FAQS ON CATARACT AND GLAUCOMA
I know that choosing a new eye doctor can sometimes be a bit overwhelming. That’s why I want you to rest assured that you’ve chosen well. Below you’ll find answers to some of my Glaucoma patients frequently asked questions. I’ve been able to cover quite a few topics, but if there’s something I haven’t touched on, please don’t hesitate to ask by clicking on the link given below
HOW PAINFUL IS THE MEDICAL EXAMINATION FOR GLAUCOMA?
The medical evaluation for Glaucoma is almost a painless experience. Few examinations and tests for glaucoma requires instruments to come close to the eyes. It may be a little uncomfortable for a new patient but the procedure is painless.
HOW MUCH TIME IT MAY TAKE TO UNDERGO A COMPLETE GLAUCOMA EVALUATION?
Glaucoma examination involves a short patient evaluation (undilated eye), followed by instillation of eye drop and detail eye examination (dilated eye examination). The procedure may take about 1 to 2 hrs. In case the glaucoma specialist orders for certain tests – it may need some more time.
I LOST FOCUS WHILE DOING PERIMETER TEST. HOW MUCH DOES THAT MATTER?
Perimeter instrument is programed to take care of blinking movement of eye. Few instances of fixation loss or loss of attention may be taken care of. But repeated error may need the tests to be repeated.
MY FIRST TEST WAS REJECTED BY THE DOCTOR. WILL I PERFORM BETTER ON A REGULAR TEST?
Many patients may not perform well at first go. The performance is better on repeat test.
I CAN’T PERFORM PERIMETER TEST. IS THERE ANY ALTERNATIVE TEST?
Yes, there are alternative tests for glaucoma detection. Some of them are fully automated tests and require only a few seconds to finish the test. However, perimeter remains the primary test for glaucoma detection and follow up.
HOW LONG DOES GLAUCOMA SURGERY TAKE
It takes approximately 15 minutes to complete a glaucoma surgery
WHICH IS THE BEST TREATMENT FOR GLAUCOMA
Glaucoma specialists try to treat glaucoma initially with eye drops and laser.If Patient doesn't respond well to glaucoma medications then Glaucoma doctor can advise him/her glaucoma surgery.It also depends largely on the type of Glaucoma.
I know that choosing a Cataract operation doctor can sometimes be a bit overwhelming. That’s why I want you to rest assured that you’ve chosen well. Below you’ll find answers to some of my patients frequently asked questions. I’ve been able to cover quite a few topics, but if there’s something I haven’t touched on, please don’t hesitate to ask.
WHAT IS THE ADVANTAGE OF THE NEW PHACO TECHNIQUE OVER OLDER CATARACT SURGERY TECHNIQUES?
Phaco technique of cataract surgery when combined with the use of foldable intraocular lens – needs a small cut of less than 2mm for doing the surgery .This is in sharp contrast to the older manual techniques of cataract surgery which needs a cut of 6-8mm to complete the surgery
Due to small cut for surgery – the recovery time is considerably reduced, pain is less and patients are back to business within a shorter period of time.
ARE ALL CASES OF CATARACT OPERATED BY PHACO TECHNIQUE?
Presently with improved technology – most of the cataract removal surgery is done by phaco technique. But in some cases surgeons may resort to manual technique of surgery.
IS THERE ANY DIFFERENCE IN VISUAL IMPROVEMENT BETWEEN THE TWO TECHNIQUES?
Practically there is no difference in visual recovery in surgery by either technique. But pain is less and visual recovery is faster with phaco technique.
CAN THE CATARACT SURGERY BE DONE WITHOUT “INJECTION”?
Yes, most of present day cataract surgery presently is done without “injection”, using “eye drops” to minimize pain and discomfort during surgery.
CAN GLAUCOMA SURGERY BE COMBINED WITH CATARACT SURGERY?
Yes. When required, eye surgeon can combine both the surgeries in a single sitting. It reduces need for 2 separate operations and the patient gets rid of his glaucoma eye drops. (But need and justification for glaucoma surgery has to be decided by the treating eye specialist
WHAT IS THE CATARACT SURGERY PACKAGE COST IN KOLKATA
Cost of cataract surgery in Kolkata ranges from Rs 20000 to Rs 1.2 lakh.Final price would depend on the type of lens used and other additional procedures
HOW LONG DOES IT TAKE TO RECOVER FROM CATARACT SURGERY
Patients following cataract surgery don’t need bed rest.They are allowed to watch tv/read newspaper.They are also free to take normal diet.
Head bath is not recommended for 2 weeks post surgery
Recovery time for cataract surgery in normal conditions is maximum 2 weeks.Patient will be able to resume work in maximum 2 weeks
DOS AND DONT;S AFTER CATARACT SURGERY
Use drops as advised
Wash,dry and sterilise your hands before putting eye drops
Regular post cataract surgery follow ups as advised by the cataract surgeon
Avoid head bath or water in eyes
Avoid touching eye with fingers, cloth or tissue paper
Avoid dry dusty smoky environments
Avoid pranayama /weight lifting
HOW SHOULD I SLEEP AFTER CATARACT SURGERY
Following cataract surgery you are advised to sleep with eye cap on.It is always preferable to sleep either straight or sideways opposite to the eye operated.For example if right eye is operated you should sleep on left side or vice versa
HOW SOON CAN I DRIVE AFTER CATARACT SURGERY
Preferable to drive only after 2 weeks
Dr Kumar Ravi
Cataract surgeon and Glaucoma specialist, Kolkata
Shreetower II, RAA-36, VIP Road Raghunathpur, Kolkata, West Bengal 700059