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This is not really a cataract per se but it happens when the membrane that holds the IOL in place begins to opacify. However an eye can develop a. Cataract Surgery Overview Ophthalmic Consultants Ny In cataract surgery the cataract lens is removed and a lens replacement implant is placed. Can cataracts come back . However many people experience the clouding of the lens capsule which supports the replacement lens. The good news is that cataracts cant come back once they have been removed. During cataract surger y the cataract which is the natural lens in the eye is removed and cannot come back. Once removed the lens is gone for good. Because a cataract is a clouding or opacification of the natural lens and cataract surgeryentails removal of the natural lens a cataract cannot come backafter surgery. Many patients ask After you remove my cataracts will they come back The short answer is no but a patients vision can get cloudy again even after perfect cataract surgery.