How do they keep your head still during cataract surgery?

If you’re nervous about cataract surgery, one of your biggest worries might be: “What if I move my head during the operation?”

It’s a common concern. The idea of staying perfectly still during an eye procedure can feel daunting—but the reality is much simpler and more comfortable than most people expect.

Here’s how your head (and eye) are kept still—and why you don’t need to worry.

You’re awake, but relaxed

Cataract surgery is done using local anaesthetic—usually in the form of eye drops.

You’re awake, but your eye is completely numb. You’ll also be given a mild sedative if you’re anxious, helping you feel calm but alert.

You’ll lie on a cushioned, supportive bed

Your head is gently supported and positioned in a way that naturally keeps it still.
The setup is comfortable—people often say they don’t even realise how quickly it goes.

You don’t have to tense up or hold still with effort. The way you’re positioned makes staying still feel natural.

A soft ring helps support your head

To prevent movement, a light foam or padded ring is sometimes used to cradle the back or sides of your head. This helps keep it gently in place during the procedure.

You won’t be restrained or strapped down. It’s all about comfort and subtle support.

Your surgeon talks to you

Most surgeons talk gently throughout the procedure, explaining what’s happening and guiding you to keep your eyes in the right position.

This real-time reassurance helps you stay calm and focused.

You don’t have to hold your eye open

A small clip (called a speculum) keeps your eyelids open gently during surgery. You won’t feel the urge to blink thanks to the anaesthetic drops.

So no, you won’t be expected to hold your eyes open yourself!

What if you move anyway?

Small movements—like a twitch or slight head turn—are completely normal. Your surgeon is prepared for this.

If you do move, the procedure can be paused safely. The equipment used is designed to account for minor, natural motion.

Major movements are rare because:

• The whole experience is calming
• You’re relaxed, not in pain
• The surgery is very short—usually 10–15 minutes.

What about people with tremors or anxiety?

If you have Parkinson’s, tremors, or high anxiety, your surgeon can adapt the setup to support you more firmly—or may offer sedation or anaesthesia tailored to your needs.

The key is letting your surgeon know about any concerns beforehand.

After surgery

Once the procedure is over, you’ll be helped into recovery and given eye drops and post-op instructions.

Most people are surprised by how smooth and easy the experience was.

Summary: How your head stays still

• You lie in a supported position
• A cushioned headrest may be used
• A soft clip holds your eyelids open
• Anaesthetic keeps you comfortable
• The surgeon gently guides you throughout

You’re not expected to “hold still” under pressure. The whole environment is designed to help you stay still without stress.

Still nervous? That’s okay. Take our quick self-test to see if private cataract surgery is right for you—and get answers tailored to your concerns.