Cataract surgery

What is Cataract Surgery?

Cataract surgery is one of the safest and most commonly performed surgical procedures in the world. A cataract is a clouding of the natural lens inside your eye, causing blurred or dimmed vision. During the procedure, your surgeon gently removes the clouded lens and replaces it with a clear artificial intraocular lens (IOL), restoring sharp, natural vision. The procedure is performed as a day case under local anaesthetic, takes approximately 20–30 minutes, and carries an excellent safety profile with a very high rate of patient satisfaction. Most people notice a dramatic improvement in their vision within days.

Quick Reference Summary

Duration

20–30 minutes

Location

Hospital – day case

Anaesthesia

Local anaesthetic (eye drops)

Longevity

Permanent – lens lasts a lifetime

Downtime

1-2 Days

Return to work

1–2 weeks

Return to driving

~2 weeks (vision-dependent)

Initial improvement

Within 24–48 hours

Ms. Janice Brady

Consultant Ophthalmic Surgeon

MB BCh BAO BMedSc MSc MRCOphth FRCSI(Ophth)

Mr. John Doris

Consultant Ophthalmic Surgeon

MB BCh BAO MRCP FRCOphth

What it treats / Common concerns

Anti wrinkle injections can target common signs of ageing and some medical concerns:

Your consultant-led assessment clinic

Before any surgery is scheduled, you will be seen in our dedicated assessment clinic by consultant ophthalmologist Mr Doris or Ms Brady. This appointment is thorough and unhurried — we want you to leave feeling fully informed and confident about your care.

During your assessment, the consultant will take a detailed medical and ophthalmic history and carry out a comprehensive examination of both eyes. A series of painless measurements and scans will be performed, including biometry (to calculate the precise power of the artificial lens needed for your eye).  These measurements are crucial for selecting the ideal intraocular lens and optimising your visual outcome.

If suitable for surgery, the consultant will explain the procedure to you step by step and you ample time to ask questions.

Please bring a list of your current medications to your appointment, and if you wear glasses, bring these along too. Allow approximately 2 hours for your first visit as your pupils may be dilated, temporarily affecting your near vision and light sensitivity.

Before any surgery is scheduled, you will be seen in our dedicated assessment clinic by consultant ophthalmologist Mr Doris or Ms Brady. This appointment is thorough and unhurried — we want you to leave feeling fully informed and confident about your care.

During your assessment, the consultant will take a detailed medical and ophthalmic history and carry out a comprehensive examination of both eyes. A series of painless measurements and scans will be performed, including biometry (to calculate the precise power of the artificial lens needed for your eye).  These measurements are crucial for selecting the ideal intraocular lens and optimising your visual outcome.

If suitable for surgery, the consultant will explain the procedure to you step by step and you ample time to ask questions.

Please bring a list of your current medications to your appointment, and if you wear glasses, bring these along too. Allow approximately 2 hours for your first visit as your pupils may be dilated, temporarily affecting your near vision and light sensitivity.

What to expect on the day of surgery

Cataract surgery is performed as a day case, meaning you will arrive, have your procedure, and return home on the same day — there is no overnight stay required. You should arrange for a friend or family member to drive you home, as you will not be able to drive yourself after the procedure.

On arrival, a nurse will prepare you for theatre. Dilating eye drops will be instilled to widen your pupil, and a local anaesthetic will be administered — typically as eye drops alone, meaning there are no injections and no general anaesthetic. You will be awake throughout but will feel no pain. Some patients see flickering lights or colours during the procedure; this is entirely normal.

In the operating theatre, your surgeon will make a tiny, self-sealing incision in the cornea. Using ultrasound energy (phacoemulsification), the cloudy natural lens is gently broken up and removed. A foldable intraocular lens is then inserted through the same small incision and carefully positioned. The procedure typically takes 20–30 minutes. Stitches are rarely needed.

Afterwards, you will rest briefly in the recovery area, receive your eye drop prescription and written post-operative instructions. A protective shield will be placed over your eye, which you should wear overnight.

Do not eat or drink for 4 hours before your scheduled surgery time. Continue all regular medications unless specifically advised otherwise by your surgical team

IMPORTANT

Eye drops for 4 weeks: You will be prescribed a course of antibiotic and anti-inflammatory eye drops to use for four weeks following surgery. It is essential that you use these as directed, even when your eye feels comfortable. These drops prevent infection and reduce inflammation, supporting the best possible healing.

DAY 1

Vision may be blurry or watery – this is normal. Begin prescribed eye drops. Wear protective shield overnight. Rest at home, avoid bending and lifting. Shower from neck down only, keeping water away from the eye.

Week 1

Vision typically begins improving within 24–48 hours. Continue eye drops four times daily. Light desk work can usually resume from days 3–7. No eye makeup. Avoid dusty environments and pools. Wear protective shield overnight.

Week 2

Most patients cleared to drive once vision meets the legal standard (confirmed at post-op review). Non-eye makeup is generally fine. Continue to avoid eye makeup, swimming, and contact sports. Wear protective shield overnight.

Week 4

Swimming and water sports now permitted. Eye makeup can resume. All physical activities including gym and contact sports can restart. Vision should now be stable.

Quick Recovery reference

Driving When vision meets legal standard, confirmed at post-op review (~week 2)
Return to work Office/desk work: 1–2 weeks. Manual work: seek guidance from your surgeon
Showering Neck-down on day 1. Normal from day 2, avoiding direct pressure on the eye
Makeup Non-eye makeup after week 1. Eye makeup only after 4 weeks
Swimming After 4 weeks, once drops are complete
Eye drops 4 times daily for 4 weeks post-surgery

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Pricing & Insurance

Service

Fee

Notes

Initial consultant assessment

€220

Includes biometry and full examination

Cataract surgery

Covered by health insurance

Confirm cover and obtain pre-authorisation with your insurer

Self-pay surgery

Price on request

Contact our rooms for a full quotation

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Frequently Asked Questions

Is Cataract Surgery Painful?

Cataract surgery is performed under local anaesthetic eye drops, making it essentially painless. You will be awake throughout and may notice light and movement, but should feel no discomfort. Some mild grittiness or a foreign-body sensation afterwards is normal and usually settles within a day or two.

Most patients notice improvement within 24–48 hours. Vision continues to stabilise over four to six weeks. Some flickering, haloes around lights, or mild haziness in the early weeks is normal and usually settles completely.

This depends on the lens implant chosen. Normally we implant a lens which gives good distance vision but reading glasses will still be required. Your surgeon will advise at your assessment.

In the vast majority of cases the two eyes are operated on separately. This allows the first eye to heal and vision to be assessed before proceeding with the second. Your surgeon will advise on timing.

Serious complications are rare. Risks include infection, posterior capsule rupture, retinal detachment, and persistent inflammation. Posterior capsule opacification (a ‘secondary cataract’) can occur months or years later and is easily treated with a quick laser procedure in clinic. Your surgeon will discuss all risks at your assessment.

Intraocular lenses are designed to last a lifetime. Unlike the natural lens, they cannot develop a cataract and do not need replacement or maintenance.

If you experience sudden loss of vision, increasing pain, significant redness, or discharge from the eye, contact our rooms immediately or attend the nearest eye emergency department if outside office hours. Do not wait for your next scheduled review.

You are welcome to contact our rooms directly. Many patients are referred by their GP or optician, but a referral is not always required. If you have been told you may have a cataract, or are experiencing visual difficulty, we would be happy to see you.