Crohn\u2019s disease is a type of inflammatory bowel disease (IBD) that affects the digestive tract, but its impact goes far beyond the gut. In fact, it\u2019s considered a systemic condition\u2014meaning it can affect many parts of the body, including your eyes.<\/p>\n\n\n\n
Eye problems are not uncommon in Crohn\u2019s. Some people develop inflammatory eye conditions like uveitis or episcleritis. Others may develop cataracts due to long-term steroid use. Understanding this connection helps you and your surgical team make more informed decisions before any eye procedure, including cataract surgery.<\/p>\n\n\n\n
Even if your Crohn\u2019s is well-controlled, the inflammation or medications used to manage it can have lingering effects on your eyes and your body\u2019s ability to heal. That\u2019s why ophthalmologists often work closely with your gastroenterologist before and after surgery.<\/p>\n\n\n\n
How Steroid Use in Crohn\u2019s Patients Can Lead to Cataracts<\/strong><\/h2>\n\n\n\n![\"\"](\"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/04\/Corticosteroids-1-1024x554.webp\")
<\/figure>\n\n\n\nOne of the most common reasons people with Crohn\u2019s disease develop cataracts earlier than expected is prolonged use of corticosteroids like prednisolone. These powerful anti-inflammatory drugs are essential in managing Crohn\u2019s flares, but they come with a range of side effects\u2014including changes in the lens of the eye.<\/p>\n\n\n\n
Steroid-induced cataracts typically take the form of posterior subcapsular cataracts. These grow on the back surface of the lens and tend to affect your near vision first. They can be particularly troublesome because they cause more visual disturbance in bright light and may progress more rapidly than age-related cataracts.<\/p>\n\n\n\n
If you\u2019ve been on steroids\u2014even intermittently\u2014it\u2019s worth flagging this during your pre-surgery consultation. Your ophthalmologist may adjust the surgical technique slightly and will keep a close watch for other steroid-related risks, such as delayed healing or increased intraocular pressure.<\/p>\n\n\n\n
Immunosuppressive Medication and Healing After Surgery<\/strong><\/h2>\n\n\n\nBeyond steroids, many people with Crohn\u2019s are on immunosuppressive medications like azathioprine, methotrexate, or biologics (e.g. infliximab, adalimumab). While these help control gut inflammation, they can also reduce your body\u2019s ability to fight off infections or mount a strong healing response after surgery.<\/p>\n\n\n\n
During cataract surgery, there\u2019s always a small risk of infection or inflammation. For people with a suppressed immune system, that risk\u2014while still low\u2014can be slightly higher. Your surgeon may recommend extra precautions. This could include using antibiotics before or after surgery, adjusting steroid eye drops, or delaying surgery if your immune status is unstable.<\/p>\n\n\n\n
Don\u2019t be alarmed, though. Most people on immunosuppressants still have successful cataract operations. The key is making sure your immune system isn\u2019t overly compromised at the time of surgery and that your Crohn\u2019s is in a relatively stable phase.<\/p>\n\n\n\n
The Importance of Timing: When Should You Have Surgery?<\/strong><\/h2>\n\n\n\n![\"\"](\"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/07\/Timing-1-1024x554.webp\")
<\/figure>\n\n\n\nTiming is critical when you have Crohn\u2019s. If you\u2019re in the middle of a flare, it’s often best to delay cataract surgery until things settle. Surgery is a form of stress on the body, and your healing mechanisms are less efficient when your gut is inflamed or when you\u2019re losing nutrients.<\/p>\n\n\n\n
Your ophthalmologist may collaborate with your gastroenterologist to identify a \u201csafe window\u201d for surgery. Ideally, this would be a period when your disease is quiet, your blood tests look good, and you\u2019re not on high-dose steroids.<\/p>\n\n\n\n
In some cases, you might need a bit of preparation beforehand\u2014such as adjusting medication doses, improving nutritional status, or pausing certain drugs briefly. These decisions are individualised and depend on your overall health and the urgency of the cataract surgery.<\/p>\n\n\n\n
Nutritional Status: Why It Matters More Than You Might Think<\/strong><\/h2>\n\n\n\nMalnutrition is an underappreciated factor in surgical recovery, and it’s a real concern for many people with Crohn\u2019s. If your gut isn\u2019t absorbing nutrients properly\u2014or if you\u2019ve lost weight recently\u2014your body may struggle to heal after surgery.<\/p>\n\n\n\n
Nutrients like vitamin A, zinc, and protein are particularly important for wound healing and immune function. Before surgery, it\u2019s a good idea to ask your GP or IBD team to check your nutritional status. In some cases, you might benefit from supplements or dietary adjustments in the weeks leading up to your operation.<\/p>\n\n\n\n
Even mild deficiencies can impact recovery\u2014so it\u2019s better to catch these early and address them before the day of surgery.<\/p>\n\n\n\n
Anaesthesia Considerations in Crohn\u2019s Disease<\/strong><\/h2>\n\n\n\nCataract surgery is usually done under local anaesthesia using eye drops and a mild sedative if needed. However, in patients with Crohn\u2019s, even the anaesthesia process might need a bit more thought.<\/p>\n\n\n\n
If you\u2019ve had previous bowel surgeries, adhesions, or fistulae, these may influence your overall surgical risk\u2014even if the procedure is on your eye. Similarly, any history of anaesthetic complications or reactions to sedatives should be discussed upfront.<\/p>\n\n\n\n
In rare cases, general anaesthesia may be considered\u2014for example, in patients with severe anxiety, movement disorders, or communication difficulties. If that\u2019s the case, your anaesthetist will want a full overview of your Crohn\u2019s history, current medications, and any extra-intestinal complications.<\/p>\n\n\n\n
Eye Drops After Surgery: Can They Affect Your Gut?<\/strong><\/h2>\n\n\n\n![\"\"](\"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-content\/uploads\/2025\/06\/Eye-drops-1-1024x554.webp\")
<\/figure>\n\n\n\nAfter cataract surgery, you\u2019ll be prescribed eye drops\u2014typically a combination of antibiotic and steroid drops. While these are applied topically, a small amount can enter your bloodstream through the tear duct.<\/p>\n\n\n\n
For most people, this tiny absorption is harmless. But if you’re sensitive to steroids or have previously experienced flares triggered by steroid medication, it’s worth asking whether a lower-dose or shorter course of drops could be used.<\/p>\n\n\n\n
There are also preservative-free formulations available if you have a history of eye irritation or allergies. Your ophthalmologist can personalise your drop regimen to balance eye healing with minimal systemic impact.<\/p>\n\n\n\n
Will Cataract Surgery Affect Your Crohn\u2019s Disease Directly?<\/strong><\/h2>\n\n\n\nGenerally, no. Cataract surgery is highly localised to the eye and doesn\u2019t directly impact your digestive tract. However, the stress of surgery, the change in medications, or even the disruption to your daily routine can sometimes trigger a flare.<\/p>\n\n\n\n
To reduce this risk, make sure your IBD team knows you\u2019re having eye surgery. They may want to adjust your treatment plan slightly or monitor you more closely during the postoperative period. Keep taking your regular Crohn\u2019s medications unless advised otherwise, and watch for any early signs of flare-up in the days or weeks after the operation.<\/p>\n\n\n\n
If you do notice a change in your bowel symptoms, don\u2019t ignore it. Prompt treatment can prevent a minor flare from becoming more serious.<\/p>\n\n\n\n
Practical Tips to Help You Prepare for Surgery<\/strong><\/h2>\n\n\n\nHere are some things you can do to make the whole process smoother:<\/p>\n\n\n\n
\n- Coordinate your care<\/strong>: Make sure your ophthalmologist, GP, and gastroenterologist are all aware of the surgery. A short summary letter or clinic note can help them stay aligned.<\/li>\n\n\n\n
- Sort out your meds<\/strong>: Confirm which medications you should continue or stop before the procedure. Don\u2019t assume\u2014it\u2019s always best to check.<\/li>\n\n\n\n
- Boost your nutrition<\/strong>: If you\u2019ve had appetite loss, weight loss, or gut malabsorption recently, ask for a nutritional review.<\/li>\n\n\n\n
- Plan your recovery<\/strong>: Make sure you have someone to help you at home for the first few days, especially if fatigue or gut symptoms are unpredictable.<\/li>\n\n\n\n
- Watch for infection<\/strong>: Even with eye drops, if you develop redness, worsening pain, or discharge from the eye, contact your surgeon right away.<\/li>\n<\/ul>\n\n\n\n
Long-Term Vision Outcomes in Crohn\u2019s Patients<\/strong><\/h2>\n\n\n\nThe good news? Most people with Crohn\u2019s disease who undergo cataract surgery enjoy excellent results. The surgery itself is safe, the visual improvement is often dramatic, and any extra risks can usually be managed with careful planning.<\/p>\n\n\n\n
That said, if your eye has been affected by other IBD-related issues\u2014like uveitis, glaucoma, or retinal inflammation\u2014then your visual outcome might be slightly less predictable. That\u2019s not to say you won\u2019t benefit greatly from surgery\u2014it just means your expectations should be tailored to your unique situation.<\/p>\n\n\n\n
Ask your surgeon for an honest assessment of what to expect. In most cases, cataract surgery remains one of the most rewarding interventions in ophthalmology\u2014even if Crohn\u2019s adds a few extra layers of complexity.<\/p>\n\n\n\n
FAQs<\/strong><\/h2>\n\n\n\n\n- Can Crohn\u2019s disease directly cause cataracts?<\/strong>
Crohn\u2019s disease itself doesn\u2019t directly cause cataracts, but many people with Crohn\u2019s develop them as a side effect of long-term corticosteroid use, which is commonly prescribed to manage inflammation during flares. These steroid-induced cataracts tend to form more quickly and can affect vision at a younger age than typical age-related cataracts. The link is therefore indirect but significant, making regular eye checks important if you\u2019ve been on steroids for an extended period.<\/li>\n\n\n\n- Is it safe to have cataract surgery during a Crohn\u2019s flare-up?<\/strong>
Having cataract surgery while experiencing an active Crohn\u2019s flare is generally not recommended, as the inflammation can weaken your body\u2019s ability to heal and increase the risk of complications like delayed recovery or infection. Most surgeons prefer to schedule the procedure during a stable or remission phase of your condition, which allows for better control of your immune response and reduces the likelihood of postoperative issues. Planning surgery during a quiet period gives you the best chance of a smooth outcome.<\/li>\n\n\n\n- Do biologics increase surgical risk for cataract procedures?<\/strong>
Biologic medications used in Crohn\u2019s, such as infliximab or adalimumab, do slightly suppress the immune system, which may raise your risk of postoperative infection or slow down healing slightly. However, cataract surgery is a clean and minimally invasive procedure, and with proper precautions\u2014including antibiotic drops and good hygiene\u2014the risk remains very low. Your ophthalmologist will usually continue your biologics unless there\u2019s a compelling reason to pause them briefly, and coordination with your IBD team ensures safe timing.<\/li>\n\n\n\n- Can cataract surgery worsen Crohn\u2019s symptoms?<\/strong>
Cataract surgery itself does not typically worsen Crohn\u2019s disease, but the stress associated with surgery\u2014such as fasting, disrupted medication routines, or general anxiety\u2014can sometimes trigger a mild flare. That\u2019s why it\u2019s helpful to keep your gastroenterologist informed before and after surgery so they can watch for early signs of disease activity. Most people tolerate the procedure well, and with a little extra planning, the chances of surgery affecting your gut symptoms are minimal.<\/li>\n\n\n\n- Will I need to stop my Crohn\u2019s medication before surgery?<\/strong>
In most cases, you won\u2019t need to stop your Crohn\u2019s medication before cataract surgery, but it depends on the drug and your overall immune status. Immunosuppressants and biologics are usually continued, especially if stopping them risks triggering a flare, but some clinicians may suggest a brief pause or adjustment depending on timing and healing concerns. Your ophthalmologist and gastroenterologist will usually coordinate to find the safest balance for your treatment plan.<\/li>\n\n\n\n- Are steroid eye drops safe if I\u2019m already steroid-sensitive?<\/strong>
Steroid eye drops are routinely used after cataract surgery to reduce inflammation, and even for patients who are sensitive to systemic steroids, they are generally safe because the amount absorbed into the bloodstream is minimal. However, if you\u2019ve previously had flares or complications linked to steroids, your surgeon may choose a milder formulation, a shorter course, or even a steroid-sparing option to keep your recovery smooth while reducing any systemic impact.<\/li>\n\n\n\n- How long is the recovery for cataract surgery in someone with Crohn\u2019s?<\/strong>
Most people with Crohn\u2019s disease recover from cataract surgery within the usual timeframe of a few days to a couple of weeks, but if you have nutritional deficiencies, are on immunosuppressants, or have ongoing inflammation, healing may take a little longer. You might notice that your vision improves quite quickly, but full healing of the eye surface can be slightly delayed if your body\u2019s ability to repair tissue is compromised. Regular follow-up helps track your progress and adjust care if needed.<\/li>\n\n\n\n- What should I tell my surgeon before cataract surgery?<\/strong>
It\u2019s important to share a full picture of your Crohn\u2019s history with your eye surgeon, including your current medications, any recent flares, past surgeries, and whether you\u2019ve had any reactions to anaesthesia. You should also mention if you\u2019ve experienced nutritional issues or if you\u2019re currently on high-dose steroids or biologics. This information helps your surgeon tailor the procedure and aftercare to minimise risks and make your experience as safe and comfortable as possible.<\/li>\n\n\n\n- Is there a higher risk of infection after cataract surgery with Crohn\u2019s?<\/strong>
There can be a slightly increased risk of infection if you’re on immunosuppressants or biologics for Crohn\u2019s disease, as your body\u2019s natural defences may be reduced, but cataract surgery is performed in a sterile environment with antibiotic drops provided as standard. As long as your medication is well-managed and your immune status is reasonably stable, the risk remains very low, and surgeons take additional precautions if you\u2019re in a higher-risk group.<\/li>\n\n\n\n- Can nutritional deficiencies affect my vision or healing after surgery?<\/strong>
Yes, nutritional deficiencies\u2014especially of vitamins A and D, zinc, or protein\u2014can slow wound healing and increase the risk of dry eyes or surface irritation after cataract surgery, particularly in people with Crohn\u2019s who may have malabsorption or recent weight loss. If you\u2019ve had digestive issues recently, it\u2019s worth having your levels checked before surgery so that any deficiencies can be corrected. Supporting your body nutritionally will make your recovery quicker and more comfortable.<\/li>\n<\/ol>\n\n\n\nFinal Thoughts: You\u2019re Not Alone in This<\/strong><\/h2>\n\n\n\nIt\u2019s completely normal to feel a bit anxious about having eye surgery, especially when you\u2019re already managing a complex condition like Crohn\u2019s disease. But with the right support and planning, you can absolutely achieve a safe and successful outcome. At London Cataract Centre, we\u2019re experienced in working with patients who have additional medical needs, including those on long-term steroids or immunosuppressants. We take the time to understand your full health picture and tailor your cataract surgery accordingly<\/a>\u2014because your recovery and long-term vision matter just as much as the procedure itself.<\/p>\n\n\n\nSo if you\u2019re unsure about timing, medications, or what to expect during recovery, don\u2019t hesitate to reach out. With collaborative care, careful preparation, and a personalised approach, you can move forward with clarity and confidence.<\/p>\n\n\n\n
References<\/strong><\/h2>\n\n\n\n\n- Tripathi, R.C., Malka, N., Kipp, M.A., Hanauer, S.B. and Tripathi, B.J., 1995. Posterior subcapsular cataracts and raised intraocular pressure caused by prolonged oral corticosteroid therapy in adult patients with inflammatory bowel disease. In: I. Weisse, O. Hockwin, K. Green and R.C. Tripathi, eds. Ocular Toxicology<\/em>. Boston, MA: Springer, pp.241\u2013248. Available at: https:\/\/link.springer.com\/chapter\/10.1007\/978-1-4615-1887-7_27<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Huang, X., Zhang, Y., Shi, L., Wu, X. and Ding, X., 2020. Biologics and surgical outcomes in Crohn\u2019s disease: is there a direct link? Journal of Crohn\u2019s and Colitis<\/em>, 14(8), pp.1021\u20131031. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7366403\/<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Healthline, 2018. Steroids and vision: side effects, symptoms, and more. Healthline<\/em>, [online] 6 Jun. Available at: https:\/\/www.healthline.com\/health\/steroids-and-vision<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- European Crohn\u2019s and Colitis Organisation (ECCO), 2023. ECCO Guidelines on Extraintestinal Manifestations in Inflammatory Bowel Disease. Journal of Crohn\u2019s and Colitis<\/em>, 18(1), pp.1\u201334. Available at: https:\/\/academic.oup.com\/ecco-jcc\/article\/18\/1\/1\/7205776<\/a> [Accessed 1 Jul. 2025].<\/li>\n<\/ol>\n\n\n\n
Let me know if you\u2019d like a few more references added or formatted into a bibliography section.<\/p>\n","protected":false},"excerpt":{"rendered":"
If you\u2019re living with Crohn\u2019s disease and facing cataract surgery, you might be wondering how your condition\u2014and the medications you take\u2014might affect the procedure. It\u2019s a valid concern. Cataract surgery is one of the most common and successful operations in the world, but when you add a chronic inflammatory condition like Crohn\u2019s into the mix, […]<\/p>\n","protected":false},"author":2,"featured_media":2933,"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-2931","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\/2931","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=2931"}],"version-history":[{"count":1,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions"}],"predecessor-version":[{"id":2934,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions\/2934"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media\/2933"}],"wp:attachment":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=2931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=2931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n\n\n\nOne of the most common reasons people with Crohn\u2019s disease develop cataracts earlier than expected is prolonged use of corticosteroids like prednisolone. These powerful anti-inflammatory drugs are essential in managing Crohn\u2019s flares, but they come with a range of side effects\u2014including changes in the lens of the eye.<\/p>\n\n\n\n
Steroid-induced cataracts typically take the form of posterior subcapsular cataracts. These grow on the back surface of the lens and tend to affect your near vision first. They can be particularly troublesome because they cause more visual disturbance in bright light and may progress more rapidly than age-related cataracts.<\/p>\n\n\n\n
If you\u2019ve been on steroids\u2014even intermittently\u2014it\u2019s worth flagging this during your pre-surgery consultation. Your ophthalmologist may adjust the surgical technique slightly and will keep a close watch for other steroid-related risks, such as delayed healing or increased intraocular pressure.<\/p>\n\n\n\n
Immunosuppressive Medication and Healing After Surgery<\/strong><\/h2>\n\n\n\nBeyond steroids, many people with Crohn\u2019s are on immunosuppressive medications like azathioprine, methotrexate, or biologics (e.g. infliximab, adalimumab). While these help control gut inflammation, they can also reduce your body\u2019s ability to fight off infections or mount a strong healing response after surgery.<\/p>\n\n\n\n
During cataract surgery, there\u2019s always a small risk of infection or inflammation. For people with a suppressed immune system, that risk\u2014while still low\u2014can be slightly higher. Your surgeon may recommend extra precautions. This could include using antibiotics before or after surgery, adjusting steroid eye drops, or delaying surgery if your immune status is unstable.<\/p>\n\n\n\n
Don\u2019t be alarmed, though. Most people on immunosuppressants still have successful cataract operations. The key is making sure your immune system isn\u2019t overly compromised at the time of surgery and that your Crohn\u2019s is in a relatively stable phase.<\/p>\n\n\n\n
The Importance of Timing: When Should You Have Surgery?<\/strong><\/h2>\n\n\n\n<\/figure>\n\n\n\nTiming is critical when you have Crohn\u2019s. If you\u2019re in the middle of a flare, it’s often best to delay cataract surgery until things settle. Surgery is a form of stress on the body, and your healing mechanisms are less efficient when your gut is inflamed or when you\u2019re losing nutrients.<\/p>\n\n\n\n
Your ophthalmologist may collaborate with your gastroenterologist to identify a \u201csafe window\u201d for surgery. Ideally, this would be a period when your disease is quiet, your blood tests look good, and you\u2019re not on high-dose steroids.<\/p>\n\n\n\n
In some cases, you might need a bit of preparation beforehand\u2014such as adjusting medication doses, improving nutritional status, or pausing certain drugs briefly. These decisions are individualised and depend on your overall health and the urgency of the cataract surgery.<\/p>\n\n\n\n
Nutritional Status: Why It Matters More Than You Might Think<\/strong><\/h2>\n\n\n\nMalnutrition is an underappreciated factor in surgical recovery, and it’s a real concern for many people with Crohn\u2019s. If your gut isn\u2019t absorbing nutrients properly\u2014or if you\u2019ve lost weight recently\u2014your body may struggle to heal after surgery.<\/p>\n\n\n\n
Nutrients like vitamin A, zinc, and protein are particularly important for wound healing and immune function. Before surgery, it\u2019s a good idea to ask your GP or IBD team to check your nutritional status. In some cases, you might benefit from supplements or dietary adjustments in the weeks leading up to your operation.<\/p>\n\n\n\n
Even mild deficiencies can impact recovery\u2014so it\u2019s better to catch these early and address them before the day of surgery.<\/p>\n\n\n\n
Anaesthesia Considerations in Crohn\u2019s Disease<\/strong><\/h2>\n\n\n\nCataract surgery is usually done under local anaesthesia using eye drops and a mild sedative if needed. However, in patients with Crohn\u2019s, even the anaesthesia process might need a bit more thought.<\/p>\n\n\n\n
If you\u2019ve had previous bowel surgeries, adhesions, or fistulae, these may influence your overall surgical risk\u2014even if the procedure is on your eye. Similarly, any history of anaesthetic complications or reactions to sedatives should be discussed upfront.<\/p>\n\n\n\n
In rare cases, general anaesthesia may be considered\u2014for example, in patients with severe anxiety, movement disorders, or communication difficulties. If that\u2019s the case, your anaesthetist will want a full overview of your Crohn\u2019s history, current medications, and any extra-intestinal complications.<\/p>\n\n\n\n
Eye Drops After Surgery: Can They Affect Your Gut?<\/strong><\/h2>\n\n\n\n<\/figure>\n\n\n\nAfter cataract surgery, you\u2019ll be prescribed eye drops\u2014typically a combination of antibiotic and steroid drops. While these are applied topically, a small amount can enter your bloodstream through the tear duct.<\/p>\n\n\n\n
For most people, this tiny absorption is harmless. But if you’re sensitive to steroids or have previously experienced flares triggered by steroid medication, it’s worth asking whether a lower-dose or shorter course of drops could be used.<\/p>\n\n\n\n
There are also preservative-free formulations available if you have a history of eye irritation or allergies. Your ophthalmologist can personalise your drop regimen to balance eye healing with minimal systemic impact.<\/p>\n\n\n\n
Will Cataract Surgery Affect Your Crohn\u2019s Disease Directly?<\/strong><\/h2>\n\n\n\nGenerally, no. Cataract surgery is highly localised to the eye and doesn\u2019t directly impact your digestive tract. However, the stress of surgery, the change in medications, or even the disruption to your daily routine can sometimes trigger a flare.<\/p>\n\n\n\n
To reduce this risk, make sure your IBD team knows you\u2019re having eye surgery. They may want to adjust your treatment plan slightly or monitor you more closely during the postoperative period. Keep taking your regular Crohn\u2019s medications unless advised otherwise, and watch for any early signs of flare-up in the days or weeks after the operation.<\/p>\n\n\n\n
If you do notice a change in your bowel symptoms, don\u2019t ignore it. Prompt treatment can prevent a minor flare from becoming more serious.<\/p>\n\n\n\n
Practical Tips to Help You Prepare for Surgery<\/strong><\/h2>\n\n\n\nHere are some things you can do to make the whole process smoother:<\/p>\n\n\n\n
\n- Coordinate your care<\/strong>: Make sure your ophthalmologist, GP, and gastroenterologist are all aware of the surgery. A short summary letter or clinic note can help them stay aligned.<\/li>\n\n\n\n
- Sort out your meds<\/strong>: Confirm which medications you should continue or stop before the procedure. Don\u2019t assume\u2014it\u2019s always best to check.<\/li>\n\n\n\n
- Boost your nutrition<\/strong>: If you\u2019ve had appetite loss, weight loss, or gut malabsorption recently, ask for a nutritional review.<\/li>\n\n\n\n
- Plan your recovery<\/strong>: Make sure you have someone to help you at home for the first few days, especially if fatigue or gut symptoms are unpredictable.<\/li>\n\n\n\n
- Watch for infection<\/strong>: Even with eye drops, if you develop redness, worsening pain, or discharge from the eye, contact your surgeon right away.<\/li>\n<\/ul>\n\n\n\n
Long-Term Vision Outcomes in Crohn\u2019s Patients<\/strong><\/h2>\n\n\n\nThe good news? Most people with Crohn\u2019s disease who undergo cataract surgery enjoy excellent results. The surgery itself is safe, the visual improvement is often dramatic, and any extra risks can usually be managed with careful planning.<\/p>\n\n\n\n
That said, if your eye has been affected by other IBD-related issues\u2014like uveitis, glaucoma, or retinal inflammation\u2014then your visual outcome might be slightly less predictable. That\u2019s not to say you won\u2019t benefit greatly from surgery\u2014it just means your expectations should be tailored to your unique situation.<\/p>\n\n\n\n
Ask your surgeon for an honest assessment of what to expect. In most cases, cataract surgery remains one of the most rewarding interventions in ophthalmology\u2014even if Crohn\u2019s adds a few extra layers of complexity.<\/p>\n\n\n\n
FAQs<\/strong><\/h2>\n\n\n\n\n- Can Crohn\u2019s disease directly cause cataracts?<\/strong>
Crohn\u2019s disease itself doesn\u2019t directly cause cataracts, but many people with Crohn\u2019s develop them as a side effect of long-term corticosteroid use, which is commonly prescribed to manage inflammation during flares. These steroid-induced cataracts tend to form more quickly and can affect vision at a younger age than typical age-related cataracts. The link is therefore indirect but significant, making regular eye checks important if you\u2019ve been on steroids for an extended period.<\/li>\n\n\n\n- Is it safe to have cataract surgery during a Crohn\u2019s flare-up?<\/strong>
Having cataract surgery while experiencing an active Crohn\u2019s flare is generally not recommended, as the inflammation can weaken your body\u2019s ability to heal and increase the risk of complications like delayed recovery or infection. Most surgeons prefer to schedule the procedure during a stable or remission phase of your condition, which allows for better control of your immune response and reduces the likelihood of postoperative issues. Planning surgery during a quiet period gives you the best chance of a smooth outcome.<\/li>\n\n\n\n- Do biologics increase surgical risk for cataract procedures?<\/strong>
Biologic medications used in Crohn\u2019s, such as infliximab or adalimumab, do slightly suppress the immune system, which may raise your risk of postoperative infection or slow down healing slightly. However, cataract surgery is a clean and minimally invasive procedure, and with proper precautions\u2014including antibiotic drops and good hygiene\u2014the risk remains very low. Your ophthalmologist will usually continue your biologics unless there\u2019s a compelling reason to pause them briefly, and coordination with your IBD team ensures safe timing.<\/li>\n\n\n\n- Can cataract surgery worsen Crohn\u2019s symptoms?<\/strong>
Cataract surgery itself does not typically worsen Crohn\u2019s disease, but the stress associated with surgery\u2014such as fasting, disrupted medication routines, or general anxiety\u2014can sometimes trigger a mild flare. That\u2019s why it\u2019s helpful to keep your gastroenterologist informed before and after surgery so they can watch for early signs of disease activity. Most people tolerate the procedure well, and with a little extra planning, the chances of surgery affecting your gut symptoms are minimal.<\/li>\n\n\n\n- Will I need to stop my Crohn\u2019s medication before surgery?<\/strong>
In most cases, you won\u2019t need to stop your Crohn\u2019s medication before cataract surgery, but it depends on the drug and your overall immune status. Immunosuppressants and biologics are usually continued, especially if stopping them risks triggering a flare, but some clinicians may suggest a brief pause or adjustment depending on timing and healing concerns. Your ophthalmologist and gastroenterologist will usually coordinate to find the safest balance for your treatment plan.<\/li>\n\n\n\n- Are steroid eye drops safe if I\u2019m already steroid-sensitive?<\/strong>
Steroid eye drops are routinely used after cataract surgery to reduce inflammation, and even for patients who are sensitive to systemic steroids, they are generally safe because the amount absorbed into the bloodstream is minimal. However, if you\u2019ve previously had flares or complications linked to steroids, your surgeon may choose a milder formulation, a shorter course, or even a steroid-sparing option to keep your recovery smooth while reducing any systemic impact.<\/li>\n\n\n\n- How long is the recovery for cataract surgery in someone with Crohn\u2019s?<\/strong>
Most people with Crohn\u2019s disease recover from cataract surgery within the usual timeframe of a few days to a couple of weeks, but if you have nutritional deficiencies, are on immunosuppressants, or have ongoing inflammation, healing may take a little longer. You might notice that your vision improves quite quickly, but full healing of the eye surface can be slightly delayed if your body\u2019s ability to repair tissue is compromised. Regular follow-up helps track your progress and adjust care if needed.<\/li>\n\n\n\n- What should I tell my surgeon before cataract surgery?<\/strong>
It\u2019s important to share a full picture of your Crohn\u2019s history with your eye surgeon, including your current medications, any recent flares, past surgeries, and whether you\u2019ve had any reactions to anaesthesia. You should also mention if you\u2019ve experienced nutritional issues or if you\u2019re currently on high-dose steroids or biologics. This information helps your surgeon tailor the procedure and aftercare to minimise risks and make your experience as safe and comfortable as possible.<\/li>\n\n\n\n- Is there a higher risk of infection after cataract surgery with Crohn\u2019s?<\/strong>
There can be a slightly increased risk of infection if you’re on immunosuppressants or biologics for Crohn\u2019s disease, as your body\u2019s natural defences may be reduced, but cataract surgery is performed in a sterile environment with antibiotic drops provided as standard. As long as your medication is well-managed and your immune status is reasonably stable, the risk remains very low, and surgeons take additional precautions if you\u2019re in a higher-risk group.<\/li>\n\n\n\n- Can nutritional deficiencies affect my vision or healing after surgery?<\/strong>
Yes, nutritional deficiencies\u2014especially of vitamins A and D, zinc, or protein\u2014can slow wound healing and increase the risk of dry eyes or surface irritation after cataract surgery, particularly in people with Crohn\u2019s who may have malabsorption or recent weight loss. If you\u2019ve had digestive issues recently, it\u2019s worth having your levels checked before surgery so that any deficiencies can be corrected. Supporting your body nutritionally will make your recovery quicker and more comfortable.<\/li>\n<\/ol>\n\n\n\nFinal Thoughts: You\u2019re Not Alone in This<\/strong><\/h2>\n\n\n\nIt\u2019s completely normal to feel a bit anxious about having eye surgery, especially when you\u2019re already managing a complex condition like Crohn\u2019s disease. But with the right support and planning, you can absolutely achieve a safe and successful outcome. At London Cataract Centre, we\u2019re experienced in working with patients who have additional medical needs, including those on long-term steroids or immunosuppressants. We take the time to understand your full health picture and tailor your cataract surgery accordingly<\/a>\u2014because your recovery and long-term vision matter just as much as the procedure itself.<\/p>\n\n\n\nSo if you\u2019re unsure about timing, medications, or what to expect during recovery, don\u2019t hesitate to reach out. With collaborative care, careful preparation, and a personalised approach, you can move forward with clarity and confidence.<\/p>\n\n\n\n
References<\/strong><\/h2>\n\n\n\n\n- Tripathi, R.C., Malka, N., Kipp, M.A., Hanauer, S.B. and Tripathi, B.J., 1995. Posterior subcapsular cataracts and raised intraocular pressure caused by prolonged oral corticosteroid therapy in adult patients with inflammatory bowel disease. In: I. Weisse, O. Hockwin, K. Green and R.C. Tripathi, eds. Ocular Toxicology<\/em>. Boston, MA: Springer, pp.241\u2013248. Available at: https:\/\/link.springer.com\/chapter\/10.1007\/978-1-4615-1887-7_27<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Huang, X., Zhang, Y., Shi, L., Wu, X. and Ding, X., 2020. Biologics and surgical outcomes in Crohn\u2019s disease: is there a direct link? Journal of Crohn\u2019s and Colitis<\/em>, 14(8), pp.1021\u20131031. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7366403\/<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Healthline, 2018. Steroids and vision: side effects, symptoms, and more. Healthline<\/em>, [online] 6 Jun. Available at: https:\/\/www.healthline.com\/health\/steroids-and-vision<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- European Crohn\u2019s and Colitis Organisation (ECCO), 2023. ECCO Guidelines on Extraintestinal Manifestations in Inflammatory Bowel Disease. Journal of Crohn\u2019s and Colitis<\/em>, 18(1), pp.1\u201334. Available at: https:\/\/academic.oup.com\/ecco-jcc\/article\/18\/1\/1\/7205776<\/a> [Accessed 1 Jul. 2025].<\/li>\n<\/ol>\n\n\n\n
Let me know if you\u2019d like a few more references added or formatted into a bibliography section.<\/p>\n","protected":false},"excerpt":{"rendered":"
If you\u2019re living with Crohn\u2019s disease and facing cataract surgery, you might be wondering how your condition\u2014and the medications you take\u2014might affect the procedure. It\u2019s a valid concern. Cataract surgery is one of the most common and successful operations in the world, but when you add a chronic inflammatory condition like Crohn\u2019s into the mix, […]<\/p>\n","protected":false},"author":2,"featured_media":2933,"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-2931","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\/2931","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=2931"}],"version-history":[{"count":1,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions"}],"predecessor-version":[{"id":2934,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions\/2934"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media\/2933"}],"wp:attachment":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=2931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=2931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n\n\n\nTiming is critical when you have Crohn\u2019s. If you\u2019re in the middle of a flare, it’s often best to delay cataract surgery until things settle. Surgery is a form of stress on the body, and your healing mechanisms are less efficient when your gut is inflamed or when you\u2019re losing nutrients.<\/p>\n\n\n\n
Your ophthalmologist may collaborate with your gastroenterologist to identify a \u201csafe window\u201d for surgery. Ideally, this would be a period when your disease is quiet, your blood tests look good, and you\u2019re not on high-dose steroids.<\/p>\n\n\n\n
In some cases, you might need a bit of preparation beforehand\u2014such as adjusting medication doses, improving nutritional status, or pausing certain drugs briefly. These decisions are individualised and depend on your overall health and the urgency of the cataract surgery.<\/p>\n\n\n\n
Nutritional Status: Why It Matters More Than You Might Think<\/strong><\/h2>\n\n\n\nMalnutrition is an underappreciated factor in surgical recovery, and it’s a real concern for many people with Crohn\u2019s. If your gut isn\u2019t absorbing nutrients properly\u2014or if you\u2019ve lost weight recently\u2014your body may struggle to heal after surgery.<\/p>\n\n\n\n
Nutrients like vitamin A, zinc, and protein are particularly important for wound healing and immune function. Before surgery, it\u2019s a good idea to ask your GP or IBD team to check your nutritional status. In some cases, you might benefit from supplements or dietary adjustments in the weeks leading up to your operation.<\/p>\n\n\n\n
Even mild deficiencies can impact recovery\u2014so it\u2019s better to catch these early and address them before the day of surgery.<\/p>\n\n\n\n
Anaesthesia Considerations in Crohn\u2019s Disease<\/strong><\/h2>\n\n\n\nCataract surgery is usually done under local anaesthesia using eye drops and a mild sedative if needed. However, in patients with Crohn\u2019s, even the anaesthesia process might need a bit more thought.<\/p>\n\n\n\n
If you\u2019ve had previous bowel surgeries, adhesions, or fistulae, these may influence your overall surgical risk\u2014even if the procedure is on your eye. Similarly, any history of anaesthetic complications or reactions to sedatives should be discussed upfront.<\/p>\n\n\n\n
In rare cases, general anaesthesia may be considered\u2014for example, in patients with severe anxiety, movement disorders, or communication difficulties. If that\u2019s the case, your anaesthetist will want a full overview of your Crohn\u2019s history, current medications, and any extra-intestinal complications.<\/p>\n\n\n\n
Eye Drops After Surgery: Can They Affect Your Gut?<\/strong><\/h2>\n\n\n\n<\/figure>\n\n\n\nAfter cataract surgery, you\u2019ll be prescribed eye drops\u2014typically a combination of antibiotic and steroid drops. While these are applied topically, a small amount can enter your bloodstream through the tear duct.<\/p>\n\n\n\n
For most people, this tiny absorption is harmless. But if you’re sensitive to steroids or have previously experienced flares triggered by steroid medication, it’s worth asking whether a lower-dose or shorter course of drops could be used.<\/p>\n\n\n\n
There are also preservative-free formulations available if you have a history of eye irritation or allergies. Your ophthalmologist can personalise your drop regimen to balance eye healing with minimal systemic impact.<\/p>\n\n\n\n
Will Cataract Surgery Affect Your Crohn\u2019s Disease Directly?<\/strong><\/h2>\n\n\n\nGenerally, no. Cataract surgery is highly localised to the eye and doesn\u2019t directly impact your digestive tract. However, the stress of surgery, the change in medications, or even the disruption to your daily routine can sometimes trigger a flare.<\/p>\n\n\n\n
To reduce this risk, make sure your IBD team knows you\u2019re having eye surgery. They may want to adjust your treatment plan slightly or monitor you more closely during the postoperative period. Keep taking your regular Crohn\u2019s medications unless advised otherwise, and watch for any early signs of flare-up in the days or weeks after the operation.<\/p>\n\n\n\n
If you do notice a change in your bowel symptoms, don\u2019t ignore it. Prompt treatment can prevent a minor flare from becoming more serious.<\/p>\n\n\n\n
Practical Tips to Help You Prepare for Surgery<\/strong><\/h2>\n\n\n\nHere are some things you can do to make the whole process smoother:<\/p>\n\n\n\n
\n- Coordinate your care<\/strong>: Make sure your ophthalmologist, GP, and gastroenterologist are all aware of the surgery. A short summary letter or clinic note can help them stay aligned.<\/li>\n\n\n\n
- Sort out your meds<\/strong>: Confirm which medications you should continue or stop before the procedure. Don\u2019t assume\u2014it\u2019s always best to check.<\/li>\n\n\n\n
- Boost your nutrition<\/strong>: If you\u2019ve had appetite loss, weight loss, or gut malabsorption recently, ask for a nutritional review.<\/li>\n\n\n\n
- Plan your recovery<\/strong>: Make sure you have someone to help you at home for the first few days, especially if fatigue or gut symptoms are unpredictable.<\/li>\n\n\n\n
- Watch for infection<\/strong>: Even with eye drops, if you develop redness, worsening pain, or discharge from the eye, contact your surgeon right away.<\/li>\n<\/ul>\n\n\n\n
Long-Term Vision Outcomes in Crohn\u2019s Patients<\/strong><\/h2>\n\n\n\nThe good news? Most people with Crohn\u2019s disease who undergo cataract surgery enjoy excellent results. The surgery itself is safe, the visual improvement is often dramatic, and any extra risks can usually be managed with careful planning.<\/p>\n\n\n\n
That said, if your eye has been affected by other IBD-related issues\u2014like uveitis, glaucoma, or retinal inflammation\u2014then your visual outcome might be slightly less predictable. That\u2019s not to say you won\u2019t benefit greatly from surgery\u2014it just means your expectations should be tailored to your unique situation.<\/p>\n\n\n\n
Ask your surgeon for an honest assessment of what to expect. In most cases, cataract surgery remains one of the most rewarding interventions in ophthalmology\u2014even if Crohn\u2019s adds a few extra layers of complexity.<\/p>\n\n\n\n
FAQs<\/strong><\/h2>\n\n\n\n\n- Can Crohn\u2019s disease directly cause cataracts?<\/strong>
Crohn\u2019s disease itself doesn\u2019t directly cause cataracts, but many people with Crohn\u2019s develop them as a side effect of long-term corticosteroid use, which is commonly prescribed to manage inflammation during flares. These steroid-induced cataracts tend to form more quickly and can affect vision at a younger age than typical age-related cataracts. The link is therefore indirect but significant, making regular eye checks important if you\u2019ve been on steroids for an extended period.<\/li>\n\n\n\n- Is it safe to have cataract surgery during a Crohn\u2019s flare-up?<\/strong>
Having cataract surgery while experiencing an active Crohn\u2019s flare is generally not recommended, as the inflammation can weaken your body\u2019s ability to heal and increase the risk of complications like delayed recovery or infection. Most surgeons prefer to schedule the procedure during a stable or remission phase of your condition, which allows for better control of your immune response and reduces the likelihood of postoperative issues. Planning surgery during a quiet period gives you the best chance of a smooth outcome.<\/li>\n\n\n\n- Do biologics increase surgical risk for cataract procedures?<\/strong>
Biologic medications used in Crohn\u2019s, such as infliximab or adalimumab, do slightly suppress the immune system, which may raise your risk of postoperative infection or slow down healing slightly. However, cataract surgery is a clean and minimally invasive procedure, and with proper precautions\u2014including antibiotic drops and good hygiene\u2014the risk remains very low. Your ophthalmologist will usually continue your biologics unless there\u2019s a compelling reason to pause them briefly, and coordination with your IBD team ensures safe timing.<\/li>\n\n\n\n- Can cataract surgery worsen Crohn\u2019s symptoms?<\/strong>
Cataract surgery itself does not typically worsen Crohn\u2019s disease, but the stress associated with surgery\u2014such as fasting, disrupted medication routines, or general anxiety\u2014can sometimes trigger a mild flare. That\u2019s why it\u2019s helpful to keep your gastroenterologist informed before and after surgery so they can watch for early signs of disease activity. Most people tolerate the procedure well, and with a little extra planning, the chances of surgery affecting your gut symptoms are minimal.<\/li>\n\n\n\n- Will I need to stop my Crohn\u2019s medication before surgery?<\/strong>
In most cases, you won\u2019t need to stop your Crohn\u2019s medication before cataract surgery, but it depends on the drug and your overall immune status. Immunosuppressants and biologics are usually continued, especially if stopping them risks triggering a flare, but some clinicians may suggest a brief pause or adjustment depending on timing and healing concerns. Your ophthalmologist and gastroenterologist will usually coordinate to find the safest balance for your treatment plan.<\/li>\n\n\n\n- Are steroid eye drops safe if I\u2019m already steroid-sensitive?<\/strong>
Steroid eye drops are routinely used after cataract surgery to reduce inflammation, and even for patients who are sensitive to systemic steroids, they are generally safe because the amount absorbed into the bloodstream is minimal. However, if you\u2019ve previously had flares or complications linked to steroids, your surgeon may choose a milder formulation, a shorter course, or even a steroid-sparing option to keep your recovery smooth while reducing any systemic impact.<\/li>\n\n\n\n- How long is the recovery for cataract surgery in someone with Crohn\u2019s?<\/strong>
Most people with Crohn\u2019s disease recover from cataract surgery within the usual timeframe of a few days to a couple of weeks, but if you have nutritional deficiencies, are on immunosuppressants, or have ongoing inflammation, healing may take a little longer. You might notice that your vision improves quite quickly, but full healing of the eye surface can be slightly delayed if your body\u2019s ability to repair tissue is compromised. Regular follow-up helps track your progress and adjust care if needed.<\/li>\n\n\n\n- What should I tell my surgeon before cataract surgery?<\/strong>
It\u2019s important to share a full picture of your Crohn\u2019s history with your eye surgeon, including your current medications, any recent flares, past surgeries, and whether you\u2019ve had any reactions to anaesthesia. You should also mention if you\u2019ve experienced nutritional issues or if you\u2019re currently on high-dose steroids or biologics. This information helps your surgeon tailor the procedure and aftercare to minimise risks and make your experience as safe and comfortable as possible.<\/li>\n\n\n\n- Is there a higher risk of infection after cataract surgery with Crohn\u2019s?<\/strong>
There can be a slightly increased risk of infection if you’re on immunosuppressants or biologics for Crohn\u2019s disease, as your body\u2019s natural defences may be reduced, but cataract surgery is performed in a sterile environment with antibiotic drops provided as standard. As long as your medication is well-managed and your immune status is reasonably stable, the risk remains very low, and surgeons take additional precautions if you\u2019re in a higher-risk group.<\/li>\n\n\n\n- Can nutritional deficiencies affect my vision or healing after surgery?<\/strong>
Yes, nutritional deficiencies\u2014especially of vitamins A and D, zinc, or protein\u2014can slow wound healing and increase the risk of dry eyes or surface irritation after cataract surgery, particularly in people with Crohn\u2019s who may have malabsorption or recent weight loss. If you\u2019ve had digestive issues recently, it\u2019s worth having your levels checked before surgery so that any deficiencies can be corrected. Supporting your body nutritionally will make your recovery quicker and more comfortable.<\/li>\n<\/ol>\n\n\n\nFinal Thoughts: You\u2019re Not Alone in This<\/strong><\/h2>\n\n\n\nIt\u2019s completely normal to feel a bit anxious about having eye surgery, especially when you\u2019re already managing a complex condition like Crohn\u2019s disease. But with the right support and planning, you can absolutely achieve a safe and successful outcome. At London Cataract Centre, we\u2019re experienced in working with patients who have additional medical needs, including those on long-term steroids or immunosuppressants. We take the time to understand your full health picture and tailor your cataract surgery accordingly<\/a>\u2014because your recovery and long-term vision matter just as much as the procedure itself.<\/p>\n\n\n\nSo if you\u2019re unsure about timing, medications, or what to expect during recovery, don\u2019t hesitate to reach out. With collaborative care, careful preparation, and a personalised approach, you can move forward with clarity and confidence.<\/p>\n\n\n\n
References<\/strong><\/h2>\n\n\n\n\n- Tripathi, R.C., Malka, N., Kipp, M.A., Hanauer, S.B. and Tripathi, B.J., 1995. Posterior subcapsular cataracts and raised intraocular pressure caused by prolonged oral corticosteroid therapy in adult patients with inflammatory bowel disease. In: I. Weisse, O. Hockwin, K. Green and R.C. Tripathi, eds. Ocular Toxicology<\/em>. Boston, MA: Springer, pp.241\u2013248. Available at: https:\/\/link.springer.com\/chapter\/10.1007\/978-1-4615-1887-7_27<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Huang, X., Zhang, Y., Shi, L., Wu, X. and Ding, X., 2020. Biologics and surgical outcomes in Crohn\u2019s disease: is there a direct link? Journal of Crohn\u2019s and Colitis<\/em>, 14(8), pp.1021\u20131031. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7366403\/<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Healthline, 2018. Steroids and vision: side effects, symptoms, and more. Healthline<\/em>, [online] 6 Jun. Available at: https:\/\/www.healthline.com\/health\/steroids-and-vision<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- European Crohn\u2019s and Colitis Organisation (ECCO), 2023. ECCO Guidelines on Extraintestinal Manifestations in Inflammatory Bowel Disease. Journal of Crohn\u2019s and Colitis<\/em>, 18(1), pp.1\u201334. Available at: https:\/\/academic.oup.com\/ecco-jcc\/article\/18\/1\/1\/7205776<\/a> [Accessed 1 Jul. 2025].<\/li>\n<\/ol>\n\n\n\n
Let me know if you\u2019d like a few more references added or formatted into a bibliography section.<\/p>\n","protected":false},"excerpt":{"rendered":"
If you\u2019re living with Crohn\u2019s disease and facing cataract surgery, you might be wondering how your condition\u2014and the medications you take\u2014might affect the procedure. It\u2019s a valid concern. Cataract surgery is one of the most common and successful operations in the world, but when you add a chronic inflammatory condition like Crohn\u2019s into the mix, […]<\/p>\n","protected":false},"author":2,"featured_media":2933,"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-2931","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\/2931","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=2931"}],"version-history":[{"count":1,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions"}],"predecessor-version":[{"id":2934,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions\/2934"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media\/2933"}],"wp:attachment":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=2931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=2931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Cataract surgery is usually done under local anaesthesia using eye drops and a mild sedative if needed. However, in patients with Crohn\u2019s, even the anaesthesia process might need a bit more thought.<\/p>\n\n\n\n
If you\u2019ve had previous bowel surgeries, adhesions, or fistulae, these may influence your overall surgical risk\u2014even if the procedure is on your eye. Similarly, any history of anaesthetic complications or reactions to sedatives should be discussed upfront.<\/p>\n\n\n\n
In rare cases, general anaesthesia may be considered\u2014for example, in patients with severe anxiety, movement disorders, or communication difficulties. If that\u2019s the case, your anaesthetist will want a full overview of your Crohn\u2019s history, current medications, and any extra-intestinal complications.<\/p>\n\n\n\n
Eye Drops After Surgery: Can They Affect Your Gut?<\/strong><\/h2>\n\n\n\n<\/figure>\n\n\n\nAfter cataract surgery, you\u2019ll be prescribed eye drops\u2014typically a combination of antibiotic and steroid drops. While these are applied topically, a small amount can enter your bloodstream through the tear duct.<\/p>\n\n\n\n
For most people, this tiny absorption is harmless. But if you’re sensitive to steroids or have previously experienced flares triggered by steroid medication, it’s worth asking whether a lower-dose or shorter course of drops could be used.<\/p>\n\n\n\n
There are also preservative-free formulations available if you have a history of eye irritation or allergies. Your ophthalmologist can personalise your drop regimen to balance eye healing with minimal systemic impact.<\/p>\n\n\n\n
Will Cataract Surgery Affect Your Crohn\u2019s Disease Directly?<\/strong><\/h2>\n\n\n\nGenerally, no. Cataract surgery is highly localised to the eye and doesn\u2019t directly impact your digestive tract. However, the stress of surgery, the change in medications, or even the disruption to your daily routine can sometimes trigger a flare.<\/p>\n\n\n\n
To reduce this risk, make sure your IBD team knows you\u2019re having eye surgery. They may want to adjust your treatment plan slightly or monitor you more closely during the postoperative period. Keep taking your regular Crohn\u2019s medications unless advised otherwise, and watch for any early signs of flare-up in the days or weeks after the operation.<\/p>\n\n\n\n
If you do notice a change in your bowel symptoms, don\u2019t ignore it. Prompt treatment can prevent a minor flare from becoming more serious.<\/p>\n\n\n\n
Practical Tips to Help You Prepare for Surgery<\/strong><\/h2>\n\n\n\nHere are some things you can do to make the whole process smoother:<\/p>\n\n\n\n
\n- Coordinate your care<\/strong>: Make sure your ophthalmologist, GP, and gastroenterologist are all aware of the surgery. A short summary letter or clinic note can help them stay aligned.<\/li>\n\n\n\n
- Sort out your meds<\/strong>: Confirm which medications you should continue or stop before the procedure. Don\u2019t assume\u2014it\u2019s always best to check.<\/li>\n\n\n\n
- Boost your nutrition<\/strong>: If you\u2019ve had appetite loss, weight loss, or gut malabsorption recently, ask for a nutritional review.<\/li>\n\n\n\n
- Plan your recovery<\/strong>: Make sure you have someone to help you at home for the first few days, especially if fatigue or gut symptoms are unpredictable.<\/li>\n\n\n\n
- Watch for infection<\/strong>: Even with eye drops, if you develop redness, worsening pain, or discharge from the eye, contact your surgeon right away.<\/li>\n<\/ul>\n\n\n\n
Long-Term Vision Outcomes in Crohn\u2019s Patients<\/strong><\/h2>\n\n\n\nThe good news? Most people with Crohn\u2019s disease who undergo cataract surgery enjoy excellent results. The surgery itself is safe, the visual improvement is often dramatic, and any extra risks can usually be managed with careful planning.<\/p>\n\n\n\n
That said, if your eye has been affected by other IBD-related issues\u2014like uveitis, glaucoma, or retinal inflammation\u2014then your visual outcome might be slightly less predictable. That\u2019s not to say you won\u2019t benefit greatly from surgery\u2014it just means your expectations should be tailored to your unique situation.<\/p>\n\n\n\n
Ask your surgeon for an honest assessment of what to expect. In most cases, cataract surgery remains one of the most rewarding interventions in ophthalmology\u2014even if Crohn\u2019s adds a few extra layers of complexity.<\/p>\n\n\n\n
FAQs<\/strong><\/h2>\n\n\n\n\n- Can Crohn\u2019s disease directly cause cataracts?<\/strong>
Crohn\u2019s disease itself doesn\u2019t directly cause cataracts, but many people with Crohn\u2019s develop them as a side effect of long-term corticosteroid use, which is commonly prescribed to manage inflammation during flares. These steroid-induced cataracts tend to form more quickly and can affect vision at a younger age than typical age-related cataracts. The link is therefore indirect but significant, making regular eye checks important if you\u2019ve been on steroids for an extended period.<\/li>\n\n\n\n- Is it safe to have cataract surgery during a Crohn\u2019s flare-up?<\/strong>
Having cataract surgery while experiencing an active Crohn\u2019s flare is generally not recommended, as the inflammation can weaken your body\u2019s ability to heal and increase the risk of complications like delayed recovery or infection. Most surgeons prefer to schedule the procedure during a stable or remission phase of your condition, which allows for better control of your immune response and reduces the likelihood of postoperative issues. Planning surgery during a quiet period gives you the best chance of a smooth outcome.<\/li>\n\n\n\n- Do biologics increase surgical risk for cataract procedures?<\/strong>
Biologic medications used in Crohn\u2019s, such as infliximab or adalimumab, do slightly suppress the immune system, which may raise your risk of postoperative infection or slow down healing slightly. However, cataract surgery is a clean and minimally invasive procedure, and with proper precautions\u2014including antibiotic drops and good hygiene\u2014the risk remains very low. Your ophthalmologist will usually continue your biologics unless there\u2019s a compelling reason to pause them briefly, and coordination with your IBD team ensures safe timing.<\/li>\n\n\n\n- Can cataract surgery worsen Crohn\u2019s symptoms?<\/strong>
Cataract surgery itself does not typically worsen Crohn\u2019s disease, but the stress associated with surgery\u2014such as fasting, disrupted medication routines, or general anxiety\u2014can sometimes trigger a mild flare. That\u2019s why it\u2019s helpful to keep your gastroenterologist informed before and after surgery so they can watch for early signs of disease activity. Most people tolerate the procedure well, and with a little extra planning, the chances of surgery affecting your gut symptoms are minimal.<\/li>\n\n\n\n- Will I need to stop my Crohn\u2019s medication before surgery?<\/strong>
In most cases, you won\u2019t need to stop your Crohn\u2019s medication before cataract surgery, but it depends on the drug and your overall immune status. Immunosuppressants and biologics are usually continued, especially if stopping them risks triggering a flare, but some clinicians may suggest a brief pause or adjustment depending on timing and healing concerns. Your ophthalmologist and gastroenterologist will usually coordinate to find the safest balance for your treatment plan.<\/li>\n\n\n\n- Are steroid eye drops safe if I\u2019m already steroid-sensitive?<\/strong>
Steroid eye drops are routinely used after cataract surgery to reduce inflammation, and even for patients who are sensitive to systemic steroids, they are generally safe because the amount absorbed into the bloodstream is minimal. However, if you\u2019ve previously had flares or complications linked to steroids, your surgeon may choose a milder formulation, a shorter course, or even a steroid-sparing option to keep your recovery smooth while reducing any systemic impact.<\/li>\n\n\n\n- How long is the recovery for cataract surgery in someone with Crohn\u2019s?<\/strong>
Most people with Crohn\u2019s disease recover from cataract surgery within the usual timeframe of a few days to a couple of weeks, but if you have nutritional deficiencies, are on immunosuppressants, or have ongoing inflammation, healing may take a little longer. You might notice that your vision improves quite quickly, but full healing of the eye surface can be slightly delayed if your body\u2019s ability to repair tissue is compromised. Regular follow-up helps track your progress and adjust care if needed.<\/li>\n\n\n\n- What should I tell my surgeon before cataract surgery?<\/strong>
It\u2019s important to share a full picture of your Crohn\u2019s history with your eye surgeon, including your current medications, any recent flares, past surgeries, and whether you\u2019ve had any reactions to anaesthesia. You should also mention if you\u2019ve experienced nutritional issues or if you\u2019re currently on high-dose steroids or biologics. This information helps your surgeon tailor the procedure and aftercare to minimise risks and make your experience as safe and comfortable as possible.<\/li>\n\n\n\n- Is there a higher risk of infection after cataract surgery with Crohn\u2019s?<\/strong>
There can be a slightly increased risk of infection if you’re on immunosuppressants or biologics for Crohn\u2019s disease, as your body\u2019s natural defences may be reduced, but cataract surgery is performed in a sterile environment with antibiotic drops provided as standard. As long as your medication is well-managed and your immune status is reasonably stable, the risk remains very low, and surgeons take additional precautions if you\u2019re in a higher-risk group.<\/li>\n\n\n\n- Can nutritional deficiencies affect my vision or healing after surgery?<\/strong>
Yes, nutritional deficiencies\u2014especially of vitamins A and D, zinc, or protein\u2014can slow wound healing and increase the risk of dry eyes or surface irritation after cataract surgery, particularly in people with Crohn\u2019s who may have malabsorption or recent weight loss. If you\u2019ve had digestive issues recently, it\u2019s worth having your levels checked before surgery so that any deficiencies can be corrected. Supporting your body nutritionally will make your recovery quicker and more comfortable.<\/li>\n<\/ol>\n\n\n\nFinal Thoughts: You\u2019re Not Alone in This<\/strong><\/h2>\n\n\n\nIt\u2019s completely normal to feel a bit anxious about having eye surgery, especially when you\u2019re already managing a complex condition like Crohn\u2019s disease. But with the right support and planning, you can absolutely achieve a safe and successful outcome. At London Cataract Centre, we\u2019re experienced in working with patients who have additional medical needs, including those on long-term steroids or immunosuppressants. We take the time to understand your full health picture and tailor your cataract surgery accordingly<\/a>\u2014because your recovery and long-term vision matter just as much as the procedure itself.<\/p>\n\n\n\nSo if you\u2019re unsure about timing, medications, or what to expect during recovery, don\u2019t hesitate to reach out. With collaborative care, careful preparation, and a personalised approach, you can move forward with clarity and confidence.<\/p>\n\n\n\n
References<\/strong><\/h2>\n\n\n\n\n- Tripathi, R.C., Malka, N., Kipp, M.A., Hanauer, S.B. and Tripathi, B.J., 1995. Posterior subcapsular cataracts and raised intraocular pressure caused by prolonged oral corticosteroid therapy in adult patients with inflammatory bowel disease. In: I. Weisse, O. Hockwin, K. Green and R.C. Tripathi, eds. Ocular Toxicology<\/em>. Boston, MA: Springer, pp.241\u2013248. Available at: https:\/\/link.springer.com\/chapter\/10.1007\/978-1-4615-1887-7_27<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Huang, X., Zhang, Y., Shi, L., Wu, X. and Ding, X., 2020. Biologics and surgical outcomes in Crohn\u2019s disease: is there a direct link? Journal of Crohn\u2019s and Colitis<\/em>, 14(8), pp.1021\u20131031. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7366403\/<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Healthline, 2018. Steroids and vision: side effects, symptoms, and more. Healthline<\/em>, [online] 6 Jun. Available at: https:\/\/www.healthline.com\/health\/steroids-and-vision<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- European Crohn\u2019s and Colitis Organisation (ECCO), 2023. ECCO Guidelines on Extraintestinal Manifestations in Inflammatory Bowel Disease. Journal of Crohn\u2019s and Colitis<\/em>, 18(1), pp.1\u201334. Available at: https:\/\/academic.oup.com\/ecco-jcc\/article\/18\/1\/1\/7205776<\/a> [Accessed 1 Jul. 2025].<\/li>\n<\/ol>\n\n\n\n
Let me know if you\u2019d like a few more references added or formatted into a bibliography section.<\/p>\n","protected":false},"excerpt":{"rendered":"
If you\u2019re living with Crohn\u2019s disease and facing cataract surgery, you might be wondering how your condition\u2014and the medications you take\u2014might affect the procedure. It\u2019s a valid concern. Cataract surgery is one of the most common and successful operations in the world, but when you add a chronic inflammatory condition like Crohn\u2019s into the mix, […]<\/p>\n","protected":false},"author":2,"featured_media":2933,"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-2931","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\/2931","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=2931"}],"version-history":[{"count":1,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions"}],"predecessor-version":[{"id":2934,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions\/2934"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media\/2933"}],"wp:attachment":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=2931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=2931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/figure>\n\n\n\nAfter cataract surgery, you\u2019ll be prescribed eye drops\u2014typically a combination of antibiotic and steroid drops. While these are applied topically, a small amount can enter your bloodstream through the tear duct.<\/p>\n\n\n\n
For most people, this tiny absorption is harmless. But if you’re sensitive to steroids or have previously experienced flares triggered by steroid medication, it’s worth asking whether a lower-dose or shorter course of drops could be used.<\/p>\n\n\n\n
There are also preservative-free formulations available if you have a history of eye irritation or allergies. Your ophthalmologist can personalise your drop regimen to balance eye healing with minimal systemic impact.<\/p>\n\n\n\n
Will Cataract Surgery Affect Your Crohn\u2019s Disease Directly?<\/strong><\/h2>\n\n\n\nGenerally, no. Cataract surgery is highly localised to the eye and doesn\u2019t directly impact your digestive tract. However, the stress of surgery, the change in medications, or even the disruption to your daily routine can sometimes trigger a flare.<\/p>\n\n\n\n
To reduce this risk, make sure your IBD team knows you\u2019re having eye surgery. They may want to adjust your treatment plan slightly or monitor you more closely during the postoperative period. Keep taking your regular Crohn\u2019s medications unless advised otherwise, and watch for any early signs of flare-up in the days or weeks after the operation.<\/p>\n\n\n\n
If you do notice a change in your bowel symptoms, don\u2019t ignore it. Prompt treatment can prevent a minor flare from becoming more serious.<\/p>\n\n\n\n
Practical Tips to Help You Prepare for Surgery<\/strong><\/h2>\n\n\n\nHere are some things you can do to make the whole process smoother:<\/p>\n\n\n\n
\n- Coordinate your care<\/strong>: Make sure your ophthalmologist, GP, and gastroenterologist are all aware of the surgery. A short summary letter or clinic note can help them stay aligned.<\/li>\n\n\n\n
- Sort out your meds<\/strong>: Confirm which medications you should continue or stop before the procedure. Don\u2019t assume\u2014it\u2019s always best to check.<\/li>\n\n\n\n
- Boost your nutrition<\/strong>: If you\u2019ve had appetite loss, weight loss, or gut malabsorption recently, ask for a nutritional review.<\/li>\n\n\n\n
- Plan your recovery<\/strong>: Make sure you have someone to help you at home for the first few days, especially if fatigue or gut symptoms are unpredictable.<\/li>\n\n\n\n
- Watch for infection<\/strong>: Even with eye drops, if you develop redness, worsening pain, or discharge from the eye, contact your surgeon right away.<\/li>\n<\/ul>\n\n\n\n
Long-Term Vision Outcomes in Crohn\u2019s Patients<\/strong><\/h2>\n\n\n\nThe good news? Most people with Crohn\u2019s disease who undergo cataract surgery enjoy excellent results. The surgery itself is safe, the visual improvement is often dramatic, and any extra risks can usually be managed with careful planning.<\/p>\n\n\n\n
That said, if your eye has been affected by other IBD-related issues\u2014like uveitis, glaucoma, or retinal inflammation\u2014then your visual outcome might be slightly less predictable. That\u2019s not to say you won\u2019t benefit greatly from surgery\u2014it just means your expectations should be tailored to your unique situation.<\/p>\n\n\n\n
Ask your surgeon for an honest assessment of what to expect. In most cases, cataract surgery remains one of the most rewarding interventions in ophthalmology\u2014even if Crohn\u2019s adds a few extra layers of complexity.<\/p>\n\n\n\n
FAQs<\/strong><\/h2>\n\n\n\n\n- Can Crohn\u2019s disease directly cause cataracts?<\/strong>
Crohn\u2019s disease itself doesn\u2019t directly cause cataracts, but many people with Crohn\u2019s develop them as a side effect of long-term corticosteroid use, which is commonly prescribed to manage inflammation during flares. These steroid-induced cataracts tend to form more quickly and can affect vision at a younger age than typical age-related cataracts. The link is therefore indirect but significant, making regular eye checks important if you\u2019ve been on steroids for an extended period.<\/li>\n\n\n\n- Is it safe to have cataract surgery during a Crohn\u2019s flare-up?<\/strong>
Having cataract surgery while experiencing an active Crohn\u2019s flare is generally not recommended, as the inflammation can weaken your body\u2019s ability to heal and increase the risk of complications like delayed recovery or infection. Most surgeons prefer to schedule the procedure during a stable or remission phase of your condition, which allows for better control of your immune response and reduces the likelihood of postoperative issues. Planning surgery during a quiet period gives you the best chance of a smooth outcome.<\/li>\n\n\n\n- Do biologics increase surgical risk for cataract procedures?<\/strong>
Biologic medications used in Crohn\u2019s, such as infliximab or adalimumab, do slightly suppress the immune system, which may raise your risk of postoperative infection or slow down healing slightly. However, cataract surgery is a clean and minimally invasive procedure, and with proper precautions\u2014including antibiotic drops and good hygiene\u2014the risk remains very low. Your ophthalmologist will usually continue your biologics unless there\u2019s a compelling reason to pause them briefly, and coordination with your IBD team ensures safe timing.<\/li>\n\n\n\n- Can cataract surgery worsen Crohn\u2019s symptoms?<\/strong>
Cataract surgery itself does not typically worsen Crohn\u2019s disease, but the stress associated with surgery\u2014such as fasting, disrupted medication routines, or general anxiety\u2014can sometimes trigger a mild flare. That\u2019s why it\u2019s helpful to keep your gastroenterologist informed before and after surgery so they can watch for early signs of disease activity. Most people tolerate the procedure well, and with a little extra planning, the chances of surgery affecting your gut symptoms are minimal.<\/li>\n\n\n\n- Will I need to stop my Crohn\u2019s medication before surgery?<\/strong>
In most cases, you won\u2019t need to stop your Crohn\u2019s medication before cataract surgery, but it depends on the drug and your overall immune status. Immunosuppressants and biologics are usually continued, especially if stopping them risks triggering a flare, but some clinicians may suggest a brief pause or adjustment depending on timing and healing concerns. Your ophthalmologist and gastroenterologist will usually coordinate to find the safest balance for your treatment plan.<\/li>\n\n\n\n- Are steroid eye drops safe if I\u2019m already steroid-sensitive?<\/strong>
Steroid eye drops are routinely used after cataract surgery to reduce inflammation, and even for patients who are sensitive to systemic steroids, they are generally safe because the amount absorbed into the bloodstream is minimal. However, if you\u2019ve previously had flares or complications linked to steroids, your surgeon may choose a milder formulation, a shorter course, or even a steroid-sparing option to keep your recovery smooth while reducing any systemic impact.<\/li>\n\n\n\n- How long is the recovery for cataract surgery in someone with Crohn\u2019s?<\/strong>
Most people with Crohn\u2019s disease recover from cataract surgery within the usual timeframe of a few days to a couple of weeks, but if you have nutritional deficiencies, are on immunosuppressants, or have ongoing inflammation, healing may take a little longer. You might notice that your vision improves quite quickly, but full healing of the eye surface can be slightly delayed if your body\u2019s ability to repair tissue is compromised. Regular follow-up helps track your progress and adjust care if needed.<\/li>\n\n\n\n- What should I tell my surgeon before cataract surgery?<\/strong>
It\u2019s important to share a full picture of your Crohn\u2019s history with your eye surgeon, including your current medications, any recent flares, past surgeries, and whether you\u2019ve had any reactions to anaesthesia. You should also mention if you\u2019ve experienced nutritional issues or if you\u2019re currently on high-dose steroids or biologics. This information helps your surgeon tailor the procedure and aftercare to minimise risks and make your experience as safe and comfortable as possible.<\/li>\n\n\n\n- Is there a higher risk of infection after cataract surgery with Crohn\u2019s?<\/strong>
There can be a slightly increased risk of infection if you’re on immunosuppressants or biologics for Crohn\u2019s disease, as your body\u2019s natural defences may be reduced, but cataract surgery is performed in a sterile environment with antibiotic drops provided as standard. As long as your medication is well-managed and your immune status is reasonably stable, the risk remains very low, and surgeons take additional precautions if you\u2019re in a higher-risk group.<\/li>\n\n\n\n- Can nutritional deficiencies affect my vision or healing after surgery?<\/strong>
Yes, nutritional deficiencies\u2014especially of vitamins A and D, zinc, or protein\u2014can slow wound healing and increase the risk of dry eyes or surface irritation after cataract surgery, particularly in people with Crohn\u2019s who may have malabsorption or recent weight loss. If you\u2019ve had digestive issues recently, it\u2019s worth having your levels checked before surgery so that any deficiencies can be corrected. Supporting your body nutritionally will make your recovery quicker and more comfortable.<\/li>\n<\/ol>\n\n\n\nFinal Thoughts: You\u2019re Not Alone in This<\/strong><\/h2>\n\n\n\nIt\u2019s completely normal to feel a bit anxious about having eye surgery, especially when you\u2019re already managing a complex condition like Crohn\u2019s disease. But with the right support and planning, you can absolutely achieve a safe and successful outcome. At London Cataract Centre, we\u2019re experienced in working with patients who have additional medical needs, including those on long-term steroids or immunosuppressants. We take the time to understand your full health picture and tailor your cataract surgery accordingly<\/a>\u2014because your recovery and long-term vision matter just as much as the procedure itself.<\/p>\n\n\n\nSo if you\u2019re unsure about timing, medications, or what to expect during recovery, don\u2019t hesitate to reach out. With collaborative care, careful preparation, and a personalised approach, you can move forward with clarity and confidence.<\/p>\n\n\n\n
References<\/strong><\/h2>\n\n\n\n\n- Tripathi, R.C., Malka, N., Kipp, M.A., Hanauer, S.B. and Tripathi, B.J., 1995. Posterior subcapsular cataracts and raised intraocular pressure caused by prolonged oral corticosteroid therapy in adult patients with inflammatory bowel disease. In: I. Weisse, O. Hockwin, K. Green and R.C. Tripathi, eds. Ocular Toxicology<\/em>. Boston, MA: Springer, pp.241\u2013248. Available at: https:\/\/link.springer.com\/chapter\/10.1007\/978-1-4615-1887-7_27<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Huang, X., Zhang, Y., Shi, L., Wu, X. and Ding, X., 2020. Biologics and surgical outcomes in Crohn\u2019s disease: is there a direct link? Journal of Crohn\u2019s and Colitis<\/em>, 14(8), pp.1021\u20131031. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7366403\/<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Healthline, 2018. Steroids and vision: side effects, symptoms, and more. Healthline<\/em>, [online] 6 Jun. Available at: https:\/\/www.healthline.com\/health\/steroids-and-vision<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- European Crohn\u2019s and Colitis Organisation (ECCO), 2023. ECCO Guidelines on Extraintestinal Manifestations in Inflammatory Bowel Disease. Journal of Crohn\u2019s and Colitis<\/em>, 18(1), pp.1\u201334. Available at: https:\/\/academic.oup.com\/ecco-jcc\/article\/18\/1\/1\/7205776<\/a> [Accessed 1 Jul. 2025].<\/li>\n<\/ol>\n\n\n\n
Let me know if you\u2019d like a few more references added or formatted into a bibliography section.<\/p>\n","protected":false},"excerpt":{"rendered":"
If you\u2019re living with Crohn\u2019s disease and facing cataract surgery, you might be wondering how your condition\u2014and the medications you take\u2014might affect the procedure. It\u2019s a valid concern. Cataract surgery is one of the most common and successful operations in the world, but when you add a chronic inflammatory condition like Crohn\u2019s into the mix, […]<\/p>\n","protected":false},"author":2,"featured_media":2933,"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-2931","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\/2931","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=2931"}],"version-history":[{"count":1,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions"}],"predecessor-version":[{"id":2934,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions\/2934"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media\/2933"}],"wp:attachment":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=2931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=2931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Here are some things you can do to make the whole process smoother:<\/p>\n\n\n\n
- \n
- Coordinate your care<\/strong>: Make sure your ophthalmologist, GP, and gastroenterologist are all aware of the surgery. A short summary letter or clinic note can help them stay aligned.<\/li>\n\n\n\n
- Sort out your meds<\/strong>: Confirm which medications you should continue or stop before the procedure. Don\u2019t assume\u2014it\u2019s always best to check.<\/li>\n\n\n\n
- Boost your nutrition<\/strong>: If you\u2019ve had appetite loss, weight loss, or gut malabsorption recently, ask for a nutritional review.<\/li>\n\n\n\n
- Plan your recovery<\/strong>: Make sure you have someone to help you at home for the first few days, especially if fatigue or gut symptoms are unpredictable.<\/li>\n\n\n\n
- Watch for infection<\/strong>: Even with eye drops, if you develop redness, worsening pain, or discharge from the eye, contact your surgeon right away.<\/li>\n<\/ul>\n\n\n\n
Long-Term Vision Outcomes in Crohn\u2019s Patients<\/strong><\/h2>\n\n\n\n
The good news? Most people with Crohn\u2019s disease who undergo cataract surgery enjoy excellent results. The surgery itself is safe, the visual improvement is often dramatic, and any extra risks can usually be managed with careful planning.<\/p>\n\n\n\n
That said, if your eye has been affected by other IBD-related issues\u2014like uveitis, glaucoma, or retinal inflammation\u2014then your visual outcome might be slightly less predictable. That\u2019s not to say you won\u2019t benefit greatly from surgery\u2014it just means your expectations should be tailored to your unique situation.<\/p>\n\n\n\n
Ask your surgeon for an honest assessment of what to expect. In most cases, cataract surgery remains one of the most rewarding interventions in ophthalmology\u2014even if Crohn\u2019s adds a few extra layers of complexity.<\/p>\n\n\n\n
FAQs<\/strong><\/h2>\n\n\n\n
- \n
- Can Crohn\u2019s disease directly cause cataracts?<\/strong>
Crohn\u2019s disease itself doesn\u2019t directly cause cataracts, but many people with Crohn\u2019s develop them as a side effect of long-term corticosteroid use, which is commonly prescribed to manage inflammation during flares. These steroid-induced cataracts tend to form more quickly and can affect vision at a younger age than typical age-related cataracts. The link is therefore indirect but significant, making regular eye checks important if you\u2019ve been on steroids for an extended period.<\/li>\n\n\n\n- Is it safe to have cataract surgery during a Crohn\u2019s flare-up?<\/strong>
Having cataract surgery while experiencing an active Crohn\u2019s flare is generally not recommended, as the inflammation can weaken your body\u2019s ability to heal and increase the risk of complications like delayed recovery or infection. Most surgeons prefer to schedule the procedure during a stable or remission phase of your condition, which allows for better control of your immune response and reduces the likelihood of postoperative issues. Planning surgery during a quiet period gives you the best chance of a smooth outcome.<\/li>\n\n\n\n- Do biologics increase surgical risk for cataract procedures?<\/strong>
Biologic medications used in Crohn\u2019s, such as infliximab or adalimumab, do slightly suppress the immune system, which may raise your risk of postoperative infection or slow down healing slightly. However, cataract surgery is a clean and minimally invasive procedure, and with proper precautions\u2014including antibiotic drops and good hygiene\u2014the risk remains very low. Your ophthalmologist will usually continue your biologics unless there\u2019s a compelling reason to pause them briefly, and coordination with your IBD team ensures safe timing.<\/li>\n\n\n\n- Can cataract surgery worsen Crohn\u2019s symptoms?<\/strong>
Cataract surgery itself does not typically worsen Crohn\u2019s disease, but the stress associated with surgery\u2014such as fasting, disrupted medication routines, or general anxiety\u2014can sometimes trigger a mild flare. That\u2019s why it\u2019s helpful to keep your gastroenterologist informed before and after surgery so they can watch for early signs of disease activity. Most people tolerate the procedure well, and with a little extra planning, the chances of surgery affecting your gut symptoms are minimal.<\/li>\n\n\n\n- Will I need to stop my Crohn\u2019s medication before surgery?<\/strong>
In most cases, you won\u2019t need to stop your Crohn\u2019s medication before cataract surgery, but it depends on the drug and your overall immune status. Immunosuppressants and biologics are usually continued, especially if stopping them risks triggering a flare, but some clinicians may suggest a brief pause or adjustment depending on timing and healing concerns. Your ophthalmologist and gastroenterologist will usually coordinate to find the safest balance for your treatment plan.<\/li>\n\n\n\n- Are steroid eye drops safe if I\u2019m already steroid-sensitive?<\/strong>
Steroid eye drops are routinely used after cataract surgery to reduce inflammation, and even for patients who are sensitive to systemic steroids, they are generally safe because the amount absorbed into the bloodstream is minimal. However, if you\u2019ve previously had flares or complications linked to steroids, your surgeon may choose a milder formulation, a shorter course, or even a steroid-sparing option to keep your recovery smooth while reducing any systemic impact.<\/li>\n\n\n\n- How long is the recovery for cataract surgery in someone with Crohn\u2019s?<\/strong>
Most people with Crohn\u2019s disease recover from cataract surgery within the usual timeframe of a few days to a couple of weeks, but if you have nutritional deficiencies, are on immunosuppressants, or have ongoing inflammation, healing may take a little longer. You might notice that your vision improves quite quickly, but full healing of the eye surface can be slightly delayed if your body\u2019s ability to repair tissue is compromised. Regular follow-up helps track your progress and adjust care if needed.<\/li>\n\n\n\n- What should I tell my surgeon before cataract surgery?<\/strong>
It\u2019s important to share a full picture of your Crohn\u2019s history with your eye surgeon, including your current medications, any recent flares, past surgeries, and whether you\u2019ve had any reactions to anaesthesia. You should also mention if you\u2019ve experienced nutritional issues or if you\u2019re currently on high-dose steroids or biologics. This information helps your surgeon tailor the procedure and aftercare to minimise risks and make your experience as safe and comfortable as possible.<\/li>\n\n\n\n- Is there a higher risk of infection after cataract surgery with Crohn\u2019s?<\/strong>
There can be a slightly increased risk of infection if you’re on immunosuppressants or biologics for Crohn\u2019s disease, as your body\u2019s natural defences may be reduced, but cataract surgery is performed in a sterile environment with antibiotic drops provided as standard. As long as your medication is well-managed and your immune status is reasonably stable, the risk remains very low, and surgeons take additional precautions if you\u2019re in a higher-risk group.<\/li>\n\n\n\n- Can nutritional deficiencies affect my vision or healing after surgery?<\/strong>
Yes, nutritional deficiencies\u2014especially of vitamins A and D, zinc, or protein\u2014can slow wound healing and increase the risk of dry eyes or surface irritation after cataract surgery, particularly in people with Crohn\u2019s who may have malabsorption or recent weight loss. If you\u2019ve had digestive issues recently, it\u2019s worth having your levels checked before surgery so that any deficiencies can be corrected. Supporting your body nutritionally will make your recovery quicker and more comfortable.<\/li>\n<\/ol>\n\n\n\nFinal Thoughts: You\u2019re Not Alone in This<\/strong><\/h2>\n\n\n\n
It\u2019s completely normal to feel a bit anxious about having eye surgery, especially when you\u2019re already managing a complex condition like Crohn\u2019s disease. But with the right support and planning, you can absolutely achieve a safe and successful outcome. At London Cataract Centre, we\u2019re experienced in working with patients who have additional medical needs, including those on long-term steroids or immunosuppressants. We take the time to understand your full health picture and tailor your cataract surgery accordingly<\/a>\u2014because your recovery and long-term vision matter just as much as the procedure itself.<\/p>\n\n\n\n
So if you\u2019re unsure about timing, medications, or what to expect during recovery, don\u2019t hesitate to reach out. With collaborative care, careful preparation, and a personalised approach, you can move forward with clarity and confidence.<\/p>\n\n\n\n
References<\/strong><\/h2>\n\n\n\n
- \n
- Tripathi, R.C., Malka, N., Kipp, M.A., Hanauer, S.B. and Tripathi, B.J., 1995. Posterior subcapsular cataracts and raised intraocular pressure caused by prolonged oral corticosteroid therapy in adult patients with inflammatory bowel disease. In: I. Weisse, O. Hockwin, K. Green and R.C. Tripathi, eds. Ocular Toxicology<\/em>. Boston, MA: Springer, pp.241\u2013248. Available at: https:\/\/link.springer.com\/chapter\/10.1007\/978-1-4615-1887-7_27<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Huang, X., Zhang, Y., Shi, L., Wu, X. and Ding, X., 2020. Biologics and surgical outcomes in Crohn\u2019s disease: is there a direct link? Journal of Crohn\u2019s and Colitis<\/em>, 14(8), pp.1021\u20131031. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7366403\/<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Healthline, 2018. Steroids and vision: side effects, symptoms, and more. Healthline<\/em>, [online] 6 Jun. Available at: https:\/\/www.healthline.com\/health\/steroids-and-vision<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- European Crohn\u2019s and Colitis Organisation (ECCO), 2023. ECCO Guidelines on Extraintestinal Manifestations in Inflammatory Bowel Disease. Journal of Crohn\u2019s and Colitis<\/em>, 18(1), pp.1\u201334. Available at: https:\/\/academic.oup.com\/ecco-jcc\/article\/18\/1\/1\/7205776<\/a> [Accessed 1 Jul. 2025].<\/li>\n<\/ol>\n\n\n\n
Let me know if you\u2019d like a few more references added or formatted into a bibliography section.<\/p>\n","protected":false},"excerpt":{"rendered":"
If you\u2019re living with Crohn\u2019s disease and facing cataract surgery, you might be wondering how your condition\u2014and the medications you take\u2014might affect the procedure. It\u2019s a valid concern. Cataract surgery is one of the most common and successful operations in the world, but when you add a chronic inflammatory condition like Crohn\u2019s into the mix, […]<\/p>\n","protected":false},"author":2,"featured_media":2933,"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-2931","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\/2931","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=2931"}],"version-history":[{"count":1,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions"}],"predecessor-version":[{"id":2934,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/posts\/2931\/revisions\/2934"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media\/2933"}],"wp:attachment":[{"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=2931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=2931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.londoncataractcentre.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Huang, X., Zhang, Y., Shi, L., Wu, X. and Ding, X., 2020. Biologics and surgical outcomes in Crohn\u2019s disease: is there a direct link? Journal of Crohn\u2019s and Colitis<\/em>, 14(8), pp.1021\u20131031. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7366403\/<\/a> [Accessed 1 Jul. 2025].<\/li>\n\n\n\n
- Is it safe to have cataract surgery during a Crohn\u2019s flare-up?<\/strong>
- Sort out your meds<\/strong>: Confirm which medications you should continue or stop before the procedure. Don\u2019t assume\u2014it\u2019s always best to check.<\/li>\n\n\n\n