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Why Did I Feel Pain During Cataract Surgery?

Feeling pain during cataract surgery can be unexpected. Learn the possible reasons for discomfort during the procedure, what’s normal, and how pain is managed to ensure patient safety.

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Written by Dr. Siri Nallapu

Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine

Last updated on 3rd Mar, 2026

Introduction

If you recently underwent cataract surgery and experienced pain during the procedure, you might be wondering why it happened and whether it’s normal. While cataract surgery is generally painless for most patients, some may feel discomfort or mild pain. Let’s explore the reasons behind this and what you can do if you experience it.

Understanding Cataract Surgery

Cataract surgery is a common and safe procedure where the cloudy natural lens of the eye (cataract) is removed and replaced with an artificial intraocular lens (IOL). The surgery is usually performed under local anaesthesia, meaning your eye is numbed, and you remain awake but shouldn’t feel pain.

Why Might You Feel Pain During Cataract Surgery?

While most patients report little to no pain, some may experience discomfort due to the following reasons:

1. Inadequate Anaesthesia

  • The numbing drops or injections may not have been fully effective in some cases.

  • If you have a high pain threshold or anxiety, you might be more sensitive to sensations.

2. Anxiety and Tension

  • Nervousness can make you more aware of pressure or mild discomfort.

  • Relaxation techniques before surgery can help reduce this.

3. Surgical Technique Variations

  • Some surgical methods (like manual vs. laser-assisted) may cause slight differences in sensation.

  • The surgeon’s experience and technique also play a role.

4. Underlying Eye Conditions

If you have other eye problems (like glaucoma or dry eyes), you might feel more discomfort.

5. Pressure Sensation

You may feel slight pressure when the surgeon works on your eye, which some patients describe as discomfort rather than pain.

To Know More Reasons Consult Top Ophthalmologists

Dr. Sridhar Annam, Ophthalmologist

Dr. Sridhar Annam

Ophthalmologist

15 Years • MBBS, DO, MS (Opthal)

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

recommendation

88%

(25+ Patients)

1000

1000

Dr Monica Gour, Ophthalmologist

Dr Monica Gour

Ophthalmologist

9 Years • MS(Ophthalmology) Fellowship in Cornea

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

800

800

Dr. Indrani Goswami, Ophthalmologist

Dr. Indrani Goswami

Ophthalmologist

17 Years • MBBS, M.S

Guwahati

Apollo Excelcare Hospital, Guwahati

900

Is Pain After Cataract Surgery Normal?

Mild discomfort, grittiness, or irritation is common in the first few days after surgery. However, severe pain is not normal and could indicate complications such as:

  • Infection 

  • Increased eye pressure 

  • Inflammation or swelling

  • Retinal detachment 

If you experience sharp pain, extreme redness, or vision loss after surgery, contact your doctor immediately.

How to Manage Discomfort After Cataract Surgery?

To ensure a smooth recovery, follow these tips:

  • Use Prescribed Eye Drops: Antibiotic and anti-inflammatory drops help prevent infection and reduce swelling.

  • Avoid Rubbing Your Eye: This can cause irritation or injury.

  • Wear an Eye Shield: Especially while sleeping to protect your eye.

  • Rest Your Eyes: Avoid straining them with screens or bright lights.

  • Stay Hydrated & Eat Healthy: Nutrients like Vitamin A and Omega-3 support eye healing.

When to Seek Medical Help?

Consult your doctor if you notice:

  • Severe pain that doesn’t improve with medication

  • Sudden vision loss

  • Increased redness or swelling

  • Flashes of light or floaters (could indicate retinal issues)

Conclusion

While cataract surgery is typically pain-free, some patients may feel mild discomfort due to anaesthesia, anxiety, or surgical factors. Severe pain is rare and should be checked immediately. Following post-surgery care instructions will help ensure a smooth recovery.

If you have concerns about cataract surgery or need expert advice, you can book a consultation with an eye specialist on Apollo 24|7. Early detection and proper care can help maintain healthy vision!

Consult Top Ophthalmologists

Dr. Sridhar Annam, Ophthalmologist

Dr. Sridhar Annam

Ophthalmologist

15 Years • MBBS, DO, MS (Opthal)

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

recommendation

88%

(25+ Patients)

1000

1000

Dr Monica Gour, Ophthalmologist

Dr Monica Gour

Ophthalmologist

9 Years • MS(Ophthalmology) Fellowship in Cornea

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

800

800

Dr. Indrani Goswami, Ophthalmologist

Dr. Indrani Goswami

Ophthalmologist

17 Years • MBBS, M.S

Guwahati

Apollo Excelcare Hospital, Guwahati

900

To Know More Reasons Consult Top Ophthalmologists

Dr. Shivani Grover, Ophthalmologist

Dr. Shivani Grover

Ophthalmologist

9 Years • MS (Ophthalmology), Fellowship Cataract, Squint & Paediatric Ophthalmology

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

1000

800

Dr. Sridhar Annam, Ophthalmologist

Dr. Sridhar Annam

Ophthalmologist

15 Years • MBBS, DO, MS (Opthal)

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

recommendation

88%

(25+ Patients)

1000

1000

Dr Monica Gour, Ophthalmologist

Dr Monica Gour

Ophthalmologist

9 Years • MS(Ophthalmology) Fellowship in Cornea

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

800

800

Dr. Indrani Goswami, Ophthalmologist

Dr. Indrani Goswami

Ophthalmologist

17 Years • MBBS, M.S

Guwahati

Apollo Excelcare Hospital, Guwahati

900

Dr Anoop Mishra, Ophthalmologist

Dr Anoop Mishra

Ophthalmologist

10 Years • "MS (Ophthalmology), FVRS Phaco Fellowship, Retina Fellowship "

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

1000

800

Consult Top Ophthalmologists

Dr. Shivani Grover, Ophthalmologist

Dr. Shivani Grover

Ophthalmologist

9 Years • MS (Ophthalmology), Fellowship Cataract, Squint & Paediatric Ophthalmology

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

1000

800

Dr. Sridhar Annam, Ophthalmologist

Dr. Sridhar Annam

Ophthalmologist

15 Years • MBBS, DO, MS (Opthal)

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

recommendation

88%

(25+ Patients)

1000

1000

Dr Monica Gour, Ophthalmologist

Dr Monica Gour

Ophthalmologist

9 Years • MS(Ophthalmology) Fellowship in Cornea

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

800

800

Dr. Indrani Goswami, Ophthalmologist

Dr. Indrani Goswami

Ophthalmologist

17 Years • MBBS, M.S

Guwahati

Apollo Excelcare Hospital, Guwahati

900

Dr Anoop Mishra, Ophthalmologist

Dr Anoop Mishra

Ophthalmologist

10 Years • "MS (Ophthalmology), FVRS Phaco Fellowship, Retina Fellowship "

Lucknow

Apollomedics Super Speciality Hospital, Lucknow

1000

800

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