Re: Cataract - Calling All Eye Nurses (or anyone who has cared for post-op cataract p
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Hope I'm not too late. I have been busy with school/ clinical stuff and this is my first chance to respond. As far as complications (aside from infection/ endophthalmitis) here's a pretty extensive list I came up with: Iritis, CME (cystoid macular edema), increased intraocular pressure, anterior vitreous prolapse, corneal edema, hyphema, retinal detachment, retained lens fragment, "dropped" lens (into posterior chamber -an emergency retina specialist intervention), corneal abrasion, damage to iris -including transillumination, irregular/ surgical pupil, acute glaucoma crisis (from viscoelastic compound "clogging" trebecular mesh work). Other complications could include myopia/hyperopia, failure to achieve target visual acuity.
Pts are usually seen one day, one week and about 5 weeks out. Most of our docs use Pred Forte, Acular and Zymar starting the day after surgery. About a third have pts start the Acular a few days before and the Zymar (an antibiotic) one day before. Two of our docs are trying Xibrom instead of Acular. Wait five minutes between gtts. We typically have pt s use tylenol for pain control.
Pt's are told to keep water out of the eye for two weeks, showers are permitted as long as keep eyes closed when rinsing hair/ face. No strenuous activitivity or heavy lifting for 1-2 weeks. No bending head lower that heart. Of course, no eye rubbing. We give them a clear plastic shield to wear at night/ sleeping. Chewing is O.K. Never had any issues with straining/ BMs, coughs or sneezing.
Visual acuity varies after the surgery, but on average I would say V/A ranges from 20/40-20/100 first day p/o.
Hope this helps!
~Wave
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