Before Cataract and Lens Implant Surgery
HOW DO I TAKE MY PRE-OP EYE MEDICATIONS?
Antibiotic ( Zymar ) and anti-inflammation ( Xibrom or Acular ) drops are used by most patients beginning three days anterior to surgery. Drops are taken two to four times each day : Zymar and Acular are 4 times daily medications. If you are given Xibrom rather of Acular, it is used only twice daily ( the Zymar is still 4 times day by day ). Wait 5 minutes between drops. Be certain to take them on the morning of surgery, and to resume them immediately after surgery .
CAN I EAT OR DRINK BEFORE SURGERY?
We encourage you to take acquit liquids, NO MILK up until 2 hours before operation. We want you to be well hydrated when you arrive for your operation. YOU CAN EAT AND TAKE MILK up until 6 hours before surgery. NO FOOD OR MILK AFTER THAT !
Reading: Cataract Surgery FAQ – Marin Eyes
CAN I WEAR EYE MAKEUP BEFORE SURGERY?
Eye make-up can contain particles and bacteria ( particularly eyeliner and mascara ) so we stop them three days prior to surgery and week after .
IF I AM USING EYE MEDICATIONS IN MY EYE TO BE OPERATED ON, DO I STOP TAKING THEM?
Continue all eye medications through the day before your surgery. Do not use eye medications in the eye to be operated on the day of operating room. Eye drops for the boyfriend center should be continued as usual .
CAN TAKE ASPIRIN (or Plavix) BEFORE AND AFTER MY SURGERY?
Modern cataract operating room rarely causes any bleed. topical anesthesia removes the risk of bleeding behind the eye from local anesthetic injections. so, continue your aspirin unless you are specifically instructed to stop. ( Patients who will be having glaucoma surgery please do stop aspirin 10 days ahead of time. Glaucoma operating room is much better performed under local anaesthetic, and the nature of the incision does result in some shed blood during operation. Inform your primary care sophisticate if you do this. besides, if you are on warfarin you will be asked to stop 3-7 days ahead, and this you must discuss with your primary coil care doctor. ) Ask your surgeon when you can restart .
DO I NEED TO STOP COUMADIN (WARFARIN) BEFORE MY SURGERY?
warfarin does not generally need to be stopped anterior to cataract surgery. Patients ALSO having glaucoma operation may need to stop several days ahead, please ask your surgeon and inform your primary caution sophisticate .
note : PATIENTS SCHEDULED FOR CATARACT SURGERY combined with GLAUCOMA SURGERY Patients who will be having glaucoma operating room please stop aspirin 10 days ahead of time. Glaucoma surgery is frequently better performed under local anaesthetic, and the nature of the incision does result in some bleeding during surgery. Inform your primary coil care doctor if you do this. besides, if you are on warfarin you will be asked to stop 3-7 days ahead, and this you must discuss with your primary worry doctor. Ask your surgeon when you can restart .
IF I AM TAKING ORAL MEDICATIONS FOR ANYTHING OTHER THAN MY EYES, DO I NEED TO STOP THEM PRIOR TO SURGERY?
Use of most medications can be continued preoperatively. Ask our staff or your doctor of the church. An exception is male patients taking FLOMAX® ( tamsulosin ) for urinary frequency. You MUST report using this to your surgeon. extra measures will be necessary to compensate for eyepiece effects of Flomax® If your surgeon asks you to stop 2 weeks pre-operatively, that may be helpful. If you can ’ triiodothyronine reasonably do without it, inform your surgeon and limited measures will be taken to compensate. amazingly, this normally causes little distress from urinary symptoms. The complications that FLOMAX can cause with cataract operation were discovered at Marin Ophthalmic Surgery Center .
DO I TAKE MY PILLS ON THE MORNING OF SURGERY?
Yes. Take all your common medications the good morning of surgery with a sip of water .
DO I TAKE MY INSULIN?
Your aesculapian doctor of the church should direct insulin dose. We ’ ll try to schedule you early so you can take your insulin with a nosh right after surgery .
CAN I WEAR MY CONTACT LENSES RIGHT UP TO SURGERY DAY?
Depending on what kind of contacts you wear, you will need to go without them prior to the Intraocular Lens office measurements. Contact lenses distort the cornea, and might cause a “ surprise ” result from our IOL power calculations. You will receive specific instructions on this .
Day of Surgery
HOW LONG WILL I BE AT THE SURGERY CENTER THE DAY OF MY SURGERY?
even though your operation itself normally takes less than 20 minutes, you should plan to spend 2 hours at the Surgery Center. training and post-operative observation and instruction consume time. We are committed to providing the finest surgical care .
ON THE DAY OF SURGERY, WHAT SHOULD I WEAR?
Wear a informal shirt or a shirt that buttons in movement. Do not wear jewelry .
WILL SURGERY HURT?
That would be unusual. Most patients are surprise when we tell them “ Your operation is over ! ” You are typically very relaxed from the sedation we use and may even doze during the process .
WILL I BE AWAKE DURING SURGERY?
You may doze off, but many of our patients are alert and very loosen for the surgery. Most times, patients recall very small from the actual surgery itself. The effects from the anesthesia are the argue why you must have person to drive you home from the surgery .
HOW DO I KEEP FROM BLINKING DURING THE SURGERY?
We will gently prop your eyelids open for surgery. If you are wake up, your lone job is to relax. That will be easy, we ’ ll be giving you a identical pleasant relaxing medicine just ahead surgery .
DO I SEE MY SURGERY?
No, all you will see ( if you happen to be awake at any point ) is a beautiful, random twirl of colors .
WILL IT HURT AFTERWARD?
While there is sometimes minor trouble after surgery, plain Tylenol closely constantly relieves it. If this is ineffective, call our position. It is identical common to have some “ flaxen ” or “ spotty ” feelings by and large the first day and decreasing thereafter .
WILL I GET STITCHES?
normally no. The huge majority of cataract surgery at MarinEyes is accomplished with such a small incision that stitches are unnecessary. Just the same, your surgeon will use stitches if he believes it is indicated .
IS IT LASER SURGERY?
No. Lasers have not gained widespread adoption for this use. cataract surgery uses ultrasound ( sound waves ) – the current standard in cataract surgical engineering – to soften the cataract so it can be vacuumed out through a very little incision. The use of sound waves to soften and remove a cataract is called phacoemulsification. A laser may be used months or years after cataract surgery for a unlike function. In about 5-15 % of patients who have had cataract surgery, a sparse film of cloudy weave develops behind the lens plant. The vision obscure and increasingly blurs, causing symptoms very like those of the cataract ! Because the symptoms are like the cataract symptoms you had before operating room, this is called “ Secondary Cataract. ” This film over can be corrected with a simple and painless laser procedure called YAG laser Capsulotomy .
WHO ADMINISTERS ANESTHESIA?
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For most “ Routine ” cataract surgeries, board-certified anesthesiologists supervise your anesthesia. For some surgeries, your surgeon and his nanny administer “ Conscious Sedation, ” along with topical or local anesthetics. It would be strange for the operation to hurt. Most patients are surprise when we tell them “ Your operation is over ! ” You are typically identical relax from the sedation we use and may even doze during the mathematical process .
WHAT IF I COUGH?
If you have chronic respiratory problems, bring your common medications and inhalers. We can give cough suppressants if we need to. If you have a “ cold, ” and are coughing, call and let us reschedule your surgery !
Cataract Postoperative Care
Restart your preop drops and early meds unless differently instructed !
HOW DO I TAKE MY POST-OP EYE MEDICATIONS?
You will receive specific written instructions on the day of surgery, equally well as samples, medication prescriptions and a post-op kit. In cosmopolitan, you will continue pre-operative eye drops, and additionally use Pred Forte 4 times casual .
WHAT CAN I DO WHEN I GO HOME AFTERWARD?
Take it easy, rest and don ’ deoxythymidine monophosphate design on doing any significant paperwork or making any decisions. You ’ ll probably feel like taking a nap at some point .
SHOULD THE DROPS STING?
ideally, no, but they often do ! Acular is the most common campaign of excitation. We presently prescribe the “ less prick ” shape of Acular, called “ Acular LS. ” The initial discomfort will diminish quickly after the first day. The drops will sting momentarily after you have put them in the center. After the first day, if it gets wors again please call and we will evaluate the situation .
IS IT NORMAL FOR MY EYES TO FEELS SCRATCHY AFTER SURGERY?
Expect this the first day, diminishing thereafter. artificial tears can be soothing. Use them arsenic often as you like .
WILL I BE WEARING A PATCH AFTER SURGERY?
generally, no. Most patients do not require an eye temporary hookup after operation .
MONOFOCAL AND TORICLENS IMPLANTS: WHY DO I SEE HALOES THE FIRST FEW DAYS AFTER SURGERY?
The best cataract operating room lens implants today have extra edge treatments to reduce the probability of “ Secondary Cataract ” constitution. This edge often produces a aura effect or arc of light in the peripheral vision for a few days after operating room. For some patients the symptom takes long ( weeks ) to resolve, but rarely is a permanent serious trouble. occasionally, under particular ignition conditions, limelight may be noticeable permanently but this is rarely annoying to the affected role. Proper corrective glasses with anti-reflective application are helpful .
MULTIFOCAL LENS IMPLANT: WHY DO I SEE HALOES THE FIRST FEW DAYS AFTER SURGERY?
With these lenses, the reasons are the lapp as for the monofocal lenses ( above ) and besides because of the nature of the multifocal ocular itself. These symptoms may be pronounced for a day after surgery, but typically quickly improve after the student dilation from operation wears off. When closely questioned, more people withmultifocal lens implants will observe haloes at night compared with the monofocal focus lens, but they generlly are not very bothered by it .
HOW SOON WILL I SEE AFTER SURGERY?
sight on the day of surgery is quite variable from one eye to the following, even for the same affected role. It is normally blurry in all patients on and off during the first day. You normally experience your best vision after cataract surgery 2-4 weeks post-operatively. Glaucoma operating room patients need longer curative clock before returning to maximum imagination. For patients with multifocal lens implants, the near sight may not be clean at beginning, but will continue improving for months after surgery .
WILL I NEED GLASSES AFTER SURGERY?
many of our patients see very well and affair well without glasses. however, all patients must be prepared to wear glasses for optimum vision. ocular needs vary greatly among patients. As a leave, our surgeons personalize your operation and endeavor for the best surgical result to meet your needs and requirements. More detail data is available. If there is a large deviation between the glasses required ahead operating room and the desire finish of your operation, you may be inconvenienced for the two weeks between the first and second eye operating room because it is intemperate to please both eyes with very different monocle prescriptions. The problem will be resolved when the second base eye is done .
WHEN CAN I RETURN TO WORK?
This varies among patients. many patients return to work the surveil day, although we often recommend the patient take a day off. Please ask your surgeon or his associate on the day following your surgery for recommendations .
WHAT TYPE OF PHYSICAL ACTIVITY AM I ALLOWED TO DO FOLLOWING MY SURGERY?
This depends on how retentive since surgery, and any limited circumstances you might have. The Instructions Book, and the world wide web page on Instructions for Cataract Surgery have this information .
WHEN CAN I RESUME MY NORMAL ACTIVITIES?
This depends on how retentive since surgery, and any special circumstances you might have. The Instructions Book, and the web page on Instructions for Cataract Surgery have this information .
WHEN CAN I DRIVE AFTER MY SURGERY?
Be prepared to have person else drive if your imagination is not sufficiently clear to drive safely and confidently ! If your imagination is dependable the morning after surgery, you may drive that sidereal day. Use good opinion, and if you have any question, don ’ thyroxine drive !
HOW SOON CAN I GO TO THE MOUNTAINS OR RIDE IN AN AIRPLANE?
senior high school elevation and air travel model no problems after cataract or glaucoma operating room .
IF I STOPPED COUMADIN, WHEN DO I RESUME IT AFTER SURGERY?
If coumadin is stopped preoperatively, ask your surgeon when to restart .
IF I STOPPED ASPIRIN OR PLAVIX, WHEN DO I RESUME IT AFTER SURGERY?
Ask your surgeon when to restart .
HOW SOON CAN I WEAR MAKEUP?
For the first base workweek, keep constitution away from the eyelid gross profit. Lipstick, eyebrow pencil, etc are OK. Powders and foundations frequently make their way into the eye, as does eyeliner and mascara and should not be used until the second week. After that makeup is OK .
For any problems Call (415) 454-5565 at any time.
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