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  #22  
Old 01-09-2007, 04:50 PM
Dan Abel
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Default Re: Cataract surgery, two eyes on the same day?

In article <45a2c610$0$320$e4fe514c[at]news.xs4all.nl> ,
Christine <chk[at]xs4all.nl> wrote:


- quote -

> I went to another doctor today. These people were much friendlier
> and willing to advise me. Contrary to the previous doctor, this
> one told me where the cataract is and how bad it is. Also, he said
> that it's no problem to wait six months before getting the
> surgery. I won't wait six months, but at least now I can plan
> work and surgery so that the surgery won't get in the way of work
> too much.
> The cataract is in the middle of the lens (both eyes) which
> explains the -1 deterioration of my eyes in the last 12 months. I
> suppose that because it's more or less centered, this explains my
> double vision. A more amorphous cataract would cause blurry vision
> rather than sharp double vision, right?
> The doctor advised me to have -0.5 sight, if I choose to be far
> sighted after the surgery. I won't need glasses for the distance,
> and 0 is too much, he says, that would be hard for someone who has
> been near sighted all their life. I can choose to remain near
> sighted, but I don't think that's practical. I read a lot and I
> use a computer all day, I'd need glasses for either one of those
> anyway. Otoh, having been near sighted all my life, I'm not sure
> how I'll like it not to wear glasses outside. For sports of
> course, it's good to have no glasses.

I love having no glasses outside. They don't fog up, and rain doesn't
affect them.

- quote -

> They said that recovery would take two or three weeks, before I
> can work normally. They want there to be a month between both
> eyes, I haven't argued about doing it on one day.

I don't know what kind of work you do, but for most people, they should
be able to work normally after a day or two. There will be problems,
but if you have one eye done at a time, then the other eye will take
over.
Alt 01-09-2007, 04:50 PM
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  #21  
Old 01-08-2007, 10:34 PM
William Stacy, O.D.
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Default Re: Cataract surgery, two eyes on the same day?

Christine wrote:

I
- quote -

> suppose that because it's more or less centered, this explains my
> double vision. A more amorphous cataract would cause blurry vision
> rather than sharp double vision, right?

a VERY astute observation, and a great way to describe it. I'll be
using that.

For sports of
- quote -

> course, it's good to have no glasses.

Maybe some sports. Others it's a good thing to have protective eyewear.

- quote -

> The coniunctivitis would not be a problem, unless it's very active
> at the time of the surgery.

I disagree. ANY conjunctivits at the time of intraocular surgery is
risky. Endophthalmitis is not something you want to tangle with. Make
sure you do vigorous lid and lash scrubs everyday for a week before
surgery, and use zymar drops or equivalent 4 times/day for a couple of
days before surgery, right up to surgery time.

w.stacy, o.d.
  #20  
Old 01-08-2007, 09:30 PM
Christine
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Posts: n/a
Default Re: Cataract surgery, two eyes on the same day?

The Real Bev <bashley101+usenet[at]gmail.com> wrote:

: What's the depth of field for distance vision? In other words, how
: close is infinity?

I went to another doctor today. These people were much friendlier
and willing to advise me. Contrary to the previous doctor, this
one told me where the cataract is and how bad it is. Also, he said
that it's no problem to wait six months before getting the
surgery. I won't wait six months, but at least now I can plan
work and surgery so that the surgery won't get in the way of work
too much.

The cataract is in the middle of the lens (both eyes) which
explains the -1 deterioration of my eyes in the last 12 months. I
suppose that because it's more or less centered, this explains my
double vision. A more amorphous cataract would cause blurry vision
rather than sharp double vision, right?

The doctor advised me to have -0.5 sight, if I choose to be far
sighted after the surgery. I won't need glasses for the distance,
and 0 is too much, he says, that would be hard for someone who has
been near sighted all their life. I can choose to remain near
sighted, but I don't think that's practical. I read a lot and I
use a computer all day, I'd need glasses for either one of those
anyway. Otoh, having been near sighted all my life, I'm not sure
how I'll like it not to wear glasses outside. For sports of
course, it's good to have no glasses.

The coniunctivitis would not be a problem, unless it's very active
at the time of the surgery.

They said that recovery would take two or three weeks, before I
can work normally. They want there to be a month between both
eyes, I haven't argued about doing it on one day.

I'm less afraid now, to have them cut in my eye, despite the fact
that I saw "once upon a time in Mexico" last Saturday, which is
not a good film for someone who is going to have eye surgery and
who is afraid of it. Also, I recently saw a pic of the Bunuel film
"Un chien Andalou". I saw that film a long time ago, it's
horrible, if you're about to have eye surgery....

dag
X10
  #19  
Old 01-02-2007, 09:42 PM
Dan Abel
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Posts: n/a
Default Re: Cataract surgery, two eyes on the same day?

In article <EZzmh.56067$qO4.33282[at]newssvr13.news.prodigy.net> ,
"William Stacy, O.D." <wstacy[at]obase.net> wrote:

- quote -

> Christine wrote:
> > > > I guess I'll take no sedation, just local anaesthesia, and hope the
> > best, hope that I won't panic.
> I agree with local anesthesia being the best, but I really appreciated
> the Versed they put into my IV. Drowsy, but relaxed, and more
> importantly, willing and able to follow instructions (like "look over
> there"). No after effects for me from the Versed, which is really I
> guess more of an amnesia drug (it probably hurt, but I can't remember...)
> Big chicken that I am, I also appreciated the Valium tablet they gave me
> before putting in the IV line.


I have to agree. I have changed doctors (OMD), because the previous
doctor didn't believe in tranquilizers. I was miserable. As Dr Stacy
has posted above, there is the local, the tranks and the general. The
local has fewer side effects, gets you out earlier and has less risk.
The general has significant risk. A local plus tranks works for me. I
had a two hour eye surgery about a year ago. They used a topical local
plus tranks, and I was happy as a clam.
  #18  
Old 01-02-2007, 08:17 PM
William Stacy, O.D.
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Default Re: Cataract surgery, two eyes on the same day?

Christine wrote:
- quote -

> I guess I'll take no sedation, just local anaesthesia, and hope the
> best, hope that I won't panic.

I agree with local anesthesia being the best, but I really appreciated
the Versed they put into my IV. Drowsy, but relaxed, and more
importantly, willing and able to follow instructions (like "look over
there"). No after effects for me from the Versed, which is really I
guess more of an amnesia drug (it probably hurt, but I can't remember...)

Big chicken that I am, I also appreciated the Valium tablet they gave me
before putting in the IV line.

w.stacy, o.d.
  #17  
Old 01-02-2007, 04:18 PM
Dan Abel
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Posts: n/a
Default Re: Cataract surgery, two eyes on the same day?

In article <Ffnmh.89$4p1.78[at]newsfe02.lga> ,
The Real Bev <bashley101+usenet[at]gmail.com> wrote:

- quote -

> Dan Abel wrote:
> > Christine <chk[at]xs4all.nl> wrote:
> > > > it's -4.5 both sides, but apart from the cataract I do think I'd
> > > need new glasses, like -5 or so.
> > > Generally, as part of the procedure, they will fix your vision so you
> > won't need glasses for distance, or close. Take your pick. You will
> > lose all ability to focus, so if you pick distance, then you will need
> > reading glasses.
> What's the depth of field for distance vision? In other words, how
> close is infinity?


Depends on light level. The pros say that with good light, it is 20
feet.

I get along just fine in the house with no glasses. I have to use
reading glasses to use the computer or read. I normally wear reading
glasses to eat, although I could do without.
  #16  
Old 01-02-2007, 05:49 AM
The Real Bev
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Posts: n/a
Default Re: Cataract surgery, two eyes on the same day?

Dan Abel wrote:

- quote -

> Christine <chk[at]xs4all.nl> wrote:
> > it's -4.5 both sides, but apart from the cataract I do think I'd
> > need new glasses, like -5 or so.
> Generally, as part of the procedure, they will fix your vision so you
> won't need glasses for distance, or close. Take your pick. You will
> lose all ability to focus, so if you pick distance, then you will need
> reading glasses.

What's the depth of field for distance vision? In other words, how
close is infinity?

- quote -

> If you pick close, then you will need glasses to see
> distance. You can certainly choose to need -5D also, but why?

--
Cheers,
Bev
++++++++++++++++++++++++++++++++++++++++++++
No lawyering. Prosecutors will be violated.
  #15  
Old 12-24-2006, 06:32 PM
Christine
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Posts: n/a
Default Re: Cataract surgery, two eyes on the same day?

Dan Abel <dabel[at]sonic.net> wrote:

: I've sent you a virtual hug. I would recommend enough sedation to make
: you comfortable, but not more. For my last eye surgery, I went home
: about a half hour afterwards. I don't understand about having months of
: side effects, but maybe you react differently.

I was referring to surgery I've had, like total anaesthisia for two
hours, then I kept being tired a lot for a couple of months, before the
stuff they put in my body seemed to have worn off. That's why, when they
needed to make some "corrections", I preferred to stay fully awake.

I guess I'll take no sedation, just local anaesthesia, and hope the
best, hope that I won't panic. Thanks for the hug, I felt it before I
read it here :-)

hugs
Xtine
  #14  
Old 12-24-2006, 06:26 PM
Dan Abel
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Posts: n/a
Default Re: Cataract surgery, two eyes on the same day?

In article <458ea458$0$332$e4fe514c[at]news.xs4all.nl> ,
Christine <chk[at]xs4all.nl> wrote:

- quote -

> Ann <me[at]privacy.net> wrote:
> : I've only had eye surgery lately on an eyeless socket which is
> : different but I had one surgery done with sedation. I didn't actually
> : like the feeling of being woozy and wouldn't do it again but most
> : people say it's great. I'd prefer to be totally aware but that's just
> : me. Others who have had cataracts done under local anaesthetic have
> : always said it's fine and not like you imagine.
> In general, I prefer local aneasthesia. I've had surgery (not on my
> eyes) that most people do under sedatoin, with local anaesthesia only,
> It saved me a couple of days in hospital and months of side effects. So
> I guess I won't do sedation now, in fact I'm pretty sure I won't, but it
> does scare me. A lot.


I've sent you a virtual hug. I would recommend enough sedation to make
you comfortable, but not more. For my last eye surgery, I went home
about a half hour afterwards. I don't understand about having months of
side effects, but maybe you react differently.
  #13  
Old 12-24-2006, 03:21 PM
Dan
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Posts: n/a
Default Re: Cataract surgery, two eyes on the same day?

On Wed, 20 Dec 2006 18:04:02 -0800, Dan Abel <dabel[at]sonic.net> wrote:

- quote -

> In my experience, they patch the operated eye for at least a day.

These procedures must differ because they didn't do that for me. I had
my first cataract surgery in early Nov. and my second one four days
ago. Neither time did they give me a patch to be used for a day or
more.

They "scotchtaped" an oval-shaped metal convering over my eye, like an
egg cut in half lengthwise. It had many holes in it so that I could
see through it. They told me to wear it for two hours after the
surgery and to put it on for a week while I slept (to prevent me from
inadvertently rubbing my eye).

And for the OP, all in all, the surgeries were minimally intrusive in
my life (a day interrupted for each surgery, no lifting more than
thirty pounds for two weeks, and eyedrops for a month.) More pleasant
for me than going to the dentist!

Although I'll need glasses for reading, I'm overjoyed at being to see
as clearly overall since before I got my first eyeglasses at ten years
old.

--
Regards,
Dan






 

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