Instructions After Surgery

By David F. Chang MD

*All post-op visits are at the Los Altos office

Antibiotic

  • Use 1 drop 2 times daily
  • Stop after 8 days
  • Besivance
  • Ciprofloxacin
  • DO NOT DISCARD Until after your final exam

Anti-inflammatory

  • Use 1 drop 2 times daily
  • Bromsite
  • Ketorolac

Steroid

  • Use 1 drop 2 times daily
  • Prednisolone [SHAKE WELL]
  • Lotemax Gel

Start these drops on the day you return home after surgery. Drops are only for the operated eye and can be used together, in any sequence, if separated by at least 3 minutes (otherwise one rinses the other out.) It is normal that some drops will sting. Close the eye gently for a minute after instilling a drop. Some drops may leave a harmless white residue in the eyelid corner. Ask us before refilling the drops when you run out, and there is some advantage to using them for as long as they last. Drops in one eye never affect the opposite eye. Antibiotics prevent infection. Anti-inflammatory drops improve comfort and suppress inflammation

** Please bring your drops and this handout with you to post-op appointments

Activities: Because it’s tender, avoid pressing or rubbing the eye for 2 weeks. There are no physical restrictions following small incision cataract surgery. There is no problem with bending, stooping, lifting, coughing, or straining. Exercise is fine, including golf, tennis, jogging and aerobics. Because soap and water are not harmful, you may shower, wash your face and hair, and wear makeup. We do advise not to swim for one week. You may read and watch TV as much as you like. You may resume work and driving when you feel ready. There is no restriction on airplane travel.

Normal early postoperative symptoms: A larger or smaller pupil for the first 2 days; eye watering and redness; a scratchy or sandy sensation; stinging with the eye drops; blurry, fluctuating, or shimmering vision; sensitivity to bright lights; a curved shadow or light reflection off to the side; some halos at night. Since the artificial lens blocks ultraviolet light, sunglasses are optional for comfort, but not required for safety.

Visual Recovery: Be patient. You should not expect to see well immediately, and most eyes are blurry for the first few days. There is normal variability in the recovery rate between different patients, and even between both eyes of the same patient. Try not to over-analyze your vision: the amount of blur during the first week will not determine the final outcome. Although it is human nature, comparing the recovery period of one eye to another (or to that of a friend or relative) often raises unnecessary concern over normal differences that have nothing to do with the final outcome. Until your eyeglass prescription is updated for the operative eye, you will not have optimal focus for both reading and far distance.

762 Altos Oaks Drive, Los Altos, CA

650-948-9123
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