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What
should I expect before surgery?
Initial Visit
Before deciding to have Cataract surgery, you will need
an initial examination to make sure your eyes are
suitable for surgery. Dr. Chaffin will take a complete
history about your medical and eye health and perform a
thorough examination of both eyes.
If you wear contact lenses, Dr. Chaffin may ask you to
stop wearing them before your initial examination (from
the day of to a few weeks before), so that your
refraction (measure of how much your eye bends light)
and central keratometry readings (measure of how much
the cornea curves) are more accurate.
At this time, Dr. Chaffin will ask you if:
Take
any medications, including over-the-counter medications,
vitamins and other supplements
Have
any allergies
Have
had any eye conditions
Have
undergone any previous eye surgery
Have
had any medical conditions.
Deciding to have Surgery
To help you decide whether Cataract surgery is right for
you, Dr. Chaffin and you will thoroughly discuss your
expectations and whether there are elements of your
medical history, eye history, or eye examination that
might increase your risk or prevent you from having the
outcome you expect. Dr. Chaffin will discover and then
conclude:
Whether
you are a good candidate,
What
are the risks, benefits and alternatives of the surgery
What
you should expect before, during and after surgery
What
your responsibilities will be before, during and after
surgery.
Before your surgery, Dr. Chaffin will measures the eye
and calculates the power of lens that you will need. You
must not eat or drink after midnight on the day of
surgery.
Before your surgery, Dr. Chaffin may ask you to
temporarily stop taking certain medications that
increase the risk of bleeding during surgery. How long
before surgery you may need to stop these medications
depends upon which medications you are using and the
conditions they are treating. You and Dr. Chaffin may
need to discuss stopping certain medications with the
doctor who prescribed them, since you may need some of
these medications to prevent life-threatening events.
For example, you may need medications that stop blood
clotting to keep from having a stroke.
What
should I expect during surgery?
The surgery usually lasts less than 30 minutes and is
generally painless. Many people choose to stay awake
during surgery, while others may need to be put to sleep
for a short time. If you are awake, you will have an
anesthetic to numb the nerves in and around your eye.
You will not have to worry about holding your eye open
because an instrument known as a lid speculum will hold
your lids open. You will likely see light and movement
during surgery, but the eye usually is not
uncomfortable.
Dr. Chaffin will first
administer a comfortable topical anesthetic which will completely numb the
eye. Next a small "No-stitch" procedure is invoked, then an
ultrasonic probe is used to reduce the cataract into a removable
entity.
Once removed, your new intra-ocular lens (IOL) is introduced
into the eye. The incision then bonds together naturally and
the procedure is complete.
With advanced cataract surgery, most patients return to their daily routines shortly after surgery. Cataract
surgery's permanent results often allow patients to enjoy better vision than
the patients had before
cataracts developed.
What
should I expect after surgery?
After the surgery is over, you may be brought to a
recovery room for a couple of hours before you will be
allowed to go home. You will feel as well following
surgery as you did before. The problem with feeling so
well is that it is difficult to persuade healthy, active
persons that they should follow post-operative
guidelines. To avoid the possibility of complications,
it is important to adhere to the following
post-operative guidelines:
Although
patients are advised to eat only a light meal following
surgery, a normal diet may be resumed the day after
surgery.
Patients
are pre-scheduled for a post-op exam at the doctor's
office the day following surgery.
In
most cases, the second post-op exam is scheduled for two
weeks following surgery.
Additional
post-op exams will be scheduled on an as-needed basis.
Prescription
eye drops are to be used in the postoperative eye for
about one month following surgery.
A
special pair of sunglasses that can be worn over regular
prescription glasses will be provided. These glasses
guard against light sensitivity during the healing
process.
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