Cataracts Surgery - What to Expect
Dr. Whitman: Hello. I’m Dr. Jeffrey Whitman and our Key-Whitman cataract surgery
team is joining me today. Welcome to the Key-Whitman Eye Center. If you
are viewing this video it is likely because you have been told you have
What should I expect on surgery day?
Dr. Hong: You will arrive at the Surgery Center at the time of your scheduled surgery
appointment. We ask that you bring someone with you who can remain during
surgery and be able to drive you home afterwards. Please let them know
that they will need to be available for about 2 hours. If you are scheduled
for surgery before noon, you will not be allowed to eat or drink anything
after midnight the night prior to your surgery. If your surgery is scheduled
in the afternoon, you will be allowed to have a light breakfast but only
before 7:00 a.m. If you are diabetic, please do not take your insulin
or your diabetes medicine prior to surgery, but do remember to bring it
with you on surgery day. If you take any daily medicine prior to your
surgery arrival time, please either wait until after surgery or take it
with a small sip of water.
Dr. Warren: You need to dress comfortably with a top that buttons up the front but
leave all jewelry and other valuables at home. As you are called back
to surgery, you will be asked to lie down on a bed where you will remain
until after your procedure. For your care and safety, we will monitor
your heart rate, oxygen levels and blood pressure. A nurse anesthetist
will begin an IV and administer some medication to help you relax, but
you will be awake and fully breathing on your own during your surgery.
For a brief few moments, you will be given IV medicine that will put you
in a twilight sleep while the doctor or anesthetist numbs the eye to prepare
you for your surgery. Soon you will be taken to the operating room where
your doctor will perform microscopic cataract surgery.
Dr. Whitman: Your surgeon, based on your candidacy, may decide to use a femtosecond
laser to perform some of the delicate parts of the procedure. The cataract
will be dissolved and suctioned out with special ultrasound technology
known as phacoemulsification. Once the cataract is removed, your surgeon
will implant the previously selected lens implant.
What happens after surgery?
Dr. Haq: After surgery, you will either have just a piece of tape or a gauze eye
pad and tape covering your eye. You will be taken to our recovery area
and your family member will join you to go over your specific postoperative
instructions. You should not feel pain, but if you do notice a headache,
please take what you usually take for pain and if you don’t find
relief, please call us. Once the numbing medication wears off, you will
begin to be able to blink. At this point you may take the single piece
of tape off and begin your drop regimen. If you are wearing a gauze eye
pad, we will remove it when you return the day after surgery. Everyone
heals differently and each eye heals differently. Please don’t be
alarmed if you notice that you cannot see clearly as it may take several
days and even weeks to recover from surgery. In fact, the evening of surgery,
you may notice double or triple vision and you may notice funny colors.
This is a result of the numbing medication and will resolve soon. It is
important to use your drops exactly as prescribed and bring them with
you to each and every postoperative visit. You may wash your face, shower
and wash your hair after surgery, just be careful not to allow soapy water
to get in to your eyes and do not rub or put any pressure on the eye.
For the first 10 days, always wear your glasses or sunglasses during waking
hours to protect the eye and you will be sent home with a plastic shield
and a roll of tape to use while showering and during sleep that will offer
Vision after Cataract Surgery
Dr. Whitman: As you leave on surgery day, please stop by the optical shop as you will
likely need to replace the lens in your glasses with a clear lens as the
pre-surgery prescription will be too strong. They can do this for a very
low cost. It is very important that we see you back the next day after
surgery. We will check your eye pressure and your vision and review all
your postoperative instructions. Please bring your drops with you to each
visit as you may receive changes in your drop schedule and it will be
important to confirm what you are using. Very soon, you will be able to
return to your normal activities.
Everyone is different and only you can decide when it is safe to drive
and return to work. If you need the other eye done, we will confirm that
date at your second postoperative visit. I hope this video helps to answer
some of your questions and we look forward to helping you see better soon.