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Can Cataracts Come Back?

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A close-up view of an elderly person's eyes showing cloudy, milky-white lenses characteristic of cataracts, used to answer if cataracts can come back.

After cataract surgery, it’s natural to wonder whether your cataracts could return. The good news is that, once a cataract has been removed, it cannot grow back. Cataract surgery is a permanent solution, giving you a fresh start with your vision. Your clouded lens is gone for good.

If you’re curious to learn more, our team Great Hills Eye Care is happy to help you understand what cataracts are and how they develop.

Your Original Cataract Is Gone for Good

During cataract surgery, your surgeon removes the natural lens of your eye and replaces it with a clear, artificial lens. This new lens is called an intraocular lens, or IOL.

You may remember how colors seemed faded or your vision was blurry before the procedure. This happens because proteins in your natural lens start to clump together as you age, creating cloudy sports that we call cataracts. By removing and replacing the cloudy lens, clear vision can be restored.

Because your natural lens is removed as part of the procedure, your cataract cannot return. IOLs are designed to stay clear for the rest of your life.

What Causes Blurry Vision After Surgery?

In some cases, a person’s vision may become cloudy again over time. This can occur months or even years after a successful procedure. However, this isn’t a new cataract. It’s actually a common and treatable condition often called a “secondary cataract” or posterior capsule opacification (PCO).

Your new artificial lens sits inside a very thin, clear membrane—like a tiny pouch—that was part of your original lens. Over time, this little pouch can also become cloudy. This cloudiness blocks light, causing blurry vision that can feel a lot like the original cataract.

This membrane, called the posterior capsule, is left in place on purpose—it acts as a natural shelf to hold your new IOL securely. In some cases, however, cell growth on the surface of the posterior capsule can result in cataract-like cloudiness.

A close-up side profile of a person’s healthy, clear eye, illustrating the successful results of cataract management and the restoration of visual clarity.

Signs You Might Have a Secondary Cataract

The symptoms of PCO are similar to those of a cataract. You might experience:

  • Vision that slowly gets more blurry or hazy
  • More glare from lights, like sunshine or car headlights at night
  • A feeling that your vision just isn’t as sharp as it was
  • The sense that you’re looking at the world through a smudged window

These symptoms are a good reason to schedule a visit for a comprehensive eye exam.

How a Secondary Cataract Is Treated

If you do develop a secondary cataract, restoring your clear vision is often a straightforward process. A quick laser procedure can clear up the fogginess and help you see clearly again without a long recovery.

The first step is a thorough eye exam to confirm that PCO is the cause of your blurry vision. If your issues are caused by PCO, your eye care team will discuss treatment.

A Quick & Simple Laser Procedure

The treatment for PCO is a painless procedure that can be done right in the office. It only takes a few minutes to complete.

  1. Your eye doctor uses a laser to make a tiny, clear opening in the hazy membrane behind your new lens.
  2. This new opening creates a clean path for light to travel through to the back of your eye.
  3. Your vision usually improves very quickly, sometimes even by the next day.

Your Eye Health & Next Steps

While cataracts cannot return, it’s still important to keep up with your regular eye appointments. As your eye doctor in North Austin, we’re here to monitor the health of your vision and identify any potential problems early.

Regular exams are a great time to discuss any changes you’ve noticed, no matter how small. Proactive care helps you maintain the clear sight you gained from your procedure.

If you’re in the North AustinGeorgetown, Pflugerville or Liberty Hill area and notice changes in your vision, a check-up is a good next step. Our team at Great Hills Eye Care makes getting care simple with our convenient location and flexible appointment times. Schedule your visit today.

Written by Dr. Drew Provost

Dr. Drew Provost grew up in Atlanta, GA, and earned his bachelor’s degree studying sociology and microbiology at the University of Georgia. He then obtained his Doctor of Optometry degree from Southern College of Optometry in Memphis, Tennessee. He completed 2 rotations at The Eye Center in Memphis with concentrations in ocular disease, pediatric optometry, and contact lenses. He completed a private practice internship in Marietta, GA, focusing on advanced contact lens fitting and primary care.

More Articles By Dr. Drew Provost
  • Over 40,000 of your neighbors have chosen us for their eye care.
  • 98% of our patients would refer us to others

Meet Our Doctors

Dr. Drew Provost

Clinic Director/Founder

Dr. Drew Provost received his bachelor’s degree studying Sociology/Microbiology from the University of Georgia followed by his Doctor of Optometry degree from Southern College of Optometry.

Dr. Raymond Carneglia

Optometrist

Dr. Raymond Carneglia received his bachelor’s degree from the University of Texas at Austin followed by his Doctor of Optometry Degree from Nova Southeastern College of Optometry.

Dr. Monica Do

Optometrist

Dr. Monica Do attended the University of Texas at Austin where she obtained her bachelor’s in biology followed by her Doctor of Optometry degree at the University of Houston College of Optometry.

Dr. Marcia Truong

Optometrist

Dr. Marcia Truong attended San Jose State University where she obtained her bachelor’s in chemistry followed by her Doctor of Optometry degree at Illinois College of Optometry.

Dr Emily Janak

Dr. Emily Janak

Optometrist

Dr. Emily Janak received her bachelor’s in biomedical sciences and nutritional sciences from Texas A&M University. She then obtained her Doctor of Optometry degree at the University of Houston College of Optometry.

Dr. Jin Uehara

Optometrist

Dr. Uehara attended the University of Texas at Austin where he obtained his Bachelor’s in Biochemistry followed by his Doctorate of Optometry at the University of Houston College of Optometry.

Dr. Isabel Ruiz

Optometrist

Dr. Isabel Ruiz received her bachelor’s degree from Texas A&M University. She then obtained her Doctor of Optometry degree from the University of Houston College of Optometry.

Our Locations

North Austin

Find us conveniently located attached to the Costco just off Research Boulevard. Feel free to park anywhere in the Costco parking lot.

  • 10401 Research Blvd, Suite A
  • Austin, TX 78759

The easiest way to get in touch with us is to text us at:

512-345-2000

Hours of Operation

  • Monday: 9:00 AM 6:00 PM
  • Tuesday: 9:00 AM 6:00 PM
  • Wednesday: 9:00 AM 6:00 PM
  • Thursday: 9:00 AM 6:00 PM
  • Friday: 9:00 AM 6:00 PM
  • Saturday: 9:00 AM 5:00 PM
  • Sunday: 12:00 PM 4:00 PM

Pflugerville

Our Pflugerville location is attached to the Costco at the corner of Highway 130 and Kelly Lane. Give us a call if you have any trouble finding us.

  • 1901 Kelly Lane, Suite A
  • Pflugerville, TX 78660

The easiest way to get in touch with us is to text us at:

512-551-2278

Hours of Operation

  • Monday: 9:00 AM 6:00 PM
  • Tuesday: 9:00 AM 6:00 PM
  • Wednesday: 9:00 AM 6:00 PM
  • Thursday : 9:00 AM 6:00 PM
  • Friday: 9:00 AM 6:00 PM
  • Saturday: 9:00 AM 5:00 PM
  • Sunday: 12:00 PM 4:00 PM

Georgetown

Find us conveniently located attached to the new Costco just off I-35 . Feel free to park anywhere in the Costco parking lot.

  • 2201 I-35, Ste A
  • Georgetown, TX 78628

The easiest way to get in touch with us is to text us at:

512-793-7931

Hours of Operation

  • Monday: 9:00 AM 6:00 PM
  • Tuesday: 9:00 AM 6:00 PM
  • Wednesday: 9:00 AM 6:00 PM
  • Thursday: 9:00 AM 6:00 PM
  • Friday: 9:00 AM 6:00 PM
  • Saturday: 9:00 AM 5:00 PM
  • Sunday: 12:00 PM 4:00 PM
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