Cataract surgery?
Edited:
Thought I'd give an update for anyone considering the surgery. I had it last Thursday, both eyes at the same time. They said doing both eyes at once is becoming more common, as the technology has improved a great deal and they don't find any advantage to waiting between eyes.
Great result; I'm shocked by how much better I can see!
My surgeon is wonderful and accommodated my extreme eyeball phobia/fear very nicely. She had me sedated a bit more than normal but said I couldn't be "out" as they need you awake. It was totally painless and not the least bit scary or awful as I'd feared. I never did LSD but it seemed a bit like a psychedelic trip might be.
I had a little wait because a patient earlier in their schedule had some "problems" not sure what, but not what I wanted to hear! My pre-op nurse was with me the whole wait and he was a hoot. We told each other our deepest secrets (his was that he can't touch his eyeballs and he is an eye surgery nurse! I told him MY story of not being able to touch my eyeballs either.) We are best friends now, lol. Anyway, he kept me entertained and distracted.
I'm not great at getting my eyedrops in..I do it on schedule but sometimes it takes me 3 or 4 drops to actually hit my eyeball. I'm already on a refill for the drops and have 3 weeks to go!
Worst has been stopping Zepbound and ibuprofen for 2 weeks because I have my other hand carpal tunnel surgery scheduled for tomorrow. Just the way the surgeons' schedules worked out. Not happy about not being able to eat for 24 hours before both surgeries (because of the glp meds) but I got by last week with bone broth and jello. Now I have to face another stint of living one handed, but my left hand will be easier to be without, than my right hand was. I'll be all fixed up now, hopefully will live long enough to enjoy both fixes!
Original post: I'm sure that there are people here who've had it. I'm scheduled in Sept and am having both eyes done at once. The doc recommended that because I am so squeamish about anything eyeball related that she's pretty sure I'd never come back to get the 2nd eye done.
They schedule a follow up appt for the next day and I'm wondering if those of you who've had the surgery could comment on whether you could drive the next day or not? I know not on day of surgery because of anesthesia and I've got a friend accompanying and transporting me that day, but I'm wondering if there is any reason one can't drive the following day?
Comments (65)
- last month
Put the drops in from the outer edge of the eye. Tilt your head sideways and put the drops into the outside corner. That way you dont have to see the dropper coming and cause the reaction to that which causes you to close your eye. Really. Just get some ordinary wetting drops and practice. Tilt your head or lay down with the side of your face up. We were taught this in EMT class. Look outward and come in from the side.
Olychick thanked Patriciae - last month
I put in eye drops daily (for ocular pressure). The approach my ophthalmologist suggested I could use was quickly learned and works.
I sit in a chair and tilt my head all the way back. My favored hand holds the bottle and rests on my cheek. With the other hand, my thumb gently pushes down the lower eyelid and my index finger pushes the upper one. I move the bottle directly above the eye and squeeze the bottle gently. It's impossible to miss. I could do both eyes maybe twice in succession in the time it took to type these sentences. Very easy.
Olychick
Original Authorlast monthI appreciate everyone's favored hints for eyedrops but I have 70 years of trial and error and know what doesn't work for me. All except Patricia's trick of going in on the outer corner. The inner corner works ok, too, but unless I get the blinking just right, the drops run down my cheek. I'll try that, thanks Patricia!
- last month
" A for your optometrist friend, I’m not a fan of his prerequisite. Touching your eyeball is a lot more unpleasant than placing in a lens. At least for me. Just thinking abouy it is making me uncomfortable! "
I've been wearing contact lenses for almost 50 years, and no one ever asked me to touch my eyeball - not that I recall. But while I was in the waiting room at my optometrist's office last year, I overheard an assistant asking someone whether they'd been practising touching their eyeball, because they were going to get their contacts that day.
I wonder if it has to do with wearing soft vs. rigid lenses, since soft lenses are grabbed with your fingers, whereas rigid lenses are sort of popped out by manipulating your lids.
Olychick thanked Toronto Veterinarian - last month
i had mine done last year, 2 weeks apart. i was able to drive to my follow up appointment the next day (doctor approved) with no problems.
i have found through much trial and error and youtube videos that the easiest way for me to get drops in is to close my eye gently, tilt my head back and put two drops on my upper lash (inner corner).
i never had dry eye symptoms prior to catarac surgery but have had it since so i use eye drops every day.
good luck with your surgery. you will be simply amazed at how much more vivid the colors are!!
Olychick thanked Ninapearl - last monthlast modified: last month
I had cataract surgery in 2017. The improvement in color rendition and brightness was amazing. Left eye first (it was the worst of the two), right a week later. I had three different med-drops afterward .. all three the first week, then two the second week, then one for the third week ... so the two eyes were on different schedules. Sedation was done during the procedures so it apparently was different method than sephia_wa references above regard to following instruction to look up, down, etc. I was not allowed to drive home afterward so required a chauffeur (sister). There was no post-surgery eye patch/cover. Vision was blurry but I remember marveling at the renewed intensity (and accuracy) of colors on the hour-long ride home. I wasn't allowed to eat the mornings of the surgeries, we stopped for burgers on the way home each time.
I opted not to do a lens upgrade being it was $6,500 (or some such large figure) out-of-pocket. I wish now I had done so. I still need spectacles for both astigmatism and reading/computer. Distance isn't bad and I can see road signs to a reasonably-functional extent but it's better/safer with the spectacles and the dashboard is fuzzy without them.
I've been on a glaucoma/pressure med since 6 months before the surgery. I use this simple aid device: Owen Mumford Autodrop
I often have dry eye in the mornings but probably is related moreso to the glaucoma med than the surgery.
Olychick thanked dadoes - last monthlast modified: last month
Olychick, I had my laser surgery (corrected for distance) in 2004. But because I had it done, my doctor had to schedule my cataract surgeries 1 month apart. And I had an extra test done for the measurements. It wasn't any problem. You won't need laser surgery. You will choose a lens to see far away (most common) or up close. My friend chose that and now regrets it. You will see 20/20 for distance and need reading glasses for up close. They do have a lens that does both but it is VERY expensive and Medicare does not cover it.
Great idea to practice doing drops with saline or something like that. I had never put drops in my eyes. I did have contacts so used to touching my eyes but not doing drops!! It was hard at first and lots ran down my face so I get that. Now I just put my head back and watch the bottle and give it a shot. lol It can be hit or miss. I use Systane eye drops now, recommended by my doctor, available at Kroger. I like it much better than Refresh which is a thicker substance. The drops feel good now.
You can do this!!!!!!!!
ETA, I just saw Elmer's comment about his wife being more sensitive to light. My lens implant has UV protection. So the eye is protected if you don't wear sunglasses though they certainly do help.
Olychick thanked murraysmom Zone 6a OH - last monthlast modified: last month
dadoes, I opted for the lenses that would eliminate the need to wear glasses for distance and reading, but my cost for both eyes was $4,500. Because they were able to correct my astigmatism and I wanted to live life without glasses I opted for that "upgrade" vs the basic procedure that Medicare covered entirely.
A friend has a saying that I love:
"Don't go cheap on yourself." I worked a whole lotta years to now enjoy retirement, and paying a little extra to be free of glasses was worth it.
Olychick thanked sephia_wa - last monthlast modified: last month
Sophia what lenses did you go? I also have astigmatism. ( Along with narrow-angle glaucoma.)
Olychick thanked eld6161 - last month
Good luck Oly!
I know almost nothing about cataracts, but am following along with interest. At my last eye appointment the doctor said I have one just starting. And I swear to you my first thought was, well that can't be possible because only old people get cataracts! 🤣🙁
Oh. Yeah. Sigh. I guess I do fit in the demographic. WTH?! What a blow to my psyche!
Anyway, good luck and I hope it goes as smoothly as everyone else is reporting. 😘Olychick thanked Ally De - last monthlast modified: last month
eld6161, my lenses are Toric intraocular lenses. This describes them:
"Toric intraocular lenses (IOLs) replace the cloudy lens during cataract surgery while simultaneously correcting astigmatism. These premium lenses feature built-in specialized powers aligned to your eye's unique shape, which can vastly improve your uncorrected distance vision and reduce reliance on glasses.Standard cataract surgery with a basic monofocal lens covers your base vision and is often covered by insurance (e.g., Medicare), but it does not correct astigmatism. If you opt for a toric lens to fix your astigmatism, you will typically pay an out-of-pocket premium because it is considered a lifestyle upgrade. Costs can vary significantly depending on the facility and the exact IOL technology."
Olychick thanked sephia_wa - last month
Be sure that you have some good sun glasses. It has been about a year since I had mine done & I am still very sensitive to the sunshine. My vision has never been better than it has been since having the surgery, I will never need glasses again.
Olychick thanked girlnamedgalez8a Olychick
Original Authorlast month@sephia_wa thanks for mentioning those lenses. I just messaged my surgeon to see if they would be an option for me. I do have astygmatism and can afford to pay out of pocket. I would be so happy if they improved my vision!
- last month
I had an eye exam yesterday and talked with the Optomtrist at great length about cataract options. He is retiring soon and patient load has lightened so he had plenty of time to do so.
I wear bifocal lenses and have so so vision with them. With bifocal lenses, you get good distance and close up vision but not great. There's a trade off to be had with them.
I was concerned about that trade off with cataract lenses. He explained that because of it being an ocular implant vs a contact lense, the vision would be much better. I was happy to hear that.
He did say that he was not completely happy with the vision option that he chose himself 5 months ago. He went from a -6/-10 to a -1. He was very pleased with that. Especially that he could grab any frame and a cheap lense and it would now work for him. He was second guessing his choice of where his vision is best. I believe the short of the story was that he thought he would only wear glasses to drive and in reality he is wearing them all the time.
Moral of that story is to really pay attention to what you do during a typical day and pick a lense that suits that. Example-if you rarely drive, corrected distance vision may not be your best choice.
Olychick thanked RNmomof2 zone 5 - last month
RNmomof2 zone5, you said your Optomtrist "is retiring soon and patient load has lightened so he had plenty of time to do so."
I hope you meant an ophthalmologist. An optometrist can detect and diagnose cataracts, but only an ophthalmologist - a medical doctor - who specializes in eye surgery, can perform the surgery. Optometrists provide pre-operative evaluations but aren't trained and licensed to do the surgery.
Olychick thanked sephia_wa Olychick
Original Authorlast monthI just heard back from my surgeon about the Toric intraocular lenses that Sephia mentioned. She said it was a good question (whether I was a good candidate to receive those for my astigmatism). She said they work great if, during cataract removal, the astigmatism won't be corrected, but her measurements indicate mine would be almost fully removed during the surgery, so the lens won't be beneficial. Good news! Just saved several thousands of dollars!
- last month
Yes, my Optometrist performed my eye exam for contact lenses. Nowhere did I say that he was going to perform a surgery. He sees patients after cataract surgery so he has first hand knowledge of how long term, patients are doing after surgery. He is very knowledgeable and was a perfect person to talk with me about options and his surgery.
Olychick thanked RNmomof2 zone 5 - last month
Nowhere did I say that he was going to perform a surgery
Okay, calm down. Slight overreaction to my comments. I interpreted what you wrote differently than what you meant. I guess you can sue me now 🙄
Olychick thanked sephia_wa - last monthlast modified: last month
Yayyy Olychick! Saving $$ is always a bonus!
The only thing that was differrent for me than for friends, becaue of the kind of lenses, was that I couldn't read for two days after the procedure. It was explained that the back and forth motion of your eyes when reading could dislodge the lenses. I couldn't even text! So I just watched a lot of TV. I'm not a big TV watcher so that was a long two days, lol. But not a big deal to become free of glasses.
Olychick thanked sephia_wa - last month
@Ally De, what do you consider as "old" vs. "young?" I was 54 when my cataract surgery was done. The condition was developing over some years. My optometrist put the decision in my court, said I can have the procedure done whenever the deterioration gets bad enough per my choice. The trigger was a road trip from TX to TN with a longtime friend/ex coworker to visit his sister. He drove both ways. My vision was so cloudy, particulary on the left-side eye (worst of the two) while looking at passing scenery that I thought my spectacles or the car windows were dirty. That wasn't the cause ...
Olychick thanked dadoes - last monthlast modified: last month
Olychick - I don’t have much to add beyond what everyone else has shared. I will tell you though that I do understand your squeamishness about the procedure - I was the same way. My ophthamalogist refused to do both eyes at once. He did offer me valium for the first eye procedure which I declined. I decided that if I was brave enough to undergo a colonoscopy - well - how much worse could this procedure be? I learned that it was exactly what everyone assured me it would be - a piece of cake! My second procedure was exactly that. I have no memory of either procedure. It must be conscious sedation that’s used.
I did have a post procedure situation that isn’t much talked about and I don’t know why since I’ve read that it occurs from 20 - 50% of the time - I don’t know about the wide 30 point spread there but I keep reading that same 20 - 50 range. That is “Post Cataract Haze”. I only was aware of it because an acquaintance mentioned it happened to her when we were talking about my upcoming procedure. The opthamalogist can see the new lens is hazed over when looking into your eye. The patient - me- saw a loss of the clarity gained from the cataract removal. The haze developed in both of my eyes a few months after cataract removal. The fix is easy - an in office laser procedure called ”YAG Laser Capsulotomy”. I had this done in both eyes. No pain, non-invasive, fast but again I was nervous. Anyone who has had cataracts removed and who is again concerned with hazy vision or loss of detail and color as before the cataract removal needs to visit the eye doctors because it can be corrected quickly. Search on “posterior capsule opacification (PCO) or a secondary cataract“ for a detailed explanation.
Olychick thanked KW PNW Z8 - last month
KW PNW Z8, my ophlamologist mentioned that too me too, the "haze" after cataract surgery. He described it just as you did. My procedure was so recent but I'll be looking to see if I develop that haze.
And I was a tad squeamish about the procedure at first too, that they're messing with my eyes, lol. Wish I'd known about thinking of a colonoscopy vs cataract surgery ahead of time 🤣
Olychick thanked sephia_wa - last month
@sephia_wa My eyes hazed over one at a time & a few months after the cataracts removed. There’s no usual timeline when it might happen - it can be weeks, months, years. Maybe that’s why the odd wide range of % of occurence - the timing makes it more difficult to track.
Olychick thanked KW PNW Z8 Olychick
Original Authorlast monthlast modified: last monthCataracts vs colonoscopy? Well, I had no problems with someone dealing with that end because I couldn't see it coming, lol. I've been squeamish about eyeballs my whole life. Recently watching The Odyssey brought back the trauma of my childhood, where I went to the movies (I was probably 9 or so) with some family friend's teenage daughters. I was enamored with being with teenage girls! I don't remember the name of the movie, all I can remember is a giant cyclops who ended up with a spear in his single eye! OMG...I sat thru the rest of the movie with someone's coat over my head! And, totally not thinking there would be a similar cyclops scene in The Odyssey......I about died. If I could have easily gotten to the exit, I would have left the theatre, I didn't have a coat for my head, but closed my eyes and plugged my ears, lol. eta: I had to search to see if I could find the movie...1957, probably this one: https://www.imdb.com/title/tt0050281/
Olychick
Original Authorlast month@KW PNW Z8 thanks for that info about the haze. I'll remember that.
- last month
My optometrist has mentioned the haze and the simple laser procedure to clear it. I have not developed it thus far, 9 yrs post-procedures (7/12 and 7/19).
I've had two colonoscopies, age 52 and 62. Easy/peasy. I don't even mind the purge procedure. Worst part of the 2nd was getting the IV started. The prep nurse had trouble. They called in the anesthesiologist, he did it on first try with minimal discomfort.
- last month
Dadoes, you are as young (or old) as you feel. 😄
And sadly, I feel about 150 right now. Been on a wicked run of health problems lately and am feeling pretty sad about it all.Olychick thanked Ally De - last month
I have little remembrance of the event except that it was at an ungodly hour in a town nearby. His office, where I get my yearly exam, is 1/2 mile away, but he did surgeries elsewhere. I remember their conversations as it was happening to me.
About the haze. My husband had the laser procedure done six months after his operation. I keep asking my optometrist if I need it, and he said not really, but when and if, it's done down the hall. At least I won't have to have it done at dawn.
Olychick thanked lily316 - last month
I went for the latest and greatest (and most expensive) LAL type lenses that allow me to see both near and far without glasses. They require three or four post surgical treatments, so they wouldn't be right for you. My doctor did my eyes two days in a row so he could check on the first eye before doing the second, but still have both of my eyes on the same treatment schedule. The worse part was, since I had surgery that second day, I wasn't allowed to eat or drink anything anything before seeing him. I guess the doctor was used to those bad breath appointments, but I felt self-conscous.
I bought a little plastic device for a couple of dollars at the drugstore that helped tremendously with using eyedrops. It held the bottle and fit over the entire eye. It had a tiny hole to focus on, which automatically made the drop go in the right place. Very easy and never spilled a drop.
I wish I could still see blues as brilliantly as I did the first week after surgery. Now my brain has adjusted, but in the beginning it was magical. Now, when I go for my regular check-ups. I always wear blue for the pleasure of the recent cataract patients.Olychick thanked Jupidupi - last monthlast modified: last month
@Jupidupi. My MD talked with me about these after. I am glad to hear they are working well for you. Did you require adjustments? I am very interested in these.
Olychick thanked RNmomof2 zone 5 - last month
RNmom, the adjustments are part of the process. They put in the lenses and for the first couple of weeks, you get used to what is already much better vision. Then every few weeks, you go into your doctor's office, they shine a special light in your eyes for about a minute, and it adjusts the lenses even clearer. You tell them when you are happy with your vision. (For me, this was challenging. I always have a problem with the regular vision test where they ask "Is 1 or 2 better?" and I can hardly tell the difference.) When the lenses are the way you want them, they lock in the adjustment. The lenses are adjusted with ultraviolet light, and for this reason, you have to avoid UV light while undergoing the process, which can take weeks or months. They give you special sunglasses and also clear glasses for indoors, in case you are near a window. I liked the big sunglasses. But the indoor glasses were seriously ugly -- they reminded me of 1970s Michael Caine.
Olychick thanked Jupidupi - yesterday
Wow Oly! You’ll be a whole new woman with a new lease on life after you’re healed from your second carpel tunnel fix. Great to hear that your vision is really improved. One question - don’t you need both hands to put the eye drops in? Will you be able to manage the drops for another 3 weeks okay after this next carpal surgery? I’ve never had that done otherwise I might know the answer!
Olychick thanked KW PNW Z8 - Olychick thanked Ally De
- yesterday
@KW PNW Z8 I think I can manage one handed . I can use my fingertips as they won’t be in the cast. I think getting the lids off will be the biggest challenge.
- yesterday
Hmm. Maybe once you get the drops bottles opened don’t tighten the lids when closing. Just set the cap on to keep tip clean & of course, be careful to not knock the bottles over. Thinking about it though since as you said this time it’s your non dominant hand things wil be much easier to manage.
Olychick thanked KW PNW Z8 Olychick
Original Authoryesterday@KW PNW Z8 I had no idea until I was discharged that there were restrictions on physical activity, specifically no bending over for 7days! If I had, I could have made some adjustments to stuff in my house that I couldn't access because I couldn't bend over. I have a grabber, but I kept dropping it (because of my numb hands), or I'd set it down and it would slide to the floor. I have a pair of long tongs that I had to use to pick up the grabber, lol!
I tell you this because of the lids on the eyedrops (I have two bottles, one for each eye). I bet I've dropped the lids at least a dozen times. I've dropped everything, way more often than I ever have when I CAN bend over. It's gotten comical. But thankfully my 7 days will be up on the day I have my hand surgery, so when I drop the lids I won't have to try to pick them up with a grabber!
- yesterdaylast modified: yesterday
Glad your surgery went well. I hope the carpal tunnel surgery is also uneventful and you heal quickly.
I had my surgeries a year or so apart. I wasn't able to drive home right after due to rules of needing to be released to someone to take you home . However, I drove myself to the next day's post-op appointments. They say not to, but I didn't have any sedation at all. I only had the anesthetic drops they put in. So my head was clear,with no post sedation fogginess. I had both my surgeries on Mondays. Was back to horse riding on Wednesday or Thursday with one and Friday with another. It was my regular riding schedule at the time. So, I wore close fitting wrap around sunglasses to shield my eyes.
Olychick thanked wildchild2x2 - 20 hours ago
glad to hear it's going well. To put drops in, I pull down my lower lid and hold the container near it... then I look up. I don't even know when it's going in, so I can't flinch. Works better than straight dropping it in.
And I can touch my eyeballs all day long. I have worn contacts for many years. I might move them around if they are feeling like they've been in one place too long.Olychick thanked rob333 (zone 7b) - Olychick thanked eld61
- 14 hours ago
I have one of these eyedrop helper devices. A pharmacy clerk recommended it many years ago when I started taking glaucoma/IOP drops, they carried the item. It may not work with some bottle designs.
Olychick thanked dadoes - 13 hours ago
I'm glad it went well for you. I have a question about the laser process that can be used if your vision gets a little cloudy. My husband had it done six months after his surgery years ago. I had my surgery in 2019, and I think maybe this would help me see a little clearer. My doctor said it's done right down the hall for my vision checkup. It's up to me to decide. Has anyone had it done?
Olychick thanked lily316 - 13 hours ago
@lily316 I have had that done in both eyes & it wasn’t a really long time after my cataract removals. YAG Laser Capsulotomy is what it’s called. They won’t do it unless you need it & they can see the fogging when looking into your eyes. It is fast, in office, painless. I’m squeamish about my eyes & I did fine. I could see better right away. I had noticed a deterioration in my vision so I went in to be checked out. I was aware of this possibility because an acquaintance told me about it just before I had my cataracts removed. It wasn’t covered in any of the provided literature preprocedure. It’s not an uncommon issue - I read somewhere that at least 20% of people who’ve had cataracts removed will need this procedure at some point.
Olychick thanked KW PNW Z8 - Olychick thanked gardener123
- 8 hours ago
@KW..Thanks for the info. I noticed I have to squint to see the date on my Apple Watch, which I didn't have to do before. I have an appointment in November, so I'll see what he says. My husband also said it was a piece of cake.
Olychick thanked lily316


KW PNW Z8