What do I need to know before cataract surgery?

Published in Cataract Pre-Surgery Questions

What do I need to know before cataract surgery?

Macula - Although not always done, I would consider it a best practice to do an OCT prior to cataract surgery.    The special OCT image is a detailed cross-section of the retina and documents any imperfections or lack-of-imperfections prior to surgery.

Dry Eye - Mild, moderate or severe dry eye can negatively affect the outcome of cataract surgery.  Having a healthy cornea can help your surgeon’s team get better measurements for the implant so make sure that you follow your dry eye protocol to the letter before your measurements (not just prior to the surgery date).  It is NOT worth paying for a better lens implant if you have raging dry eye because the measurement accuracy is poor.

Folks with dry eyes can also have more discomfort post-surgery so ask your team if there is something more that you need to do prior to your surgery. 

Lashes and Lid Care - Poor/inadequate lid hygine prior to cataract surgery increases infection risk.  It is a best practice to use lid scrubs or gel care gel prior to your surgery.  Do not have eyelash extensions use or make-up a few days prior to your surgery date.

 

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Why do I have scratchy dry eyes after cataract surgery?

Published in Cataract Post-Surgery Questions

Why do I have scratchy dry eyes after cataract surgery?

As your eye heals post-surgery you will likely experience some scratchy, dry feelings.

It is my opinion that this is from a combination of new corneal nerve regeneration through the wounds and also some true dry eye issues (likely induced/worsened by the wounds).

The key is lots and lots of proactive rewetting drops...  Even before surgery!

If you already have dry eye issues, make sure that you follow your dry eye protocol precisely in the weeks leading up to both your eye measurements and surgery.

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