All you need to know about cataract surgery

Written in association with: Mr James Neffendorf
Published: | Updated: 09/07/2024
Edited by: Conor Lynch

In this article below, consultant dermatologist and deputy medical director of the London Lauriston Clinic, Dr James Neffendorf, discusses when cataract surgery is typically recommended, some details about the procedure, and the associated risks. 

What is cataract surgery, and how is it performed?

Cataract surgery is one of the most common and effective surgical procedures performed worldwide. It involves removing the cloudy lens of the eye, known as a cataract, and replacing it with an artificial lens to improve vision.

 

When and why do cataracts develop, and what are the symptoms?

Cataracts typically develop as part of the aging process, but they can also result from trauma, certain medications, genetics, or underlying medical conditions. The symptoms of cataracts include blurry vision, difficulty seeing at night, sensitivity to light, and seeing haloes around lights. When these symptoms begin to interfere with daily activities, such as reading or driving, it may be time to consider cataract surgery.

 

How quick is the surgery, and what does the surgery entail?

The procedure itself is usually quick, usually lasting less than 20 minutes, and is performed on an outpatient basis. The most common technique is phacoemulsification, where the surgeon makes a tiny incision in the eye and uses ultrasound waves to remove the cloudy lens.

 

The lens fragments are gently removed, and an artificial intraocular lens (IOL) is inserted into the eye. Patients are typically awake during the procedure but receive local anaesthesia to numb the eye and sometimes a sedative to help them relax.

 

What does recovery from cataract surgery entail?

Recovery from cataract surgery is generally smooth and rapid. Most people notice an improvement in their vision within a few days, although full recovery can take a few weeks. It is important to follow the surgeon's post-operative instructions, which may include using prescribed eye drops to prevent infection and inflammation, and avoiding strenuous activities for a short period.

 

When should I consider cataract surgery?

Cataract surgery should be considered when vision impairment interferes with daily activities and quality of life.

 

What are the risks of cataract surgery?

While cataract surgery is generally safe, potential risks include infection, bleeding, loss of vision, and retinal detachment. These complications are rare and often treatable.

 

Will I need glasses after cataract surgery?

Many patients experience significantly improved vision, but some may still need glasses for certain tasks. 

By Mr James Neffendorf
Ophthalmology

MrJames Neffendorf is a highly regarded consultant ophthalmic and vitreoretinal surgeon with a specialist interest in cataract surgery, retinal surgery and emergency eye care. His private practice is based at London Lauriston Clinic where he is the deputy medical director.

He is appointed as a consultant ophthalmologist at the internationally renowned King's College Hospital NHS Foundation Trust in London. James is an experienced Cataract and Retinal surgeon, with specialist interests in all aspects of retinal disease including retinal detachment surgery, macular hole, floaters, epiretinal membrane, diabetic eye disease, medical retina and complex cataract surgery.

He also sees patients with general and emergency ophthalmic conditions. He is often is often asked by his colleagues to manage patients with particularly challenging cataracts or to assist if cataract surgery has been complicated elsewhere. He undertook his undergraduate medical degree at the University of Cambridge, followed by medical training at University College London, graduating with distinction in clinical medicine and surgery.

He was awarded a degree in Anatomy and Developmental Biology by the University of Cambridge, and has a postgraduate degree in Ophthalmic Research (MD Res) from King's College London for his work into retinal disease and age-related macular degeneration. He was awarded 18 academic prizes and awards during his training. James carried out his postgraduate medical and surgical training at University College London Hospital and St. Mary's Hospital, London.

He was selected for and completed his Ophthalmology training in the prestigious Oxford Deanery. During his training, he undertook an additional 2 year vitreoretinal surgery research fellowship at King's College Hospital in London. His subspecialty advanced senior fellowship in vitreoretinal surgery was performed at St. Thomas' Hospital, London. James is a Fellow of the Royal College of Ophthalmologists and regularly serves as an examiner for the College. He is actively involved in retinal research and has presented his work at over 40 international and national meetings.

He is frequently asked to review and critically appraise research for many of the leading ophthalmic specialty journals. He is a member of the American Academy of Ophthalmology, European Society of Cataract and Refractive Surgeons (ESCRS), European Society of Retinal Specialists (EURETINA) and British and Eire Association of Vitreoretinal Surgeons. Aside from his clinical work, James is the medical director of an international artificial intelligence company which analyses ocular biomarkers for the diagnosis and monitoring of ophthalmic and neurological disease.

James enjoys skiing and playing tennis, is a member of the Oxford and Cambridge Club and an Associate Member at the Marylebone Cricket Club (MCC). He lives in London with his wife Elizabeth, an Oculoplastic surgeon and their son Maximilian.

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