Cataract surgery involves the removal of the eye’s cloudy natural lens and its replacement with an artificial intraocular lens (IOL). This procedure is highly successful in restoring clear vision, but healing requires a period of careful recovery. Returning to activities like golf, which involves physical exertion, must be done gradually and with strict adherence to the surgeon’s post-operative instructions. Protecting the newly operated eye from trauma is the primary focus during the initial weeks of recovery.
Immediate Post-Surgery Restrictions
The first three to seven days after the procedure allow the eye’s small surgical incision to begin sealing. During this period, physical restrictions are necessary to prevent accidental trauma and avoid increasing the internal pressure of the eye, known as intraocular pressure (IOP). Activities that involve heavy lifting, typically anything over 5 to 10 pounds, are prohibited because the strain can temporarily elevate IOP, which may compromise the healing wound.
Patients must also avoid strenuous actions such as bending over, pushing, or pulling, as these movements can cause a sudden rush of blood pressure to the head. It is important to wear the protective shield provided by the surgeon, especially while sleeping, to prevent unconsciously rubbing the eye. Avoiding all non-prescribed eye drops and keeping the eye clean from water or dust prevent infection while the incision is still vulnerable.
Phased Return to Golfing Activities
Returning to the golf course must follow a phased timeline based on the physical impact of the activity, though a surgeon’s clearance is always necessary. The initial phase focuses on low-impact movements that minimize head and body rotation. Light activities like putting are safe to resume after one week, as they require minimal physical exertion and do not cause significant spikes in intraocular pressure.
Chipping can typically be introduced toward the end of the first week or during the second week. These short-game activities involve gentle movements that do not require the rapid, forceful body mechanics of a full swing.
The full golf swing, which involves rapid trunk rotation, neck movement, and a forceful follow-through, requires a significantly longer waiting period. Most surgeons advise waiting three to six weeks before attempting a full swing, which is necessary for the surgical wound to achieve complete stability and for the IOL to fully settle. Attempting a full swing too soon risks putting undue stress on the eye. During this phase, it is also important to avoid lifting heavy golf bags or pushing a heavy cart, which can increase the internal pressure of the eye.
Golfing Precautions to Protect the Healing Eye
Once a patient is cleared to return to the golf course, the healing eye and the new intraocular lens are more susceptible to damage from ultraviolet (UV) radiation. Wearing high-quality sunglasses with 100% UV protection is necessary to shield the eye from sun exposure.
Wraparound or large-frame sunglasses are effective as they reduce peripheral light, dust, and debris. Since the course environment often involves windy or dusty conditions, patients should also wear a wide-brimmed hat against direct sunlight and airborne particles like sand, dirt, or pollen.
It is important to continue using all prescribed eye drops as directed by the surgeon, even after resuming golf, to prevent infection and manage inflammation. Patients should avoid water hazards, swimming, or using hot tubs until the doctor gives clearance, as the water can harbor bacteria that may cause a severe eye infection.