Doctor insights on:
After Cataract Surgery Do Pupils React To Light
Depends: Cataract surgery involves the substitution of an artificial lens for the removed and cloudy natural lens. This causes the iris to recede backwards in the eye as the new lens is smaller. This creates a smaller pupil and that is the usual expectation. On your next visit with your cataract surgeon bring this up as perhaps there is some remedy or other cause in your case. ...Read more
Occurs whent here is a clouding (or change in protein composition) of the normally clear lens (which is located behind the pupil and iris) inside the eye. Cataracts are most commonly due to aging, but can be congenital (born with it), due to trauma or uveitis (eye inflammation). Can be worsened by long-term topical steroid ...Read more
Not a problem: While the pupil is dilated during surgery, it rapidly goes back to undilated. Because the natural lens is much larger than the artificial lens, it pushes the iris forward giving some increase to pupillary size - which is what you are used to. After surgery then, the iris falls farther back and is smaller in many cases. Your surgeon can advise you on routine follow up for this. ...Read more
Get a second opinion: If you are not getting answers from your surgeon, obtain a second opinion from another cataract surgeon. Good luck. ...Read more
Drops after CE: After Cataract Extraction/surgery, we use steroid drops to decrease inflammation for about 2-6wks, antibiotics to prevent infection x 1wk, NSAID (nonsteroidal) every day for 4-6+wks depending on other risk factors (diabetes, etc) to avoid swelling in macula; after all drops done, usually only drops needed are artificial tears if dry eye sx; pts with glaucoma need drops for life usually. ...Read more
Follow instructions: Your surgeon will give you detailed instructions, and usually they are given in writing too. You want to keep your hands away from your eyes, and take the antibiotic and steroid eyedrops as directed. More info: http://www.2020vision. Com/procedures_cataract_surgery. Html. ...Read more
Inflammation likely: The combination of symptoms and timing make rebound inflammation very likely. If you recently tapered off or stopped your steroid drop typically used after surgery, your inflammation may not have been completely cleared. If this is the case, the inflammation can resurge when the steroid is removed causing pain, soreness, and redness. See your doctor for evaluation and treatment. Good luck! ...Read more
Short term: Almost all cataract surgery is done under local; the eye protection is to cover the eye during the period when the anesthetic is still in effect to prevent accidentally poking the eye. It is not used to promote healing. By the next day after surgery, the cover will have been removed and with ordinary caution, the eye will heal nicely. ...Read more
Possibly: Some redness is to be expected from the eye drops used and local irritation of the surgery and inflammation. Sometimes bruising over the white part of the eye can appear very red or purple. The seriousness of redness after the surgery largely depends on the date from surgery, the visual acuity, and pain or discharge. Certainly a phone call is warranted to the eye surgeon to address it. ...Read more
Possibly: Possible, but most likely not, infections are rare. You need to see your eye doctor immediately. If it is an infection a delay in treatment of just a few hours can make the difference between seeing perfectly vs being blind the rest of your life. Other possible causes of redness could be uveitis, allergy to drops, dryness, corneal abrasion. ...Read more
Healing after cat Sg:
Typically 2 to 3 weeks
surgery in the other eye can be done as early as 3 days after the first one.
There has been recent efforts to consider, bilateral cataract surgery in one setting.
What precluded this in the past is the remote possibility of an infection in one eye, that could conceivably affect both eyes. ...Read more
No: As long as the surgery was routine and didn't require retinal surgery with the use of intraocular gases due to complications, flying is ok. ...Read more
After cataract surgery saw straight line glow from lights in car console, at night, dark. Surg eye only. Concern? Line same angle even moved head.
Glare, glow after CS: It is common to notice some "glow/lights" after cataract surgery. Most common cause of glare/your symptoms after Cataract Surgery: residual inflammation, cornea healing, capsule haze, glare from implant. See your eyeMD who will be able to determine cause, prognosis, treatment. More info: eyedoc2020.Blogspot. Com ...Read more
After cataract surgery. 48hr after I see a lot better but the objects, letters, numbers, people, etc, when I cover my eye they look skinny it is normal?
Different prescripti: Since you are comparing your eyes together (one that has just had cataract surgery and one that has not) the difference that you are noticing is the difference between each eyes prescription. When you are fully recovered from your surgery, your eye surgeon will refract your eyes and provide you with the new and correct prescription. This will neutralize the image differences. ...Read more
If your eye is swollen after cataract surgery is that normal. How long is normal for it to be swollen? ??
Varies: Biological response to surgery varies but swelling of the tissue lasting more than 2-4 days after cataract surgery is unusual and requires evaluation. If this is happening, you should contact your operating surgeon for an evaluation, especially if there is pain, bleeding or redness or the vision is dropping. ...Read more
Could I have the wrong grad iol after cataract surgery my vision 20/25 in that eye, before that I had a retina detachment 8 mnts ago too?
After cataract surgery, there is a red and watery eye and inflammatory fluormesolone drops was used for two was n it's ok now, but on 3rd wk, it's not?
Cataract surgery may: Have prolonged or late onset inflammation in some individuals. If this occurs after the normal post-operative course of topical medications then an examination is needed to determine why this is occurring and treat the underlying cause. Though most commonly inflammation is the cause, rarely late onset infection may occur. Please follow with your Ophthalmologist for evaluation. ...Read more
Is the lens felt in the eye after cataract surgery? Surgeon says everything is Ok. I had surgery 10-06. Could I be feeling the new lens and it takes time to get adjusted? No pain.
Should my friend be concerned about accumulation of fluid in her eye after cataract surgery? She believes the fluid may result from eye drops she's taking. Those are: bromday, predforte, and vigamox.
She needs to see her surgeon. In the vast majority of cases, there should be no issues like this. How come she can't get ahold of her surgeon? This makes no sense to me. It's a shame that you have to go online to ask this question for your friend instead of having her call her surgeon directly and resolving the issue in minutes.
In my practice, all surgical patients are given my email and cell phone number. That is what I would want if I were the patient! ...Read more
Mom had 'subclinical' rd 6 months after cataract surgery. No one else in my fam had it. Has lattice in other eye. Is this a family history of rd for me?
Yes: You should have regular eye examination including retinal exams. ...Read more
Cipro (ciprofloxacin) eye drops safe after cataract surgery on 71 year old? Along with steroid drops? Is it ok not to use drops and not tell doc?
Yes and mo: Yes it is safe to use both drops. And no it is not OK not to tell the doctor. If you have an infection after surgery for any reason then it could be a disaster. Your doctor have done a thousands of these operations and he prescribed all these medicines for a reason follow your doctor instructions ...Read more
Is it normal to have retinal swelling and corneal abrasion after cataract surgery? I'm 54 had lasik in left eye 3/30/05 no problems good results. Had cataract surgery on 4/21/11 vision 20/200 swelling retina 350 micron with wrinkles and severe corneal abr
Corneal abrasion at the time of cataract surgery can happen, but it is very rare. Certain conditions can increase the incidence (dry eyes, blepharitis, even previous lasik).
The retinal swelling also is somewhat rare to the level you are describing, but it too still happens. Conditions like diabetes, uveitis history, and pre-existing wrinkling of the retina (epiretinal membrane) increase risk. ...Read more
Seven months after cataract surgery on my right eye, I developed CME. I have been using Prednisone and Bromday twice a day. I also had a Kenalog injection a week ago, although colors are more vivid in one eye. Treatment of Cystoid Macula Edema?
S/p Cataract choices: If you mean which implant to choose for an intraocular lens implant, see Cataract Surgery Options at eyedoc2020.blogspot. Com. If you mean which lens is better after cataract surgery: depends on residual refractive error (is there astigmatism, reading ok? What IOL was placed?). If you need reading, intermediate, distance rx, progressives are best for young pt's if brain can learn. Full answer @blog ...Read more
Vision & Catarac: Vision usually decreases with cataract formation; Depending on pre-operative risk factors (ie, hypertension, diabetes, pseudoexfoliation, trauma, etc) the vast majority of patients achieve 20/20 vision after cataract surgery (low risk factor patients). Most patients say colors are brighter after VA much better. More info at: eyedoc2020 blogspot com ...Read more
Yes: Depending on implant placed & preop risk factors (high myope?), seeing arcs of light after cataract surgery usually is normal & due to light hitting rim of implant. If have flashing lights, can be due to traction on retina from vitreous detachemnt. If flashing lights continue or new black floaters, then see eyeMD for dilated exam. Eyedoc2020@blogspot. Com ...Read more
Yes: The symptom of flashing lights, especially if combined with the sudden onset of floaters or the sensation of a curtain or veil across your vision, can be a sign of a retinal problem. You need to have your eyes checked and your pupils dilated by an eye doctor to be sure there is not a problem. ...Read more
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