Cataract surgery is usually suitable in dry eyes, but the surface should be optimised to improve comfort and measurement accuracy.
Managing dry eye around surgery
A stable tear film leads to better outcomes.
- Pre‑treating with lubricants, lid hygiene, or anti‑inflammatory drops
- Checking that biometry and topography are repeatable once the surface is calmer
- Explaining that dryness often worsens temporarily after surgery
- Using preservative‑free drops and warm compresses during recovery
- Continuing long‑term dry‑eye care after healing
When to be more cautious
Severe surface disease may limit visual gain.
- Marked keratopathy or autoimmune dry eye that already blurs vision
- Risk of exposure problems if blinking or lid closure is poor
- Need for scleral lenses or specialist surface treatments after surgery
- Setting realistic goals if surface quality will remain imperfect
- Coordinating management with a corneal or ocular‑surface specialist
