><b>Dislocated intraocular lens (IOL)<\/b><\/h2>\n<p>If the artificial lens (also called the intraocular lens, IOL) that is implanted into the eye moves from its correct position, it can cause blurry or double vision. In severe cases, a dislocated IOL can cause swelling and bleeding.<\/p>\n<p>In mild cases, the IOL can be easily repositioned without the need for a second procedure. However, in severe cases, surgery to reposition the lens, sew it into place or implant a new one, may be necessary.<\/p>\n<p>Repositioning the IOL should be done as soon as possible following cataract surgery to prevent the implant from scarring into place\u2014 this usually happens after about three months post-surgery. Once the implant has scarred into place, it becomes more difficult to remove.<\/p>\n<h2><b>Corneal swelling<\/b><\/h2>\n<p>Following cataract surgery, it is not uncommon for the cornea to become inflamed. This can affect your vision clarity and be quite uncomfortable.<\/p>\n<p>While this generally disappears after a few days or weeks, your eye doctor can prescribe anti-inflammatory eye drops to help reduce the swelling and improve vision.<\/p>\n<h2><b>Posterior vitreous detachment (PVD)<\/b><\/h2>\n<p>If you notice floating spots that look like spider webs and flashes of light after surgery, you may have a condition called posterior vitreous detachment (PVD)\u2014 when the vitreous detaches from the retina.<\/p>\n<p>This condition generally heals on its own within a couple of months, but since the symptoms can be similar to <i>retinal detachment<\/i>, it is critical to <a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><strong>seek immediate medical care<\/strong><\/a>.<\/p>\n<h2><b>Increased eye pressure<\/b><\/h2>\n<p>Eye surgery can cause a condition called ocular hypertension, in which the intraocular pressure rises to the point that your vision is affected. Any ocular bleeding, swelling, or pieces of lens fragments left in the eye, can cause this increase in eye pressure.<\/p>\n<p>If this occurs, your eye doctor may prescribe eye drops, eye injections, or oral medication.<\/p>\n<p>In general, high intraocular pressure can lead to <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/glaucoma-guide\/glaucoma\/\">glaucoma<\/a>, a serious sight-threatening disease. Therefore, it is important to follow up with your eye doctor following your cataract surgery to ensure that your eye pressure remains within normal limits.<\/p>\n<h2><b>Photophobia<\/b><\/h2>\n<p>Photophobia, also known as increased sensitivity to light, is a normal side effect post cataract surgery.<\/p>\n<p>However, if this symptom lasts more than a few days, it is important to follow up with your eye doctor, as it can indicate ocular swelling that requires treatment.<\/p>\n<h2><b>Ptosis (droopy eyelid)<\/b><\/h2>\n<p>Ptosis is a common side effect following ocular surgery, especially if the eyelids were stretched into an open position for an extended amount of time.<\/p>\n<p>When caused by surgery, ptosis will typically disappear on its own after a couple of months. However, if you notice that your eyelid continues to droop after around six months, surgery may be necessary to strengthen the muscles that lift the eyelid, in order to return it to its correct position.<\/p>\n<h2><b>Dysphotopsia<\/b><\/h2>\n<p>This condition causes visual disturbances following cataract surgery. There are two primary visual disturbances that can develop:<\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>Negative visual disturbance<\/b>: A curved shadow appears within the field of peripheral vision<\/li>\n<li style=\"font-weight: 400;\"><b>Positive visual disturbance<\/b>: Halos, flashes, starbursts, and streaks of light appear within the visual field<\/li>\n<\/ul>\n<p>It has yet to be discovered what causes these visual disturbances, but the condition generally goes away on its own.<\/p>\n<p>If it lingers more than a few months, your eye doctor may recommend eye drops, <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/neuro-optometry\/what-are-prism-lenses\/\">prism lenses<\/a>, or a second cataract surgery to replace the IOL with a new one.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/\">Guide to Eye Conditions<\/a><\/p>\n<p><b>If you are thinking about cataract surgery, discuss the benefits and possible risks and complications of the procedure with <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">an eye doctor near you<\/a>.\u00a0<\/b><\/p>\n<p>Most cataract surgery complications can be treated successfully without threatening your vision, but don\u2019t hesitate to discuss any concerns you may have with your doctor\u2014 especially if you have any other health or ocular conditions.<\/p>\n<p><i>With a 98 percent success rate, the benefits of cataract surgery and improved vision may outweigh the risks of the procedure.\u00a0\u00a0<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Every year, over 9.5 million cataract surgeries are performed, worldwide. While the overwhelming majority (98%) of cataract surgeries are successful, like any surgical procedure there<\/p>\n","protected":false},"author":4,"featured_media":8832,"parent":7097,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[156,242,388,430,241,372,431,136],"class_list":["post-8831","page","type-page","status-publish","has-post-thumbnail","hentry","tag-blurry","tag-cataract","tag-cataract-surgery","tag-complications","tag-glaucoma","tag-intraocular-lens","tag-retinal-detachment","tag-vision-problem"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cataract Surgery Complications - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-cataracts\/cataract-surgery-what-to-expect\/cataract-surgery-complications\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cataract Surgery Complications - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Every year, over 9.5 million cataract surgeries are performed, worldwide. 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