Complete Eye Exam: This includes checking vision, measuring intraocular pressure for glaucoma detection, checking for glasses, dilated eye exam for detection of any retinal or optic nerve anomalies.
Cataract Surgery: Today’s cataract surgery is not just about removing cataracts. It is a highly fine tuned refractive surgery that enable the patients to meet and surpass their visual expectations as well. Dr. Pourkesali has performed more than 10,000 cataract surgeries that makes him highly experienced in this field. There is various choices as far as the implants are concerned that only you and your doctor together can decide which would best serve your life style. These implants include multifocal and accommodative implants that allow you to see distance, near and every thing in between. Toric implants that are excellent option for people with a large degree of astigmatism, or monofocal implants. Only your doctor can tell you which would be best for your vision.
General Questions Before, During and After Cataract Surgery
Can I drive myself to the surgery center?
On the day of your surgery, you will be given some sedation to relax you. Therefore it is not advisable to drive yourself to the center. The expected time is between 2 to 3 hours. Surgery center will call you the day before the surgery and notify you of exact time of arrival
What items should I carry with me to the surgery center?
Your Insurance card along with your identification document and a list of your medications that you are currently taking. You also should dress up in a comfortable clothing. Please be advised that if you are taking medications in the mornings, continue taking those medicines with only a small sip of water.
Otherwise, you should not eat or drink anything after midnight on the night of your surgery. You will also be given instructions in writing prior cataract surgery that include usage of two different eye drops prior to your surgery. It is important that you use them correctly since they are antibiotic and anti-inflammatory medications. Use one drop of each on the morning of your surgery.
Is cataract surgery painful, or will I feel any discomfort during surgery?
There is no pain associated with cataract surgery, however you may feel some pressure around the operating eye during the surgery. You will also be given some sedation during surgery that also helps you to relax and lay down flat during the surgery; therefore there is no need for you to take any medication prior to surgery to calm your nerves.
What will happen after the surgery?
You will be taken to recovery room where your vital signs like blood pressure and pulse will be evaluated by the anesthesiologist and you will be given instructions regarding usage of your eye drops and your follow up visit the next day. Since you will receive sedation during the surgery, it is also important to have someone who can receive these instructions and repeat them later to you while you are back at home.
What should I do with my old glasses after surgery?
Your glasses will change after surgery, and depending on the type of implant or any special procedure discussed between you and your doctor, you may no longer need those glasses.
How is my vision right after the surgery and what other instructions will I receive?
Your vision will be blurry after your surgery that day. Normally, we do not use any patch to cover the eye, and there are no stitches to be removed from the eye. You will have a shield over your eye that you will use when you go to bed to protect your eye from accidental rubbing. The next day your vision will improve, but is not your best vision. It will take a few days for your eyes to settle down and demonstrate your best uncorrected vision. It is also important to remember that on the day of your surgery, your eye will be dialated and that causes seeing glare and halos around the lights. It is also important to obtain your third eye drop that you will receive a prescription for before leaving the surgery center. This is a steroid eye drop that plays a vital role in the healing of your eye. You will receive your post operative instructions along with an appointment time to see Dr. Pourkesali the next day.
Eyelid Surgery: There are a number of malpositioning of eyelids that may either interfere with patients vision or cause irritation and concerns for the patients. They can be surgically corrected if it becomes necessary. These include but not just limited to the following:
- Blepharoplasty: Surgical correction of excessive tissue of upper or lower eyelids
- Ectropion: Eversion of eyelid that may cause excessive tearing, irritation and redness of the eye.
- Entropion: Inversion of the eyelid that can cause rubbing of eyelashes against the eyeball that can cause irritation, redness or infection.
- Ptosis: This is drooping of upper eyelid that can partially block the field of vision.
Glaucoma Detection and Treatment: Glaucoma refer to a group of diseases that affect optic nerve and since it has no symptoms patient may not be aware of their disease until it is highly advanced. Raised intraocular pressure is a major risk factor for glaucoma development. Patients with a family history of disease should be regularly checked for early detection. Once detected, there are several treatment options that your doctor can discuss them with you.
Laser Treatment: Dr. Pourkesali employs most advanced treatment of glaucoma with laser that is all performed in the office. The treatment is totally painless and is done in just a few minutes. This may relieve patients from using eye drops for daily treatment of glaucoma. We also use other types of laser that may be used after cataract surgery, only your doctor can determine whether is necessary for you. Again, all of these procedures are performed by Dr. Pourkesali in the office.
Diabetic Eye Exam: Every diabetic should have their eyes checked at least once a year for detection of diabetic retinopathy. If any retinopathy is detected depending on severity of it your doctor determines the next step.
Macular Degeneration: This is the leading cause of blindness in developed world in the elderly population. This can lead to loss of central vision. There are many advances being made in this field. Early detection and follow up can greatly improve the vision and only a detailed examination can determine whether you suffer from this condition.