NHS Cataract Surgery

Supporting you every step of the way

Cataract surgery

Cataract surgery is the most common operation performed in the UK today and has, on average, a 99% success rate. It’s currently the only reliable treatment for cataracts. 

Before you look at the details of your cataract surgery, there are two very important things you need to know that should help to put your mind at rest:

1. In most cases, no needles are involved 

All anaesthetics and medications for your eyes are administered via eye drops, and a tiny pellet is used to dilate the pupils. However, in some cases, injections may be necessary.

2. It’s one of the quickest operations you can have

You will be at the hospital on the day of your cataract surgery for about 3 hours, but the actual surgery itself usually only lasts about 20 minutes.  

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SpaMedica's experience

As the UK’s largest provider of NHS cataract surgery, SpaMedica performs tens of thousands of successful cataract surgeries every year. Only 0.46% of our patients experience the most common complication of cataract surgery, a condition known as posterior capsule rupture, meaning our complication rates are well below the national benchmark of 1.1%. 

Advice and recommendations for your cataract surgery day

It’s normal to be apprehensive about your surgery, but please be rest assured that the SpaMedica team are very caring, extremely friendly and will support you through every step on your surgery day. They’ll put your mind at ease, explain what’s happening at each stage, discuss any concerns you may have and make you as comfortable as possible throughout your stay. 

  • The time given for your appointment is the time you should arrive at the eye hospital and NOT the time of your cataract surgery – arriving earlier will mean a longer wait for you. 
  • You’ll need to bring your current glasses, a list of your current medications, your record book (if you’re taking blood-thinning medication) and a contact number for a relative/friend. If you wear contact lenses, these should not be worn for at least 24 hours before your surgery. 
  • Please arrange transport to and from the hospital – your eyes will be dilated for surgery and this causes blurred vision and sensitivity to light, meaning that you won’t be able to drive, so it’s important to make sure you organise a lift or arrange transport. SpaMedica provides free transport for patients who need it – if you’re struggling to find transport, please speak to a member of our transport team.
  • We recommend eating a light meal before you arrive at the hospital. 
  • Please take all your medications as normal, unless we have specifically advised you not to. 
  • You should wear comfortable and loose-fitting clothing – you will not need to wear a hospital gown. 
  • We recommend you wear dark coloured clothing – we use iodine during surgery and this can sometimes run down your neck and may stain lighter clothing. 
  • Remove all make-up before arriving at the hospital. 
  • Please try not to bring any valuables with you – we have lockers and areas for you to leave bags etc during surgery, but we cannot guarantee their safety.
  • Driving before and after your surgery: Legal eyesight standards for driving means you must be able to read a car registration plate at a distance of 20 meters. It is crucial to remember that all patients should not drive until they meet this legal driving standard, whether it is before, during or after cataract surgery. Before surgery, if your cataract is affecting your ability to see clearly, especially in bright light, at night, or when reading road signs, you may no longer meet this standard and should stop driving. Your optometrist or eye specialist can advise whether it is still safe for you to drive before your operation. After surgery, your vision may change and you may need new glasses before it is safe to drive again.

Would you like a chaperone? It’s your choice. This can be a family member, friend or a trained member of staff. Please let us know upon arrival if you would like someone to accompany you for examination or consultation.

 

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Step-by-step guide to your cataract surgery

Please click below to get a step-by-step guide to your cataract surgery appointment. This gives all the details and timings of your surgery – you’ll be in the hospital about 3 hours in total and then you’ll be free to go home, with all the information you need about post-surgery eye care. And remember, we’ll be right there with you every step of the way, and ready to hold your hand, if needed.

You must inform the operating surgeon if you have a cough. If you can control your cough, surgery can proceed, but you must let the staff know if you need to cough so that the surgery can be paused if necessary. If you cannot control your cough, your GP may be able to prescribe something that will suppress it. If you have a cold or are feeling unwell, you should not proceed with surgery. Please inform us as soon as possible so we can re-book your theatre slot at a time that’s convenient for you.

Please inform us if you are taking antibiotics. In some cases, long-term antibiotics will not stop you from having surgery. However, if you have an active infection, your surgery should be rebooked until resolved.

SpaMedica does not perform cataract surgery under general anaesthetic, so you won’t be put to sleep for your operation and you’ll be able to go home on the same day as your surgery. The majority of cataract surgery is performed using local anaesthetic, which is administered using eye drops. The eye drops numb your eye to stop you feeling any pain during your operation.
If you want to be put to sleep for your cataract surgery, you’ll need to tell your optician or GP before they refer you for treatment so they can identify a suitable treatment provider.

Please inform the staff at your pre-assessment appointment if you are taking blood-thinning medication. You must continue your blood thinners, inform your anti-coagulation clinic, and obtain an INR result within a week of your surgery.

If your INR is out of range, you should contact us so that we can discuss your readings with your surgeon and make a decision about whether we can proceed with your surgery, or whether we’ll need to re-book it for a later date.

During cataract surgery, your eye’s natural lens is replaced with an artificial lens, known as an intraocular lens (IOL). If your cataract surgery is carried out on the NHS, you will usually be given a monofocal lens. This type of IOL is set to provide clear vision at one main distance, depending on your preference. 

For example, many people choose to have the lens set for distance vision. This often allows them to see well in the distance without glasses, but they will still need reading glasses for near tasks.

If you previously needed glasses for both distance and near vision, it is likely you will still need glasses after surgery. However, your prescription will usually change, and you will need a new eye test once your eyes have fully healed to update your glasses.

If, however, you’re having your cataract surgery done privately, then you’ll be able to choose from a wider range of lenses, including monofocal, varifocal and toric lenses. Toric lenses are designed to correct astigmatism and can be either monofocal or varifocal. 

After cataract surgery, it is normal to experience some temporary blurred vision. You may also notice light sensitivity, mild itching, aching, or watery eyes. These symptoms are common and usually settle within a few days.

If you have any concerns about your vision or symptoms, please contact our helpline on 0330 058 4280 and a member of our team will be happy to advise you.

Cataract surgery can cause your eye to water more than usual, which may lead to your vision becoming blurry. If you notice your eye feels sticky, you can bathe it to remove any residue. You’ll usually be provided with a pack of sterile swabs by your surgeon, for using when bathing your eye. When bathing your eye, boil some water to sterilise it, wait for it to cool enough to use comfortably, then use your sterile swabs to bathe your eye with the water. This should remove any gunk from your eye and help to reduce the blurring of your vision. 

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A-Z Resources

Our Resources section features an A-Z glossary of frequently asked questions about cataracts, some advice about how your loved ones can support you during your treatment, and some top tips on looking after your eyes.

A-Z Resources
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