Cataract

Postoperatively

After the operation you will be taken back to the sitting room, I will examine your eye before you go home, you will be given some eye drops to use, normally four times a day for four weeks and a follow up appointment will be made for 5 weeks time (there will be an additional visit at one week for most patients having premium lenses).

Dos and Don’ts after surgery

I routinely carry out cataract surgery using a technique known as BMICS or Bimanual Micro-Incision Cataract Surgery. Using this technique, I am able to remove your cataract and insert a new lens through 1.5mm incisions (roughly the thickness of a 10p coin) this is very much smaller than the 3mm or larger standard incisions that are used generally. Because the incision size is so small the wound is very strong, so there are no restrictions on what you can do after surgery, even the next day. You will not need to wear a shield over the eye, nor do you need to protect the eye in any way.

Some patients who choose to have premium lenses fitted will have to have a larger incision as many of these special intraocular lenses can not be implanted through a micro-incision. Where this is the case, you will be given personalised advice.

Driving after Cataract Surgery

Your eyeball will be strong enough immediately after surgery for driving to be safe. The only limitation on driving is whether or not you can see well enough to drive safely and legally. Please assume that this will not be until the day after surgery at the earliest.

If you can see well enough to read a number plate at 20m and you have become “adapted” to the change in your vision (particularly a problem for people who choose to have a different focus after surgery than they had before – see refractive planning), then you are legal to drive. This may be as soon as the day after your operation, or occasionally, it may not be until your glasses have been updated.

When can I get new glasses after my cataract operation?

With all types of artificial intraocular lenses (IOLs) the eye heals up over the first few weeks after surgery. As this healing happens, the precise position of your IOL may move slightly forward or backwards. This affects the overall focus of the eye and may produce a big enough change to mean different lenses in your glasses. For this reason, I would recommend that you do not visit your optician to be measured up for new glasses until four weeks after your surgery.

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