Cataract and lens replacement day of surgery and postoperative instructions. 1-9-2018
Summary
TLDRThis script offers a comprehensive guide to patients undergoing cataract and lens replacement surgery. It details the painless procedure, expected post-surgery symptoms, and recovery timeline, emphasizing the gradual improvement in vision. The script also provides clear aftercare instructions, including the use of eye shields, medication, and precautions against potential complications, ensuring patients are well-informed and reassured throughout their surgical journey.
Takeaways
- đ Cataract and lens replacement surgery is usually painless and comfortable, taking 10 to 20 minutes.
- đ Post-surgery vision may initially appear pink, foggy, or rose-colored, but should improve over about 12 hours.
- đ©ș Common post-surgery symptoms include red eyes, red blood on the white of the eye, and a scratchy or sticky feeling.
- đ A clear eye shield is provided to protect the eye from damage while sleeping, and should be worn as instructed post-surgery.
- đ« Do not rub or squeeze the eye hard, as this can strain the incisions made during surgery.
- 𧎠Makeup and mascara should be avoided on the eyelid and lashes for one week after surgery to prevent irritation.
- đ§ Artificial teardrops are provided to alleviate dryness and can be used as often as needed without overdoing it.
- đ PG B eye drops, containing a steroid, antibiotic, and anti-inflammatory, are crucial for post-surgery healing and should be used as directed.
- đ Vision typically improves significantly within 12 to 24 hours after surgery, with most patients seeing 80-90% improvement the day after.
- đ Patients should not drive until evaluated and deemed safe to do so after the follow-up visit.
- â ïž Warning signs include excruciating pain, nausea, vomiting, fever, sudden vision loss, or worsening redness, which require immediate contact with the office.
Q & A
What type of surgery is being discussed in the transcript?
-The surgery being discussed is cataract and lens replacement surgery.
Is the surgery expected to be painful?
-No, the surgery is usually painless, with some patients experiencing pressure or the sensation of fluid flowing over the eye.
How long does the surgery typically take?
-The surgery takes approximately 10 to 20 minutes.
What should a patient expect to see immediately after the surgery?
-Immediately after the surgery, patients can see, but their vision will be abnormal, often appearing pink, foggy, or rose-colored.
What are some common symptoms patients might notice after the surgery?
-Common symptoms include red eyes, red blood on the white of the eye, shimmering lights, flickering sensations, shadows, light sensitivity, dry and scratchy eyes, and blurry vision.
How long does it usually take for vision to improve significantly after the surgery?
-Vision usually improves significantly within 12 to 24 hours after the surgery.
What is the purpose of the clear eye shield provided after the surgery?
-The clear eye shield is to prevent the patient from inadvertently damaging or rubbing their eye while asleep.
When should the eye shield be worn after the surgery?
-The eye shield should be worn all day on the day of the surgery and during any sleep or naps for the first week after the surgery.
What are some activities that are restricted after the surgery?
-Patients should avoid rubbing their eyes hard, squeezing their eyes, and applying makeup or mascara on the eyelid and eyelashes for one week after the surgery.
What is the most important eye drop to use after the surgery and how often should it be used?
-The most important eye drop is PG B, which should be used three times a day for the first week after surgery, and then once a day for weeks two, three, and four.
What should a patient do if they experience excruciating pain, nausea, vomiting, fever, or sudden worsening of vision after the surgery?
-If a patient experiences any of these symptoms, they should call the office immediately for an evaluation.
Outlines
đ Cataract Surgery Experience and Immediate Post-Op Vision
This paragraph outlines the patient's experience during cataract and lens replacement surgery, emphasizing the painless nature of the procedure which typically lasts 10 to 20 minutes. Post-surgery, patients may initially see pink or foggy vision and experience redness in the eye, which are common and not concerning. Vision is expected to improve gradually over 12 to 24 hours, with the numbing medicine wearing off after half an hour, leading to some scratchiness. Shimmering lights, shadows, light sensitivity, and dryness are also mentioned as common symptoms. The importance of the first 24 hours post-surgery is highlighted, with most patients seeing significant vision improvement by the next day and about 80 to 90% improvement by the first follow-up visit.
đĄïž Post-Surgery Aftercare and Precautions
The paragraph discusses the aftercare instructions following cataract surgery, including the use of a clear eye shield to be worn all day on the day of surgery and at night for a week to prevent accidental eye damage. It details the application of eye drops and the avoidance of rubbing or squeezing the eye. Makeup and sunscreen are to be avoided around the eye for the first week, and facial moisturizers should be applied gently. The paragraph also mentions the healing sensations such as feeling sand or hair in the eye due to incision recovery. An eye kit with an eye shield, paper tape, post-operative instructions, and sunglasses is provided to the patient. The sunglasses are optional and cater to those who are light sensitive.
đ§ Utilization of Artificial Tears and PG B Eye Drops
This section provides information on the use of artificial teardrops to alleviate dryness and discomfort, emphasizing that they are safe for frequent use without the risk of overdose. The paragraph focuses on the PG B eye drops, a combination of prednisolone, gatifloxacin, and bromfenac, which serve to prevent inflammation, infection, and reduce pain post-surgery. Instructions for shaking the bottle and applying the drops, including the correct technique and frequency, are given. The importance of waiting a minute between different eye drops is highlighted. The expected duration of using PG B drops is outlined, suggesting a reduction in usage over the first month post-surgery and as-needed use between one to two months if discomfort persists.
â ïž Warning Signs and FinalæŻćAdvice
The final paragraph offers advice on what to do after surgery, including resuming a normal diet and continuing regular medications. It advises against driving if the patient's vision is not clear or they do not feel safe. The importance of the provided Valium for relaxation during surgery is noted, with a caution about its sedative effects. The paragraph also lists warning signs that should prompt a call to the office, such as excruciating pain, nausea, vomiting, fever, sudden vision changes, and increased redness. It assures patients of the team's expertise and the safety and success rate of the surgery, aiming to alleviate worries and ensure a positive experience.
Mindmap
Keywords
đĄCataract
đĄLens Replacement Surgery
đĄPainless
đĄNumbing Medicine
đĄPost-operative Instructions
đĄEye Shield
đĄArtificial Teardrops
đĄPG B
đĄFollow-up Visit
đĄDo's and Don'ts
đĄWarning Symptoms
Highlights
Introduction to cataract and lens replacement surgery as a painless and comfortable procedure with normal vision expected after 12 hours.
Description of immediate post-surgery vision, often appearing pink, foggy, or rose-colored, which are normal symptoms.
Common post-operative symptoms include redness, red blood on the eye's white, and gradual vision improvement over 12 hours.
Instructions on the use of a clear eye shield to protect the eye from inadvertent damage while sleeping.
Explanation of the application of paper tape to secure the eye shield and its placement on the face.
Clarification that the eye shield is only required during sleep for the first week post-surgery.
Guidance on post-surgery activities that are permissible, such as looking around, bending, and light errands.
Caution against rubbing the eye or applying pressure that could strain the incisions.
Recommendation to avoid makeup and sunscreen around the eyelid for the first week to prevent irritation.
Advice on using gentle techniques when washing the face and eyelids to avoid irritation.
Information on the provision of sunglasses in the eye kit for those sensitive to light post-surgery.
Description of the eye kit contents, including an eye shield, tape, post-operative instructions, and sunglasses.
Discussion on the use of artificial teardrops to alleviate dry eyes and the importance of not overdosing.
Instructions on the use of PG B eye drops, which contain a steroid, antibiotic, and anti-inflammatory for post-surgery care.
Details on the correct application of PG B eye drops, including shaking the bottle and placing one drop in the eye pocket.
Recommendation to wait one minute between different eye drops to ensure proper absorption.
Guidance on adjusting the use of PG B drops from three times daily to once daily over the course of a month.
Advice on using PG B drops as needed between one to two months post-surgery if the eye feels sore or uncomfortable.
Warning symptoms to watch for after surgery that require immediate contact with the office, such as excruciating pain or sudden vision loss.
Reassurance of the safety and success rate of cataract surgery, emphasizing the team's experience and commitment to patient care.
Transcripts
hello so today is your big day and we're
excited for you we're going to help you
improve your vision with cataract and
lens replacement surgery and it really
should be a pleasant experience for you
the surgery itself usually is painless
you'll see some lights you'll feel some
pressure maybe some fluid flowing over
the eye but it really should be quite
painless and comfortable it takes 10 to
20 minutes and then you're done once you
sit up from surgery you'll be able to
see but your vision won't quite be
normal a lot of people will immediately
notice that their vision looks kind of
pink or foggy or rose-colored normal
symptoms that they'll notice are
sometimes their eye will be slightly red
you might see a little bit of red blood
on the white of your eye that's very
common and should be of no concern
usually your vision will improve over
the period of about 12 hours that follow
surgery the numbing medicine usually
wears off after about a half an hour and
your eye might feel just a little
scratchy a little sticky but it's
usually not too bad your vision improves
gradually you might notice some very
common symptoms such as shimmering
lights kind of a flickering sensation a
shadow that you notice kind of out to
the side you might be a little bit
light-sensitive your eyes might feel a
little dry and Scratchy and your vision
might be a little bit blurry during the
first day usually within about 12 to 24
hours your eye will have had enough time
to heal such that you can tell your
vision is significantly better
additional common symptoms are tearing
or watering of your eyes your vision
will be initially cloudy especially for
the first six to eight hours after
surgery the tearing will make your
eyelid skin a bit swollen and that's
normal usually this one goes away after
a day or two do not expect to see
perfectly or great during the first 12
hours after surgery usually takes 12 to
24 hours before you start to notice
significant
improvement in your vision the day after
surgery when we see you for your
follow-up visit your vision will be
quite good noticeably better than it was
before your cataract surgery the day
after surgery most people see about 80
to 90% of their full improvement the
remaining 10 to 20% of the visual
improvement occurs by one month after
surgery let's talk about aftercare
instructions you'll be going home with
this clear eye shield which is shaped
like a teardrop this is the top of the
teardrop and this is the bottom of the
teardrop the eye shield is placed on
your eye such that the top of the
teardrop is placed between your eyebrows
the bottom of the teardrop is placed on
your cheek it's come it's placed almost
diagonally enclosed in your eye kit is
this roll of paper tape it's usually not
very irritating to your skin
all you need are two pieces of the paper
tape an inch or two in length and you
need one piece at the top of the
teardrop and one piece at the bottom of
the teardrop and then you place the
shield as we describe where the top of
the teardrop is between your eyebrow and
the bottom of the teardrop is on your
cheek
so it's diagonally taped one strip of
tape that's about an inch or two long at
the top of the teardrop and one piece of
tape that's about an inch or two long at
the bottom of the teardrop and it's
diagonal okay that's how you place the
show we ask that you wear your shield
all day on the day of your surgery
now to put in your eye drops that you'll
need to put in you can remove the shield
put in the eye drop and then place the
shield back on your eye just on the day
of surgery on the day after surgery you
don't need to wear it so when you come
to our office you don't have to come to
our office with your shield on you just
need to wear it whenever you're going to
lay down to go to bed or take a nap you
only need the shield at nighttime while
you're awake you don't need it at all
it's simply too
prevent you from damaging or rubbing
your eye inadvertently while you're
asleep and you're not aware of what
you're doing but whenever you think
you're going to take a nap or go to bed
at night or fall asleep inadvertently go
ahead and put it on for the first week
after surgery it's most important the
first night after surgery but it's
ideally warm for one week after your
cataract surgery let's talk about do's
and do nots after your surgery you can
use your eye you can look around you can
bend over you can pick things up you
could do most errands you can wash your
face you can wash your hair and shower
the day of surgery a shower and wash
your face of course there's going to be
water flowing around your eye let it
flow just close your eyes softly if you
need to wash your eyelids just you can
use soap and water but just be gentle
nothing real hard or strong or pinpoint
just gentle blotting gentle gentle
nothing real hard and firm to solve okay
we will see you the day after surgery
evaluate your eyes and then make a
recommendation on if it's safe for you
to drive after surgery there are some do
nots or some restrictions there's two do
nots for everybody so number one do not
rub your eye real hard with your finger
or your knuckle or your fist number two
do not squeeze real hard so if your eye
sting or they go irritable don't squeeze
real hard the incisions that we make in
your eye
self sealed but by rubbing really hard
or squeezing real hard especially in the
first few days you could put unnecessary
torque and strain on the incisions and
they could inadvertently leaked a little
bit of course we would not want that to
happen usually by one week after surgery
the eye has regained enough strength
that you no longer have to wear your eye
shield at night and you
apply more and more pressure to the eye
without adverse consequences for women
who use makeup or mascara we asked for
one week no makeup on the eyelid no
mascara on the eyelashes you can wear
makeup everywhere else except on your
lid and lashes on day eight after
surgery you can wear makeup however you
please on your lid and lashes the reason
for avoidance of the makeup is there is
a fine powder in the makeup and the
powder floats in your tear film and we
can see it through the microscope wooden
and we do not want any of that makeup
powder inadvertently migrating its way
into your eye after surgery also women
who remove their makeup they tend to put
quite a bit of pressure on their eyelid
to remove the makeup so we'd like you to
avoid that for the first week
facial moisturizing creams moisturizer
skin cream in general you can use it you
can use it on your face you can use it
on your eyelid the day of the day after
surgery but just be super gentle again
soft very gentle nothing real firm I'd
probably avoid sunscreen around your
eyelid for the first week as well
because it's it can sting and get in and
irritate your eye and we just want
anything that could be irritating to the
eye you just leave it alone for one week
another common symptom after surgeries
you might feel like there's sand or hair
in your eye that's very normal
that's the little incisions healing
after surgery the incisions we make are
tiny they're about two to three
millimeters in length they seal on their
own without stitches in the vast
majority of cases you'll be provided an
eye kit that contains in addition to
your eye shield and a roll of tape and
post-operative instructions you will be
given sunglasses that you could wear if
the sunlight bothers you you don't have
to wear them all the time you don't have
to wear them at all
the sunlight won't do any harm to your
eye but some people are light sensitive
so they'll mark
while wearing these sun shades they're
helpful if when you go out especially
after surgery your your your pupil is
dilated so you're going to be
particularly sensitive to light you can
put these sun shades on they are
designed to fit over your glasses
because they have this space built-in so
you can wear your glasses or you can
wear an eye shield and place the sun
shades over the glasses that you
normally wear or your eye shield that
you're wearing immediately after surgery
use them if you want but they're not
required they might help people who are
prone to squinting their eyes due to the
sunlight it'll block some of the
sunlight so you won't feel the need to
squeeze or squint the there is the
tendency for your eyes to feel dry
stinging Burnie feel like there's an
eyelash or hair in your eye after
surgery that's very common character to
in and of itself induces dry eyes that
are temporary in nature but tend to get
better in your eye kit we've provided
you a sample of a type of artificial
teardrop there are many different brands
these are three excellent brands that we
may give you a sample of or which you
can purchase on your own at every
grocery store every pharmacy these are
over-the-counter artificial teardrops
you can use them as often as you want
they're great for makes me where I feel
better
clearing your vision up if your eyes dry
you put these drops in as often as you
want it is not possible to overdose on
artificial teardrops use them as often
as you want if you think they're helping
or if they make your I'm more
comfortable a big bottle of these
artificial teardrops at the grocery
store a large bottle will typically cost
about $10 the most important eye drop
that we would like for you to use before
and after surgery is this bottle it's
called PG B
and it stands for the three ingredients
in this bottle prednisolone
Gadda flock CSUN and Brahm Fanuc
prednisolone is a steroid designed to
prevent inflammation and swelling after
surgery G is an antibiotic that is to
prevent infection after surgery and
broth enact is what we call a
non-steroidal anti-inflammatory drug it
is designed to reduce pain inflammation
and keep your eye very comfortable after
surgery in this bottle which has a
purple cap there are three point five
milliliters of medication there's 20
drops per milliliter therefore in this
bottle there are 70 eye drops we ask you
to use the drops three times a day
starting one day before surgery continue
three drops per day for one week after
surgery so that's 24 drops and then we
ask you to use one drop a day for weeks
two three and four let's go for
instructions on how to use the pgb
eyedrop first of all as you can see on
the bottle it says shake well so you
shake it well let's say I'm having
surgery or I just recently had surgery
on my right eye here you remove the cap
of course and the best way to still
eyedrops is to tip your head back
and then pull down on your lower eyelid
to create a little pocket using a
magnifying mirror can be very very
helpful and then you just place one drop
into that little pocket and if you blink
a little bit it'll distribute itself
using multiple using multiple drops
inadvertently let's say I put in two or
three drops sequentially bam bam bam
into the eye all at once will it do any
harm no not at all it's very safe but
the eye can only absorb one drop at a
time so if you put in multiple drops the
second and third drop if they're placed
sequentially within a few seconds
they're just all wasted they'll flow
down
cheak they won't actually stay on the
ice surface so all you need is just one
drop three times a day so think about it
is use it breakfast lunch and dinner
every day starting one day before
surgery use it for three times a day
breakfast lunch and dinner for the first
week after surgery and then once a day
for starting date eight until day 31 if
you need to use artificial teardrop
let's say you're using artificial tears
to moisten your eye because you have
some dryness to your eye how long should
you wait after putting in this drop how
long should you wait until you put in
this drop it's only about one minute so
you want to allow at least one minute
for the first medication to absorb into
the eye before you put in any subsequent
eye drop because you don't want the
second drop to wash the first drop out
about one minute is all you need between
two different medication eye drops okay
to recap pgb is the most important eye
drop you said three times a day starting
one day before surgery and for the first
week after surgery and then starting day
eight and four weeks to three and four
usually just once a day you'll use a
total of about fifty drops if you apply
it correctly there's 70 drops in the
bottle it should last you the full month
you should only need one bottle of
medication pgb per eye let's say it's
been one full month after your surgery
to your right eye and you stop the drop
and your eyes starts to feel a little
bit sore or red or light sensitive but
your vision is still pretty good but
your eye just doesn't feel right it's
okay between one and two months after
surgery for you to go ahead and put in
an extra drop once a day if your eye
still hurts try to stop it after the
first month but if your eye feels achy
sore painful uncomfortable it's safe to
use this once a day as needed between
month one and month two after surgery so
between the
and sixty days after surgery if your eye
starts to ache or feel sore put in one
drop and then don't take it the next day
see if your eye is comfortable enough to
stop it can stop it completely if you go
a couple of days and then your eye
starts to ache again go ahead and put in
another drop as needed to keep your eye
comfortable but most people I'd say 95%
of people only need this medication for
the first 30 days after surgery and then
they can stop it but if you have to take
it between day 30 and day 60 as needed
it's probably safe if you still need the
pgb drop after 2 months after surgery
because your eyes still painful or your
visions not clear or your eyes not
feeling normal
and seeing normally then we should then
then please call our office so we can
examine your eye and make sure
everything's okay if you have redness to
the I will check out the day after
surgery typically it'll just reabsorb on
its own without special treatment within
two weeks after surgery but 2 weeks
after surgery here I should be very
white and quiet there are some warning
symptoms that if you experience them we
would want you to call our office number
one excruciating pain number two nausea
or vomiting fever vision that initially
is getting better and then suddenly gets
worse vision that improves gradually
over the first few days and then
suddenly gets worse redness to your eye
that it is present initially and then
starts to improve and then the redness
suddenly gets worse we would want you to
call our office so we can evaluate your
eye it's normal to have some discharge
the day of surgery but usually the
chances of infection the first 24 hours
after surgery are exceedingly rare
because we've given your eyes so much
medicine and antibiotics it's not likely
the discharge is of any danger in the
first 24 hours after surgery but if you
experience discharge to your eye after
the first day then we want to evaluate
your eye to make sure
that everything is okay so when you get
home today you can resume your normal
diet
there's no dietary restrictions you can
resume all your normal medicines of
course we don't ask that you stop any of
you usual medicines before your surgery
the valium pill that most of our
patients receive to help them relax
during surgery will tend to make you
sleepy so go home get some rest
if you're resting of course remember to
use your eye shield usually the valium
wears off in about 12 to 18 hours if
your vision is clear and you feel safe
driving you can drive yourself in for
your follow-up visit however if your
vision is not clear or you do not feel
safe driving then we would ask that
somebody else drive you so you can come
in for your one day after surgery
evaluation will take great care of you
today during your surgery
our team is outstanding they should make
you feel comfortable and know that
cataract and lens replacement surgery is
our specialty we've done this thousands
and thousands of times it's very safe
it's highly successful you're going to
receive the best care possible so come
in relaxed come in happy everything's
going to be taken care of for you you
don't have to worry about anything we'll
make sure it goes well for you and that
you're gonna have your vision improved
and you'll know that within the first
day after surgery and you'll and you'll
you'll be able to tell for yourself how
much better your vision is usually
within 24 hours after surgery so we'll
make sure you feel comfortable and we'll
take great care of you and I'll see you
in the operating room and then I'll see
you tomorrow
on your first day after surgery
follow-up thanks for trusting us have a
wonderful day and we'll make sure your
surgery goes well thanks again
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