Can you be put to sleep for cataract surgery?

Cataract surgery is one of the most common and safest procedures performed today. But for some patients, the idea of being awake during surgery can be unsettling. So, can you be put to sleep for cataract surgery? The short answer is: while general anesthesia is possible, it is rarely necessary.

How is cataract surgery normally performed?

Most cataract surgeries are done under local anesthesia, meaning you are awake but do not feel pain. The process usually involves:

  • Numbing eye drops – These prevent any sensation in the eye
  • Mild sedation (if needed) – Some patients receive light sedation to help them relax
  • Quick procedure – Surgery typically lasts only 15–20 minutes per eye.

When is general anesthesia used for cataract surgery?

In some cases, general anesthesia may be recommended, such as:

  • Severe anxiety or claustrophobia – If a patient is extremely anxious, sedation or full anesthesia may be considered
  • Special cases – Some medical conditions may require a deeper level of anesthesia
  • Uncontrollable movements – If a patient has a neurological condition that prevents them from staying still.

Pros and cons of being put to sleep

Pros:

  • No awareness or anxiety during surgery
  • Suitable for patients with extreme nervousness

Cons:

  • Longer recovery time compared to local anesthesia
  • Increased risks associated with general anesthesia
  • Higher cost compared to standard cataract surgery.

Is local anesthesia safe?

Yes! Local anesthesia has been used safely for millions of cataract surgeries worldwide. Patients typically feel zero discomfort and recover quickly.

What should you do if you’re nervous about surgery?

  • Talk to Sharmina Khan – Express your concerns so she can recommend the best approach
  • Ask about sedation – Light sedation can help ease anxiety while keeping you awake

Understand the procedure – Knowing how quick and painless cataract surgery is can reduce fear.

Take the next step

If you’re considering cataract surgery but are worried about being awake, take our free suitability self-test today to explore your options.

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Are you suitable for vision treatments?

They aren’t suitable for everyone.

Find out if you could benefit from this life-changing surgery by taking the quick self-suitability quiz below:

Our most popular procedures

  • Multifocal Lens Cataract Surgery

  • Optilight IPL for Dry Eyes
  • Lipiflow for Blepharitis

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Unlock your vision’s potential with our quick 2-minute quiz!

Embrace a world where glasses are a thing of the past and quickly discover if refractive lens exchange is the right choice for you. Uncover the possibilities of a life with crystal-clear vision, tailored to your unique needs.

Unlock Your Vision’s Potential with our quick 2-Minute quiz!

Embrace a world where glasses are a thing of the past and quickly discover if refractive lens exchange is the right choice for you. Uncover the possibilities of a life with crystal-clear vision, tailored to your unique needs.

Sharmina Khan

MBBS MSc FHEA FRCOphth

DipCRS CertLRS,

Consultant Eye Surgeon

Hi, I’m Sharmina Khan

I am based in Marylebone, London as a specialist Consultant Cataract & Lens surgeon where I can help you be rid of glasses. In our premium Dry Eye clinic we deliver top of the range office based treatments such as Optlight IPL, Lipiflow (and more) to help you silent sufferers with dry eye and blepharitis associated with rosacea, menopause, prolonged screen time due work and play!

I started out as a Senior House Officer at Moorfields Eye Hospital, London in 2002 and then worked may way to where we are now. As a result I have carried out over 7000+ cataract/lens procedures across both my private and NHS practices at the world renowned Moorfields Eye NHS & Private Hospitals. I am proud that our efforts mean the profits from Moorfields Private are invested back into Moorfields research and Moorfields NHS!

We have options so that you can achieve your dreams of better vision and more, according to your lifestyle needs.