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Eye Surgery

The staff at the Southtowns Eye Center is pleased that you have selected us for your surgery or procedure.  As we want all aspects of your surgery to go smoothly, please use this section for information on what to expect before and after surgery, and click on the below links to view the cataract surgery videos.  

CLICK TO VIEW THE LASER CATARACT SURGERY VIDEO


CATARACT SURGERY
Prior to your surgery:
  • You will need to see your primary medical doctor for a medical clearance exam about week before your surgery.  This is required by anesthesia at the surgical facility. If your primary medical doctor does not clear you for surgery, we will postpone your surgery.
  • Your eye drops will be called into your pharmacy 3 days prior to your starting date . 
  • Please arrange transportation to and from the surgery center as you will not be able to drive after surgery.
  • 3 days before your surgery, start using eye drops in the eye that is to be operated on.  We prefer you place your drops into the operated eye as listed if possible.  Wait 5 minutes in between drops so that the eye has time to absorb the medicine fully.
The Day of Surgery:    
Bring your insurance cards, photo ID, your eye drops and all your paperwork with you into surgery.
  • No solid food or milk products after midnight! You may have clear liquids up until 3 hours prior to arrival time. Clear liquids are limited to: water, black tea, black coffee, apple juice, jell-o and chicken broth. DO NOT EAT OR DRINK ANYTHING UP TO 3 HRS BEFORE ARRIVAL TIME.
  • Take your regularly scheduled medication as instructed by your primary care doctor with a sip of water. 
  • If you are Diabetic and are on insulin, bring it with you to surgery.  
  • If you take Coumadin, take it as you normally do.
  • Please do not wear any eye make-up, facial lotions or perfume the day of surgery.
  • Please wear a shirt that buttons down the front.
  • TAKE IT EASY! No cleaning, no heavy lifting, no straining, etc.
After your Surgery:
  • The IV sedative from the surgery may leave you feeling a little sleepy for the next 24 hours, do not drive, operate hazardous machinery, drink alcoholic beverages or make important personal or business decisions. Taking a nap when you return home is a good idea. This will let the body focus its energy on healing the eye.
  •  You may resume your normal diet and your normal medication schedule.
  • If you have any aching, you may take Tylenol, Advil, Motrin etc.
  • Gently wipe away any discharge from your eyelids with a clean facecloth and warm water.
  • Your eye drop medication is very important. Use them as directed on your schedule. 
 Your Activities:
The morning after surgery, you may resume almost all of your normal activities such as: driving, washing your hair and face, watching TV, walking and reading.
  • Do not wear eye make-up while taking your eye drops. We recommend purchasing new eye make-up to resume in 1 month since the old products may predispose you to infection.
  • Do not rub your eye. This is the worst thing you can do while it is healing.
  • Do not lift items more than 15lbs the first 2 weeks after surgery and more than 50lbs the first month after surgery.
 
  • Please Wait:

    1 week before:
    • Flying
    • Golf--putting

    2 weeks before:
    • Golf--driving, carrying golf bag
    • Avoid bending your head below your waist
    • Bowling
    • Sexual activity
       
    3 weeks before:
    • Running/Jogging
    • Tennis
    • Vacuuming/Dusting
    • Shoveling snow/Mowing lawn/Gardening
    • Hunting

    4 weeks before:
    • Swimming
    • Using Hot Tub/Jacuzzi/Sauna
    • Working out at a Fitness Center
     
    • Please click on the Forms tab to find information on Surgical Facilities and forms that you will need to fill out prior to your surgery.

     
    YAG CAPSULOTOMY
     
    A YAG CAP or YAG laser capsulotomy is a procedure that is sometimes required after Cataract Surgery. About 20% of patients who have had cataract surgery will develop a secondary cataract over time and require a YAG laser.  When a patient has their natural lens removed during Cataract Surgery, the capsule of the original lens is left intact to support the new intraocular lens that is implanted. Sometimes, a cloud forms in the capsule and vision becomes blurred. This is what is referred to as a secondary Cataract. The procedure to relieve this problem is a YAG laser capsulotomy. A small opening is created in the center of the capsule, allowing light to pass through the eye to the retina and vision is restored.
     
    A YAG laser procedure generally takes about 5-10 minutes.  Dilation is necessary for the procedure and they eye will be numbed with anesthetic drops.
    You may drive yourself to the surgical facility if you feel comfortable driving.
    If you were given a dilating drop in the office please instill 1 drop into eye(s) that is having procedure done, 1 hour prior to arrival time.

    • Please click on the Forms tab to find information on the Surgical Facility and forms that you will need to fill out prior to your procedure.
     
    YAG PERIPHERAL IRIDOTOMY
     
    A YAG PI, or a YAG laser peripheral Iridotomy, is a procedure to treat or prevent angle closure glaucoma. This procedure uses the YAG laser to create a hole in the iris, which allows fluid to drain from the eye in order to be absorbed by surrounding eye tissue. In some people, this drainage system can become blocked, leading to a rise in intraocular pressure. If untreated, this increased pressure can cause permanent vision loss. The YAG laser is used to create a tiny opening in the iris as a "back up drain" in the event of a blockage. This microscopic opening is made in the iris under the upper eyelid. This tiny hole helps maintain a normal flow of fluid through the eye thus preventing visual loss due to a rise in intraocular pressure.

    A YAG PI typically takes less than 5 minutes. Dilation is not necessary for the procedure; however, the eye will be numbed with anesthetic drops.
    You may drive yourself to the surgical facility.

  • STOP all aspirin, Motrin, Advil, Nuprin and any other blood thinners 1 week before laser treatment, if cleared by your medical doctor.  You may use Tylenol. 
    If you were given a script for Pilocarpine please instill 1 drop into eye(s) that is having procedure done, 1 hour prior to arrival time.
    • Please click on the Forms tab to find information on the Surgical Facility and form that you will need to fill out prior to your procedure
​What is the LenSx Laser
 
The LenSx Laser is an advanced, precision based technology that operates with unmatched precision and computer-control, helping surgeons to customize the procedure to your eye. It is a technologically advanced option for cataract patients. When you choose the LenSx Laser, you'll enjoy a range of vital benefits.
 
While all human eyes share the same basic anatomical structure, every eye is just a bit different in terms of size, depth, curvature of the cornea and other key features. Which is why every eye must be carefully measured and mapped prior to cataract surgery. While these measurements have been routinely performed prior to surgery, <span font-size:="" new="" style="line-height: 1.6em; >the LenSx Laser uses a range of highly advanced technologies - including intergrated optical coherence tomography to capture incredibly precise, high-resolution images of your eyes. These images and the measurements and data they provide are then used to plan and perform a surgery to exacting specifications not attainable with traditional surgery. Click on the below link to see more about the LenSx Laser. 
 
CLICK TO VIEW THE LASER CATARACT SURGERY VIDEO

Because cataracts can cloud your vision and will ultimately lead to vision loss, cataract surgery is usually considered a medical necessity and is partially covered by Medicare and most health insurance plans. However, there are limitations because these plans will typically only cover astigmatism correction.

As you research this procedure, you will learn that you have options when it comes to cataract surgery. If you decide to move forward with multifocal IOLs to correct presbyopia or astigmatism at the same time, you will incur some out-of-pocket expense. This is because these conditions are not considered medical necessities. Multifocal IOLs are considered to be “elective” options. Many of our patients feel this extra expense is worth it in the long run, since most patients with multifocal IOLs are free from glasses most of the time with these new lenses.

At Southtowns Eye Center, we don’t want cost to get in the way of helping you achieve glasses-free vision. We offer financing options, with minimum monthly payments, to help work excellent vision into your monthly budget. We can discuss these options with you during your Cataract Consultation.