Can You Have Cataract Surgery If You Have a Cold?

Cataract surgery is a common procedure that can significantly improve vision by replacing a clouded natural lens with an artificial one. Patients awaiting this surgery often wonder if developing a cold beforehand will affect their scheduled procedure.

How a Cold Can Affect Cataract Surgery

Even a cold can complicate cataract surgery due to its physiological impact on the body. Anesthesiologists assess if a cold affects medication processing, potentially influencing effectiveness. Respiratory symptoms like coughing, wheezing, or nasal congestion can increase the risk of breathing difficulties during or after the procedure.

A cold means the immune system is fighting an infection, which could increase post-operative infection risk in the sterile surgical environment of the eye. The body’s resources combat the virus; surgery’s stress could delay healing. During cataract surgery, patients must lie still and follow instructions. Frequent coughing, sneezing, or significant nasal congestion can make it difficult to remain motionless and comfortable, potentially compromising the delicate eye procedure. Sudden movements from coughing or sneezing can also transiently increase intraocular pressure, which is undesirable during eye surgery.

Steps to Take If You Have a Cold Before Surgery

If you develop cold symptoms before cataract surgery, immediately contact your medical team. Contact your ophthalmologist or the surgical center as soon as symptoms appear, however mild. Be transparent about all symptoms during pre-operative assessments.

Patients should avoid self-diagnosing their condition or attempting to decide whether to proceed with surgery on their own. The medical team needs full information to make an informed decision for patient safety. The final decision regarding proceeding or delaying the surgery rests with the surgical team after evaluating the patient’s condition. They prioritize patient well-being and optimal surgical outcomes above all else.

Factors Influencing the Decision to Proceed or Delay

The medical team considers several factors when determining whether to proceed with or postpone cataract surgery if a patient has a cold. Symptom severity plays a significant role. Very mild symptoms, like a slight runny nose without fever or significant cough, may not necessarily lead to postponement. More severe symptoms like a fever over 38°C (100.4°F), productive cough, chest congestion, or body aches typically warrant a delay.

The type of illness also influences the decision; while caution applies to common colds, more severe viral infections like the flu or COVID-19 typically lead to postponement. The patient’s overall health and any pre-existing conditions are also considered, as these can interact with the cold and affect surgical risks. Ultimately, the surgeon makes a medical judgment call, prioritizing patient safety and the success of the procedure. If surgery is delayed, the clinic will work with the patient to reschedule, often recommending a waiting period of at least 7-10 days after symptoms have fully resolved.