Cataract surgery

Cataract surgery

Cataract is the progressive clouding of the crystalline lens, the eye's natural lens, which gradually veils vision with age. Its treatment, one of the most common and reliable procedures in ophthalmology, involves replacing the lens with a clear implant.

Surgeon performing an operation under an operating microscope

What is a cataract?

The crystalline lens is the transparent lens inside the eye that enables focusing. With age, it gradually becomes cloudy: this is a cataract. Light passes through less effectively, and vision becomes blurred, as if seen through frosted glass.

This is a very common age-related change. The only way to restore clear vision is to replace the clouded lens with a clear implant: there is no eye drop or laser treatment that can remove the cataract itself.

Cataract surgery is one of the most commonly performed surgical procedures. It replaces the clouded lens with a bespoke implant.

Clouded lens Clear implant
Schematic, non-anatomical illustration: the procedure replaces the clouded lens with a clear implant.

Symptoms

Cataracts develop slowly. The most common signs are:

  • blurred, misty or yellowed vision;
  • glare and halos, particularly at night and when facing headlights;
  • colours appearing less vivid;
  • frequent changes to glasses prescription.

When to operate?

There is no urgency to operate on a cataract: the right time is when the visual impairment begins to affect your daily life (reading, driving, activities). The decision is made together, following an assessment.

The procedure

The operation is performed as a day case, usually under local anaesthetic, one eye at a time. It is brief and painless.

  1. 1

    Assessment and implant calculation

    Precise measurements of the eye to select and calculate the appropriate implant.

  2. 2

    Lens removal

    The clouded lens is removed through a micro-incision (phacoemulsification).

  3. 3

    Implant placement

    The clear implant is introduced, folded, then positioned in place of the lens.

  4. 4

    Recovery and second eye

    Rapid recovery, follow-up checks, and the second eye operated at a later date if required.

Choosing the implant

The implant that replaces the lens is chosen on a bespoke basis. Depending on the type of implant, it can also correct myopia, hyperopia, astigmatism or presbyopia, reducing dependence on glasses. This choice is discussed during the consultation.

Learn more about implants

Recovery

Visual recovery is generally rapid. Eye drops are prescribed to support healing, with a few simple instructions for the first few days.

  • eye drops prescribed according to a set protocol;
  • avoid rubbing the eye, protect from dust;
  • return to activities in line with instructions given;
  • scheduled follow-up appointments.

Frequently asked questions

Is cataract surgery painful?

No. The procedure is performed under local anaesthetic and is painless. Mild discomfort may follow in the hours after surgery.

Can a cataract come back?

Since the lens is replaced, the cataract cannot return. A thin membrane behind the implant may become cloudy over time: this is easily treated with a laser.

Are both eyes operated on at the same time?

In most cases, the eyes are operated on one at a time, a few days or weeks apart.

Is cataract surgery covered by health insurance?

The procedure is covered by the French national health insurance (Assurance Maladie). Some implants or services may involve additional costs; details are provided during the consultation.

Go further

Implants & the lens

Book an appointment

Consult Dr Gattoussi

Ophthalmology practice in Paris 11th. Online appointments via Doctolib, at any time. Sector 2 fees.