FREQUENTLY ASKED QUESTIONS REGARDING CATARACT &
CATARACT SURGERY
1. What is a cataract?
2. What causes cataracts?
3. How do I know if I have a cataract?
4. When should I have cataract surgery?
5. Do I have to stay in hospital overnight for
cataract surgery?
6. Do I have both eyes operated on at the same
time?
7. Will I need someone to care for me after cataract
surgery?
8. Should I continue my regular medications before
surgery?
9. Do I have to wear a patch over my eye after
surgery?
10. Is small incision cataract surgery performed
with a laser?
11. Is small incision cataract surgery painful?
12. When can I resume normal activities after
cataract surgery?
13. Will I need to see the surgeon again after
my procedure?
14. Will I need spectacles after cataract surgery?
1. What is a cataract?
A cataract is the clouding of the natural lens of the eye.
Approximately 25 percent of people over 65 years of age will
have some cataract formation. Cataracts can develop in both
eyes but the rate at which they develop in each eye often varies.
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2. What causes cataracts?
In many cases there is no apparent cause for a cataract. There
are a number of known causes for cataract development including:
· The natural aging process
· Prolonged exposure to UV light
· Eye trauma
· Disease
· Long-term use of some medications (in particular cortisone)
· Genetic susceptibility
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3. How do I know if I have a cataract?
Common cataract symptoms include, glare, ghosting, multiple
images, trouble with near and distance vision and frequent changes
in spectacle prescription. You may just notice that your vision
is blurred. Your regular eye care practitioner should be able
to detect a cataract.
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4. When should I have cataract surgery?
Cataract surgery should be considered when the above mentioned
symptoms interfere with daily activities or when prescription
spectacles no longer provide sufficient visual clarity.
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5. Do I have to stay in hospital overnight
for cataract surgery?
No, cataract surgery is a day procedure and you are only required
to be at the centre for a couple of hours.
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6. Do I have both eyes operated on
at the same time?
No, the second eye may be operated on one week following the
first eye, if necessary, upon the surgeon’s advice.
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7. Will I need someone to care for
me after cataract surgery?
Yes, you will definitely need someone to take you to and collect
you from Adelaide Eye & Laser Centre. You will require a
companion/carer for the first 2 to 4 hours after your procedure
due to the sedation given to you prior to your operation.
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8. Should I continue my regular medications
before surgery?
Yes, you should continue taking all regular medications before
surgery, unless otherwise advised by the surgeon or nursing
staff. Be sure to advise the surgeon or nursing staff of all
the medications you are taking prior to your procedure. Also
advise staff of any allergies.
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9. Do I have to wear a patch over my
eye after surgery?
As a general rule it is unnecessary to wear a patch over the
operated eye after cataract surgery, unless otherwise advised.
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10. Is small incision cataract surgery
performed with a laser?
Small incision cataract surgery is not performed with a laser
but with a phacoemulsifier that uses ultrasound to fragment
the natural lens of the eye. The fragments are then vacuumed
out via a small incision on the cornea and then replaced with
an intraocular lens. Some types of cataract can be removed using
a fine jet of pure water which further reduces operative stress
on the eye.
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11. Is small incision cataract surgery
painful?
At Adelaide Eye & Laser Centre small incision cataract
surgery is performed under intra-venous sedation with anaesthetic
eye gel, so no pain is felt during the procedure.
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12. When can I resume normal activities
after cataract surgery?
Vision improves over a 24 to 72 hour period, so you can return
to normal activities when comfortable to do so. This includes
watching TV, reading, writing and moderate exercise. However,
you should not drive for at least 24 hours or swim for at least
3 days after surgery.
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13. Will I need to see the surgeon
again after my procedure?
Post-operative consultations with the surgeon are scheduled
for the day after the procedure and one week after the procedure,
with follow-up consultations by your regular eye care practitioner
every 1-2 years unless otherwise advised.
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14. Will I need spectacles after cataract
surgery?
Spectacles may be needed to correct any astigmatism or residual
vision error, including reading glasses. Your regular eye care
practitioner may prescribe these approximately 4 weeks following
cataract surgery.
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