What to expect DURING and AFTER your cataract and premium lens replacement surgery -2022

Shannon Wong, MD

1 May 202221:58

EducationalLearning

32 Likes 10 Comments

TLDRThe video script offers a comprehensive guide for patients scheduled for cataract or premium lens replacement surgery. It addresses common concerns, outlines the surgical process, and provides detailed post-operative care instructions. The emphasis is on the expertise of the medical team and the smooth experience patients can expect. The script covers what to expect during and after surgery, including the use of eye drops and the gradual improvement of vision, and reassures patients about the safety and effectiveness of the procedure.

Takeaways

🏥 Pre-surgery anxiety is normal, but the medical team specializes in eye surgeries and ensures a smooth experience.
💊 Patients are given Valium to help them relax and may experience light sleepiness during or after the surgery.
🩺 Dilution of the pupil and use of anesthetic eye drops make the cataract surgery painless.
👓 Post-surgery, patients receive an eye kit with shades and an eye shield to protect the eye from light sensitivity and accidental rubbing.
💧 Over-the-counter artificial tears are recommended to keep the eye moist and accelerate the healing process.
💊 PMB eye drops, containing antibiotic, steroid, and non-steroidal medication, are crucial for preventing swelling, pain, inflammation, and infection.
🕒 Vision is typically blurry and sensitive to light immediately after surgery, but improves significantly by the next day.
👌 Patients can generally return to normal activities the day after surgery, but should avoid rubbing or squeezing the eye area.
🚫 Avoid heavy eyelid makeup and sunscreen on the eyelids for the first week to prevent irritation and potential complications.
📞 Any sudden drop in vision, increased redness, or nausea warrants immediate contact with the surgeon's office.

Q & A

What is the typical patient's emotional state before cataract or premium lens replacement surgery?
-Patients are often nervous, apprehensive, and scared before the surgery, which is considered normal due to the nature of the procedure.
How often does the medical team perform these surgeries?
-The medical team performs these surgeries hundreds of times each month, highlighting their specialty and experience in this area.
What is the purpose of the Valium tablet given to patients before surgery?
-The Valium tablet is administered to help patients relax, stay calm, and may even cause them to feel a bit sleepy. It can also help patients fall asleep during or after the surgery.
What is the primary function of the eye kit provided after surgery?
-The eye kit contains items like cool shades to reduce light sensitivity due to dilated pupils, an eye shield to prevent accidental eye rubbing during sleep, and essential medicated eye drops for recovery.
How often should patients use artificial tears after cataract surgery?
-Patients should use artificial tears one drop every hour while awake for the first day, and at least four times a day from day two through day seven to keep the eye moist and accelerate the healing process.
What are the three key ingredients in the PMB eye drop and what does each stand for?
-The PMB eye drop contains prednisolone, moxifloxacin, and bronfenac, which stand for a steroid to reduce inflammation, an antibiotic to prevent infection, and a non-steroidal medication to alleviate pain and inflammation, respectively.
How many eye drops are approximately in a 5-milliliter bottle of medication?
-There are around 100 eye drops in a 5-milliliter bottle, with 20 drops per milliliter of volume.
What should a patient do if they experience a sudden drop in vision or increased redness in the eye after surgery?
-If a patient's vision suddenly drops and becomes very blurry for more than half an hour, or if the eye becomes a lot more red along with a drop in vision, they should contact the office or visit a doctor as these could be signs of complications.
What activities are generally safe to resume the day after cataract surgery?
-Patients can generally look around, read, use a computer, watch TV, wash their face, take a shower, bend over, pick things up, carry items, and even go up and down stairs. However, they should be gentle and cautious around the eye area.
What are the main things patients should avoid doing after cataract surgery?
-Patients should avoid rubbing their eyes hard or squeezing tightly as it can stress the incisions and potentially cause them to leak, leading to problems. They should also avoid applying eyelid makeup and mascara for the first week after surgery.
Do patients need to make any dietary changes before or after the surgery?
-No significant dietary changes are required. Patients can eat a normal meal before surgery and after surgery, with only a recommendation to have a light meal in the hours leading up to the procedure.
How soon can a patient expect to see improvement in their vision after cataract surgery?
-Typically, patients can expect their vision to be 80 to 90 percent of what it will eventually become within the first couple of days after surgery. Complete healing and optimal vision improvement may take up to a month.

Outlines

00:00

😌 Pre-Surgery Anxiety and Introduction

This paragraph addresses the normal feelings of anxiety and fear associated with upcoming cataract or premium lens replacement surgery. It reassures patients by emphasizing the team's expertise and experience, having performed hundreds of such surgeries monthly. The video's purpose is to outline the surgical experience, including immediate post-surgery and recovery over the next month, to educate and ease patients' concerns. It introduces the surgical process, the team's role, and the use of medication like Valium to help patients relax.

05:02

💊 Post-Surgery Medication and Eye Care

This section details the types of eye drops and medications patients will receive after surgery, including artificial tears to keep the eye moist and a medicated eye drop called PMB (prednisolone, moxifloxacin, and bronfenac) to prevent swelling, pain, inflammation, and infection. It explains the dosage and duration for each medication, the importance of proper eye drop instillation, and how to use the provided eye kit effectively. The paragraph also covers the number of drops in the medication bottle and how to conserve them.

10:03

👓 Post-Op Vision and Expectations

Here, the script discusses the patient's vision immediately after surgery, which is typically blurry and light-sensitive. It clarifies that vision will not be crystal clear right away but improves significantly after a night's rest. The paragraph outlines the vision improvement timeline over the first month, emphasizing that while vision will be blurry the first day, it will continue to improve over time. It also advises on the proper use of eye drops and the importance of following the post-op instructions for optimal healing and vision.

15:04

🏥 Day After Surgery Checkup and Activities

This paragraph focuses on what patients can expect during the day after surgery, including a checkup to ensure normal healing and vision. It details activities that can be safely resumed, such as reading, watching TV, and light exercises, while cautioning against rubbing or squeezing the eye. It advises on driving precautions due to potential wooziness from medication and provides guidance on when patients can return to a normal routine or work, depending on their comfort and healing progress.

20:05

🍽️ Diet and Lifestyle Post-Surgery

The final paragraph reassures patients that there will be minimal changes to their diet before, during, or after the surgery. It confirms that patients can eat normally before and after the procedure. The paragraph also assures patients that their medications do not need to be altered and provides a brief overview of the surgery's professionalism and the staff's commitment to providing the best care. It concludes with an encouragement for patients to reach out with any questions and a positive outlook on the surgery's potential success.

Mindmap

Keywords

💡Cataract Surgery

Cataract surgery is a medical procedure in which the natural lens of the eye is removed and replaced with an artificial lens, to treat cataracts that cause clouding of the lens and decreased vision. In the video, it is the primary focus and discussed in detail, including the process, patient experience, and post-operative care.

💡Premium Lens Replacement

Premium lens replacement refers to the surgical process of replacing the natural lens of the eye with a high-quality artificial lens, which may offer additional benefits such as better night vision or reduced need for glasses. It is mentioned alongside cataract surgery in the video, indicating that patients have options for their eye care procedures.

💡Anxiety

Anxiety is a feeling of worry, nervousness, or unease about an uncertain outcome or situation. In the context of the video, anxiety is acknowledged as a normal reaction for patients facing cataract or premium lens replacement surgery, and efforts are made to reassure and educate patients to alleviate these feelings.

💡Post-Operative Care

Post-operative care refers to the treatment and management of a patient after surgery to ensure proper healing and recovery. The video provides detailed instructions on post-operative care, including the use of eye drops, activities to avoid, and what to expect in terms of vision improvement.

💡Eye Drops

Eye drops are liquid medications applied to the eye to treat various conditions or to aid in recovery after eye surgery. In the video, different types of eye drops are discussed, including artificial tears for dryness and a medicated eye drop called PMB, which contains antibiotic, steroid, and non-steroidal ingredients.

💡Valium

Valium is a medication used to reduce anxiety and promote relaxation. In the context of the video, valium is administered as a small tablet to help patients relax and stay calm before and after the surgery, sometimes causing patients to fall asleep.

💡Pupil Dilation

Pupil dilation is the process of widening the pupil, often induced with eye drops before an eye examination or procedure to allow for better visualization of the eye's interior. In the video, the pupil is dilated before surgery to facilitate the surgical process and is mentioned as a reason for increased light sensitivity post-surgery.

💡Light Sensitivity

Light sensitivity is a condition where the eyes feel discomfort or pain due to bright light. After cataract or lens replacement surgery, patients may experience increased light sensitivity because of pupil dilation and the use of certain medications.

💡Healing Process

The healing process refers to the body's natural ability to recover and repair itself following an injury or medical procedure. In the context of the video, the healing process is discussed in terms of the timeline and steps necessary for the eye to recover after cataract or premium lens replacement surgery.

💡Vision Expectations

Vision expectations set the anticipated outcomes and what patients should realistically anticipate in terms of their visual acuity after surgery. The video script provides a detailed description of what is normal in the immediate period following surgery and what improvements can be expected over time.

💡Surgical Center Team

The surgical center team refers to the group of medical professionals, including nurses, staff, and eye surgeons, who specialize in performing eye surgeries and providing patient care. In the video, the team's expertise and role in ensuring a smooth surgery and recovery experience are emphasized.

Highlights

Cataract or premium lens replacement surgery is the specialty of the medical team, performed hundreds of times each month.

The surgery experience is designed to be smooth, with an outstanding team of nurses, staff, and eye surgeons.

Patients are provided with an educational process, dilation of the pupil, and a relaxant tablet called Valium to ensure comfort.

Surgery is painless, utilizing eye drop anesthetic, and typically takes around 10 minutes to complete.

Post-surgery, patients receive a detailed eye kit including cool shades for light sensitivity and an eye shield for protection.

Artificial tears are recommended for use after surgery to alleviate dryness and irritation, with a frequency of one drop per hour while awake for the first day.

The medicated eye drop PMB, containing antibiotic, steroid, and non-steroidal medication, is crucial for preventing swelling, pain, inflammation, and infection.

Patients are advised on the correct method of applying eye drops to ensure proper medication delivery and avoid wastage.

Vision immediately after surgery is blurry and may have a pinkish hue, but significantly improves overnight and continues to enhance over the next month.

After the first day, patients can return to most activities, including reading, computer work, and watching TV, without negatively affecting the healing process.

Patients are cautioned against rubbing their eyes hard or squeezing tightly to avoid complications with the incisions.

Light exercises can be resumed after a week, as long as blinking is normal and no hard squeezing occurs.

Eyelid makeup and mascara are to be avoided for the first week after surgery to prevent irritation and potential complications.

Sudden vision loss or increased redness in the eye, accompanied by nausea or vomiting, are symptoms that warrant immediate medical attention.

Patients are not required to stop or change their regular medications before or after the surgery.

No significant dietary changes are necessary before or after the surgery, allowing patients to maintain their normal eating habits.

The medical team is fully accessible and available to answer questions and provide support before and after the surgery.

The overall goal is to ensure patients have a great result and a smooth, comfortable experience throughout the surgical process.

Transcripts

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