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How Long Between Cataract Surgery on Each Eye?

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A surgeon performs cataract surgery using precision instruments under a microscope.

Having cataract surgery on both eyes at once might seem like an efficient approach, but it’s usually done one eye at a time. This produces the best outcomes and helps safeguard your long-term vision health.

While most eye care professionals recommend waiting one to four weeks between procedures, at our clinic it is also common to perform the surgeries closer together—for example, on a Monday and Thursday of the same week. 

What Are Cataracts?

Cataracts occur when the lens of your eye becomes cloudy, leading to blurred or diminished vision. Cataracts often develop slowly and can make everyday activities like reading or driving difficult.

Symptoms of cataracts include:

  • Faded or dull appearance of colors
  • Increased sensitivity to glare or bright lights
  • Difficulty seeing clearly in low light
  • Trouble reading small print or signs

While cataracts are a natural part of aging, other contributing factors include eye injuries, diabetes, or prolonged exposure to ultraviolet (UV) rays. Fortunately, cataract surgery restores vision and quality of life for 97% of people

Why Is Cataract Surgery Done One Eye at a Time?

Cataract surgery involves replacing the clouded natural lens with a clear artificial lens, offering sharp vision for most patients. Even though it is a safe and routine procedure, most ophthalmologists recommend operating on one eye at a time for several reasons.

Prioritizing Safety

Operating on one eye first reduces the risk of rare complications like infection or inflammation affecting both eyes at once. This approach allows your first eye to heal safely before moving on to the second.

Monitoring Results Before the Second Eye

Every patient heals differently and responds uniquely to artificial lenses. Waiting between procedures gives your ophthalmologist time to monitor your progress and adjust the treatment plan if needed for your second eye.

Comfort & Adjustment Time

Your brain needs time to adjust to changes in vision after cataract surgery. When only one eye is treated at a time, it helps reduce the strain of adjusting to sharp vision in both eyes simultaneously. Patients can get used to their new vision gradually, which helps make daily activities like reading or driving more manageable during recovery.

Typical Waiting Period

The usual waiting time between cataract surgeries is around 1 to 4 weeks, depending on how well the first eye heals and your individual recovery timeline. This period allows any swelling or minor irritation to settle and gives your eye doctor time to evaluate your visual improvement before planning the next step.

An older person sits for an eye exam, looking into a slit lamp machine with a calm expression.

Potential Exceptions to the Standard Waiting Time

While a two to four-week interval is common, exceptions do exist. Timelines can be shorter or longer based on specific circumstances:

Urgent Vision Needs

Patients with occupations that require high-quality vision (e.g., professional drivers) may consider shorter intervals between surgeries. However, only your ophthalmologist can determine what’s safe.

Accessibility Challenges

If travel or access to healthcare providers is a concern, some patients may opt for shorter intervals to consolidate care. Again, every decision should put safety first.

Medical Considerations

Certain health concerns, such as diabetes or autoimmune conditions, may require extended recovery periods between surgeries to allow for in-depth monitoring and healing.

Always follow your surgeon’s advice to create a timeline suited to your health, lifestyle, and vision needs.

What to Expect Between Surgeries

After the first surgery, you’ll enter a recovery phase focused on healing and preparing for the second procedure. Here’s what to anticipate:

The First Few Days

  • You might experience mild discomfort, redness, or itchiness in the treated eye. Your surgeon will prescribe medicated eye drops to manage inflammation and prevent infection.
  • Your vision will start to clear within 1–2 days, though full adjustment may take a week or more.
  • Activities such as reading or watching TV are fine, but avoid strenuous activity, heavy lifting, or water contact with your eye.

The Following Weeks

  • Follow-up visits with your ophthalmologist will monitor healing progress and address any concerns.
  • Temporary vision difficulties (e.g., imbalances or issues with depth perception) may arise and can be managed with interim glasses or other solutions.
  • Your surgeon will confirm when it’s safe to schedule and proceed with surgery for your second eye.

By following your care instructions and attending follow-up appointments, you can help promote healthy healing and give yourself the best chance of a positive vision outcome after both procedures.

Unlock Clear Vision Today

Cataract surgery improves vision, day-to-day function, and overall quality of life. Although waiting between surgeries may seem inconvenient, it’s an important step to achieving long-term success and safety.

At Cherry Creek Eye, we bring over 70 years of expertise and compassionate care to our patients. From pre-op consultations to post-op follow-ups, we’ll be with you every step of the way. If you’re ready to regain vibrant vision and clarity, book a consultation with us today and experience the Cherry Creek Eye difference.

Written by Dr. Stuart Lewis & Dr. Rachel Lewis

Dr. Stuart Lewis, OD

Dr. Stuart Lewis moved to Denver in 1979 after receiving his Bachelor of Arts in neurobiology and behavior from Cornell University in 1974, earning his Doctor of Medicine from George Washington University in 1978 and completing an internal medicine internship at Northwestern University in 1979. At the conclusion of his ophthalmology residency at the University of Colorado in 1982, he entered private practice.

Dr. Lewis was board-certified by the American Board of Ophthalmology in 1983 and was elected to be a Fellow and Diplomat of the American Academy of Ophthalmology in 1984. In 2018, he was selected as a Lifetime Member of the American Academy of Ophthalmology.

Dr. Lewis has been an active community member in Denver, having built the Cherry Creek Eye Center in 1985, one of the first inclusive Eye facilities in Denver, and created Cherry Creek Eye Physicians & Surgeons, P.C. He has served on various boards, including the Investigational Research Review Board at Rose Medical Center, and was an original board member at Harvard Park Surgical Center.

Dr. Lewis served at least 2 terms as Chairman of the Department of Ophthalmology at Rose Medical Center. He also holds a position as Assistant Clinical Professor in the Department of Ophthalmology at the University of Colorado eye residency program and was a Visiting Professor of Ophthalmology at the Elias Santana Hospital in the Dominican Republic.

In 2018, Cherry Creek Eye Physicians and Surgeons, P.C. was listed as the 36th highest-rated business in Colorado based on patient reviews by “Top Rated.” Dr. Lewis is an active alpine and cross-country skier, bicyclist, and golfer. He also enjoys travel, birding, bridge, and opera.

Dr. Rachel Lewis, OD

Dr. Rachel Lewis is a highly skilled optometrist contributing her passion for eye care and a wealth of experience to Cherry Creek Eye Physicians & Surgeons, P.C.

Dr. Lewis earned her Doctor of Optometry degree from New England College of Optometry in Boston, MA. Before pursuing her optometry degree, she completed a Pre-Health Post Baccalaureate Program at New York University and University of Colorado Denver. She holds a Bachelor of Arts in Political Science from Amherst College and spent time studying abroad at Université de Grenoble in France.

Her area of practice is comprehensive primary eye care, with a focus in ocular surface diseases such as dry eye and keratoconus. Her practice also includes contact lens services (specialty, multifocal and soft contact lens fittings), myopia control, glaucoma management, pre-operative evaluations and post-operative care for a wide range of procedures.

Dr. Lewis is deeply committed to public service and has volunteered her expertise at the Colorado Coalition for the Homeless, Stout Street Eye Clinic. She has also traveled to Honduras on a medical mission trip to provide primary care services and eyeglasses to underserved communities.

Outside of her practice, Dr. Lewis enjoys spending time with her husband and children. She takes advantage of the Colorado lifestyle as much as possible with outdoor activities including skiing, camping, tennis and golf. She is also passionate about experiencing other cultures through travel and cuisine.

Whether you are seeking routine eye exams, specialized contact lens fittings, or the management of complex ocular conditions, Dr. Lewis is here to help.

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