{"id":2817,"date":"2025-06-12T13:37:07","date_gmt":"2025-06-12T13:37:07","guid":{"rendered":"https:\/\/www.londoncataractcentre.co.uk\/blog\/?p=2817"},"modified":"2025-06-12T13:37:08","modified_gmt":"2025-06-12T13:37:08","slug":"covid-cataract-surgery-protocols","status":"publish","type":"post","link":"https:\/\/www.londoncataractcentre.co.uk\/blog\/covid-cataract-surgery-protocols\/","title":{"rendered":"Cataract Surgery After COVID: What\u2019s Changed and What\u2019s Here to Stay"},"content":{"rendered":"\n<p>There\u2019s no question that the COVID-19 pandemic transformed every corner of healthcare\u2014and cataract surgery was no exception. From the way patients were triaged, to the use of personal protective equipment, to the rise of telemedicine, the entire surgical experience was reshaped almost overnight. But now, years on from the height of the crisis, which of those changes have stuck around? And more importantly\u2014have they made things better?<\/p>\n\n\n\n<p>If you&#8217;re a patient preparing for cataract surgery or a clinician navigating today\u2019s protocols, understanding these lasting shifts isn\u2019t just useful\u2014it\u2019s essential. So, let\u2019s walk through exactly how the pandemic altered cataract care, what improvements have been retained, and where things might go next.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>The Pre-Pandemic Cataract Surgery Landscape<\/strong><\/h2>\n\n\n\n<p>Before COVID-19, cataract surgery in the UK followed a well-established routine. Patients would often have multiple in-person appointments before and after surgery\u2014typically including biometry, pre-assessment clinics, post-op checks, and discussions about intraocular lens options. Waiting rooms were full. Patient pathways were fairly standardised but not particularly streamlined.<\/p>\n\n\n\n<p>Surgeons would usually work with large surgical teams. Patients could bring companions into clinics. And infection prevention was focused primarily on ophthalmic risks\u2014not respiratory ones. It was efficient, but not necessarily agile.<\/p>\n\n\n\n<p>This all changed in 2020 when the NHS (and private centres too) were forced to rethink every step of the cataract care journey.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>The Initial Disruption: Lockdowns and Surgery Cancellations<\/strong><\/h2>\n\n\n\n<p>When the UK first went into lockdown in March 2020, all elective surgeries\u2014including cataracts\u2014were put on hold. It wasn\u2019t just about freeing up hospital beds; it was also about minimising unnecessary patient contact. Cataract surgery might not be life-saving, but it&#8217;s life-enhancing\u2014and that meant it had to wait.<\/p>\n\n\n\n<p>The backlog that formed during this time was unprecedented. Patients reported rapidly worsening vision, lost independence, and increased fall risk. For clinicians, the need to adapt quickly became urgent.<\/p>\n\n\n\n<p>Hospitals and private clinics responded with protocol overhauls\u2014some temporary, but many now permanent.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Lasting Infection Control Measures<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Universal Mask-Wearing and PPE Protocols<\/strong><\/h3>\n\n\n\n<p>Pre-COVID, it wasn\u2019t standard for all patients or staff to wear masks during ophthalmic procedures. That changed rapidly. Now, while community-wide masking may have relaxed, in many surgical settings\u2014particularly ophthalmology\u2014masks remain commonplace for both clinicians and patients.<\/p>\n\n\n\n<p>Why? Close face-to-face proximity is routine in cataract surgery. From slit-lamp exams to biometry, there&#8217;s often just centimetres between patient and provider. So, although the risk of COVID transmission has decreased, the mask protocol remains a precaution that many clinics feel is worth maintaining\u2014especially during flu season.<\/p>\n\n\n\n<p>Gloves, gowns, and eye protection for staff have also been normalised. Many theatre teams continue to follow enhanced PPE checklists that were introduced during the pandemic.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Enhanced Cleaning Protocols<\/strong><\/h3>\n\n\n\n<p>Disinfection was always important, but COVID ramped it up. Surfaces in waiting areas, diagnostic rooms, and theatres began to be cleaned more frequently with virucidal agents. These practices are largely still in place, especially in higher-risk zones.<\/p>\n\n\n\n<p>What\u2019s more, clinics now tend to schedule additional time between patients for cleaning\u2014something that\u2019s improved overall infection control but also affects capacity.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Streamlined Pre-Operative Assessments<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Reduced In-Person Appointments<\/strong><\/h3>\n\n\n\n<p>One of the major realisations during the pandemic was that not every single appointment had to be in-person. Clinics introduced \u201cone-stop\u201d assessment models, where patients could undergo all pre-op investigations, consent discussions, and measurements in a single visit.<\/p>\n\n\n\n<p>This approach wasn\u2019t just safer\u2014it was more efficient. For elderly patients who might struggle with transport or mobility, cutting down on multiple trips to the clinic made a huge difference.<\/p>\n\n\n\n<p>Today, many clinics have retained this streamlined model. It has shortened the patient journey and improved overall satisfaction\u2014without compromising outcomes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Remote Consultations for Suitable Cases<\/strong><\/h3>\n\n\n\n<p>COVID also fast-tracked the adoption of telemedicine. While you can\u2019t perform biometry or a slit-lamp exam over the phone, certain parts of the process\u2014like initial consultations or post-op check-ins\u2014have moved online.<\/p>\n\n\n\n<p>Patients appreciate the flexibility, and clinics have noted improvements in time management. Especially for straightforward cases or follow-ups after uncomplicated surgery, virtual appointments now have a lasting role.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Theatre Protocols That Have Persisted<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"409\" src=\"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/05\/Cover-Surgery-10-1024x409.webp\" alt=\"\" class=\"wp-image-2587\" srcset=\"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/05\/Cover-Surgery-10-980x392.webp 980w, https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/05\/Cover-Surgery-10-480x192.webp 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Modified Patient Flow and Theatre Access<\/strong><\/h3>\n\n\n\n<p>To reduce congregation in waiting areas, many cataract services introduced staggered appointment times and separate patient flow zones. Instead of large numbers of patients arriving simultaneously, schedules became more tightly controlled.<\/p>\n\n\n\n<p>This not only limited potential exposure during the pandemic\u2014it\u2019s also made theatre days more predictable. Many operating lists now run with better pacing and fewer bottlenecks. The result? Greater consistency in outcomes, fewer delays, and more pleasant experiences for patients and staff alike.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u201cSee and Treat\u201d Approaches<\/strong><\/h3>\n\n\n\n<p>In certain urgent cataract cases, especially in high-risk patients or those who couldn\u2019t easily travel, a \u201csee and treat\u201d model was adopted. Patients would have their assessment and surgery on the same day.<\/p>\n\n\n\n<p>While this isn\u2019t suitable for everyone, some private centres have continued to offer it selectively. It\u2019s particularly helpful for patients travelling long distances or for those with significant anxiety around multiple appointments.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Cataract Backlogs: A Problem That Still Persists<\/strong><\/h2>\n\n\n\n<p>Despite all the improvements, one major problem triggered by the pandemic still lingers: the backlog. NHS waiting lists for cataract surgery remain long, with many patients facing months of delay.<\/p>\n\n\n\n<p>This has prompted increased interest in private cataract surgery. Clinics like the London Cataract Centre have seen a rise in self-referrals, especially among those struggling to function due to poor vision. For patients who can\u2019t wait, private care offers not just faster access\u2014but also greater choice in lenses and surgical options.<\/p>\n\n\n\n<p>That said, both NHS and private services continue to innovate to address this backlog. Some trusts have introduced weekend operating lists, mobile cataract units, or regional surgical hubs to handle volume more effectively.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>The Role of Technology in a Post-COVID Cataract World<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Digital Patient Education and Consent<\/strong><\/h3>\n\n\n\n<p>COVID forced clinicians to rethink how they delivered information. In-person seminars or long clinic explanations were replaced with digital consent forms, explainer videos, and email-based patient packs.<\/p>\n\n\n\n<p>Interestingly, many patients preferred this format. It allowed them to digest complex information at their own pace, often with family members present at home.<\/p>\n\n\n\n<p>Many centres have retained this digital-first approach. It improves compliance, reduces appointment duration, and offers a more flexible patient experience.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Online Booking and Pre-Op Questionnaires<\/strong><\/h3>\n\n\n\n<p>Another change that stuck? Digital pre-assessment questionnaires. Rather than filling out paperwork on arrival, patients now complete online forms ahead of time, often via secure portals.<\/p>\n\n\n\n<p>This speeds up the in-clinic process and allows staff to triage patients more effectively before they even arrive.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"554\" src=\"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/05\/Computer-night-1-1024x554.webp\" alt=\"\" class=\"wp-image-2468\" srcset=\"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/05\/Computer-night-1-1024x554.webp 1024w, https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/05\/Computer-night-1-980x530.webp 980w, https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/05\/Computer-night-1-480x259.webp 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Lasting Cultural Shifts Among Staff and Patients<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Heightened Awareness of Infection Risk<\/strong><\/h3>\n\n\n\n<p>Even as the world moves beyond pandemic mode, the legacy of heightened infection awareness has stayed. Staff are quicker to call in sick. Patients are more likely to notify clinics of symptoms. And flexible rebooking policies\u2014once a rarity\u2014are now routine.<\/p>\n\n\n\n<p>In a surgical setting where the stakes are high, this cultural shift has arguably made cataract services safer overall.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Greater Emphasis on Patient Independence<\/strong><\/h3>\n\n\n\n<p>The pandemic also sparked a broader recognition of just how debilitating untreated cataracts can be. Many older adults who were unable to drive or navigate stairs safely during lockdown came to appreciate the link between vision and independence in a whole new way.<\/p>\n\n\n\n<p>Clinics now take a more holistic view of patient goals\u2014not just aiming for 20\/20, but understanding what vision outcomes mean for lifestyle, confidence, and mobility.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What Didn&#8217;t Stay: Protocols That Have Faded<\/strong><\/h2>\n\n\n\n<p>Not every pandemic-era change has endured. Universal COVID screening before surgery, for example, has largely been dropped in most cataract settings, unless patients are symptomatic or high-risk.<\/p>\n\n\n\n<p>Likewise, temperature checks at the door and plastic barriers in clinics have mostly disappeared. While these were necessary during peak transmission periods, they\u2019re no longer seen as cost-effective or necessary under current risk levels.<\/p>\n\n\n\n<p>Some clinics have also resumed allowing family members to accompany patients\u2014something that was restricted during the pandemic but plays a big role in patient comfort, especially for older adults.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Rebuilding Trust in Surgical Care After COVID-19<\/strong><\/h2>\n\n\n\n<p>One of the quieter\u2014but no less significant\u2014shifts after the pandemic has been a renewed focus on rebuilding patient trust. During COVID, many people grew wary of hospitals and clinics\u2014not out of scepticism, but due to fear of exposure, uncertainty, or disrupted care. In ophthalmology, where patients are often older and medically vulnerable, that fear ran especially deep.<\/p>\n\n\n\n<p>Now, cataract services are not just about restoring vision\u2014they\u2019re about restoring confidence. Clinics have made concerted efforts to communicate clearly, manage expectations, and provide reassurance around cleanliness, efficiency, and safety. From more user-friendly websites to clearer follow-up instructions, the whole patient experience has become more transparent and supportive.<\/p>\n\n\n\n<p>That shift has had a lasting impact. Patients are more engaged in their care, more aware of their options, and more likely to ask questions. And that engagement leads to better outcomes\u2014not just surgically, but emotionally. After all, cataract surgery isn\u2019t just a procedure. It\u2019s a turning point in a person\u2019s quality of life. And rebuilding that trust means patients can walk into theatre feeling prepared\u2014not just protected.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Frequently Asked Questions (FAQs)<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Do I still need to wear a mask during cataract surgery appointments?<\/strong><br>In most clinics, yes\u2014but it depends on the setting. While general public mask mandates have relaxed, many cataract surgery units still ask patients to wear a mask, especially in diagnostic rooms or during close face-to-face procedures like slit-lamp exams. It\u2019s a simple measure that helps protect vulnerable patients and reduces the spread of respiratory infections, particularly during flu season or if COVID-19 cases are rising locally.<br>That said, if you\u2019re exempt or have difficulty wearing a mask, let the clinic know in advance. Most teams are happy to accommodate individual needs while still maintaining safety for everyone.<\/li>\n\n\n\n<li><strong>Are telemedicine appointments still used for cataract care?<\/strong><br>Absolutely, and in fact, they\u2019ve become a really valuable part of cataract care. While some assessments\u2014like eye scans or biometry\u2014must still be done in person, things like initial consultations, consent discussions, and post-op follow-ups can often be done remotely. It saves you time, reduces travel, and keeps clinic visits short and focused.<br>If you&#8217;re unsure whether your appointment can be done remotely, just ask. Clinics are generally keen to offer flexible options where possible.<\/li>\n\n\n\n<li><strong>Has the way cataract surgery is scheduled changed since COVID-19?<\/strong><br>Yes, significantly. Many clinics now stagger appointment times to avoid crowding, and the days of overbooked waiting rooms are largely behind us. Some centres have even adopted \u201csee and treat\u201d models, especially in urgent or straightforward cases\u2014meaning you might be assessed and have surgery on the same day.<br>These changes were brought in for safety during the pandemic, but they\u2019ve actually improved efficiency and patient satisfaction, so many clinics have kept them in place.<\/li>\n\n\n\n<li><strong>Can I bring someone with me to my surgery appointment now?<\/strong><br>In most cases, yes. During the height of the pandemic, visitors and companions were often restricted from coming into clinics or surgical centres. But now that infection control measures have evolved, many clinics have relaxed those rules\u2014especially for patients who are anxious, elderly, or have mobility issues.<br>Just check with your provider in advance. Some hospitals may still have limits depending on space or local guidance, but in general, companion attendance is back on the table.<\/li>\n\n\n\n<li><strong>Are cataract surgery backlogs still an issue?<\/strong><br>Unfortunately, yes\u2014especially in the NHS. The pandemic caused widespread cancellations of elective surgeries, and cataracts were high on that list. Although services have resumed and improved in many ways, the backlog built up during COVID is still being cleared.<br>If you&#8217;re waiting a long time and your vision is affecting your quality of life, you might want to consider private cataract surgery for faster access and more choice in treatment.<\/li>\n\n\n\n<li><strong>Is cataract surgery safer now because of the pandemic changes?<\/strong><br>In many ways, yes. The enhanced hygiene protocols, streamlined patient pathways, and increased use of pre-assessment tools have all contributed to a cleaner, more efficient process. The changes made during COVID weren\u2019t just temporary fixes\u2014they\u2019ve often become permanent improvements in how surgery is delivered.<br>Plus, there&#8217;s now more awareness about infection risks in general. Patients and staff are more cautious, which helps reduce the spread of all types of illnesses, not just COVID-19.<\/li>\n\n\n\n<li><strong>What happens if I feel unwell before my cataract surgery?<\/strong><br>If you have symptoms of a cold, flu, or COVID\u2014even mild ones\u2014it\u2019s best to contact your clinic as soon as possible. Most centres have adopted flexible rebooking policies, so you won\u2019t be penalised for rescheduling if you\u2019re unwell.<br>The key is early communication. Letting your surgical team know gives them time to adjust schedules, protect other patients, and ensure you receive surgery when you\u2019re feeling your best.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Final Thoughts: A More Streamlined, Patient-Centric Future<\/strong><\/h2>\n\n\n\n<p>So, what has COVID-19 really done to cataract surgery protocols in the long term?<\/p>\n\n\n\n<p>It\u2019s made them sharper. More efficient. More considerate of patient needs.<\/p>\n\n\n\n<p>While the urgency of the pandemic forced rapid changes, the healthcare sector\u2014particularly in ophthalmology\u2014has taken the opportunity to retain what worked and let go of what didn\u2019t. We\u2019re seeing fewer unnecessary visits, faster pathways, and better use of digital tools.<\/p>\n\n\n\n<p>If you\u2019re considering cataract surgery now, you\u2019re stepping into a system that\u2019s arguably more patient-friendly than it\u2019s ever been. One where safety, speed, and satisfaction can coexist\u2014thanks in large part to lessons learned during the most challenging health crisis of our generation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>References<\/strong><\/h2>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Alegr\u00eda, J.P., Vogel, N., Marcus, N. et al. (2022) <em>Impacts of the COVID\u201119 pandemic on elective cataract surgeries<\/em>, <em>PLoS ONE<\/em>, 17(4), e0266217. Available at: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9071257\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9071257\/<\/a> (Accessed: 12 June 2025).<\/li>\n\n\n\n<li>Lin, X., Patel, A., and Wang, S. (2020) \u2018The impact of COVID\u201119 pandemic on ophthalmology services: triage, backlog and emerging practices\u2019, <em>Frontiers in Medicine<\/em>, 7, 625482. Available at: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7685677\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7685677\/<\/a> (Accessed: 12 June 2025).<\/li>\n\n\n\n<li>Royal College of Ophthalmologists (2020) <em>Restarting and Redesigning Cataract Pathways in response to the COVID-19 pandemic<\/em>. Available at: <a href=\"https:\/\/www.rcophth.ac.uk\/resources-listing\/restarting-and-redesigning-of-cataract-pathways-in-response-to-the-covid-19-pandemic\/\">https:\/\/www.rcophth.ac.uk\/resources-listing\/restarting-and-redesigning-of-cataract-pathways-in-response-to-the-covid-19-pandemic\/<\/a> (Accessed: 12 June 2025).<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>There\u2019s no question that the COVID-19 pandemic transformed every corner of healthcare\u2014and cataract surgery was no exception. From the way patients were triaged, to the use of personal protective equipment, to the rise of telemedicine, the entire surgical experience was reshaped almost overnight. But now, years on from the height of the crisis, which of [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2818,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2817","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2817","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/comments?post=2817"}],"version-history":[{"count":1,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2817\/revisions"}],"predecessor-version":[{"id":2819,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2817\/revisions\/2819"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media\/2818"}],"wp:attachment":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=2817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=2817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=2817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}