Post-Cataract Surgery Concerns: Your Symptoms and Recovery - Ophthalmology

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Postoperative issues after cataract surgery?


At the beginning of April, I underwent cataract surgery on my right eye, and the recovery has been good.
On May 5th, I had surgery on my left eye.
Now, it seems like there is a droplet at the corner of my left eye, and I don't see clearly (only at the corner).
Sometimes, when reading, the text appears to shake.
Yesterday, there was a bit of pain in the eyeball area, but it has resolved today.
What could this situation be, and will it improve?

Yaxin, 30~39 year old female. Ask Date: 2016/05/12

Dr. Gao Pilin reply Ophthalmology


Hello, Yaxin: It is difficult to determine from your description, so it is best to visit an ophthalmologist for an examination.
If there are any changes after the surgery, you should seek medical attention promptly.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is still necessary to visit a medical facility for treatment.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2016/05/12

More Info


After undergoing cataract surgery, it is not uncommon for patients to experience a variety of symptoms during the recovery phase. Your description of feeling as if there is a droplet in the corner of your left eye, along with occasional blurriness when reading, and transient discomfort in the eyeball, raises several considerations.

Firstly, it is important to recognize that cataract surgery typically involves the removal of the cloudy lens and the implantation of an artificial intraocular lens (IOL). While many patients experience significant improvement in their vision post-surgery, some may encounter temporary visual disturbances as the eye heals. These disturbances can include fluctuations in vision clarity, sensitivity to light, and even sensations of dryness or irritation.

The sensation of a "water droplet" in the corner of your eye could be attributed to several factors. One possibility is the presence of residual fluid or tears in the conjunctival sac, which can occur after surgery. This sensation may also be linked to dryness or irritation, especially if you have been using any eye drops or medications that could affect tear production. It is essential to maintain adequate lubrication in the eye, as dryness can lead to discomfort and visual disturbances.

The blurriness you experience while reading could be related to several factors, including the healing process of the cornea and the adjustment of your brain to the new lens. It is not unusual for patients to notice fluctuations in their vision during the initial recovery period. If the blurriness persists or worsens, it is crucial to consult with your ophthalmologist, as they may need to assess the positioning of the IOL or check for any other underlying issues.

Regarding the transient pain you felt in your eyeball, it is essential to monitor this symptom closely. Post-operative discomfort can occur, but if the pain is severe or persistent, it may indicate a complication such as inflammation, infection, or increased intraocular pressure. It is advisable to report any significant changes in pain levels or visual symptoms to your eye care provider promptly.

In terms of recovery, most patients see gradual improvement in their vision over several weeks to months following cataract surgery. However, individual recovery times can vary based on several factors, including the complexity of the surgery, the presence of any pre-existing eye conditions, and adherence to post-operative care instructions.

To ensure a smooth recovery, here are some recommendations:
1. Follow-Up Appointments: Attend all scheduled follow-up appointments with your ophthalmologist. These visits are crucial for monitoring your healing process and addressing any concerns.

2. Medication Compliance: Use prescribed eye drops as directed. These may include anti-inflammatory drops to reduce swelling and prevent infection.

3. Avoid Rubbing Your Eyes: Rubbing can irritate the eye and potentially displace the IOL.

4. Protect Your Eyes: Wear sunglasses to shield your eyes from bright light and UV rays, especially during the healing phase.

5. Report Symptoms: If you experience worsening symptoms, such as increased pain, significant changes in vision, or signs of infection (redness, discharge), contact your eye care provider immediately.

In conclusion, while some discomfort and visual disturbances are common after cataract surgery, it is essential to remain vigilant and communicate with your healthcare provider about any concerning symptoms. With proper care and monitoring, most patients achieve excellent visual outcomes after cataract surgery.

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