What to Expect in the First Week After Cataract Surgery

What to Expect in the First Week After Cataract Surgery

Cataract surgery is one of the most common and successful procedures worldwide, with millions performed every year. Still, it’s completely normal to feel a bit anxious about what happens afterwards. Knowing what to expect in your first week can make recovery smoother and help you feel more confident as your vision improves.

The First 24 Hours: Rest and Protect

After surgery, your eye will likely feel slightly gritty, watery, or sensitive to light. This is perfectly normal and usually settles within a day or two. Most people wear an eye shield or protective patch for the first night to avoid accidentally rubbing or pressing the eye while sleeping, something both the NHS and the American Academy of Ophthalmology (AAO) recommend.

You’ll also be given eye drops to prevent infection and reduce inflammation. It’s important to use these exactly as directed, even if your eye already feels better. According to Mayo Clinic guidance, these drops play a crucial role in helping the eye heal properly and preventing complications.

Avoid driving, bending over, or lifting anything heavy for the first 24 hours. Rest is your best friend during this period.

Days 2–3: Gradual Improvement

By the second day, you may notice your vision starting to clear, though colours can appear brighter or slightly different than before — a common and positive sign that the cloudy lens has been replaced. Some people experience mild itching or dryness. Avoid rubbing your eye, and if you need relief, use lubricating drops approved by your doctor.

The AAO suggests keeping your eye shield on while sleeping for at least a few nights and continuing to wear sunglasses outdoors to reduce sensitivity to sunlight and dust.

Days 4–7: Settling Into Recovery

Most people feel noticeably more comfortable by the end of the first week. You can usually resume gentle activities such as reading or watching TV. However, swimming, eye makeup, and strenuous exercise should still be avoided. The NHS advises waiting at least two weeks before swimming or using hot tubs, as these environments can introduce bacteria.

You’ll likely have a follow-up appointment with your ophthalmologist during this time. They’ll check your healing progress and ensure there are no signs of infection or swelling. If you notice any sudden vision loss, increased pain, or flashes of light, contact your doctor right away — these are rare but important to address quickly.

Final Thoughts

Every recovery journey is unique, but for most people, cataract surgery brings clearer, sharper vision and improved quality of life within just a few weeks. Following your clinician’s advice, using your prescribed drops consistently, and protecting your healing eye are the keys to a smooth recovery.

Your eyes have done something extraordinary, give them the care and time they need to heal well.

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Note: This content is for informational purposes only and not a substitute for medical advice.