Cataract Surgery: Expectations vs. Reality

I recently had cataract surgery and am recovering.   Although the recovery is going well, I was surprised by how reality was different than my expectations.

For reference, cataract surgery replaces the lens that has turned cloudy.  It also allows for adjusting the focal length vision of the eye.   Having been a contact user for about 40 years, I expected the final outcome would be immediate or at least same day, since contact lenses change the vision right away.

Instead, the change in vision took about a week to reach the final outcome.  The day of surgery, my vision was blurry and sometimes hazy.  The surgeon explained that cataract surgery sometimes results in the eye pressure increasing, which causes the haziness.  In addition, surgery causes some eye distress which leads to blurry vision.  On the day after surgery, my vision tested at 20/30, which they thought was great, but I still felt was not good enough since I expected to reach 20/20 immediately.   

The surgeon gave me some eyedrops for glaucoma (eye pressure) to use.   When I went home, I noticed that my pupil was still dilated.  So I started wearing dark sunglasses most of the time, even inside.   For day 2 to day 6, my vision improved incrementally and my pupil started shrinking.   By day 7, I felt like I was almost 20/20 and the pupil was near normal.

I've concluded that monofocal lens in my right eye has less range than my previous lens with contacts.  This is known, but I didn't realize the effect until the cataract was replaced.  It is still working for me since I'm getting good focus from about 5 feet to infinity for larger letters.   

On day 8, I had my one week visit.  My vision tested 20/20 but a little blurry at that level. My pupil is still slightly dilated, and I expect my sight to be fully clear when my pupil is normal.  I've confirmed that I still want to do a close vision monofocal lens for my left eye.  I expect that should cover reading distance to about 5 feet comfortably.   This will allow me to not have vision correction 99% of the time, but only correct the left eye for distance during sports such as tennis and skiing.

I'll give another update once the left eye is treated.

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This is not financial, cataract surgery, nor health advice. Please consult a professional advisor.

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