Myth 1: Cataract is a film over the eye.

Fact:
This is one of the oldest and most widespread misconceptions. Cataracts do not form as a film over the eye or lens. Instead, the lens itself becomes cloudy due to protein changes within it.

Myth 2: Only elderly people get cataracts.

Fact:
Although age-related cataracts are most common, cataracts can occur at any age. Congenital cataracts can be present at birth, while trauma, UV exposure, certain medications (like corticosteroids), and diabetes can lead to early cataract formation.

Myth 3: Cataracts can be treated with eye drops or medications.

Fact:
As of now, no eye drops or medications can reverse or cure cataracts. The only definitive treatment for cataracts is surgical removal of the cloudy lens and replacement with a clear artificial intraocular lens (IOL).

Myth 4: Cataract surgery is dangerous and should be delayed as long as possible.

Fact:
Cataract surgery is one of the safest and most effective surgeries worldwide, with a success rate exceeding 98%. Modern phacoemulsification and robotic-assisted techniques make the procedure minimally invasive, often completed in under 20 minutes. Delaying surgery can cause more complications, including hypermature cataracts, which are harder to remove and riskier.

Myth 5: Cataracts must be “ripe” before surgery.

Fact:
This outdated notion no longer applies. Today’s advanced surgical methods allow cataracts to be removed at any stage, depending on how much they affect a person’s vision and daily life. There’s no need to wait until vision is severely impaired.

Myth 6: Cataract surgery is painful and requires hospitalization.

Fact:
Modern cataract surgery is typically painless, performed under local or topical anesthesia, and does not require hospital admission. Most patients go home the same day and return to normal activities in a few days.

Myth 7: Cataract can return after surgery.

Fact:
Once the cataract is removed, it cannot grow back. However, some patients may develop a condition called posterior capsule opacification (PCO), sometimes called a “secondary cataract.” This is easily treated with a painless YAG laser procedure in a few minutes.

Myth 8: After cataract surgery, you will need glasses permanently.

Fact:
With premium intraocular lenses (IOLs) such as multifocal, toric, or trifocal lenses, many patients experience greatly reduced dependence on glasses, or may not need them at all for daily activities. However, some patients might still need glasses for reading or computer work, depending on the lens chosen.

Myth 9: Both eyes are operated on the same day.

Fact:
Generally, cataract surgery is performed on one eye at a time, with the second eye done a few days or weeks later. This ensures proper healing and optimal vision outcome.

Understanding the Cataract Surgery Procedure

Cataract surgery involves removing the cloudy natural lens and replacing it with a clear artificial lens called an intraocular lens (IOL). Here’s a brief overview of the modern technique:

• Phacoemulsification: A tiny probe uses ultrasound energy to break up the lens, which is then suctioned out.
• Laser-Assisted Surgery: Robotic or femtosecond laser aids in precise incisions and lens fragmentation.
• Lens Implantation: A foldable IOL is inserted through a tiny incision and unfolds in the eye.
• No-Stitch, Painless Surgery: The self-sealing incision usually doesn’t require stitches.

The whole procedure takes about 15–20 minutes, and patients can often see improvements within a few hours.