What Are Signs of Infection After Cataract Surgery?

Cataract surgery replaces the eye’s natural lens, which has become cloudy due to cataracts, with an artificial intraocular lens (IOL) to restore clear vision. While generally safe and effective, monitoring the eye during the post-surgical period is an important part of the healing process. Most individuals experience a smooth recovery, with vision improving significantly within days.

Why Vigilance Matters After Surgery

Following cataract surgery, patients should observe their recovery closely. Although the procedure has a high success rate, the eye is in a vulnerable state during the initial healing phase. A rare, but serious, complication known as endophthalmitis, an infection inside the eye, can occur. This infection can have profound effects on vision if not addressed promptly.

Early detection of an infection is crucial for successful treatment and for preserving visual capabilities. Pathogens, such as bacteria, can enter the eye during or after the surgical process, leading to inflammation of the internal eye fluids. Recognizing concerning changes in the eye’s condition allows for immediate medical intervention, which can prevent more significant complications.

Key Signs of Eye Infection

Patients should be aware of several specific signs that could indicate an eye infection. These include:
Increasing pain in the eye that worsens over time, rather than improving as expected during recovery.
New or significant decrease in vision, or a blurring that progresses.
Significant and spreading redness of the white part of the eye.
Swelling around the eye or eyelid that develops or intensifies.
New or increased sensitivity to light, known as photophobia.
New or excessive discharge from the eye, particularly if thick, colored, or pus-like.
New cloudiness or haziness in vision, or a hazy appearance of the cornea.
An increase in floaters (small specks or shapes drifting in vision) or new flashes of light.
These symptoms often indicate inflammation within the eye’s fluids, which is a hallmark of endophthalmitis.

What to Do If You Notice Symptoms

If any of these symptoms appear after cataract surgery, it is important to contact your ophthalmologist or eye surgeon immediately. Prompt medical attention is important for the best possible outcome. Patients should avoid attempting to self-diagnose their condition or waiting for symptoms to worsen before seeking professional medical advice.

Do not rub the eye, as this can introduce further contaminants or worsen irritation. Over-the-counter eye drops or other remedies should not be applied without direct approval from the physician. Delaying consultation with your eye care professional can compromise treatment effectiveness and potentially lead to more serious visual impairment.