Surgical Instructions

board certified opticianReminders Prior to Cataract Surgery

GENERALLY THE USE OF PREOPERATIVE ANTIBIOTICS AND ANTINFLAMMATORY DROPS IS ADVISED. PLEASE USE THEM ACCORDING TO THE DIRECTIONS LABELED ON THE BOXES. THESE MEDICATIONS ARE COMMONLY:

CILOXAN, OCUFLOX, QUIXIN, OR VIGAMOX TO BE USED IN BOTH EYES FOUR TIMES A DAY TO BEGIN, TWO DAYS PRIOR TO SURGERY.

ACULAR OR VOLTAREN IS USED THE SAME WAY BUT SEPARATED IN TIME BY ABOUT FIVE MINUTES FROM THE ADMINISTRATION OF THE ABOVE DROPS.

IF THERE IS ANY SUDDEN CHANGE IN THE CONDITION OF YOUR EYES SINCE YOUR LAST VISIT, PLEASE INFORM US. THIS INCLUDES SUDDEN LOSS OF VISION OR EVIDENCE OF INFECTION.

BE CERTAIN THE DOCTOR IS AWARE OF THE MEDICATIONS YOU MAY BE TAKING.
SOME MEDICATIONS SUCH AS COUMADIN, ASPIRIN, PERSANTlNE, AND SOME OF THE NEWER MEDICATIONS USED TO TREAT ARTHRITIS
SOME OF THESE MAY NEED TO BE DISCONTINUED PRIOR TO SURGERY.

ANXIETY ABOUT SURGERY IS A NORMAL REACTION. MANY PATIENTS FEEL IN HINDSIGHT THIS WAS AN UNNECESSARY ELEMENT OF THE ENTIRE EXPERIENCE.
SHOULD YOU FEEL THE NEED FOR A SEDATIVE PREOPERATIVELY, PLEASE DISCUSS THIS WITH US OR YOUR MEDICAL DOCTOR.

IF YOUR SURGERY IS PERFORMED ON AN OUTPATIENT BASIS, YOU WILL NEED TO ARRANGE TRANSPORTATION TO AND FROM THE SURGICAL FACILITY. GENERALLY A FRIEND OR RELATIVE WILL GLADLY PROVIDE THIS SERVICE. IF YOU ARE HAVING TROUBLE IN THIS REGARD, PLEASE LET OUR STAFF KNOW. WE KNOW OF A NUMBER OF SERVICES TO HELP YOU OUT.

ALTHOUGH WE TRY OUR VERY BEST TO ADHERE TO A SCHEDULE, UNFORESEEN PROBLEMS MAY ARISE THAT CAUSE US TO MAKE LAST MINUTE TIME CHANGES. WE WILL TRY TO INFORM YOU OF THESE WHENEVER POSSIBLE. SHOULD YOU HAVE TO WAIT LONGER THAN YOU ANTICIPATED, TRY TO REMAIN CALM. WE WILL DO WHATEVER IS POSSIBLE TO SAFELY EXPEDITE YOUR CARE. MANY PATIENTS BRING ALONG A GOOD BOOK OR A CRAFT TO COMFORTABLY PASS THE TIME.

GENERALLY AFTER SURGERY YOUR EYE WILL BE BANDAGED. KINDLY DO NOT REMOVE THIS DRESSING UNLESS SO INSTRUCTED. IT IS ALSO NECESSARY TO REST POST-OPERATIVELY. YOU MAY WALK ABOUT, WATCH T.V., READ AND PERFORM MOST LIGHT ACTIVITIES. HOWEVER, YOU SHOULD NOT BEND OR STOOP DEEPLY, STRAIN OR COUGH EXCESSIVELY OR APPLY ANY PRESSURE TO THE EYE.
AN APPOINTMENT WILL BE MADE FOR A FOLLOW-UP VISIT THE DAY AFTER SURGERY. SHOULD YOU EXPERIENCE ANY DISCOMFORT, TYLENOL WHEN USED AS DIRECTED IS GENERALLY HELPFUL. DO NOT HESITATE TO CALL OUR OFFICE SHOULD PROBLEMS ARISE POSTOPERATIVELY. THE DOCTORS ARE ON 24- HOUR CALL FOR EMERGENCIES.

PLEASE DO NOT EAT OR DRINK ANYTHING WITHIN EIGHT HOURS THE NIGHT BEFORE SURGERY. THIS INCLUDES NO BREAKFAST ON THE DAY OF SURGERY, UNLESS OTHERWISE SPECIFIED.

PLEASE DO NOT WEAR ANY MAKEUP TO SURGERY AND THE MORNING OF SURGERY WASH FACE REALLY WELL WITH ANTI-BACTERIAL SOAP.

Directions to Follow After Cataract Surgery

THE FIRST TWO WEEKS FOLLOWING CATARACT SURGERY ARE CRITICAL TO THE FINAL OUTCOME OF THE PROCEDURE. THE GREAT MAJORITY OF PATIENTS HAVE NO DIFFICULTIES DURING THIS PERIOD, WHILE A VERY SMALL NUMBER MAY SUFFER COMPLICATIONS. THERE ARE A FEW BASIC RULES WHICH SHOULD BE FOLLOWED TO AVOID THESE PROBLEMS AS BEST AS POSSIBLE.

  1. AVOID STRENUOUS EXERCISE FOR THE FIRST TWO WEEKS. LIMIT BENDING, STOOPING AND LIFTING HEAVY OBJECTS, ETC. ALSO AVOID PROLONGED STRAINING THAT CAN OCCUR DURING SEVERE BOUTS OF COUGHING OR CONSTIPATION.
     
  2. PLEASE DO NOT PUT ANY PRESSURE ON THE EYE, EVEN DURING THE USE OF DROPS. OPEN THE LOWER EYELID BY APPLYING GENTLE PRESSURE IN THE DIRECTION OF THE CHEEK BONE. PLEASE WASH YOUR HANDS WELL BEFORE TOUCHING AROUND THE EYE. WHEN ADMINISTERING MEDICATION, YOU MAY NEED TO MANUALLY SEPARATE THE EYELIDS. DO THIS AS INSTRUCTED ABOVE. WHILE THE SURGICAL WOUND IS SECURE, A GOOD DEAL OF FORCE CAN DISRUPT IT.
     
  3. AVOID DIRECT TRAUMA TO THE EYE. FOR THE FIRST FEW WEEKS YOU WILL BE ASKED TO WEAR AT ALL TIMES A HARD COVERING OVER THE EYE. THIS SHOULD BE EITHER A GOOD SOLID PAIR OF GLASSES OR THE PLASTIC SHIELD THAT HAS BEEN PROVIDED. THE PLASTIC EYESHIELD SHOULD BE USED ESPECIALLY AT BEDTIME FOR AT LEAST ONE WEEK. TAPE THE SHIELD OVER THE EYE FROM BROW TO CHEEK.
     
  4. CLEANLINESS IS VERY IMPORTANT TO PREVENT POSSIBLE INFECTION. ALWAYS CLEAN YOUR HANDS WITH WARM SOAPY WATER AND RINSE THEM WELL BEFORE MANIPULATING THE EYE OR OBJECTS THAT WILL COME INTO CONTACT WITH THE EYE. IF YOU ARE USING AN EYE PAD, CHANGE IT AT LEAST EVERY DAY. USE FRESH SURGICAL TAPE RATHER THAN TAPE THAT MAY BE A SOURCE OF CONTAMINATION. THIS ALSO APPLIES TO THE USE OF FRESH MEDICATIONS, RATHER THAN THOSE THAT MAY HAVE BEEN USED TO TREAT ANOTHER PROBLEM OR EYE.
     
  5. REPORT TO YOUR DOCTOR AS SOON AS POSSIBLE IF ANY SIGN OF INFECTION SHOULD ARISE. THESE SIGNS GENERALLY ARE SEVERE PAIN, INCREASED LID SWELLING AND LOSS OF VISION THAT APPEAR TO WORSEN RATHER THAN LESSEN IN THE EARLY POSTOPERATIVE DAYS. SOME AMOUNT OF PAIN AND DISCOMFORT IS NORMAL AFTER SURGERY. THIS IS GENERALLY TOLERABLE AND SOMEWHAT RELIEVED BY PAIN MEDICATIONS YOUR DOCTOR WILL ADVISE. HOWEVER, IF THE PAIN GOES BEYOND THIS LEVEL AND IN FACT WORSENS, THEN THE DOCTOR MUST BE INFORMED. YOU MAY SEE MORE FLOATERS AFTER CATARACT SURGERY, BUT YOU SHOULD REPORT ANY NEW SHOWERS OF FLOATERS, FLASHING LIGHTS, A CURTAIN OR VIEL COMING UP OR DOWN IN YOUR VISION.
     
  6. DO NOT ADMINISTER ANY DIFFERENT MEDICATION AT THE SAME TIME, INTO THE SAME EYE. ALLOW A FEW MINUTES BETWEEN THE ADMINISTRATION OF DROPS. CONTINUE TO USE EYE DROPS AS DIRECTED. IF YOU RUN OUT OF THE DROPS CALL THE OFFICE OR YOUR PHARMACY FOR A REFILL. NEVER DISCONTINUE DROPS UNLESS INSTRUCTED TO DO SO.
     
  7. YOU MAY SHOWER AND/OR BATHE, BEING CAREFUL NOT TO LET SOAP OR DIRTY WATER RUN OR SPLASH INTO YOUR EYES. THIS PRECAUTION MUST BE TAKEN FOR FOUR DAYS FOLLOWING SURGERY. IF YOU WEAR EYE MAKEUP, PLEASE DO NOT USE ANY FOR 1(ONE) WEEK FOLLOWING SURGERY.
     
  8. MANY PATIENTS ASK WHEN THEY CAN RETURN TO WORK OR RESUME THEIR USUAL ACTIVITIES. THIS CANNOT BE ANSWERED THE SAME FOR EVERYONE. MUCH DEPENDS ON THE INDIVIDUAL AND WHAT HE/SHE PLANS TO DO. THIS IS AN ISSUE YOU SHOULD DISCUSS WITH THE DOCTOR. FOR YOUR SAFETY AND THE SAFETY OF OTHERS, IF YOU DRIVE, PLEASE CHECK WITH THE DOCTOR TO BE SURE YOUR VISION IS SUFFICIENT TO SATISFY STATE DRIVING REQUIREMENTS. IF YOU STOPPED ANY MEDICATIONS PRIOR TO YOUR SURGERY, PLEASE RESUME THEM THE DAY AFTER SURGERY.
     
  9. ADMINISTER ALL MEDICATIONS AS PRESCRIBED. (WAIT A FEW MINUTES BETWEEN DROPS.)

THESE ARE THE COMMONLY USED DROPS AND DIRECTIONS:

You will use a total of three eye drops for the surgery, Pred-Forte, Zymaxid and Acular. The Acular may be a generic from the pharmacy called Ketorolac.

Acular and Zymaxid will be used the day before surgery in BOTH eyes. You will use one drop from each bottle every four hours. Separate the drops by a few minutes between each dosage.

Pred-Forte will be used along with the Acular and Zymaxid after your surgery. All three will be used every four hours in the operated eye after surgery. You will be further instructed on your eye drops when you return to the office the day after your surgery.

AN INSTRUCTION SHEET WILL BE PROVIDED FOR YOU TO FULLY EXPLAIN THE USAGE OF THE ABOVE MEDICATIONS PRIOR TO YOUR SURGERY DAY.

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Ophthalmic Associates, P.C.
160 Hawley Lane, Suite 107, Trumbull, CT 06611
203-378-3224

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Contact Information

Ophthalmic Associates, P.C.

160 Hawley Lane
Suite 107
Trumbull, CT 06611

Phone: 203-378-3224
Fax: 203-378-2968
 

Insurance
Medicare
Most HMO’s-PPO
s
Vision and Private Health Insurance Accepted