Can I fly After Cataract Surgery?

As an eye surgeon this is a question I am frequently asked by patients. (I am often tempted to reply "Yes - as long as you think your pectoral muscles are up to it, and you don't get into too much of a flap".) However the more sensible answer is that in most cases there are no restrictions on flying after cataract surgery. It is usually quite safe to do so, even relatively soon after the procedure. It is though always wise to ask your own eye specialist before doing so, and to have their reassurances. Only they will know the specific details and requirements of your case.

The air conditioning within an aircraft may make the eye feel a little dry and irritable but this is not harmful. If this occurs using some artificial tear lubricant drops may be helpful, along with the normal post-operative eye drops prescribed by your surgeon. Avoid rubbing the eye if it is irritable. Instead closing the eye gently may be helpful as this reduces evaporation from the eye surface and the eyelids offer natural protection.

Do not fly away from post-operative supervision until your ophthalmic team is happy that the eye has sufficiently recovered from surgery. If you need to travel out of reach of their care during the post-operative recovery period check that you are in a location where an eye specialist is available, in case problems arise. The specialist who has performed the surgery may be able to recommend a colleague at the new location. It does no harm to ask.

The only situation where flying may be dangerous after eye surgery is when a bubble of gas has been placed within the eye. This is not done during normal cataract surgery. It is sometimes done for operations on the retina, e.g. retinal detachment repair. Gas within the eye will expand if a plane flies at high altitude and this can be harmful to the eye and vision.

The information within this article is for general interest only. These are the personal views of Consultant Ophthalmologist Mr C J Heaven. If you have a problem with your vision then always seek the advice of your own eye specialist. Mr Heaven is based at The Royal Albert Edward Infirmary in Wigan, in the north west of England. His special interests include small incision cataract surgery and various forms of refractive surgery. For more details see: http://www.lens-exchange.co.uk