What to Expect – Your Femto Cataract Surgery Day Explained

Peace of Mind Starts with Knowing What to Expect

For many people, eye surgery sounds intimidating, but understanding what will happen on the day can ease anxiety and build confidence. Femto Cataract Surgery is a quick, painless, and high-precision procedure that takes just minutes but delivers a lasting impact on your vision.

In this blog, we’ll walk you through every step of your surgery day, so you know exactly what to expect and how to prepare for a smooth, comfortable experience.

1. Before You Arrive: Preparing for Surgery

In the days leading up to surgery:

  • You’ll be given antibiotic and anti-inflammatory eye drops to start using, usually 1–3 days prior.
  • You’ll be asked to avoid eating or drinking for several hours before the procedure, depending on the sedation used.
  • Arrange transport, as you cannot drive yourself home after surgery.

2. Arrival and Check-In

On arrival at the clinic or hospital:

  • A nurse or coordinator will greet you.
  • A few forms may be signed, and your operative eye will be marked for safety.
  • Vital signs such as blood pressure, pulse, and oxygen levels will be checked.
  • You’ll change into a surgical gown, and your belongings will be securely stored.

3. Pre-Operative Eye Drops

Several eye drops are used to prepare your eye for surgery:

  • Dilating drops to widen the pupil
  • Anaesthetic drops to numb the eye, no needles needed
  • Antiseptic drops to reduce infection risk

These drops are painless and begin working within 15–20 minutes. You may feel your vision blur slightly as your pupil dilates.

4. Optional Sedation

Although Femto Cataract Surgery is performed under local anaesthesia (eye drops), some patients are given a mild oral or IV sedative to help them relax. You’ll remain awake throughout, but comfortable and at ease.

5. Into the Surgical Suite

You’ll be escorted to the surgical theatre, where:

  • Your eye area is cleaned and draped
  • A small device gently keeps your eyelid open.
  • The femtosecond laser is guided into place using a microscope and eye-tracking system.
  • You’ll be asked to stare at a light while the laser works; most patients report seeing flashes or feeling slight pressure but no pain.

6. The Femto Laser Process

The laser completes the most delicate steps:

  1. Corneal incision – Bladeless and precisely placed
  2. Capsulotomy – A perfect circular opening in the lens capsule
  3. Lens softening – The cataract is fragmented for gentle removal

This portion takes only a few minutes.

7. Lens Removal and IOL Placement

After the laser work is done:

  • The surgeon gently removes the softened lens fragments using ultrasound
  • A foldable intraocular lens (IOL) is inserted through a small incision.
  • The lens unfolds and is aligned precisely in place

There are no stitches: the incision seals naturally.

8. Immediate Aftercare and Recovery

You’ll be taken to a recovery area where:

  • Your vitals are monitored again
  • Your eye is covered with a protective shield
  • Post-operative eye drops and instructions are given
  • You’ll be discharged the same day—the entire visit usually takes 1.5 to 2 hours.

You’ll need someone to drive you home and stay with you for 24 hours.

9. What to Expect After Surgery

The first few hours:

  • Mild tearing or gritty feeling (like something in your eye)
  • Blurred or hazy vision
  • Light sensitivity
  • Redness or slight swelling

Within 24–48 hours:

  • Vision often begins to improve rapidly
  • Most discomfort fades quickly
  • You’ll start seeing colours more vividly and details more clearly

10. Eye Drops and Aftercare

You’ll be given a strict schedule of eye drops for the next few weeks, including:

  • Antibiotic drops (to prevent infection)
  • Steroid drops (to reduce inflammation)
  • Lubricating drops (to ease any dryness)

Be sure to follow all instructions carefully and never skip doses.

11. Follow-Up Appointments

Your first follow-up visit is usually:

  • 1 day after surgery
  • Then again, at 1 week and 4–6 weeks

These appointments help ensure your eye is properly healing and the lens is correctly positioned.

12. Tips for a Smooth Recovery

  • Do not rub or press on your eye
  • Wear your eye shield at night for the first week
  • Avoid swimming, heavy lifting, or dusty environments for at least 2 weeks
  • Use sunglasses outdoors to protect from glare and UV
  • Avoid eye makeup and facial products near the eye area

Common Questions Answered

Is the surgery painful?
No. Anaesthetic eye drops ensure you feel no pain during the procedure.

Can I blink during surgery?
No worries—the device keeps your eye gently open, and blinking is not a concern.

When can I drive again?
Usually, within 3–5 days, once your ophthalmologist confirms your vision is stable.

Can I have both eyes done at once?
Typically, one eye is done at a time. The second eye follows 1–2 weeks later.

A Smooth Journey to Clearer Sight

Femto Cataract Surgery is a remarkably efficient and low-stress procedure with a high success rate and quick recovery. Knowing what to expect from arrival to aftercare can help you feel confident, calm, and in control throughout the process.