What is Cataract?
Cataract is an eye disease which starts with clouding of the lens and cause significant reduction in vision. It is 90 % age-related, however a secondary cataract might occur due to some traumatic diseases, uveitis, use of some medication like steroids. Age-related cataract may also develops in both eyes although it is usually asymmetric. Blurry vision, low quality in color vision, gradual reduction in visiual acuity are the most common symptoms of cataract.
It can be detected in early period by regular eye examinations and determined the time of the treatment. Therefore a regular eye examinations are necessary for the people over 40 years old.
Congenital cataracts can also be watched in babies. Rubella or taking some antiviral medications in the early period of pregnancy lead the development of congenital cataract. Congenital cataract can only be observed by very careful families. A pediatrician always checks out the presence of congenital cataracts in general examination. Babies eyes should be examined every year. Early examinations at the age of 2 or 2,5, are very important to protect any upcoming ambliyopia (known as Lazy Eye).
What is the best time for surgery?
As the vision of the patient gets unsatisfactory and from the time of detection of cataract, surg ery can be performed. It is not a good behaviour to wait for it to be developed and get harder. Because it can be more difficult and longer healing time if it is operated in the late stage of the disease.
On the Day of Surgery
- -You can have some light food before surgery. However children mustn’t take any food or beverages 6 hours before operation if the operation is performed under general anesthesia due to some reasons.
- -You shouldn’t take any medications for diabetics or asthma on the day of operation but, you should keep taking Insulin or oral antidiabetics and your diet.
- - It is recommended that you should bring those systemic medication with you.
- - Please leave your valuables at home.
- - Face must be washed well and kept free of any make ups or perfumes.
- - You will be asked to put on special surgery gowns.
- - You will be asked to keep your eyes and head still for a short time during the operation
- - You can go home on the same day just after a while. Your surgeon will call you for post-op examination within 36 hours.
- - Its higly recommended that, you should not drive and go back home alone.
Cataract surgery takes about 10 to 15 min according to the cataract and experience of the surgeon.
It varies depending on the hardness of the cataract and surgeon’s experience to get normal vision back. Patients can usually have maximum visual ability at the end of a week or two. Full visual acuity will be reached between 15 and 30 days after operation. The recovery time could also be within a few days if treated just on time.
Are there any risks after operation?
Every surgical intervention may have some risks like infection. Patients are given some antibiotic eye drops which have to be used properly within first 48-72 hours against infection. Patients also have to be very careful to keep your eyes as hygienic as possible.
Patients with Any sudden vision loss, severe pain or overproduction of rheum have to see their surgeon immediately.
You have to use spectacles for distant or near vision with the standart lenses implanted during the surgery. Eventhough with the use of spectacles, you may not be able to see intermediate distances as 75-100 cm.
Now, you can easily have very clear vision at all distances with the help of multifocal lenses provided that you don’t have any other discomfort except for cataract.
Eye Care After Operation
- Do not rub your eye or give any pressures.
- Try not to sleep on your eye to protect it from pressure.
- Avoid washing your eye or hot tub for the first a few days. But you can wipe your face to clean.
- You could take a warm shower protecting your eye from water.
- It is not a good idea to swim for a while until you are allowed by your eye physician.
- It is normal to feel sensitivity to light, watery, sting or light redness in your eye
- You should put on sun glasses on windy or sunny days.
- You can keep on your daily activities such as reading, walking or watching T.V
- Blurry vision which will disappear following days is very normal.
- You can use your old spectacles after surgery. Hovewer you may not see well due to the change in your glasses prescription
- Your new glasses would be given within 3-6 weeks after operation.
- Try to avoid bending over or heavy lifting for a while.
- Don’t drive unless you are allowed by your doctor.
- Make sure you use medications and visit your doctor on time.