Post-Operative Care Tips for Cataract and Macular Surgery - Ophthalmology

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Postoperative Care Considerations


Dear Doctor,
My mother is scheduled to undergo cataract surgery and macular fold surgery simultaneously at the beginning of next month.
Many shared experiences indicate that these surgeries are often performed separately, so I am wondering if you could provide any postoperative care considerations for cases where both procedures are done at the same time.
1.
Is it necessary for her to maintain a supine position, and for how long?
2.
How long does she need to wear the eye shield? Should she wear it only while sleeping, and does she need to wear sunglasses when going outside at other times?
3.
Should she avoid washing her face and hair? If washing is necessary, what position would be best?
4.
I have read that after cataract surgery, heavy lifting should be avoided for about a month.
5.
My mother enjoys riding her bike and cooking; should she avoid these activities post-surgery?
I apologize for the numerous questions, but since this is my mother's first surgery, I am quite concerned about her postoperative care.
Thank you for taking the time to respond.

amber, 20~29 year old female. Ask Date: 2015/10/11

Dr. Wang Zhishun reply Ophthalmology


Hello: 1.
Generally, normal rest is sufficient, unless special gas is injected into the eye after macular pucker surgery.
2.
An eye shield should typically be worn all day for one week post-surgery, and afterward, wearing sunglasses outdoors is advisable for better protection.
3.
It is best to avoid getting the affected eye wet for one week.
4.
Avoid lifting heavy objects for one month, which is better for recovery from macular pucker surgery.
5.
It is also recommended to rest from activities such as riding a bike and cooking for one month.

Reply Date: 2015/10/11

More Info


Post-operative care following cataract and macular surgery is crucial for ensuring a smooth recovery and optimal visual outcomes. Here are detailed guidelines addressing your concerns:
1. Positioning and Rest: After surgery, it is generally recommended that patients maintain a comfortable position, which may include lying down or resting in a reclined position. This is particularly important if gas is used during the macular surgery, as it can help keep the gas bubble in the correct position. If gas is not used, normal positioning is usually acceptable. However, it's best to follow your surgeon's specific instructions regarding positioning, as they may have tailored advice based on your mother's unique situation.

2. Eye Shield Usage: An eye shield is typically recommended for the first week post-surgery, especially during sleep, to protect the eye from accidental rubbing or pressure. During the day, wearing sunglasses when outdoors is advisable to shield the eyes from bright light and potential irritants. Sunglasses can also help reduce glare, which may be particularly bothersome after cataract surgery.

3. Washing Face and Hair: It is advisable to avoid getting water in the operated eye for at least a week. When washing the face, your mother should lean back slightly to avoid splashing water directly into her eyes. Using a damp cloth to clean the face while keeping the eyes closed can be a safe alternative. For hair washing, it may be best to do this in a way that minimizes the risk of water entering the eyes, such as leaning back in a sink or using a handheld showerhead while keeping the eyes closed.

4. Avoiding Heavy Lifting: It is crucial to avoid heavy lifting and strenuous activities for at least a month post-surgery. This is particularly important after macular surgery, as increased intraocular pressure can jeopardize the healing process. Encourage your mother to refrain from lifting anything heavier than 10 pounds and to avoid activities that could strain her eyes.

5. Activities like Riding and Cooking: Given that your mother enjoys riding and cooking, it is advisable to limit these activities for at least a month post-surgery. Riding can pose a risk of sudden movements that may strain the eyes, and cooking often involves activities that could lead to splashes or accidents. It’s best to consult with her surgeon about when she can safely resume these activities.

In addition to these specific points, here are some general post-operative care tips:
- Medication Compliance: Ensure that your mother follows the prescribed medication regimen, including any eye drops or oral medications. This is vital for preventing infection and managing inflammation.

- Follow-Up Appointments: Regular follow-up visits with the ophthalmologist are essential to monitor healing and address any concerns promptly.

- Signs of Complications: Be vigilant for any signs of complications, such as increased redness, swelling, pain, or changes in vision. If any of these occur, contact the surgeon immediately.

- Rest and Recovery: Encourage your mother to rest her eyes frequently, especially during the first few weeks after surgery. Limiting screen time and reading can help reduce eye strain.

- Nutrition and Hydration: A balanced diet rich in vitamins and minerals, particularly those beneficial for eye health (like vitamins A, C, and E, and omega-3 fatty acids), can support recovery. Staying hydrated is also important.

In conclusion, while the recovery process can be daunting, following these guidelines and maintaining open communication with the healthcare provider will help ensure a successful outcome for your mother’s cataract and macular surgery.

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