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Frequently Asked Questions
Must someone accompany me on the
day of surgery?
It’s not absolutely necessary, but advisable. Our staff is more than happy to
assist patients who are alone.
How
long does the testing take for my surgery?
The time requirement for pre-surgical
testing may vary greatly, but most patients should plan to be at St.
Luke’s between 8-10 hours from the beginning of testing to your
discharge.
What should I bring with me the
day of surgery?
Here is a list of things that we recommend you bring when coming to St. Luke's
for surgery.
-
Friend or family member
(someone to help with paperwork, driving home, etc.)
-
Medicare or insurance cards
-
Current prescription glasses
(even if not worn presently)
-
List of prescription
medication including dosage and strength
-
Medication – enough for the
time you will be away from home
-
Sweater or jacket (advised for
those who chill easily)
-
Lunch or snack (or visit the
restaurant in our building) -
Reading material or busy work
I take a blood thinner and
several other prescription medications. Should I continue this before surgery?
Yes. Take all prescription medications as you normally would before
surgery.
I am a contact lens wearer. May I
wear my contacts until the day of surgery?
No, your contact lenses may change some of the measurements we take before the
surgery. Please remove soft contact lenses at least one week prior to surgery,
and hard lenses two weeks prior to surgery.
May I eat before surgery?
Yes. We recommend that you eat a good meal
before arriving and bring a snack, bagged lunch, or each at the
restaurant on the second floor.
May I wear makeup?
Please do not wear any makeup on the day
of surgery.
Im on oxygen. Should I bring it
along?
Yes, bring more than enough oxygen to meet your needs for an 8-10 hour
stay at the clinic.
I live a long distance from
St. Lukes. How long must I stay for follow up?
Patients having routine cataract surgery may usually leave the area
within one or two days after surgery. If you do plan on going home
immediately after surgery, please make arrangements for a qualified
doctor to provide follow-up care in your area.
Can St. Lukes provide a list
of local recommended hotels?
Click here for a list.

Will I feel
anything during surgery?
Dr.
Gills has developed special solutions that numb the eye.
Most patients feel only gentle pressure.
What
do I see during surgery?
Most
patients only see the bright lights of the microscope.
Would
a cough prevent me from having surgery?
It
is very important that you don’t cough unexpectedly during surgery.
Before the operation, we can give you throat spray or a cough
suppressant.
May
I have medication for my nerves?
It’s
not required, but some patients do request medication to help them relax.
If you do elect to take medication for your nerves, have someone
accompany you if possible.
Will
I need to have blood drawn before the surgery?
We
do not routinely draw blood unless there is a specific indication.
I
was told that I need to take antibiotics before any dental work. Is this true
for eye surgery also?
Unlike
dental surgery, Dr.
Gills is working in an area that is very clean.
It is very unlikely that you need antibiotics, however, if you have the
medication available, you may take it as instructed by your doctor before the
operation.
How
soon may I leave after surgery?
Most
patients may leave within a few hours after the surgery.
I
know I need surgery on both eyes. When may I have my second eye done?
If
surgery is recommended on both eyes, you may have them one day apart.
What
will I be able to see right after the operation?
Most
patients’ vision is quite blurred after the surgery from the dilating drops
and the bright microscope lights.
What
happens before I’m discharged?
After
the surgery, you will be brought into the recovery room where we will assess
your vital signs such as your pulse and blood pressure.
We will also check your eye pressure and explain your postoperative
instructions and medications to you and a friend or family member.
Afterward, an attending eye surgeon will examine your eye or we will
make arrangements to check you the following day.
My
back keeps me from lying flat. What position must I be in for the surgery?
We
need you to lie down for surgery, however, our experienced OR team has worked
with virtually every medical condition that presents special needs.
We will be able to work with you to make your experience as comfortable
as possible.
Does
every patient need an implant?
The
vast majority of patients require a implant to replace the natural lens or
cataract. Only in very rare cases
of extreme nearsightedness is an implant not required.
May
I drive myself home?
It
is not recommended, although some patients who see well out of their other eye
and have not had any medication may drive.
Sometimes
my blood pressure gets high when I’m nervous. What happens if it’s too
high?
If
we are unable to manage your blood pressure with medication, your surgery may
be postponed until you consult with your primary physician.
Do
I need a physical before surgery?
Yes.
Your general health is assessed prior to surgery by a staff physician so
we can grant medical clearance for your surgery.


Did I receive a
lens implant?
The cataract is actually the lens
of your eye. Since the lens is responsible for 1/3 of the eye’s focusing
power, it must be replaced with a lens implant for you to see clearly.
Intraocular lenses are required except in very rare cases of extreme
nearsightedness.
What is my implant made of?
The
implants used at St. Luke’s are made of either silicone or PMMA
(plastic). Each lens has specific indications and the doctor determines
which lens is best suited for you based on a number of factors.
How long will my implant last?
The
intraocular lens is placed permanently in your eye and will not "wear
out".
Can my eye reject the lens
implant?
No,
since the intraocular lens is not human tissue, your body cannot reject
it.
Was laser used to remove my cataract?
Your
cataract was removed by ultrasound, not laser. In a process called
phacoemulsification, sound waves gently break up the cataract and it is
removed from the eye. However, lasers are presently being developed to
remove cataracts.

Should I wear my old glasses after
surgery?
Wearing
your old glasses will not harm your eyes, but since the prescription
won't be optimal for your surgery eye, you will probably see best
without them. Most patients find it easiest to only wear glasses for
reading.
I see great at a distance, but why cant I read without glasses?
Your
implant is a single-focus lens. If your lens was chosen for distance
vision, you will need reading glasses for close range work. Some
patients elect to have one eye focused for close vision so they can read
without glasses. However, this may compromise distance vision. Patients
who require precise distance vision do best with both eyes focused for
distance and reading glasses for near.
Is it safe to resume
activities I enjoy such as golf and reading?
We
encourage you to resume normal activities as soon as you wish. Routine
activities such as bending and lifting will not harm your surgery.
How soon may I
resume driving after surgery?
Most
cataract surgery patients enjoy a significant improvement in their
vision within the first 24 hours. You may drive when you feel
comfortable.
Is it safe to fly after cataract surgery?
Flying
will not harm your eye after cataract surgery.
When may I wear make-up again?
You
may wear make-up on your face such as lipstick and powder immediately
after surgery, but eye make-up should be avoided for two weeks.
Is it safe to have my hair done or get a
permanent?
Just
like before your cataract surgery, you should avoid any chemical contact
with your eyes. Take sensible precautions.

Why does it feel like
there is something in my eye after my surgery?
You’ve
had a microscopic incision on the surface of your eye. When you blink,
you may feel a slightly scratchy sensation until the incision heals.
Scratchiness is also a symptom of dry
eyes. After surgery, our
patients find that using artificial tears helps to alleviate the
symptoms.
The
eye drops, given to me to use after
surgery, sting my eye. Is this normal?
It
is common for some eyedrops to burn or sting upon installation.
You should continue to use your eyedrops as prescribed. However,
if your discomfort seems to be worsening, or you experience a decrease
in vision, call your doctor at St. Luke's. Burning may also be a
symptom of dry eyes. Make sure you're
using your "artificial tears" drops frequently. Some
patients find using artificial tears 5 minutes before their medicated
drops decreases their irritation.
After surgery, I noticed a spot of blood on the white of my eye,
should I be concerned?
The
white part of the eye (sclera)
is covered by a clear layer of tissue (conjunctiva).
When a tiny blood vessel breaks, the blood becomes trapped underneath
the conjunctiva. Since the tissue is clear, it’s easy to see the
blood. If this were to happen on your arm, you would have a blue or
purple bruise because the skin is not transparent. This will not affect
your vision and will gradually resolve on its own.
On the way home from surgery I saw huge
halos around all the lights. What causes this?
This
dramatic glare was due to the fact that your pupil was still dilated
from the surgery. After the dilation wears off, your vision will return
to normal.
My glare problem has improved
dramatically since the surgery, but I still occasionally notice halos or streaks on lights
at night. What causes this?
Glare
may be caused by many factors. A slight need for glasses (refractive
error) is one of the most common reasons you may notice slight glare
at night. Also, some patients experience minor corneal swelling after
surgery that may cause temporary glare.
Since my surgery a few weeks ago,
everything has a pink tint. What causes this?
This
pink tint is due to slight swelling in
the retina and is not uncommon after surgery. It will gradually
resolve as you take your postoperative eye drops. However, always
contact your doctor at St. Luke's if you notice a change in your vision.
It is also important to protect your eyes with sunglasses when outdoors
since sun exposure can aggravate this problem.
Why does everything have a blue tint since
surgery?
Patients
with cataracts see their world through a yellow tint. It's just
like wearing yellow-tinted ("blue-blocker") sunglasses. These
glasses block colors from the lower end of the color spectrum like blues
and violets. When the cataract is removed and replaced with a clear
implant, you will see these unfamiliar colors again. This may be much
more dramatic for some patients than others, depending on the cataract.
I can't read without glasses. Should
I be able to?
Your
implant is a single-focus lens. If your lens was chosen for distance
vision, you will need reading glasses for close range work. Some
patients elect to have one eye focused for close vision so they can read
without glasses. However, this may compromise distance vision. Patients
who require precise distance vision do best with both eyes focused for
distance and reading glasses for near.
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