If you are having blurry vision symptoms related to a cataract, your ophthalmologist may suggest cataract surgery to improve your visual perception. During cataract surgery your eye surgeon will remove your cloudy lens and replace it with a clear intraocular lens. Patients who are motivated for this vision correction are often nervous about the coming journey. Your eye doctor should spend time with you before your cataract surgery to give you a clear idea of what to expect. By being prepared for your procedure, you can facilitate the process of removing your cataracts and healing quickly and safely.
What Should I Do Before Cataract Surgery?
Here are some suggestions that your ophthalmologist may have for you prior to cataract surgery:
-If needed, make sure to arrange for your medical clearance evaluation from your primary care doctor as far in advance as possible. Your primary care doctor will confirm that you are in good general health for the cataract procedure.
-If any new prescriptions for eye drops have been sent to your pharmacy, make sure to pick them up and use only as instructed.
-Avoid makeup, cosmetics, lotions, and perfumes on the day of surgery.
How Do I Handle Medications and Health Conditions Before Surgery?
You can take medicines such as pills for high blood pressure on the morning of your procedure with a small sip of water. If you suffer from diabetes, you will likely need to forgo your oral diabetic medicine on the morning of your surgery. If you take a GLP-1 inhibitor such as Ozempic, please notify your ophthalmologist about this therapy during your pre-operative visit; you may be asked to hold this medicine for a week prior to surgery. The medications in the GLP-1 inhibitor class may present risks with certain types of anesthesia. You do not need to stop using anticoagulants such as Eliquis, Pradaxa, or Plavix prior to your cataract surgery. If you take a baby aspirin daily, you may continue this medication leading up to the morning of your cataract procedure. Cataract surgery generally does not involve bleeding, and for this reason, these anticoagulants do not need to be stopped prior to surgery.
What Should I Eat or Avoid Before Cataract Surgery?
During your cataract surgery, an anesthesia specialist will be using a mild sedative to reduce any anxiety you may feel. For this reason you will need to follow specific fasting rules. Do not eat or drink anything on the morning of your surgery. This includes coffee, tea, orange juice, or a glass of water. You will be allowed a small sip of water with any pills that you normally take in the mornings. Try to avoid alcoholic beverages or heavy meals on the night before your eye surgery.
Do I Need to Arrange Transportation?
You should arrange for a ride home from the surgery center. This ride will usually need to be from a friend, family member, or neighbor. You will not be able to drive yourself home, nor will you be able to take a rideshare such as Uber.
What Should I Bring or Wear on Surgery Day?
Wear comfortable clothing and flat, non-slip and close-toed shoes. The procedure room can get a little bit chilly, so dressing in layers can be beneficial. Also bring your surgical folder that you received on the day of your last pre-operative exam with your ophthalmologist. Although a pair of wrap-around sunglasses are usually provided to you by the surgery center, you should still consider bringing your own pair of sunglasses. You may feel a little sensitive to light after your procedure. If your eye doctor prescribed any eye medications for you to use after your cataract surgery, make sure to bring those along as well. Avoid wearing contact lenses on the day of your procedure; if necessary, you may wear glasses instead on the day of surgery.
What Happens on the Day of Surgery?
Arrive on time at the surgery center and follow check-in procedures. The friendly staff at the surgery center will facilitate this check-in process for you since they are very well-versed in outpatient procedures. Make sure you bring your ID, insurance, and the pre-operative paperwork that you receive from your ophthalmology specialist. The medical team will instill antibiotic eye drops, dilating eye drops, and numbing eye drops in your surgical eye. All of these eye drops are intended to minimize pain and the risk of infection. You will also meet an anesthesiology specialist on the morning of your procedure. This specialist will be responsible for administering either oral or IV sedation to ensure a relaxed procedure day.
How Can I Prepare My Home for Recovery?
Prior to your procedure, you may wish to prepare your home to facilitate your recovery as your eye heals.
-Keep your home clean and clutter-free to avoid accidents.
-Consider meal-prep in advance so that you do not have to cook on your post-operative day.
-Set up a comfortable resting area with soft lighting. This may just be the couch in your living room.
-Consider a problem solving brainstorm with other members of your family to be prepared for all of the normal activities that you do on a typical day.
Conclusion
By following the steps outlined above, you will ensure a safe and successful cataract surgery experience.
FAQs About Preparing for Cataract Surgery
What types of intraocular lenses (IOLs) should I consider when preparing for cataract surgery?
There are a number of different options for the new lens that will be placed in the eye during cataract surgery. The newest hi-tech lens implants include toric lenses which neutral astigmatism and multifocal iols (intraocular lenses) that can reduce your dependence on reading glasses. The best artificial lens implant for your eye will be a collaborative decision made with your ophthalmologist. Your pre-operative testing will allow us to follow evaluate the anatomy and function of your human eye. Based on your eyes unique characteristics, we will choose a lens implant that will maximize your visual acuity.
Are there specific health conditions I need to manage before cataract surgery?
There are indeed general health issues that you may play a role in your journey from visual impairment to clear vision. Underlying medical problems such as diabetes and high blood pressure need to be under control in order to maximize your recovery from cataract surgery. Just as your eye doctor will is an advocate for your eye health, the involvement of your primary healthcare provider is essential in controlling any systemic diseases. Of note, patients with existing diabetic retinopathy of the eye are at higher risk of developing macular edema (i.e. swelling of the retina) after cataract surgery. With the help of a retina specialist, most cases of this problem can be handled successfully.
Should I arrange for someone to assist me at home after cataract surgery?
Most people are able to return to their usual activities very quickly after cataract surgery. If you were prescribed eye drops to use after surgery, you may need the help of a friend or family member to instill these eye drops in your eye. In addition, if you have issues with balance, you may need help while walking around your house. Sometimes the plastic shield covering the post-operative eye can exacerbate any existing balance problems.
How should I prepare mentally for cataract surgery?
You should approach your cataract surgery with a positive and optimistic attitude! The procedure will allow you to replace your blurry vision with clear vision that will allow you to return to your usual activities. In the hands of an experienced surgeon the risk of complications is very low. At Lucent Vision we are eager to be your personal guides on the journey to clear vision!
What kind of preoperative tests or measurements are part of preparing for cataract surgery?
On your pre-operative visit we will perform a number of different tests that feature the most cutting-edge technology on the market today. These tests include aberrometry, corneal topography, corneal tomography, and a map of all the anatomical landmarks inside of your eye. All of this data allows your surgeon to customize your results and build a unique surgical plan to treat cataracts. In addition, all of this testing will allow your surgeon to determine if you have any other eye conditions that may impact your result.
Is there anything I should avoid doing in the days leading up to cataract surgery?
If you are a contact lens user, try to avoid wearing contact lenses as much as possible in the two weeks preceding your cataract surgery. Aside from this, there is no other need to limit activities.
What clothing should I wear on the day of cataract surgery to ensure comfort and ease?
Make sure to dress comfortably for your procedure. Try to wear loose clothing that can be layered. The procedure room can be cold, so being able to add or subtract layers of clothing can be very helpful to maximize your comfort level.
Should I stop using certain over-the-counter medications or supplements before cataract surgery?
In general, it is okay to continue using your OTC medications and supplements prior to your surgical date to remove cataracts. Nonetheless, you can always confirm with the surgeon’s office.
How far in advance should I stop wearing contact lenses before cataract surgery?
Avoid wearing contacts on the morning of your cataract surgery. Ideally, you should avoid wearing contact lenses at least one to two weeks prior to your pre-operative visit.
Are there specific hygiene practices I should follow to prepare for cataract surgery?
For most patients no special interventions will be needed as far as eye care hygiene is concerned. Nonetheless, if you have been diagnosed with dry eye, make sure that you use your artificial tears or any other medical prescriptions that have been suggested by your surgeon. If you have been diagnosed with an oil gland dysfunction of your eyelids (i.e. meibomian gland disease), then you should continue with the routine eye care recommendations of warm compresses and eyelid wipes or cleansers.
source https://lucentvision2020.com/cataract-surgery/how-to-prepare-for-cataract-surgery/