Doctor insights on:
Why Do Individuals Experience Sensitivity To Bright Light After Cataract Surgery
Is sensitivity to light normal after cataract surgery? I am a sixty year old who had cataract surgery three weeks ago. I am finding that every time I go outside, I need to wear sunglasses because my eyes are extremely sensitive to the light. Is this a per
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
I have developed a relevant increase in myopia and a blurred vision due to light sensitivity 3 days after cataract surgery. What can be the reasons?
Not usually: Vast majority of implants have uv blocking material. It's really just a matter of comfort and glare. ...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
Bring a driver: The most common form of anesthesia during cataract surgery is intravenous sedation. The effects can last for several hours, and patients are essentially "drunk". It is not safe to drive for at least 6-12 hours after having sedation, and most ophthalmologists will advise their patients not to drive for up to 24 hours. You will often not be allowed to leave the surgery center without a driver. ...Read more
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
Rarely: The implant has "arms" called haptics which hold it in place inside the lens capsule. If it was not inserted properly or if the eye sustains trauma then it can get misaligned or dislocated. This is fairly rare, but if it does occur it can often be repositioned with additional surgery. ...Read more
No: Dizzyness may be felt if you received intravenous sedation for the surgey, but its affect should no last more than a couple of hours. ...Read more
Cloudy after CS: Blurry vision, discomfort, pressure sensations around eye after surgery are common. Can be due to resolving inflammation, corneal swelling/edema, drying out of tear film layer, pressure fluctuations in eye. These symptoms should resolve. Muro 128 drops & ointment help if due to corneal swelling: OTC; use post op drops (steroid & antibiotic); cold ice packs; ask MD if have edema: Muro helps. ...Read more
Yes: Usually, no problem as long as eye is healthy. ...Read more
Double vision: Double vision after cataract surgery can be due to: imbalance of refraction (glasses rx) or eye muscles between eyes; uncovering of misalignment of eyes from youth/birth; if injection used before surgery, can rarely be from eye muscle damage. New eye glasses Rx helps in most cases depending on cause & severity. Majority resolve in >1mo. See eyedoc2020.blogspot. Com ...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
Why do doctors recommend not exercising for a month after cataract surgery? Is it old school advice?
SAFETY: Most cataract wounds are self sealing and do not require a suture. Placing undue stress to this wound before healing may cause a wound leak. Every cataract surgeon has had to take a patient back to the or at some time to fix, or try to fix an eye in a patient who did not heed the restrictions. Don't risk a lifetime of good vision by doing too much in the post operative period. ...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
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