written or reviewed by
L. Dean Flanders, M.D.

Can Cataracts Come Back?

Cataracts, a common eye condition, affect millions of people worldwide. While cataract surgery is highly successful in restoring vision, patients often wonder: can cataracts come back? The short answer is no, but some patients may experience cloudiness or blurriness months or even years after surgery, leading to concerns about recurrence. Keep reading to learn why and what to do if this happens to you.

Understanding Cataracts

A cataract forms when the natural lens of the eye becomes cloudy, leading to blurry vision and eventual impairment if left untreated. Aging is the primary cause, but other factors like genetics, eye trauma, diabetes, and prolonged sun exposure can accelerate cataract development.

Cataract Surgery: A Solution for Clarity

Cataract surgery is a safe and effective procedure to remove the cloudy lens and replace it with an artificial intraocular lens (IOL). This surgery has a high success rate, with the majority of patients experiencing significant vision improvement.

Can Cataracts Come Back?

The short answer is no; cataracts technically cannot return after surgery. Once the cloudy lens is removed, it cannot grow back. However, some patients may experience symptoms similar to cataracts due to a condition called posterior capsule opacification (PCO). PCO occurs when the back portion of the lens capsule, which holds the IOL in place, becomes cloudy or thickened over time. This is sometimes referred to as a “secondary cataract” which can mimic cataract symptoms such as blurry vision, glare, or halos around lights.

Treating Posterior Capsule Opacification (PCO):

Fortunately, PCO is easily treatable with a quick and painless laser procedure called YAG laser capsulotomy. During this outpatient procedure, the cloudy posterior capsule is precisely targeted and opened using a laser, restoring clear vision. YAG laser capsulotomy is highly effective, with minimal risks and complications, and it can be performed in our offices in Chevy Chase, MD. 

Eye Care Tips:

While cataracts themselves may not return, it’s crucial to take steps to ensure long-term vision clarity. Here are some tips:

• Get Regular Eye Exams: Routine eye exams allow your ophthalmologist to monitor your eye health and detect any changes early on.
• Protect Your Eyes: Wear sunglasses with UV protection, avoid smoking, and maintain a healthy lifestyle to reduce the risk of cataracts and other eye conditions.
• Follow Post-Surgery Instructions: After cataract surgery, adhere to your doctor’s instructions regarding eye drops, activity restrictions, and follow-up appointments.

If you’re experiencing symptoms similar to cataracts after cataract surgery, consult with an ophthalmologist for personalized guidance and care. If you live in the Washington DC area, request an appointment at Washington Eye Physicians and Surgeons, the area’s top cataract surgeons.