Cataract surgery is one of the most frequently performed procedures globally, replacing the eye’s clouded natural lens with a new intraocular lens (IOL). While the surgery is quick and effective, the period immediately following the operation is a significant phase for healing. Adhering to post-operative instructions is paramount to ensure the new lens stabilizes and the surgical incision heals without complication. Understanding when and how to resume household activities protects your visual outcome and prevents unnecessary strain on the recovering eye.
The Immediate Recovery Phase: What to Avoid Completely
The first 24 to 72 hours following the procedure are the most delicate, requiring complete rest and the avoidance of nearly all strenuous activities. The most important restriction involves preventing any temporary increase in intraocular pressure (IOP), which is the pressure inside the eye. An elevated IOP can strain the microscopic incision site, potentially delaying healing or interfering with the new lens position.
Strictly avoid bending over at the waist, especially if your head drops below the level of your heart. This position causes a temporary surge in blood flow, which directly increases intraocular pressure (IOP). Instead of bending, use a grabber tool or kneel to pick up items, keeping your back and head straight. Heavy lifting is also prohibited, generally meaning avoiding anything over 5 to 10 pounds.
Further restrictions focus on protecting the eye from trauma, water, and infection. Avoid rubbing or pressing on the treated eye under any circumstances. Keep water, soap, and shampoo from entering the eye for at least the first week to prevent infection. During this initial phase, even light housework should be postponed entirely.
Timeline for Light Household Activities
Most patients can resume very light, non-strenuous household activities within three to seven days after the procedure. This transition phase allows you to feel productive without compromising the healing eye. Allowed activities require minimal physical effort and do not involve sudden movements or significant changes in body position.
Simple meal preparation, such as making a sandwich or using a microwave, is permissible within this timeframe. Tasks performed while seated, like folding laundry or sorting paperwork, are also safe ways to reintroduce activity. When dusting, use a damp cloth or a long-handled duster to wipe surfaces gently, preventing dust particles from irritating the healing eye.
Maintain awareness of your head position, even during lighter tasks. Continue to avoid squatting or bending at the waist; keep your head elevated and your back straight. If washing dishes manually, avoid splashing water near the eye and consider wearing protective glasses. Any chore that causes you to hold your breath or strain should be avoided until later in the recovery process.
Resuming Strenuous and Heavy Housework
Resuming heavier, more demanding housework typically requires a longer waiting period, often two to four weeks post-surgery. These activities carry a higher risk due to significant physical strain, jarring motions, or exposure to environmental irritants. Vacuuming, mopping, and sweeping should be avoided for at least two weeks, as repetitive motions and stirring up dust can compromise the eye.
Tasks involving lifting heavier items, such as changing water-soaked bed linens or carrying a full laundry basket, should be postponed until at least the two-week mark. The general lifting restriction of 5 to 10 pounds is maintained for the first two weeks, sometimes longer, depending on your surgeon’s assessment. Once resuming these chores, consider using lightweight equipment and avoiding prolonged periods of bending or leaning forward.
Deep cleaning tasks, such as scrubbing floors or cleaning basements, involve significant physical exertion and high dust exposure, and should be avoided for a full four weeks. Gardening or yard work, including pushing a heavy mower or digging, should also be delayed for several weeks due to the risk of dirt, debris, and accidental trauma. Full and unrestricted return to all heavy housework must be explicitly cleared by your ophthalmologist during a post-operative follow-up appointment.