Reviewed By: Dr. Paul Griffey
Vision disorders can impact a person’s daily life, compelling them to rely on corrective eyewear like glasses or contact lenses. LASIK surgery has brought a transformative solution for many, reshaping corneas to clear vision impairments.
However, as aging brings new challenges like cataracts, LASIK patients often need to be more concerned about the safety and feasibility of getting cataract surgery right after. Knowing the differences and compatibility of these surgeries is crucial to making informed decisions about eye health.
The Difference Between LASIK and Cataract Surgery
What is LASIK?
LASIK, or Laser-Assisted In Situ Keratomileusis, is a surgical procedure designed to reduce dependency on glasses and correct vision issues like nearsightedness, farsightedness, and astigmatism. It involves reshaping the cornea, the eye’s outer layer, to improve vision clarity.
What is Cataract Surgery?
Unlike LASIK, cataract surgery involves addressing the eye’s natural lens when it becomes cloudy. The procedure entails replacing this cloudy lens with a clear, artificial intraocular lens (IOL). Cataract surgery is typically performed when cataracts, a common age-related condition, impair vision quality.
Can You Have Cataract Surgery After LASIK?
Yes, you can have cataract surgery after LASIK. In fact, cataract surgery can be performed after any type of laser vision correction procedure, including LASIK, PRK, Epi-LASIK, and LASEK. LASIK and other types of laser vision correction alter the curvature of the front surface of the eye (cornea), while cataract surgery involves replacing the eye lens.
LASIK surgery after cataract surgery is not typical, but procedure advances continue to evolve. However, due to the changes LASIK makes to the cornea’s structure, it requires specialized considerations. Post-LASIK, choosing the right IOL and surgical techniques is essential for optimal outcomes.
Choosing the Right IOL for Post-LASIK Cataract Surgery
Choosing the right intraocular lens (IOL) is vital for achieving the best visual outcomes after cataract surgery following a LASIK procedure. Each type of IOL offers distinct benefits and may better suit specific patient needs, especially considering the corneal modifications from prior LASIK. Here are some of the main options available:
- Extended Depth-of-Focus (EDOF) Lens: Designed for patients who require seamless vision at intermediate distances. EDOF lenses lessen the glare and halos of multifocal lenses, providing a smoother visual experience.
- Toric Lens: Best suited for individuals with astigmatism. These lenses correct the irregular curvature of the cornea or lens, offering clarity in near and far vision while maintaining precision in orientation.
- Monofocal Lens: A reliable choice for those who want to improve distance vision and don’t mind using reading glasses for close-up tasks. These lenses provide simplicity and consistent focus.
- Vivity Multifocal (MF) Lens: Delivers an extended depth of focus using advanced X-WAVE technology, enhancing visual clarity across various distances while reducing visual aberrations. Ideal for a seamless visual transition and comfort in daily activities.
Read About Different IOL Options for Laser Cataract Surgery
Does LASIK Cause Cataracts?
No. Research and medical professionals agree that LASIK does not cause cataracts.
Cataracts develop as a natural part of aging, independent of whether a person has undergone LASIK surgery. While LASIK reshapes the cornea to correct vision issues like nearsightedness and farsightedness, cataracts occur due to changes in the eye’s lens becoming clouded over time.
Many individuals maintain healthy vision for most of their lives and only develop cataracts as they age. Importantly, having LASIK is not a pre-indication for cataract formation. Medical studies confirm that LASIK does not increase the risk of developing cataracts earlier than usual.
While LASIK and cataract surgeries are distinct procedures, understanding their relationship is vital for making informed decisions about long-term eye health. Developing cataracts after LASIK is typically a normal part of aging, and cataract surgery remains a viable treatment option for this condition.
Does LASIK Increase the Risk of Cataracts?
One of the most common concerns patients have is whether LASIK accelerates or increases the risk of cataracts. The answer is no.
- Cataracts are primarily age-related changes in the natural lens of the eye.
- LASIK only reshapes the cornea — it does not touch or alter the lens.
- Clinical research confirms no direct link between LASIK and a higher incidence of cataracts.
In short, if you had LASIK, your risk of developing cataracts later in life is no higher than that of someone who never had laser vision correction.
What to Expect From Cataract Surgery If You Previously Had LASIK
If you’re wondering “can you have cataract surgery if you had LASIK?” the answer is yes — but candidacy depends on factors like age, corneal health, and lens clarity. Cataract surgery after LASIK follows the same process as standard cataract surgery, but with a few extra steps:
- Advanced Eye Measurements – Since LASIK alters the cornea, surgeons use specialized technology to take more precise readings.
- Customized IOL Selection – The lens implant choice becomes even more critical for achieving sharp vision post-surgery.
- Slightly Longer Pre-Op Evaluation – Surgeons often review your LASIK history and corneal maps before finalizing the surgical plan.
With these additional considerations, cataract surgery outcomes for post-LASIK patients are typically excellent.
Recovery After Cataract Surgery in Post-LASIK Patients
Healing and recovery are very similar to patients who never had LASIK. Most people notice improved vision within a few days.
- Initial Vision Fluctuations – Your eyesight may shift as the eye adapts to the new IOL.
- Follow-Up Visits – Your doctor may schedule extra checks to ensure the lens is aligned properly.
- Glasses or Enhancements – In rare cases, patients might still need glasses or a minor laser touch-up for optimal clarity.
Cataract Surgery vs. LASIK: Long-Term Vision Outlook
Both LASIK and cataract surgery offer long-term benefits, but in different ways:
- LASIK: Designed to reduce or eliminate the need for glasses earlier in life.
- Cataract Surgery: Restores clarity when the natural lens becomes cloudy with age.
Together, these surgeries are complementary, LASIK gives freedom in youth, while cataract surgery ensures vision stays clear later in life.
Frequently Asked Questions
1. Will having had LASIK make cataract surgery more complicated?
Cataract surgery after LASIK is safe and effective, but it does require additional planning. Because LASIK changes the shape of your cornea, your surgeon will need to use specialized measurements and techniques to select the best intraocular lens (IOL) for your eyes. Working with an experienced cataract surgeon ensures optimal results.
2. What information should I provide my cataract surgeon if I had LASIK?
It’s important to tell your cataract surgeon about your LASIK history. If you have records of your pre-LASIK vision or corneal measurements, bring them to your appointment. These details can help your surgeon calculate the most accurate IOL power for your eyes.
3. Are visual outcomes different for cataract surgery after LASIK?
Most patients achieve excellent vision after cataract surgery, even if they’ve had LASIK. However, because of corneal changes from LASIK, there is a slightly higher chance that you may need glasses or minor adjustments after surgery. Your surgeon will discuss realistic expectations with you.
4. What types of intraocular lenses (IOLs) are best for post-LASIK patients?
Several IOL options are available, including monofocal, toric, extended depth-of-focus (EDOF), and some multifocal lenses. The best choice depends on your eye health, lifestyle, and the specifics of your LASIK procedure. Your surgeon will help you decide which IOL fits your needs.
5. Can LASIK cause cataracts or increase my risk for them?
No, LASIK does not cause cataracts or increase your risk of developing them. Cataracts are a natural part of aging and are unrelated to previous LASIK or other laser vision correction procedures.
6. Is recovery from cataract surgery different if I’ve had LASIK?
Recovery after cataract surgery is generally similar for patients with or without a history of LASIK. You may have a few extra follow-up visits to monitor your healing and vision, but most patients recover well and experience improved sight.
7. What should I do if I don’t have my pre-LASIK records?
If you don’t have your pre-LASIK records, don’t worry. Modern diagnostic tools and advanced formulas allow surgeons to accurately measure your eyes and select an appropriate IOL. Just let your surgeon know about your LASIK history.
Key Takeaway
If you’ve had LASIK in the past, cataract surgery isn’t just possible; it’s often the next natural stage in your vision journey. With the right surgeon and the right lens choice, you can protect your investment in clear vision and continue seeing sharply and comfortably for years to come.
The key is working with an experienced surgeon who understands how LASIK reshaped your cornea, and how to match you with the right IOL for long-term clarity.
Curious which lens option is best for you after LASIK?
Book your appointment with Griffey Eye Care & Laser Center today and take the guesswork out of your decision.
**Please note that the suggestions provided in this blog are for general informational purposes only and may not be suitable for your specific insurance plan and eyecare needs. It is important to consult a qualified healthcare professional for personalized advice and treatment.**
