Dear patients, we would like to sincerely thank you for your trust, cooperation and support to our surgical team during the perioperative period, the following are the precautions you should take after surgery, please read them carefully.
I. What should I pay attention to when I go home on the day after surgery?
1.Don’t take off the gauze and order eye drops on the day of surgery: we have already used antibacterial and anti-inflammatory drugs at the end of your surgery, so there is no need to order eye drops on the day of surgery; 2.The operated eye may be mildly uncomfortable, but it will not be in severe pain or cause systemic conditions: it is normal to feel slight discomfort in the operated eye on the night after surgery. If the operated eye is severely distended and painful, even accompanied by headache, nausea, vomiting and other symptoms, please make sure you go to the ophthalmology department in time to avoid delaying the condition; 3. You can scrub your face with a towel within 1 week after surgery, but do not rub your eyes. Avoid choking with oil and fumes, avoid splashing sewage into your eyes, and wear glasses on sandy days; 4. Avoid exertion and trauma: please eat more vegetables and fruits, avoid spicy and stimulating or too hard food, keep your bowels clear, avoid forceful defecation, violent coughing, excessive eye rubbing, and lifting heavy objects; pay attention to safety and avoid trauma; 5. Please make sure to consult the doctor promptly (Peking University Eye Center provides 24-hour emergency service throughout the year).
1. Registration for review: the first day, the first two weeks and three months after cataract surgery, a total of three times; the first day after surgery, please register according to the nurse’s request, the first week and three months: every Monday afternoon in the specialist three consultation room (try to come back after 2:30, there are many patients at 1:30!)
First day postoperative review: the doctor mainly looks at the postoperative reaction, the need for further treatment; 1-2 weeks postoperative review: mainly to see whether there is a delayed inflammatory reaction, whether there is an increase in intraocular pressure; 3 months postoperative: the eye condition has stabilized, mainly optometry: to give the patient better visual quality; measurement of intraocular pressure: to prevent the possibility of glaucoma.
2.I am not convenient to come for review (physical, family, out-of-town patients, etc.), is it possible to go to other hospitals for review?
Generally yes (you need to ask Dr. Xiaoyong, some special conditions are best reviewed by the surgeon himself) 3.When can I get glasses?
Generally, it takes 3 months after surgery for your eyes to become completely stable. It is recommended that you go back for glasses 3 months after surgery. If you are a highly myopic patient, you should first temporarily wear 300-degree myopic glasses (preferably not too expensive, because the degree change will be wasted at 3 months).
Third, what about dry eye after cataract surgery?
With the continuous improvement of cataract ultrasound emulsion surgery, more and more cataract patients have obtained satisfactory vision through perfect and precise surgery, but some patients complain to the doctor after the surgery that their vision is clear, but they feel uncomfortable, dry, astringent, and a bit burning, and sometimes they feel like there is a foreign object poking their eyes, and they cannot open their eyes in the morning. Other patients complain that they can watch TV clearly at first, but it becomes blurry after watching for a long time. If these patients are treated in the hospital as general chronic conjunctivitis, they will find that the discomfort never completely disappears, improves, or even worsens.
My advice to patients is that they can order artificial tear drops, such as sodium vitreous eye drops, for a long time. Many patients are often used to wash their faces with cold water, they can change their habits and use more hot compresses plus massage of the skin around the eyes, the symptoms can also be significantly relieved.
1.Why do you have this symptom before the surgery, but after the surgery, you will have this symptom, and the symptom will be aggravated instead of reduced after using antibiotics for a long time?
Many patients often complain of dry eye after cataract surgery. In fact, many of them had dry eye before surgery, but they did not pay much attention to it and did not take it seriously. At the same time, surgery does cause some patients to develop dry eye in the short term after cataract surgery, which we call symptomatic dry eye. Research data shows that more than 30% of patients have dry eye symptoms after cataract surgery, but most of them can return to the condition before surgery after a period of time (3 months to 6 months).
2. Is post-operative dry eye serious? Will it make my eyes go blind?
Generally speaking, the symptoms of dry eye after cataract surgery are mostly mild dry eye (no damage to the cornea), so there is no need to worry too much. Even for patients with some degree of pre-existing dry eye, ultrasound emulsification is still a relatively safe procedure, and the procedure generally does not cause recurrent severe dry eye.
As long as the diagnosis is clear, use sodium vitreous eye drops, develop good habits, such as getting enough sleep, eating more fruits rich in vitamin A and vitamin C, applying hot compresses to both eyes, blinking more often, and reducing the time spent looking at the computer (some data suggest that the incidence of dry eye increases by 10% each year due to the presence of computers), and turn on the humidifier more often at home.
Insist on using sodium vitrate four times a day after surgery. Most patients will find relief within six months after surgery. If it does not work, you can add a lubricant before bedtime.
3.My eye discomfort is very severe, what should I do?
If the review reveals severe dry eye (tear secretion test, the test result is less than 5mm), the doctor can give the patient the method of tear point embolization. However, tear spot embolization is relatively expensive (usually embolization of 2 tear spots is about 980 RMB each, partially reimbursed by medical insurance personnel), so it is generally advisable for patients to order medication first and then do tear spot embolization when they are really uncomfortable.
Will I get cataract again after cataract surgery and what should I do if I do?
1.I could see very clearly when I just had the surgery, but somehow my vision became unclear again within a few months, and I even felt that it was almost the same as before the surgery, what happened?
This may be a case of post-operative cataract (as the old saying goes: you have cataracts again).
In fact, it is not a cataract again, but the proliferation, migration and fibrogenesis of the lens epithelium that remains in a very small number of patients after surgery, forming a posterior cataract. Laser treatment can be performed in the outpatient clinic, which is very simple and effective.
2. I am a foreign patient with posterior cataract, do I need to go to Beijing for treatment?
If laser treatment is available locally, it can be done locally. Laser incision of the posterior capsule is relatively simple and can be done quickly by an experienced doctor (tens of seconds in my experience). If you are an out-of-town patient, the time and financial cost of the round trip is so much that it is not really worth coming to Beijing for laser incision.
V. Important Tips Cataract surgery generally does not cause systemic problems or eyelid (commonly known as eyelid) problems, not that any systemic or eye problems that occur after cataract surgery are related to the surgery. Short-term eye discomfort symptoms may occur after cataract surgery, and very few people may experience vision loss after 1 to 2 months, but other conditions are generally not related to cataract surgery. If no problems are found at the time of review and you go home with general discomfort or other problems with your eyes, please consult other medical authorities or doctors who may be involved.