Important Information About Cataract Surgery Orange County Patients Should Know

By Jerri Perry


When the lens in the eye becomes clouded this is known as a cataract and it negatively affects vision by causing images to appear blurry. It may occur in both eyes or just one and is most often related to aging. Initially it can sometimes be improved by a new eyeglasses prescription, although in many cases surgery is the only real long-term solution. Before undergoing cataract surgery Orange County patients need to be aware of all it involves.

Surgical correction of cataracts consists of replacing the cloudy, damaged lens with an artificial one. If the patient is having difficulty carrying out basic activities involving the use of the eyes such as driving or reading, usually surgery will be advised. Fortunately, patients can take their time to decide whether to go ahead with the procedure since waiting itself does not pose a risk to the eye.

Occasionally surgery will also be indicated when the presence of the cataract impedes the necessary treatment of other eye conditions like macular degeneration or diabetic retinopathy. Through regular eye exams the doctor should recognize if operating on the eye is the most appropriate solution. If both eyes require surgery, usually there will be a month or two between each procedure.

There are different methods of performing this operation but the most common one used is referred to as "phacoemulsification". An incision is made in the side of the cornea and the damaged lens is removed by suction. The artificial lens replacing the natural one is manufactured out of clear plastic. In about 90% of patients this procedure is a success.

A week or two before the patient is scheduled for surgery, certain tests will need to be done to measure the curve of the patient's cornea and the shape and size of the eye, so the best artificial lens can be chosen. Patients will normally be advised not to eat or drink anything in the twelve hours before the operation.

This procedure can be performed as an out-patient surgery either in a hospital or eye clinic and it is most often carried out while the patient is awake and only a local anesthetic is needed to numb the nerves of the eye, occasionally a general anesthetic is used, but since it is a relatively short and painless treatment this is normally not required. It takes about an hour to complete.

Upon completion of the surgery, the eye is covered with a patch and the patient can rest for awhile. If the doctor is convinced that there are no complications, the patient can go home, but he or she will need someone there to drive. The eye will likely be tender and a bit itchy, possibly with some discharge for one or two days, but this should subside after this time.

Eyedrops will need to be administered for several days to promote healing and prevent infection and the eye should be protected with glasses or an eye patch. Light, moderate activity may be resumed and in eight weeks following cataract surgery Orange County patients should expect a full recovery. The healing process will be monitored by routine check-ups throughout this period.




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