what not to do after cataract surgery melbourne

What Not to Do After Cataract Surgery? Your Post-Op Guide to Follow

After any surgical procedure, there will be a list of guidelines to follow in the post-operative period. The purpose of these guidelines is to ensure you minimise your risk of complications and increase your likelihood of a smooth recovery. Cataract surgery is no different. What you do after your cataract surgery procedure is just as important as what you don’t do. Keep reading to find out what not to do after cataract surgery in order to boost your chances of an uncomplicated cataract surgery recovery.

 

What Does Cataract Surgery Involve?

At the moment, cataract surgery is the only definitive treatment for cataracts. Cataracts are a haze or opacity in the crystalline lens of the eye. This cloudiness of the lens gets in the way of light entering the eye, resulting in deterioration of the quality of your vision. 

Cataract surgery is considered to be a safe and effective procedure. It aims to remove, or extract, the cloudy lens from your eye, and replace it with a clear artificial implant, known as an intraocular lens. As this intraocular lens can often be calculated to correct your eye’s prescription, many people are less dependent on their glasses or contact lenses after a cataract operation. 

 

 

Under local or topical anaesthetic, the cataract surgeon creates an incision in the front surface of the eye known as the cornea. Through this incision, other instruments are inserted into the eye to reach the cataract sitting behind the coloured iris. The membrane envelope holding the crystalline lens is gently torn open, and a probe is used to apply ultrasonic energy to break up the lens into small pieces. These fragments are removed from the eye, and the intraocular lens can then be inserted into the membrane envelope. 

After your cataract surgery, your surgeon will give you a list of post-operative guidelines to help you understand what to do, but also what not to do after cataract surgery. Following these will help you to get through your cataract surgery recovery period. 

 

What Not to Do After Cataract Surgery?

While your surgeon may have given you slightly different specific instructions, most cataract surgery recovery guidelines follow the same general vein. If ever you’re in doubt with any part of what not to do after cataract surgery, check with your surgeon. 

 

Don’t strain yourself too early

After any operation, you will want to take it easy. Cataract surgery is no different. Though you may not think much could affect the eye, it’s still advisable to avoid any strenuous activities. Increased pressure through lifting heavy objects, intense exercise, or even coughing fits, could injure your eye in its vulnerable state as it heals. Instead, take a break from weights at the gym and from doing intensive house chores. 

 

Don’t drive until your vision has been checked

As early as 24 hours after your cataract operation, you may feel that your vision is clear enough to drive. However, it’s a good idea to wait until you’ve been reviewed by your surgeon to confirm that you meet the driving requirements in your state. The first review appointment is often only a day or two after your operation. 

 

Don’t stop your prescribed eyedrops earlier than advised

Depending on your surgeon and the state of your eyes after your cataract operation, you may be given a few prescription eyedrops. These can include antibiotics and anti-inflammatory medications. Your dosing regimen may last for as long as 4 weeks, or even longer if your eye continues to be at risk of inflammation or infection. It’s important to stick to the eyedrops as has been prescribed, even if your eye feels back to normal. Ceasing your medications too early can make your eye open to the risk of infection or prolonged inflammation. 

 

after cataract surgery treatment what not to do melbourneDon’t expose your eye to contamination or risk of injury

As your eye is still healing after cataract surgery, keep it protected. On the day of your procedure, you’ll be sent home with a protective eye shield. You may be advised to wear this during the day for the following day or two and then only at night when you sleep. In addition to this, you should avoid getting anything in your eye. The obvious contaminants are dirt and dust, but you should also try to keep soaps, lotions, and cosmetics away from your eye while it’s recovering. If you work in an environment where you’re surrounded by dust and debris, you may need to take more time off work. 

 

Don’t update your glasses or contacts until given the all-clear

It can take 4 to 6 weeks for your sight to fully stabilise after cataract surgery. Spending money on new spectacles or contact lenses before this time could result in you ending up with a slightly incorrect script once your eyes have settled. Your cataract surgeon will let you know when it’s okay to update your glasses.

 

Don’t delay if something doesn’t feel right

Any instances of increasing redness, blurring or visual disturbances, increasing pain, or discharge from the eye should be addressed immediately. If you’re unable to get hold of your cataract surgeon, see a local optometrist or the emergency department of a hospital. Though you follow every post-op instruction to the letter, complications may still occur. 

 

 

Call us on (03) 9070 5753 for a consultation.

 

 

Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

 

 

 

References

Recovery: Cataract Surgery
https://www.nhs.uk/conditions/cataract-surgery/recovery/

 

 

 

 

 

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risk factors of cataract melbourne

Risk Factors of Cataract — Discover What You Should Know

It’s most likely that you know of at least one person who has cataracts, if not someone who has already undergone cataract surgery. Perhaps you yourself have just been told you’re developing a cataract. Cataracts and cataract surgery are very common around the globe. If you’ve not yet started developing cataracts, you may be interested to know what the known cataract risk factors are, and whether any of them apply to you. Keep reading to find out.

 

Risk Factors of Cataract

The risk factors of a cataract are just that – risk factors. It doesn’t mean that if one or more of these factors are relevant to you that you are destined to develop a cataract requiring cataract surgery. It just means that you’re more likely to get cataracts compared to someone without those particular cataract risk factors. Conversely, even if you’re pleased to report that none of the known risk factors of cataract applies to you, this doesn’t mean you’re instantly in the clear. Here are some of the known cataract risk factors

 

 

Age

The reason cataracts and cataract surgery are so common is that everyone ages. And just like wrinkles and grey hairs, the development of cataracts is most strongly associated with increasing age. It’s not fully understood exactly why cataracts grow as we get older, but experts believe it’s at least partly to do with oxidative stress on the crystalline lens of the eye (which is where the cataract forms). As we age, our bodies become less able to combat the effects of oxidation on the lens. Decreases in the production of protective compounds and an increase in damaging compounds in the eye as we get older can result in a loss of transparency of the lens fibres. As this progresses, the gradual cloudiness of the lens becomes a cataract. 

Another underlying factor of age as one of the risk factors for cataract is that age is also typically associated with other diseases. Certain systemic diseases and certain medications, as we’ll find out later, can increase the risk of cataract. 

 

Family history of cataracts

Researchers have found some genetic links to the development of cataracts. Though there does appear to be some inherited predisposition to the early onset of age-related cataract and needing cataract surgery at a younger age, this association is not fully understood. However, the influence of genetics on congenital cataracts is a little clearer. Congenital cataracts occur within the first year after birth, and up to half of all congenital cataract cases are thought to be inherited. 

It is also possible for cataracts to be part of a syndrome or larger eye condition, which may be genetic. These include retinitis pigmentosa and neurofibromatosis

 

Smoking

In addition to increasing your risk of other ocular diseases, tobacco smoking is one of the known cataract risk factors. It is thought that the toxins introduced to the body through cigarettes can accelerate oxidative damage of the crystalline lens. 

 

Hypertension

Studies have found an association between high blood pressure (hypertension) and an increased risk of cataracts. There appears to be a positive correlation, meaning the higher the blood pressure, the higher the risk of cataracts. There is also a link between suffering from hypertension for a longer period of time and an increased risk of cataract.

How this relationship works is not exactly understood. One hypothesis is that certain anti-hypertension medications can induce cataracts, while other studies have also found hypertension can cause whole-body inflammation, which could impact the crystalline lens. There may also be a genetic component that could predispose a person to both hypertension and cataract formation. 

 

Diabetes

Diabetes is one of the well-known cataract risk factors. Furthermore, diabetes can also increase the risk of complications during cataract surgery.

cataract risks factors melbourneDiabetes mellitus is a systemic disease involving impaired insulin production by the pancreas. Insulin is a hormone responsible for allowing the cells of the body to uptake glucose (sugars) from the bloodstream. Without sufficient insulin, people with diabetes end up with excess glucose circulating in their bodies. This can result in various complications, such as foot disease and retinopathy (disease of the retina of the eyeball), and cataracts. 

High blood glucose concentrations can tip the balance of water content in the crystalline lens, resulting in what’s sometimes called a “sugar cataract”.

Managing blood glucose levels well may help to reduce a diabetic person’s risk of developing a cataract. 

 

Eye trauma

Trauma to the eye can come in different forms. These include inflammation from an eye disease such as uveitis; physical trauma, whether blunt or sharp; eye surgery; or electrocution. Such traumatic events can, through various mechanisms, disrupt the arrangement or integrity of the lens fibres, resulting in a loss of transparency and the development of a cataract. 

 

Obesity

Obesity is not typically mentioned at the top of cataract risk factors, but studies have demonstrated a positive association. It is thought that an overweight body releases certain chemicals from excess fat tissues. This chemical, known as leptin, may induce oxidative stress and induce cataract formation. 

 

Alcohol consumption 

The relationship between alcohol intake and developing cataracts appears to be not as straightforward as the other cataract risk factors. Studies show that the higher the alcohol consumption, the higher the risk of needing cataract surgery. However, some studies have also found that moderate alcohol consumption (less than 20g of alcohol a day), could offer a protective effect against cataract formation. This may be due to the antioxidant properties of alcohol.  

 

As mentioned previously, it is not possible to guarantee that you’ll avoid cataract surgery forever. However, by addressing modifiable risk factors such as smoking and managing systemic conditions well, you can reduce your risk of developing cataracts. 

Call us on (03) 9070 5753 today.

 

 

Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

 

 

References

Age-Related or Senile Cataract: Pathology, Mechanism, and Management.
https://austinpublishinggroup.com/clinical-ophthalmology/fulltext/ajco-v3-id1067.php

Genetic Origins of Cataract.
https://jamanetwork.com/journals/jamaophthalmology/fullarticle/817183

Hypertension and Risk of Cataract: A Meta-analysis.
https://www.researchgate.net/publication/269188028_Hypertension_and_Risk_of_Cataract_A_Meta-Analysis

Cataracts.
https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/cataracts

 

 

 

What is a Cataract and How is the Vision Problem Treated?
what is cataract

You’ve just celebrated your 60th birthday and have turned up to your regular yearly eye test feeling pretty good – you’re generally fit and healthy Read more

Cataract Causes That You Should Know About
cataract causes

Cataracts are a part of life, they come along part and parcel with the white hairs and wrinkles. A cataract is an opacity or haze Read more

Optimise Your Recovery From Cataract Surgery
recovery from cataract surgery

Cataract surgery is one of the most commonly performed surgical procedures in Australia. Although a scalpel coming towards your eye can be a pretty daunting Read more

What You Should Know About the Cataract Surgery Procedure?
cataract surgery procedure

Around the world, every single day, approximately 60 000 eyes undergo a cataract surgery procedure. This makes cataract surgery among the very top reasons for Read more