How long is it possible to delay cataract surgery? (2024)

2nd of September 2020

How long is it possible to delay cataract surgery? (1)

Cataracts occur when the natural lens of the eye becomes cloudy over time – once the lens is cloudy we call it a cataract. Generally this is a slow process with age, but once it occurs, it can only be corrected by surgical removal of the lens and insertion of a clear artificial lens.

While most cataracts are associated with age, sometimes they occur in younger people – associated with unusual genes, past eye trauma, diabetes, excessive smoking or drinking.

For the vast majority, cataract surgery is not urgent, and can be safely delayed until the person wishes to pursue surgery. Delaying surgery does not cause harm to the eye, however the vision just gets worse over time until the cataract is removed. When I counsel patients over the timing of cataract surgery, I generally reassure them that they will know when the time is right – they will begin to notice the deterioration in vision, and when it affects their quality of life, that is the time to pursue the surgery.

On the flip side, there is no major benefit in delaying cataract surgery. There has been considerable research into this, as to whether cataract surgery might hasten other eye problems, and this has not been found to be true. However, given all surgery has risks (albeit small), it is not wise to proceed with cataract surgery unless the individual truly needs it, and will truly benefit from the surgery.

There are some form of cataracts that need to be removed promptly – although these are rare. As the lens changes into a cataract, it swells in size as well as becoming cloudy. This swelling can push on the eye’s drainage area and close the drain. This can result in aqueous fluid building up in the eye, eye pressure problems and glaucoma. This only occurs in eyes with a predisposition to narrow drainage areas, such as individuals with a family history of angle closure glaucoma, or very long-sighted individuals. However, in such individuals, often cataract surgery is required to open the drain, even if the cataract is not obscuring the vision.

If the cataract is left untreated until it is very advanced or very dense, this can make surgery more difficult and increase the risk of complications. Generally the outcomes remain very good, but these cataracts ideally should be treated before they become so advanced that the risks of problems in surgery rises.

How long is it possible to delay cataract surgery? (2024)

FAQs

How long is it possible to delay cataract surgery? ›

If your cataracts are in the early stage and are slow growing, you may be able to safely delay surgery for a couple of months without experiencing serious complications.

Is it bad to wait too long for cataract surgery? ›

If the cataract is left untreated until it is very advanced or very dense, this can make surgery more difficult and increase the risk of complications. Generally the outcomes remain very good, but these cataracts ideally should be treated before they become so advanced that the risks of problems in surgery rises.

What are the problems with delaying cataract surgery? ›

The side-effects of cataracts can become much worse if you delay treatment, including: Cloudy, hazy, or blurred vision. Streaks or glare around lights. Poor night vision.

Can cataract surgery be left too late? ›

Please be reassured that a delay in surgery for cataracts does not put your sight at risk permanently. Cataracts do not cause permanent loss of vision and a delay of several months would not mean you are at a higher risk of complications or that the result will not be as good as it would have been.

How long can you leave a cataract untreated? ›

In some cases, it could take 10 years or more for a cataract to progress to the point of causing blindness. However, other types of cataracts, such as those due to diabetes, trauma or certain medications can progress more quickly. These might lead to significant vision impairment in a matter of months or a few years.

Is there any benefit to delaying cataract surgery? ›

In a nutshell, there is no advantage in delaying a cataract surgery. On one hand you are increasing the risk of complications and on the other you are denying yourself of a clearer vision. If it is advised, then better to discuss it with your cataract surgeon and plan it given your convenience at the earliest!

What happens if you never have cataract surgery? ›

What happens if cataracts are left untreated? Untreated cataracts will eventually block light from entering the eye and result in a loss of vision. Worldwide, they are the leading cause of blindness.

When should cataract surgery not be done? ›

For example, if you have advanced macular degeneration or a detached retina as well as cataracts, it's possible that removing the cataract and replacing it with a clear intraocular lens (IOL) might not improve your eyesight. In such cases, cataract surgery may not be recommended.

What is the most feared complication of cataract surgery? ›

Although the incidence of endophthalmitis is only 0.13%, this remains the most feared complication of cataract surgery with a potential devastating effect.

What are the symptoms of failed cataract surgery? ›

If you have one of these symptoms, which are very rare, call your doctor immediately:
  • A sudden decrease in vision.
  • Redness in or around the eye that persists after two days.
  • Continued sensitivity to light.
  • Discharge from the eye.
  • Pain that continues.
  • Fever, nausea or vomiting.
  • Sudden increase in floaters, or flashing lights.
Aug 17, 2021

How many years is cataract surgery good for? ›

Cataract surgery is usually permanent. The new artificial lens, called an intraocular lens (IOL), is designed to last the rest of your life. Most people do not need additional surgery after cataract surgery. Since the artificial lens is made of durable synthetic material, your cataract cannot return to that lens.

How bad is stage 2 cataract? ›

tage 1: Early Cataracts – Slight blurry vision. Stage 2: Immature Cataracts – Blurred vision in low-light. Stage 3: Mature Cataracts – Difficulty driving at night. Stage 4: Hypermature Cataracts – Eye appears yellow and cloudy.

How to delay cataract surgery? ›

These methods are not difficult to incorporate into a healthy lifestyle, but they can possibly prevent you from becoming blind.
  1. Stay Away From Lengthy Exposure To UV Light. ...
  2. Don't Use Steroid Drops. ...
  3. Look Out For Medicinal Side Effects. ...
  4. Think About Cataract Surgery. ...
  5. Live A Healthy Lifestyle.
Aug 20, 2021

How long can cataract surgery be postponed? ›

If your cataracts are in the early stage and are slow growing, you may be able to safely delay surgery for a couple of months without experiencing serious complications.

Can you wait too long to get cataract surgery? ›

If a cataract is left untreated for too long, it becomes what is sometimes called “hyper-mature.” When this occurs, the cataract has become more dense, more difficult to remove, and more likely to cause complications during surgery.

Do cataracts ever get better without surgery? ›

There is no way to cure or get rid of cataracts once they've formed besides cataract surgery. No medication can eliminate existing cataracts, and no eyewear can completely counteract their effects. Some ophthalmologists are seeking nonsurgical solutions, but at this time, no other solution has been found.

How long does it take for cataracts to get bad enough for surgery? ›

The operation can be performed at any stage of cataract development. There is no need to wait until your cataract is “ripe” before removing it.

What is the current waiting time for cataract surgery? ›

The maximum waiting time for NHS treatments should be 18 weeks. However, there are various horror stories circulating about the wait for eye surgery. According to an Optical Express article from 2021, some patients in Northern Ireland have been waiting for four years2.

When is cataract surgery not possible? ›

However, there are some patients who don't meet the requirements for cataract surgery: Are in poor health or have a serious medical condition. Have advanced macular degeneration. Have a detached retina.

What to do while waiting for cataract surgery? ›

Avoiding bright light

Avoid any really bright, unshaded lights and use blinds or curtains to help shield you from any bright sunshine. Utilise the sunlight for certain activities – for example sitting with your back to the window when reading.

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