Are You Awake During Cataract Surgery?
Wondering if you’ll be awake during cataract surgery? Learn how the procedure works, what to expect with anaesthesia, and how doctors ensure a painless experience.
Written by Dr.Sonia Bhatt
Last updated on 17th Jul, 2025
.webp)
Introduction
If you or a loved one is scheduled for cataract surgery, you might be wondering, "Will I be awake during the procedure?" The thought of being conscious while a surgeon operates on your eye can be unsettling. But don’t worry! Cataract surgery is one of the safest and most common procedures, and your comfort is a top priority.
Let’s break down what happens during cataract surgery and ease any concerns you may have.
Are You Awake During Cataract Surgery?
The short answer is—yes. Fortunately, cataract surgery is designed to be painless and stress-free, even while you’re awake.
Most cataract surgeries are performed under local anaesthesia, meaning your eye is numbed, but you remain awake. However, you’ll be relaxed, and the surgical team will ensure you’re comfortable throughout the process.
Why Are Patients Awake?
Remaining awake has several benefits:
Safety: Being awake allows you to follow simple instructions, helping the surgeon position your eye correctly.
Quick Recovery: Local anaesthesia has fewer side effects than general anaesthesia, allowing for a faster recovery.
Minimal Discomfort: You won’t feel pain—just slight pressure or movement.
What Kind of Anaesthesia Is Used?
Before the surgery begins, your ophthalmologist will use anaesthesia to ensure your comfort.
1. Topical Anaesthesia (Eye Drops) – Commonly used to numb the surface of the eye.
2. Local Anaesthesia (Injection Near the Eye) – Offers deeper numbing in certain cases, though it’s used less frequently today.
3. Sedation (Optional) – Mild sedatives may be given to help you relax, especially if you feel anxious.
You’ll be drowsy but conscious, and the procedure usually takes 10–20 minutes.
Consult Top Specialists for Personalised Eye Health Advice
What Happens During Cataract Surgery?
Here’s a step-by-step breakdown so you know what to expect:
1. Preparation – Your eye is cleaned, and numbing drops are applied.
2. Small Incision – The surgeon makes a tiny cut in the cornea.
3. Breaking & Removing the Cloudy Lens – Using ultrasound (phacoemulsification), the cataract is broken into small pieces and gently suctioned out.
4. Inserting the New Lens – An artificial intraocular lens (IOL) replaces the cloudy one.
5. Closing the Incision – The cut is so small that stitches are rarely needed.
Will You See the Surgery Happening?
No! Your vision will be blurry, and you may see bright lights or vague movements, but you won’t see details.
Is Cataract Surgery Painful?
This is a common concern, but most people experience no pain during the procedure. You may feel slight pressure or movement, but the anaesthesia ensures a painless experience. If needed, sedation helps keep you calm and at ease.
Recovery After Cataract Surgery
Once the surgery is complete, recovery begins almost immediately.
Immediately After: Your eye may feel slightly gritty or watery, but this improves quickly.
First Few Days: Avoid rubbing your eye, heavy lifting, or bending over.
Follow-Up Visits: Your doctor will check healing progress.
Full Recovery: Most people notice clearer vision within a few days.
Tips for a Smooth Recovery
A few simple precautions can help you recover comfortably and protect your vision:
Use prescribed eye drops to prevent infection.
Wear sunglasses to protect your eyes from bright light.
Avoid swimming or dusty environments for a few weeks.
Follow your doctor’s instructions on when to resume driving.
When to Seek Help
While complications are rare, contact your doctor if you experience:
Severe pain
Sudden vision loss
Increased redness or swelling
Final Thoughts
Cataract surgery is a quick, safe, and painless procedure that restores clear vision. Being awake doesn’t mean you’ll feel discomfort—modern techniques ensure a smooth experience.
If you’re considering cataract surgery or have concerns, Apollo 24|7 offers expert consultations and seamless scheduling for eye check-ups. Don’t let cataracts blur your world—take the first step toward clearer vision today!
Consult Top Eye Specialists
Consult Top Specialists for Personalised Eye Health Advice
Dr. Rajeev Gupta
Ophthalmologist
24 Years • MBBS, MS (Ophthalmology)
Ghaziabad
Om Eye & Gynae Centre, Ghaziabad
Dr. Vyankatesh Pharande
Ophthalmologist
25 Years • MBBS, MS (Ophthalmology )
Pune
PHARANDE EYE HOSPITAL & PHACO CENTER, Pune
Dr. S Venkateswaran
Ophthalmologist
35 Years • MBBS, PGD (OPTHALMOLOGY)
Tiruvannamalai
Shiva Eye And General Hospital, Tiruvannamalai
Dr. Kakarla Roopa
Ophthalmologist
3 Years • MBBS MS Ophthalmology
Tirupati
Anna Gowri Hospital, Tirupati
Dr. Anchal Gupta
Ophthalmologist
10 Years • MBBS,MS ( Opthamology )
New Delhi
NETRAM EYE FOUNDATION, New Delhi
Consult Top Eye Specialists
Dr. Rajeev Gupta
Ophthalmologist
24 Years • MBBS, MS (Ophthalmology)
Ghaziabad
Om Eye & Gynae Centre, Ghaziabad
Dr. Vyankatesh Pharande
Ophthalmologist
25 Years • MBBS, MS (Ophthalmology )
Pune
PHARANDE EYE HOSPITAL & PHACO CENTER, Pune
Dr. S Venkateswaran
Ophthalmologist
35 Years • MBBS, PGD (OPTHALMOLOGY)
Tiruvannamalai
Shiva Eye And General Hospital, Tiruvannamalai
Dr. Kakarla Roopa
Ophthalmologist
3 Years • MBBS MS Ophthalmology
Tirupati
Anna Gowri Hospital, Tirupati
Dr. Anchal Gupta
Ophthalmologist
10 Years • MBBS,MS ( Opthamology )
New Delhi
NETRAM EYE FOUNDATION, New Delhi
.webp)
.webp)
.webp)
