Dr Dory Neu-Ner is a cataract surgeon in Fourways, Sandton.
Many of us may think our eyes are healthy and may even suffer from an eye condition and don’t even know it. There are some eye conditions and diseases that do not present symptoms or warning signs. The good news is that regular eye exams can help eye doctors detect conditions such as cataracts in their earliest stages. Dr Neu-Ner is an ophthalmologist with a special interest in cataract surgery and refractive cataract surgery.
Cataracts are a common eye condition that negatively affects vision as you age. It is the clouding of the lens of the eye that in-turn, causes vision to become blurry or unclear. As they progress, they get worse over time and make everyday tasks difficult to perform. If yours has progressed to this point, cataract surgery is recommended to restore your vision.



Is having cataracts serious?
Initially, cataracts might not be noticeable. However, as they progress, they can cause your vision to become blurry, hazy, or less vibrant. This can make reading and other daily tasks challenging. If untreated, cataracts can eventually result in vision loss.
What is the main cause of cataracts?
Cataracts primarily form due to aging or injury, which alters the tissue of the eye’s lens. This leads to the breakdown of proteins and fibres within the lens, resulting in cloudy or hazy vision. Additionally, certain inherited disorders that affect overall health can heighten the risk of developing cataracts.
How do you deal with cataracts?
The only effective treatment for cataracts is surgery, though it may not be immediately necessary. If detected early, a new prescription for glasses might suffice. A stronger lens can temporarily improve your vision.
Can you live with cataracts without surgery?
Managing cataracts can be difficult, but it is possible. Early on, cataracts may only slightly affect your vision. Simple changes, such as using brighter lighting for reading, wearing anti-glare sunglasses, or utilising magnifying lenses, can help alleviate symptoms.
Is cataract surgery painful?
Cataract surgery is typically painless, both during and after the procedure. A topical anaesthetic, in the form of eye drops, will be used to numb your eye. Following the surgery, you may experience a gritty or slightly tender sensation, but over-the-counter pain relievers should alleviate this discomfort.
How can I stop my cataracts from getting worse?
Preventing cataracts can be challenging, but the best approach is to minimize exposure to ultraviolet light by wearing sunglasses. Refrain from using steroid eye drops unless absolutely necessary, and avoid medications that are associated with cataract progression.
At what stage should cataracts be removed?
Cataract surgery can be performed at any stage of development, so there is no need to wait until the cataract is fully developed. Most individuals opt for surgery when their vision impairment begins to interfere with daily activities.
How long is cataract surgery?
Cataract surgery typically lasts between 10 to 20 minutes, depending on the condition’s severity. Additionally, you should allocate up to 30 minutes after the procedure to recover from the sedative’s effects.
What happens if you don't have cataract surgery?
If left untreated, cataracts will ultimately obstruct light from entering the eye, leading to vision loss. Cataracts are the primary cause of blindness worldwide.
How many days rest is needed after cataract surgery?
For the initial 2 to 3 days, rest is recommended. Wear your eye shield at night for at least a week and take painkillers if necessary. You may bathe or shower as usual
Can cataracts clear on its own?
Cataracts do not resolve on their own and will progressively worsen over time. If left untreated, they can lead to blindness. To prevent cataracts from impacting your daily life, it is important to include regular eye exams as part of your routine self-care.
Do you need glasses after cataract surgery?
Typically, lenses are adjusted for clear distance vision, which may necessitate wearing reading glasses or glasses for close work following the procedure. If a person has astigmatism, they might need glasses for both distance and reading after receiving a monofocal lens implant.
Can I watch TV after cataract surgery?
Your eyes will be sensitive to light, and you will need time to adjust to your replacement lens. It is advisable to avoid using screens for about 24 hours after surgery. Once you resume watching TV, take regular breaks to prevent eye strain and refrain from rubbing your eyes.
Do eye drops for cataracts really work?
At present, there are no scientifically validated eye drops that can treat or cure cataracts. Eye drops claiming to dissolve cataracts are fraudulent, as no such treatment exists. Claims made by these products about their effects are therefore misleading and untrue.
Do you have 20/20 vision after cataract surgery?
It is common for patients to notice new visual sensations and perceptions immediately after cataract surgery in both eyes. Typically, achieving 20/20 vision in one eye and 20/25 vision in the other is considered an excellent outcome.