Your cataracts journey: consultations, surgery and aftercare

Written by: Mr Bal Manoj
Published: | Updated: 13/04/2023
Edited by: Top Doctors®

Nowadays, cataracts are very easily treated and the journey from your first consultation to surgery is one taken by many. During cataract surgery, the old, cloudy lens is removed and replaced with a new lens. The entire procedure can be over in as little as 20 to 25 minutes and the results are permanent. Mr Bal Manoj, a senior consultant ophthalmologist and cataract surgeon, explains the care you’ll receive from your consultation leading up to surgery and aftercare.

 

cataract

 

Your first consultation: discovering that you need cataract surgery

Perhaps your first consultation is a routine eye check-up or maybe you’ve noticed a change in your quality of vision. In any case, your general eye health will be fully evaluated with an examination by a trained eye specialist. Both eyes will be meticulously looked at to identify any potential problem, and in the case of cataracts, your eye specialist will be able to observe that your lens is clouded over by a cataract.

 

In order to treat cataracts, they must be removed and replaced with an artificial lens. If your eyes are being evaluated by an ophthalmologist rather than other types of eye specialists, they themselves may be the ones who perform the cataract surgery for you.

 

 

When a cataract is identified: deciding the best time for surgery

If the cataract is not severe, you may decide to wait before having cataract surgery. However, cataracts will almost always continue to negatively affect the eye’s vision capability and you will likely need it eventually. Furthermore, while cataracts will not harm you, they can result in accidents or falls due to poor vision and impair your ability to read and drive. In these cases, some patients decide to go for treatment sooner rather than later.

 

What topics should I make sure my eye specialist discusses with me? Understandably, people can feel vulnerable when they need to undergo any type of procedure, and so it’s important to discuss everything with your surgeon that can relieve worries and doubts.

 

  • There are different types of replacement lenses. Your specialist will help you choose the best one for you based on your wants and needs.
  • You should discuss the expected results regarding your vision. Depending on your desired replacement lens, you may or may not need glasses after surgery.
  • You’ll discuss the procedure and recovery.
  • No operation is completely risk-free, but cataracts surgery is very safe. You’ll discuss the small risks and possible complications.

 

 

How long does it take from the first consultation to receiving cataracts surgery?

For private patients, the wait for cataracts surgery is much shorter than the wait for patients in the public health service. NHS eye surgeons are required to wait until a patient’s vision is so impaired that they cannot drive but if you are receiving treatment from a private specialist, you’ll find there are no limitations.


Depending on your ophthalmologist, the waiting times can vary. With my cataract services, for example, your cataract surgery can be performed within a week or two of your first consultation. If both eyes have a cataract, you will be treated in one eye first and then the other a few weeks later.

 

 

Surgery and aftercare

As cataract surgery is so quick to complete, you’ll be in and out of the clinic in one day. After the operation, you’ll notice an immediate difference in the quality of your vision. You’ll be asked to rest your eyes for a short time in the clinic and then you’ll be checked before you leave.

 

You’ll receive aftercare in the form of eye drops, and you can call up your clinic and/or specialist about any concerns you may have during the healing process.

 

If you’re having cataract surgery in both eyes, you’ll return some weeks later for the second procedure. Additionally, you will have a follow-up appointment after each cataract surgery to ensure the eye has healed as expected.

 

 

Visit Mr Bal Manoj’s Top Doctors profile to see discover how he can assist you with your eye health and to book a consultation.

By Mr Bal Manoj
Ophthalmology

Mr Bal Manoj is a senior consultant ophthalmologist based in Wolverhampton, Shrewsbury and Stafford. He is one of the leading cataract surgeons in the Midlands, and one of the select few performing the highest number of cataract surgeries in the region with complication rates far below national average. He also has a special interest in Glaucoma and general ophthalmology

He has more than 25 years of experience in ophthalmic and cataract surgery, 15 of which was as a consultant ophthalmologist at the Royal Wolverhampton Hospitals NHS Trust. He is now a senior consultant in private practice providing bespoke and personalised treatment for patients with cataracts, glaucoma, and general ophthalmology. 

Throughout his career, he has performed more than 10,000 procedures, including cataract surgery and premium lens implants.

Mr Manoj is also very involved in teaching and is an examiner for the fellowship exams and trainer for microsurgical skills at the Royal College of Ophthalmologists. He has published many papers and presented at numerous national and international conferences on IOLs and cataract surgery. Mr Bal Manoj is a member of the UK and Ireland Society of Cataract and Refractive Surgery and the European Society of Cataract and Refractive Surgery.

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