Can I get cataract surgery if I have diabetes?

Cataract surgery is a the most common eye surgery in all of ophthalmology. On the other hand, the prevalence of diabetes mellitus in the United States is very high at 14.7% of adults over the age of 18. Is cataract surgery safe for these diabetics? Patients with Type 2 Diabetes may be good candidates for this amazing procedure that can improve visual perception. Nonetheless, careful management of your disease by your health care provider is important to maximize your results.

Is cataract surgery safe for people with diabetes?

• In general, cataract surgery is safe for people with visual impairment and Type 2 Diabetes, especially if blood glucose is well-controlled.
• Advances in surgical techniques such as phacoemulsification, small-incision procedures, and advanced intraocular lens implants have made surgery quicker with a lower risk of complication.
• Nonetheless, if diabetes management is poor, then there may be a greater risk of worsening diabetic eye disease such as leaky blood vessels in the retina that can cause edema or swelling. Other risks of hyperglycemia include delayed wound healing and a higher risk of infection of the human eye (also known as endophthalmitis).
• Strict blood sugar control in the perioperative period is critical to reducing the likelihood of these potential complications.

How does diabetes affect cataract development and treatment?

Cataracts are an age-related clouding of the natural lens material inside of the human eye. But high blood sugar levels associated with diabetes can significantly increase a person’s risk of developing cataracts.

• Diabetics may develop cataracts earlier in life, i.e. at a younger age. The eye’s natural lens is typically composed of protein and is enveloped by thin layer of cells known as the capsule. These anatomical locations are very susceptible to blood sugar fluctuations that occur in diabetics, and the end result is cataract formation.
• Diabetic retinopathy is a complication of diabetes where damaged retinal blood vessels can cause bleeding in the retina and fluid accumulation in area known as the macula. All of these diabetic complications can cause the symptoms of blurred vision. Furthermore, these diabetic complications may be worsened by cataract surgery.
• If you have cataracts and coexisting diabetic eye disease, then you may need to visit your retina specialist to arrange for anti-vegf (vascular endothelial growth factor) treatment or laser therapy to the retina in the perioperative period. These interventions may reduce your risk of macular edema or other diabetic eye pathology that may be worsened by cataract surgery.

What should diabetic patients do to prepare for cataract surgery?

Strict blood sugar control and management of any existing diabetic eye disease are the most important factors in preparing for cataract surgery.

• Diabetic patients must pay close attention to their glycated hemoglobin (also known as Hemoglobin A1C).
• Diabetic patients should coordinate care with a primary care physician or endocrinologist, as well as a retina specialist.
• Be prepared to make pre-operative and post-operative visits to your retina specialist in case there is a need for intravitreal administration of medications (i.e. administration of medication into the vitreous jelly inside the human eye). Your retina specialist may also safely treat the eye with a gentle laser called PRP (pan-retinal photocoagulation) that may reduce the proliferative blood vessel disease (neovascularization) that is commonly seen in patients with diabetic retinopathy.
• Your surgeon will likely prescribe you a topical steroid eye drop as well as a nonsteroidal anti-inflammatory drug to be used after your cataract surgery. Make sure you have these items available to you in preparation for your cataract procedure.

FAQ’s About Can I Get Cataract Surgery If I Have Diabetes

What are the risks of cataract surgery for someone with diabetes?

The increased risks for diabetic cataract patients (compared to other cataract patients) include delayed healing, macular edema, and/or a worsening of existing diabetic retinopathy. You will have a better idea of your particular risk profile during your comprehensive eye examination performed at your pre-operative evaluation.

Will my diabetes make recovery from cataract surgery more difficult?

Diabetes complications may affect wound healing which may lead to a slower improvement in visual acuity after cataract surgery. Having strict control of blood sugar and blood pressure during the perioperative period will accelerate your visual recovery. With modern cataract surgery and a collaborative approach from your physician, your ophthalmologist should be successful improving your vision.

Can I have cataract surgery if I also have diabetic retinopathy?

Diabetic retinopathy includes bleeding and leaking of blood vessels of the retina, vitreous hemorrhage, tractional retinal detachments, as well as diabetic macular edema. Diabetic patients tend to develop visually significant cataracts at some point in their lives. Patients who suffer from these diabetic complications may still safely undergo cataract surgery if the eye disease is stable and well managed. A team effort involving the primary care doctor, primary ophthalmologist, and retinal specialist is necessary to maximize the odds of success. With modern cataract surgery these patients often have improved vision after cataract surgery.

Does cataract surgery affect my blood sugar levels?

The cataract surgery itself typically does not impact your blood sugar levels. On the day of the procedure, an anesthesia specialist will be available to administer intravenous medications that will help reduce any anxiety you feel about the procedure. Typically, the anesthesiologist will also be able to keep your blood sugar levels from becoming too high with the help of insulin (if necessary).

How do I know if I’m a good candidate for cataract surgery with diabetes?

Your ophthalmologist will be able to assess the health of your eye from your cornea in the front of the eye, all the way to the optic nerve in the back of the eye. The signs and symptoms of cataracts include blurry vision and glare despite the usage of a pair of updated corrective lens or glasses. Your eye surgeon will be able to assess if your symptoms are arising from your cataracts or from other eye disease such as diabetic retinopathy or glaucoma. Your ophthalmologist may also perform an OCT (Optical coherence tomography) test in the office to confirm that the macula (center of the retina) does not have any signs of fluid leakage. This preoperative evaluation will determine if you are a good candidate for cataract surgery.

Are the outcomes of cataract surgery different for people with diabetes?

In general, diabetic patients who have uncomplicated cataract surgery enjoy the same benefits of cataract surgery as everyone else. Cataract surgery will generally improve quality of life by giving patients vision that is more clear.

Should I stop taking my diabetes medications before cataract surgery?

Surgeons will generally have you suspend your diabetes medication on the morning of your surgery. Patients undergoing cataract surgery must be on an empty stomach. If you were to take your diabetes medication on an empty stomach, your blood glucose levels may be too low. If it turns out that you have elevated blood sugar levels, then the anesthesiologist involved in your care may administer insulin to bring your blood sugar under control.

How soon can I return to normal activities after cataract surgery if I have diabetes?

The postoperative recovery after cataract surgery is usually rapid with very good visual outcomes. Diabetes patients can typically return to normal activities within a few days of cataract treatment.

Can cataract surgery worsen my diabetic eye problems?

If you have significant diabetic retinopathy, the cataract surgery could indeed potentially worsen your eye problems. Diabetic retinopathy progression has been seen in previous research. Nonetheless, with careful preoperative planning, an uncomplicated phacoemulsification cataract surgery, and ongoing diabetic retinopathy treatment with a retina specialist, you will most likely have a successful surgery.

Will I need special follow-up care after cataract surgery due to my diabetes?

Yes, you will need follow-up care in the form of post-operative eye exams after cataract surgery to assure that your eye is healing according to plan. Your eye surgeon will be assessing your eye for any signs of inflammation or infection. If there is evidence of inflammation, your ophthalmologist may choose to initiate a corticosteroid eye drop to accelerate your post-operative recovery.

source https://lucentvision2020.com/cataract-surgery/can-i-get-cataract-surgery-if-i-have-diabetes/

Will I be awake during cataract surgery?

Cataract surgery may be the most commonly performed eye surgery in all of ophthalmology. During this outpatient surgery, a cloudy lens in the human eye is removed and then replaced with an artificial intraocular lens to improve visual perception. Visual impairments that require glasses or contact lenses, such as nearsightedness or astigmatism, can also be addressed to optimize vision. But what type of anesthesia is used? And will you be awake during the surgery?

Will I be awake during cataract surgery?

Yes, you will be awake during cataract surgery. Nonetheless, you will receive intravenous sedation with the help of a physician who specializes in anesthesia. The medication given by this physician will make you feel much more relaxed and comfortable. Even the most anxious patients are able to make it safely through the surgical procedure with this type of anesthetic.

Can I request to be put to sleep during cataract surgery?

General anesthesia is used to put patients to sleep during a surgical procedure while a breathing tube allows them to breathe. Most eye doctors will try to avoid general anesthesia because it carries bigger risks than local anesthesia or intravenous sedation. For the vast majority of patients, a cataract operation can safely be performed with a combination of intravenous sedation and topical anesthesia in the form of eye drops. You can indeed request to be put to sleep during your cataract surgery, but your eye doctor will need to take into account your general health before making this decision. In most cases the risk of general anesthesia will likely outweigh the benefits.

FAQ’s About Will I Be Awake During Cataract Surgery

​What types of anesthesia are used during cataract surgery, and how do they affect patient awareness?​

Before you reach the operating room, our medical team will instill numbing eye drops (i.e. local anesthetic) in your eyes to minimize any discomfort you may feel during the procedure. In addition, a healthcare provider specializing in anesthesia will deliver a medicine through your IV line. Most people are able to remain comfortable during the virtually painless cataract procedure.

​Will I feel any pain or discomfort if I’m awake during the procedure?​

Advanced cataract surgery is a minimally invasive procedure that usually does not involve pain. At the surgery center there is an anesthesiologist who will be present during your entire procedure. You will receive eye drops that will numb the surface of your eye so that you do not feel pain or discomfort. In addition, the anesthesiologist will provide intravenous sedation to reduce any anxiety that you may feel about the procedure. Most patients feel nothing more than a few moments of pressure sensation in the eye. There is usually no bleeding involved in cataract surgery. At the end of your procedure, your surgeon will likely use a strong antibiotic in your eye to reduce the risk of infection. A clear plastic shield will be placed in front of your eye before you leave the surgery room. The plastic shield serves as a reminder to avoid eye rubbing. After you head home, you may notice that your eye feels a little scratchy and blurry. This is a normal part of the healing process and these symptoms are usually much better by the following morning.

​How do surgeons ensure my eye remains still if I’m conscious during the operation?

Your eye surgeon will need to have a clear and stable view through your cornea and the pupil to perform your surgery. You will be instructed to focus on a bright light as your surgeon removes your cataract and replaces it with an artificial lens. Whenever you look away from the light, your eye doctor will re-direct your attention to the bright light. Your eye will be centered and in the optimal position for the surgeon while you are staring at the bright light.

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​What sensations or visual experiences might I notice while awake during cataract surgery?​

Your visual acuity during the procedure will fluctuate and will feel blurry during the outpatient procedure. During your procedure you will be asked to maintain your focus on a bright light directly in front of you. This light will appear to change colors and it may also demonstrate some movement. Some patients describe the visual sensation to be much like a kaleidoscope. Also, many people notice some soft sounds from the gentle ultrasound (also known as phacoemulsification) that is used to remove your cataract before a new lens is implanted in the eye.

​Are there risks associated with being awake versus under general anesthesia during cataract surgery?​

Cataract surgeons will usually avoid the usage of general anesthesia during cataract surgery because it may be associated with more risks than sedation alone. The risks of general anesthesia include headache, nausea, and more serious consequences related to the breathing tube. As long as you and your surgical team are adept at problem solving and keeping you relaxed and focused during your surgery, there is serious risk associated with being awake during the cataract surgery.

​How do doctors manage anxiety for patients who are awake during the procedure?

When you check in to the surgical center a nurse will start an IV on one of your arms. This IV will give the anesthesiologist direct access to your body’s circulatory system for the administration of relaxing medications. The most commonly used medication for this purpose is Versed. The anesthesiologist will be available throughout the entire procedure to give you more medicine in your IV if it is needed.

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​Is it common practice worldwide to keep patients awake during cataract surgery?​

It is common practice in the United States and worldwide to remove cataracts without general anesthesia. The technique of intravenous sedation allows for a lower risk of complications compared to general anesthesia. This trend towards a lighter touch with anesthesia also has come along with a trend where cataract surgery is done in an outpatient setting rather than a hospital setting. By using less anesthesia we have also seen that patients are able to return to their everyday activities more quickly.

​How long does the surgery typically last when performed with the patient awake?​

The cataract surgery usually does not last more than 15 minutes. During this time your surgeon will be able to create your surgical incision, remove your cloudy natural lens, and place an iol (intraocular lens) in the eye to fix your vision problems. Optimal vision can be achieved based on your preferences. For instance, if you have a refractive error such as astigmatism that requires you to wear contact lens or glasses, toric iols are available to correct this astigmatism. If you are tired of wearing reading glasses (or progressive lenses), then your surgeon may rely on a class of intraocular lenses known as multifocal iols (or extended depth of focus iols). You healing will begin from the moment you start heading home. Most patients notice a significant improvement in their vision by the next morning.

​Can I listen to music or engage in conversation to stay relaxed while awake during the surgery?

The surgical room will typically have some type of relaxing music playing in the background. This type of sound therapy can help to reduce anxiety, so if you have any preferences on musical artists, please let us know! Give a short 50-100 word answer

source https://lucentvision2020.com/cataract-surgery/will-i-be-awake-during-cataract-surgery/

How to Prepare for Cataract Surgery

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/

How long does cataract surgery take?

Cataract surgery is an outpatient procedure that improves vision, and it will usually take take about 10 to 15 minutes of surgical time. Nonetheless, your total time at the surgical facility will be approximately 2 hours. You will be able to go home the same day. The healing process is usually pretty rapid, and most people notice an improvement in their vision on an eye test taken the day after their surgery.

How long does cataract surgery take?

In the hands of an experienced surgeon, cataract eye surgery is a quick and effective procedure that will typically take about 10-15 minutes. Cataract surgery is one of the most commonly performed procedures in the field of ophthalmology in the United States.

What should I expect the day of my cataract surgery?

Surgery Time:The cataract removal and lens replacement usually lasts 10-15 minutes per eye.

Total Appointment Time: You can expect to be at the surgical facility for about 2 hours.

This includes:

• Pre-surgery preparation (eye drops, anesthesia) – Local anesthetic as well as a sedative that is given through an IV will limit any discomfort or anxiety. Medications in the form of eyedrops are used
• The surgical procedure – You will be asked to focus on a bright light as your eye doctor uses a gentle ultrasound is used to remove your cataract, then an artificial lens is placed in the eye.
• Post-surgery monitoring (usually 20-30 minutes) – You will receive your instructions, i.e. do’s and don’ts after having surgery for cataracts. A clear protective plastic eye shield is placed in front of the eye as well.

Does the type of intraocular lens (IOL) implanted affect the surgery duration?

The type of lens implant used by your surgeon usually does not significantly impact the duration of your cataract operation. When it comes to intraocular lenses, there are multiple options available. Astigmatism-correcting lenses can be used to maximize distance vision results. Your ophthalmologist can also reduce your dependence on reading glasses by using multifocal IOLs (Intra Ocular Lenses). Regardless of the type of lens used, your blurred vision should be resolved and your visual acuity should be improved.

See Life More Clearly

When a cataract forms, patients see the world through the blur of a cloudy lens. This visual impairment may may cause vision problems that make it harder to read, drive, watch television, and perform your normal daily activities. If you are a patient who struggles with the signs and symptoms of cataracts, then schedule an appointment with Lucent Vision for a cataract consultation. After an eye examination with our experienced eye surgeon, our team can help you treat cataracts and leave your blurry vision in the past.

FAQ’s About How Long Cataract Surgery Takes

How long does the actual cataract surgery procedure take?

Modern cataract surgeries usually take less than 10-15 minutes. In this time frame your eye surgeon will create a tiny incision on the surface of your cornea, remove the clouded lens, and replace it with a new lens. A small amount of antibiotic medicine will also be placed through the same incision to prevent infection.

What is the total time spent at the surgical facility for cataract surgery?

You will typically spend about 2 hours of total time at the surgical facility. The cataract surgery that improves your visual perception will only be about 10-15 minutes. The remainder of the time is spent in preparation with eye drops that increase your pupil size, decrease your risk of infection, and provide local anesthesia to your eye. There will also be blood pressure monitoring and anesthesia given by a specialist to prevent any pain.

Does the duration of cataract surgery vary between traditional and laser-assisted methods?

The duration of cataract surgery would be several minutes longer when it is done with laser assistance. Laser therapy can be used to assist with portions of the cataract surgery including wound creation and opening of the capsule that envelopes the natural lens. Nonetheless, phacoemulsification (ultrasound waves used to break up and remove the cataract) is still necessary to complete the cataract surgery. Of note, the data shows that laser assistance does not improve outcomes nor safety when it comes to cataract surgery.

How long does it take for vision to improve after cataract surgery?

Most patients notice a pretty big difference in their visual perception by the very next day after cataract surgery. At the time of their post-operative day one exam in our office patients will typically comment on their vision feeling more clear, bright, and vivid. Usually the vision continues to improve over the course of several days after the cataract surgery. The health of the cornea plays a pivotal role in the speed of your recovery. Sometimes the cornea can be irritated from the medicine that is used to clean the eye prior to surgery. This type of irritation or inflammation in side of the eye may delay the healing process by a few days.

Is there a difference in surgery time if both eyes require cataract surgery?

If both eyes require surgery on the same day then your total surgical time would be on the order of about 10-15 minutes per eye, with a brief 15 minute intermission between both eyes. This intermission allows our surgical staff to prepare the surgical suite with entirely new instruments for the second eye. The majority of patients will get one eye done first, and then a second surgery done on the other within 1 to 2 weeks. Multiple factors can go into the decision to recommend cataract surgery for one eye at a time, or for both eyes on the same day.

How long should I plan to rest after cataract surgery before resuming normal activities?

You should get plenty of rest on the day of your procedure. By your first post-operative day you should be able to perform more of your daily activities such as going for a walk, watching television, and doing some light household activities. You should avoid bending over, running, jumping, jogging, swimming, yoga, and eye makeup for the first week after your cataract surgery. You also do not want to lift heavy objects during this timeframe. You will also be given a protective shield to place in front of the eye when you are sleeping for the first few nights. Your eyes may feel sensitive to sunlight for the first few days after surgery, so try to wear sunglasses whenever you are outside or when you are around bright lights.

What factors can influence the length of the cataract surgery procedure?

Certain patients may present with complex eye histories that may require the eye surgeon to use more surgical skill and problem solving techniques. If you have a previous history of problems with the retina, such as past retinal detachment, then a more advanced technique may be needed to remove cataracts. These types of complex surgical techniques may add several minutes to your cataract procedure, and they may also prolong your recovery period.

How long after cataract surgery before I can drive?

Most patients enjoy clear vision within a few days after cataract surgery. It may take a few days of recovery time before you are able to drive comfortably after a cataract surgery. In the first couple of days after cataract surgery you may notice that night time driving may come along with the sensation of halos around light sources or glare with the headlights of oncoming cars. This will usually improve over the first few weeks after cataract surgery.

How long does it take for the eye to fully heal after cataract surgery?

It will usually take about a month for your eyes to heal and for your eye health to return to its baseline after cataract surgery. You will have postoperative eye exams from your eye surgeon to ensure that the surgical incision is healed, your eye pressure is normal, and you are fully healed.

Can cataract surgery take longer if there are complications during the procedure?

Certain rare complications during cataract surgery can make the procedure last several minutes longer than a standard cataract surgery. Very rarely there can be a complication involving the lens capsule that normally envelops the cataract. If this were to occur, your surgeon would need to take a few extra steps to assure that you have a safe procedure.

source https://lucentvision2020.com/cataract-surgery/how-long-does-cataract-surgery-take/

Can your eyes be too bad to for LASIK?

Cutting edge technology has expanded the number of patients who benefit from laser vision correction. Nonetheless, there are certain limits to how large of an eyeglass prescription can be corrected with refractive surgery. The prescription that is in your corrective lens makes up for the irregularities in your human eye. These irregularities are called refractive errors and they include myopia (or near-sightedness), astigmatism and hyperopia (or far-sightedness). The measurement of this refractive error is called a refraction, and it is one of the many measurements that we will take during your doctor’s visit. If this refractive error is too high, then yes indeed, your eyes may be too bad for LASIK. But at Lucent Vision we offer the most comprehensive options for vision correction. If LASIK is not an option, we may be able to offer you a different procedure that safely corrects your vision and changes your life.

What prescription is too high for LASIK?

According to the stipulations set forth by the Food and Drug Administration (FDA), the laser device used by most LASIK surgeons can treat:

1. Myopia up to -12 diopters with or without astigmatism up to 6 diopters
2. Hyperopia up to +6 diopters with or without astigmatism up to 5 diopters

If your glasses or contact lens prescription falls out of this range, then you may not be a good candidate for the LASIK prescription.

What do refractive errors and diopters have to do with being a LASIK candidate?

With LASIK (a.k.a. laser in situ keratomileusis) we are able to alter the corneal tissue of the human eye to allow light rays to properly focus onto the retina. When light rays are not properly focused onto the retina due to an abnormality or imperfection in the shape of the eye we call this problem a refractive error. In the field of ophthalmology, the degree of visual impairment is usually measured in diopters. Good LASIK candidates will typically fall within a particular range of refractive errors. Refractive errors can be translated into an eyeglasses prescription that may be necessary for a person to have normal vision.

What are the requirements for LASIK eye surgery?

In order to safely improve your visual perception with LASIK eye surgery there are certain basic requirements that need to be met. These requirements include:

1. You must be older than 18 years of age.
2. A stable prescription that has not changed by more than a 0.5 diopters in the previous year.
3. You must not be in the midst of a pregnancy, nor should you still be breastfeeding. A previous article in our series detailed how changes in female hormones play a role in vision stability.
4. Vision prescriptions must fall within the FDA approved limits for LASIK.
5. A healthy corneal topography and adequate corneal thickness to undergo LASIK. These measurements would be taken on the day of your LASIK consultation.
6. You must not have any active eye diseases such as infection, keratoconus, or scarring from previous eye injury.

Are there other vision correction options if I’m not a candidate for LASIK?

Yes there are other vision correction options available if you are not a candidate for LASIK. These other options include SMILE (Small Incision Lenticule Extraction), PRK (Photorefractive Keratectomy), EVO ICL implantation, and RLE (Refractive Lens Exchange). SMILE and PRK are other forms of laser vision correction that may preserve more healthy corneal tissue. The EVO ICL procedure involves the placement of a permanent contact lens inside of the eye between the pupil and the natural lens. The EVO ICL procedure, recently FDA approved in the United States, is particularly well-suited to patients who have severe nearsightedness and too little tissue for laser assisted procedures. With the RLE procedure the dysfunctional natural lens is replace with an artificial lens that corrects refractive errors. This elective procedure is particularly well-suited for patients beyond the age of 40 who are suffering from presbyopia, or difficulty with seeing nearby objects such as reading books up close. Patients who undergo RLE are usually do not need to wear glasses for the majority of their daily activities. Finding the right solution for you involves an experienced staff that will understand your vision demands and your particular eye anatomy before problem solving to choose the appropriate treatment.

FAQ’s About Can Your Eyes Be Too Bad For LASIK

What vision conditions might make someone ineligible for LASIK?

We typically reserve LASIK for patients who are not suffering from other eye diseases such as diplopia (or double vision), cataracts, glaucoma, or active ocular inflammation. Your medical history may also play a role with how healthy your eyes are for LASIK. There are certain conditions affecting the body which can also affect the eyes and make LASIK a higher risk procedure. Some of these illnesses include Human Immunodeficiency Virus (HIV), Rheumatoid Arthritis, Lupus, and other disorders of the immune system. Give a short 50-100 word answer

Can LASIK treat extremely high prescriptions for nearsightedness or farsightedness?

Although LASIK can treat extremely high prescriptions for nearsightedness or farsightedness, it may be less predictable for these prescriptions. For this reason we offer alternative options that may be safer and more effective for your particular vision profile.

Is there a limit to how much astigmatism LASIK can correct?

Astigmatism is an asymmetry in the contours of the human cornea, and it is a refractive error that can usually be corrected by wearing glasses or contact lenses. There is indeed a limit to the amount of astigmatism correction that can be achieved with LASIK. For myopic (near-sighted) patients this limit is 6 diopters, and for hyperopic (far-sighted) patients this limit is 5 diopters. Nonetheless, these are technical limits. In the real world, most eye doctors will choose a different procedure or combination procedures if you have such a high amount of astigmatism. At such high levels of astigmatism the LASIK procedure is less predictable, and you will be less likely to hit 2020 vision.

What eye health issues can disqualify someone from getting LASIK?

If you have a diagnosis of keratoconus from your eye doctor, then you may be disqualified from having a laser eye surgery. This eye disease involves a thinning and weakening of the central cornea which may be genetic in nature. It can usually be diagnosed with corneal imaging (i.e. corneal topography) done by a doctor of optometry or a doctor of ophthalmology. If you have a history of severe dry eye syndrome, autoimmune disease, uncontrolled diabetes, glaucoma, or cataracts then there may be a higher risk of complications. If you suffer from any of these eye health issues, you should have a thorough discussion with your eye doctor to better understand the risks associated with laser surgery.

Can LASIK be performed if my corneas are too thin?

Thin corneas along with a large eyeglasses prescription may prevent you from being a good candidate for LASIK. But there are other factors involving the cornea that need to be taken into consideration. If you have thin corneas in addition to a normal corneal curvature and prescription glasses with a smaller correction, you may still be a good candidate. The ratio of the correction needed to the amount of cornea available is very important. By the same token, not everyone with a normal or thick cornea is a good candidate for LASIK. Good candidates tend to have a symmetric corneal shape, regardless of how thin or thick the cornea may be.

Does severe dry eye prevent LASIK surgery?

Severe dry eye can indeed prevent LASIK surgery, especially if it is uncontrolled. Over the last several years there have been major advances in the field of ophthalmology that my improve dry eye symptoms. We now have available a prescription drug may reduce inflammation and increase tear production in patients suffering from dry eye. Although new treatments may improve the signs and symptoms of dry eye, it may still be something that jeopardizes your candidacy for LASIK. Dry eyes may slow down the healing process after LASIK. Even in the most healthy eyes LASIK may be associated with a temporary decrease in the tear production system. For this reason, make sure you ask your surgeon about dry eye disease and its risks.

Are there alternatives to LASIK for people with bad vision?

For people who are not good candidates for LASIK, alternatives include Photorefractive Keratectomy (PRK), Small Incision Lenticule Extraction (SMILE), EVO ICL implantation, Refractive Lens Exchange, and Premium Cataract surgery. We offer a comprehensive suite of vision correction procedures that can be matched to each individuals eye health and vision demands.

How does age affect whether my vision is too bad for LASIK?

When patients are above the age of 45 they typically experience age related changes of the lens inside of the eye. These changes lead to a problem called presbyopia, which causes difficulty with seeing objects close to the eye (e.g. being able to read up close). The LASIK procedure is generally not the best procedure for this age group unless a blended vision treatment is chosen. An alternative procedure to consider would be Refractive Lens Exchange. The other major age related change in the eye is a cataract, which in an opacification of the natural lens inside of the eye. This opacification of the natural lens causes a reduction of visual acuity as the lens has become cloudy. For these patients, the best treatment may be a cataract surgery with implantation of an intraocular lens, rather than LASIK.

Can prior eye surgeries make LASIK not an option?

A previous history of corneal transplantation, retinal surgery, or glaucoma surgery could potentially result in an eye that no longer qualifies for LASIK. In addition, if you have had LASIK previously in the past, then there may not be enough corneal tissue to proceed with a second laser eye surgery.

What tests determine if my eyes are too bad for LASIK?

At your LASIK consultation you will have your vision measured along with receiving a topography, tomography, and OCT of your cornea. With these tests your eye doctor will be able to determine the thickness of your cornea as well as its symmetry. In addition, a wavefront aberrometry will be performed to determine how light rays are treated by your whole vision system. Based on the profile that we build of your eyes and your visual demands, a customized treatment plan will be created by your eye surgeon.

source https://lucentvision2020.com/lasik/can-your-eyes-be-too-bad-to-for-lasik/

What happens if I rub my eyes after LASIK?

If you rub your eyes within the first few days of having the LASIK procedure, you may increase your risk of complications that may lead to vision vision loss. Although this complication can be successfully treated by your physician, it may necessitate additional procedures, and it may lead to a longer recovery time.

What happens if I rub my eyes after LASIK?

Laser-assisted in situ keratomileusis, or LASIK, is one of the most commonly performed and safest procedures in all of ophthalmology. . The “windshield” of the human eye is known as the cornea, and a thin flap is made on the cornea during the LASIK procedure by your surgeon. This corneal flap normally heals very quickly within the first 24 hours after LASIK surgery. Nonetheless, if a patient rubs his/her eyes or experiences an eye injury within the first week of eye surgery, there is a heightened risk of a complication known as a dislocated flap. Rubbing your eyes through your eyelids, or getting accidentally poked in the eye may lead to a complication where this flap is disturbed and pushed out of place. Decreased visual acuity, pain, and tearing are usually associated with a flap dislocation.

How Long Should You Avoid Rubbing Your Eyes After LASIK?

Avoid eye rubbing for at least one week after your LASIK procedure. In addition, we typically recommend using eye protection while sleeping during this first week after the LASIK procedure. This eye protection includes overnight goggles as well as sunglasses when you are outside in the sun. We also recommend avoiding cosmetics such as mascara and eyeliner during this time frame because the process of cleaning off this makeup may also involve rubbing of the eyes. Finally, avoid submerging your head in swimming pools, hot tub, or any other body of water. Aside from the risk of eye infection, these activities may prompt you to rub your eyes.

What complications can happen if I rub my eyes after LASIK?

Eye rubbing after LASIK may lead to complications such as flap dislocation, eye infection, Flap Dislodgement, Delayed Healing, Infection, Eye Injury, Increased Eye Pressure and Long-term Vision Issues.

How can I manage eye itchiness without rubbing after LASIK?

Eye itchiness in the immediate post-operative period after LASIK may be a part of the body’s natural healing process. Your eye surgeon may suggest you use artificial tears, a type of lubricant eye drop, to reduce your sensation of itchiness. Occasionally, your eye surgeon may prescribe medicated eye drops to hep reduce eye itchiness.

FAQ’s About Rubbing Eyes After LASIK

What happens if I accidentally rub my eyes after LASIK surgery?

If you rub your eyes in the days following your LASIK surgery you may be putting your self at risk of complications such as eye infection and LASIK flap dislocation.

Can rubbing my eyes after LASIK affect my vision permanently?

Although your eye surgeon may be able to repair a dislocated flap, there can be long term problems with scarring and haze underneath the flap that can lead to more long lasting blurry vision. If you have a habit of regularly rubbing your eyes, even months after the LASIK flap has healed, you may be causing the cornea to weaken over time. This weakening of the corneal structure is called ectasia and it can lead to a long term negative impact on your visual perception. If you develop this complication, then you may require the use of contact lenses or glasses for better vision.

How long after LASIK can I safely rub my eyes?

Gentle touching of the eyelids one week after your LASIK procedure is generally safe and should not lead to any harmful consequences. Nonetheless, as a general rule you should not vigorously rub your eyes.

Why is it dangerous to rub your eyes after LASIK?

In the first week after LASIK your cornea is still undergoing its healing process. During this recovery period your eyes are particularly vulnerable to complications such as eye infection and LASIK flap dislocation.

Will rubbing my eyes cause the LASIK flap to dislodge?

Rubbing your eyes after the LASIK procedure will not necessarily result in any complications. Most patients never develop any abnormalities related to rubbing. But still it is a great idea to avoid rubbing your eyes in the first week after LASIK. Being careful with your eyes by wearing eye protection and avoiding eye rubbing will allow you to maintain your clear vision and reduce the risk of complications.

What should I do if I rubbed my eyes shortly after LASIK?

If you have rubbed your eyes after your laser eye surgery, stop and consider if you have any new symptoms. These symptoms would include blurry vision, irritation, pain, light sensitivity, vision loss, tearing, or foreign body sensation. If you notice any of these symptoms then please call the office of your eye doctor right away.

How do I know if I damaged my LASIK flap by rubbing my eyes?

If you are concerned about any damage you may have caused by rubbing your eyes, then you should be on the look out for symptoms of eye irritation, redness, pain, tearing, light sensitivity, foreign body sensation, or blurry vision. These are the most common symptoms associated with LASIK flap complications.

Are there any warning signs of complications from rubbing my eyes after LASIK?

If you notice any new symptoms of redness, pain, irritation, tearing, blurry vision, or the sensation of a foreign object in your eye, then you should call your eye doctor’s office right away. These symptoms may be associated with LASIK complications. Your eye surgeon’s office should be able to schedule a follow up eye visit as soon as possible.

Is it okay to rub my eyes gently a few weeks after LASIK?

It is okay to gently rub your eyes a few weeks after the LASIK procedure. As long as you do not press incredibly hard on top of your eyelids, you should not cause any flap related complications. Nonetheless, try not to make a habit of this eye rubbing. It can lead to seriously harmful consequences such as a weakening of the central cornea. This weakening of the cornea can result in a complication known as ectasia. This complication would potentially put you back into corrective lens.

What precautions should I take to avoid rubbing my eyes after LASIK surgery?

Some patients need to rub their eyes due to a sensation of itching or scratchiness. These symptoms may be a sign of dry eyes, or perhaps allergic conjunctivitis. If your eyes are feeling scratchy and tired, then using an artificial tear as a lubricant can relieve these symptoms. On the other had, if you are suffering from itchy eyes you may have allergic conjunctivitis. There are over-the-counter eye drops available to reduce symptoms of itchy eyes. Using eye drops can reduce the inflammation and symptoms that are associated with both dry eyes as well as allergic conjunctivitis. By treating your symptoms with an eye drop, you will be much less likely to use your hands to rub your eyes. Finally, make sure you wear protective eyewear while sleeping in the first few days after your LASIK procedure.

source https://lucentvision2020.com/lasik/what-happens-if-i-rub-my-eyes-after-lasik/

How Female Hormones Affect LASIK Eligibility and Recovery

The “windshield” of the eye, the cornea is the primary tissue of the human eye that is modified with laser eye surgery. Research in the field of refractive surgery has demonstrated that female hormones play a major role in the anatomy and physiology of the cornea. For this reason, changes in the levels of certain hormones during pregnancy or menopause can impact your eligibility for Laser Assisted in situ Keratomileusis (a.k.a. LASIK).

Do women have different eligibility criteria for LASIK?

A woman’s age or pregnancy status may have an impact on her eligibility for LASIK. In ophthalmology, much like in other fields of medicine, the unique female hormones (such as estrogen and progesterone) that are associated with pregnancy can alter human physiology. For this reason prospective female patients may not be good candidates for LASIK while male candidates may not have these same eligibility restrictions.

Can I have LASIK while I’m pregnant?

You should not have any laser vision correction procedures while you are pregnant. These restrictions apply to excimer laser procedures such as LASIK and Photorefractive Keratectomy (a.k.a. PRK), as well as Small Incision Lenticule Extraction (SMILE). Fluctuations in pregnancy hormones can impact the shape and function of the cornea, which in turn can impact a woman’s glasses or contact lens prescription. Refractive errors such as myopia, hyperopia, and astigmatism need to be accurately measured and they need to be stable in order to obtain an excellent LASIK outcome. If a woman is pregnant or nursing, her pre-operative measurements may not be accurate, and there is a risk that her LASIK procedure may not deliver a successful outcome of clear vision.

How does menopause affect LASIK eligibility or recovery?

Menopause may impact tear production, which can lead to dry eye syndrome. For women in this age group, dry eye syndrome can restrict LASIK eligibility and can also delay recovery after LASIK eye surgery. The health of your tears plays a major role in visual clarity. Perimenopausal and postmenopausal women experience changes in their sex hormones (i.e. estrogen and progesterone) which can negatively impact baseline tear production, leading to dry eye disease. Patients with uncontrolled dry eye disease are not good candidates for LASIK. In addition, the signs and symptoms of dry eye disease may lead to a much slower recovery after LASIK.

Do hormones affect vision and LASIK recovery?

By impacting the shape and function of the cornea and natural lens of the eye, female sex hormones can impact visual acuity. Changes in hormone levels can lead to fluctuations in your visual acuity. Ultimately, this may cause blurry vision and can even contribute to a slower recovery after LASIK. Women may experience large changes in the balance of their sex hormones throughout the course of their pregnancy. Similarly, women you are undergoing menopause may have large shifts in these hormones as well.

FAQ’s About How Female Hormones Affect LASIK Eligibility and Recovery

Can hormonal changes affect my eligibility for LASIK?

Most importantly, hormonal changes (such as during pregnancy) can impact your corneal thickness and curvature. In turn this can lead to an inaccurate assessment of your refraction, which is a measure of the degree of nearsightedness, farsightedness, or astigmatism that you have. Without an accurate refraction, there would be no way to assure that your LASIK treatment is accurate. An assessment of the shape of your cornea, also known as a corneal topography, will be performed on the day of your consultation.

How do pregnancy and breastfeeding impact LASIK eligibility?

Our surgeon does not recommend any type of laser vision correction during pregnancy. Furthermore, we recommend waiting at least 3 months from the cessation of nursing before considering a laser eye surgery. Pregnancy and breastfeeding impact corneal anatomy and physiology, which in turn play a major role in your glasses or contact lens prescription. If an accurate assessment of refractive error (i.e. myopia, hyperopia, astigmatism) cannot be made during your consultation, then there is a risk of having an inaccurate post-operative LASIK outcome. It is for this reason that we limit the eligibility of LASIK for pregnant women or breastfeeding women.

Can birth control pills affect the outcome of LASIK surgery?

The use of birth control pills is not likely to affect the outcome of LASIK surgery. In a 2006 article in the Journal of Refractive Surgery, women who were on oral contraceptive medications did not have any different outcomes than women who were not taking these medications. In other words, you do not need to discontinue oral contraceptive pills if you are seeking LASIK for vision correction.

Does the menstrual cycle influence LASIK surgery or recovery?

In general, a woman’s normal monthly menstrual cycle will not influence her LASIK procedure nor her recovery from the LASIK procedure. As such, women do not need to plan around their cycle if they are considering LASIK.

Is it safe to get LASIK during menopause or perimenopause?

It is safe to get LASIK during menopause or perimenopause, but your surgeon may need to pay particular attention to the health of your tear film after the procedure. Imbalances in estrogens and progesterone may have a negative impact on the components of the tear film that are important for maintenance of a healthy ocular surface. Women in this group tend to be at a particularly high risk of dry eye disease, an inflammatory condition that can lead to symptoms such as dryness, pain, tearing, and vision fluctuation. Any existing dry eye symptoms may be exacerbated in the recovery phase after LASIK eye surgery. Your surgeon may need to use medications to reduce the ocular inflammation that is associated with dry eye disease.

How do hormone replacement therapies affect LASIK recovery?

Hormone replacement therapies (or HRT) may complicate the post-operative course of LASIK. In a retrospective review found in the Journal of Refractive Surgery, women who are on HRT are at an increased risk of regression after LASIK. Regression is the term used to describe a phenomenon where patients lose some of the effect of their LASIK procedure. When regression occurs, patients who have an excellent outcome after LASIK may notice that over the course of several months or years their vision seems to lose some of its sharpness. These patients may choose to return to wearing glasses or contact lenses, or they may choose a touch-up procedure to sharpen up their vision.

Can hormonal fluctuations cause dry eyes after LASIK?

Hormonal fluctuations may promote dry eyes after LASIK. We know that hormones play a role in stimulating the cells and glands on the ocular surface that are important for a healthy tear film. If there are changes in hormone balance then this may cause a tear film that is not healthy. The end result may be dry eye disease. Once hormonal balance is re-established, there may be a concurrent improvement in the symptoms of dry eyes.

Will LASIK results be affected if I undergo hormone therapy in the future?

LASIK results may be affected if you undergo hormone replacement therapy, or HRT, in the future. Previous studies have shown that HRT may carry a higher risk of regression. This term is used to describe some loss of the LASIK effect over time.

Should I delay LASIK if I’m planning a pregnancy?

If you are planning a pregnancy, it may be prudent to delay your LASIK surgery. After you have delivered your baby and completed breastfeeding, you will have corneal stability and you will be ready for a more accurate assessment of your visual impairments during a LASIK consultation.

How long after pregnancy or breastfeeding should I wait to get LASIK?

At Lucent Vision we recommend waiting 3 months from the time you stop breastfeeding before considering LASIK surgery. The female sex hormones tend to return to their baseline at this checkpoint. Once you have reached this timeframe, it would be safe to get a LASIK consultation.

source https://lucentvision2020.com/lasik/how-female-hormones-affect-lasik-eligibility-and-recovery/