Eye Health – Cataracts

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Dr S S Gill, Consultant Ophthalmologist, Hospital Fatimah Ipoh
Dr S S Gill, Consultant Ophthalmologist

Ipoh Echo’s Eye Health series continues with Consultant Eye Surgeon Dr S.S. Gill talking to us about what needs to be done before you go for cataract surgery.

Arrange time away from work

Patients may need anywhere between a few days to a few weeks off work, depending on the nature of their jobs, before returning to their regular schedule. You should not rush into cataract surgery without sorting this out first as it just adds to your stress.

Arrange for a Driver

It is best to arrange a caregiver to drive you to and from the hospital on the day of your cataract surgery. Make sure your driver is also available on the day after your surgery in order for you to be examined by your doctor on the first postoperative day.

Eye Health - Cataracts - Dr S S GillReview your medications

You will need to give a detailed list of all medications that you are currently taking to the eye surgeon as some of these may need to be adjusted prior to the surgery. Never withhold information on any medication or medical problems that you may be having. Accurate information given to your doctor will help avoid complications and quicken recovery after cataract surgery. Unless instructed by your doctor, you will need to take all of your normal medications on the day of surgery.

If you are on medication to thin the blood (antiplatelet medication) your doctor may require you to stop taking them several days prior to cataract surgery. Generally, cataract surgery is bloodless but in some instances adjustments may still need to be made for some of the blood-thinning medication.

If you are a diabetic with poorly controlled blood glucose levels, your physician will be able to help you sort this out prior to undergoing cataract surgery as you will run a higher risk of complications during the recovery process if this is not attended to.

If you are hypertensive, you will still need to take all your antihypertensive medications on the day of surgery. Do not stop taking these medications unless instructed.

If you are on drugs for treatment of enlarged prostate like Flomax and other similar medications known as alpha-blockers, you will need to highlight this to the doctor prior to eye surgery because these drugs may cause eye problems associated with floppy iris syndrome (IFIS) during cataract surgery.

Eating and drinking

Pay special attention to any special instructions regarding meals prior to surgery. Do not drink any alcoholic beverages for 24 hours prior to your surgery. Follow these instructions closely.

Hygiene

On the day of the Cataract Surgery, your face should be free from makeup, eye-liners, cosmetics or powders of any kind. You should also have a thorough hair-wash and shower on the morning of surgery. Wash your face thoroughly with a mild soap. Proper hygiene will also need to be practised during the healing phase after the surgery.

Dr. Gill will discuss more on what happens during surgery in the next issue of the Ipoh Echo.

For more information, contact Gill Eye Specialist Centre at 05-5455582, email: gilleyecentre@dr.com or visit www.fatimah.com.my.