A cataract occurs when the lens inside your eye gets cloudy. Things linked to clouding include aging, overexposure to ultraviolet (UV) radiation, diabetes, diseases inside the eye such as glaucoma, retinitis pigmentosa, retinal detachment, and long-term uveitis, long-term use of steroid medicines, frequent X-rays or radiation treatments to the head, family history, vitrectomy, eye injury, and being born with cataracts (congenital). So, cataract can be inherited.
The important LASIK aftercare tidbit is that patients must be extremely cautious to keep hair care products and/or facial washing liquids away from the eye. A frequently asked laser vision correction question is when patients can return to their normal bathing routine. Dr. Mozayeni recommends waiting for 5 days before water (or soap, shampoo, body wash, etc.) is allowed in the eye or your head is submerged in water. These LASIK aftercare precautions allow your corneal tissue to heal properly. Aside from bathing and showering after LASIK, there are different instructions when it comes to swimming. We advise post-op LASIK eye surgery patients to wait for 14 days before returning to these activities to ensure optimal LASIK aftercare and healing.
A cataract is an eye condition where cloudiness, or opacity in the lens, blocks or changes the entry of light, affecting vision. Glaucoma is a group of eye diseases that gradually steals sight without warning and often without symptoms. Vision loss is caused by damage to the optic nerve. Cataracts and glaucoma are both serious conditions that can cause you to lose vision. However, loss of vision due to cataracts can be reversed with surgery. Loss of vision from glaucoma is, as yet, irreversible. Those with glaucoma are usually not at higher risk to develop cataracts. There are exceptions, including those who have glaucoma due to secondary causes such as eye inflammation, eye trauma, or steroids.
No patient below the age of 18 will be considered for LASEK, and some clinics will even refuse to treat individuals younger than 21. This is because many teenagers and young adults are unlikely to have a stable prescription, making laser eye surgery ineffective.
While there are no official guidelines by the Department of Health with regards to age limitations, some clinics do impose age restrictions for laser eye surgery. Some clinics invite people of all ages, whereas some cap their limit at around 70 years of age. One of the main reasons for clinics imposing an age restriction is that two of the most common visual complaints amongst the older generation, presbyopia and cataracts, cannot be treated by either LASEK or LASIK.
Hormonal changes women experience during and after pregnancy can have effects on the eyes that can make LASIK outcomes less predictable. These changes also can affect healing of the eye after LASIK surgery. Also, during and after LASIK surgery, several prescription and non-prescription medications typically are used by LASIK patients, and some of these might pose risks to a developing baby. For example, on the day of surgery patients often are given a mild oral sedative (such as Valium) to relieve anxiety. And for several days after surgery, patients are instructed to use antibiotic and steroidal eye drops multiple times daily to prevent infection and reduce inflammation.
The preoperative LASIK evaluation is an extremely important and structured examination to determine if a patient is a good candidate for LASIK surgery. This examination is one of the most comprehensive ocular exams done today which includes 1- history (Chief Complaint and History of Present Illness, Past Medical History/Past Ocular History, Medications, Past Surgical History, Social History, and Family History), 2- physical examination (Visual Acuity, Refraction, andComplete Eye Examination), 3- LASIK testing (Dry Eye Testing, Contrast Sensitivity Testing, Pupil Testing, Pachymetry, Keratometry, Corneal Topography, and Wavefront Analysis)
LASIK is laser eye surgery performed to improve the vision of patients who suffer with Nearsightedness, Farsightedness, and Astigmatism. Cataract surgery is designed to treat the clouding of the lens of the eye, which inhibits light from passing through the eye normally.The LASIK procedure only takes about 15 minutes, and the actual laser time per eye is only about a minute each depending on the severity of your prescription.First, a thin corneal flap is created with a femtosecond laser.The corneal flap is then gently lifted back by your surgeon to allow a second laser to reshape the cornea with a computer controlled laser programmed according to your unique corneal map. Cataracts are treated by removing the natural lens, which has become clouded, and replacing it with an artificial intraocular lens (IOL).
The foods you put into your body can affect the way that you heal. Here are some foods to include in your menu following LASIK surgery:
• Protein contains amino acids. These amino acids help with wound healing and tissue regeneration. The best proteins to consume come from poultry, fish, eggs, low-fat dairy products, lentils, beans and nuts. Cold water fish are highly concentrated with Omega 3 fatty acids and are excellent for improving eyesight. Omega-3’s also helps improve the oily layer of the tear film, which helps with healing as the eyes are drier than normal following LASIK.
• Two of the best vitamins you can take after surgery are vitamin A and C because of their wound healing properties. These vitamins can be taken in pill form in addition to eating foods such as dark, leafy greens, sweet potatoes and carrots as well as citrus fruits, sweet bell peppers and tomatoes.
• As a society, we are obsessed with carbohydrates. Carbs are nothing to be afraid of. In fact, they are an important part of our diet as they are our brain’s main source of energy. The key is to eat the right carbs. Choose carbs that are high in fiber such as fruits, vegetables, whole grains (not white or refined), beans and legumes.
• There are good fats, such as avocados, olive oil, nuts and seeds and bad fats, such as those in fried food. The good fats, when consumed in moderation, help improve immune response time which is important when healing.
To give post-operative advice, I like to individualize each patient according the surgery complexity, to garantize a better p.o. recovery and results, and even more if we talk about rhinoplasty, that can be very simple or very complex procedure, depending on the nasal structures envolved. There is no reason to wait. As a matter fact many times rhinoplasty and blepheroplasty are done together during same operation
Unfortunately, the benefit of surgery in terms of eye alignment is not always permanent and some patients’ eyes will drift again, requiring another surgery. Recurrence of strabismus, or eye misalignment, is common in people who have strabismus surgery. Strabismus surgery should be considered a tune-up, rather than an absolute cure for some patients with the problem. It sounds like your eye misalignment has recurred. Additional surgery may be beneficial for you. Your brain directs and controls your eyes and eye muscle surgery is not brain surgery. Cutting and moving the eye muscles will not automatically change the brain or the signals it sends to the eye muscles. This is why patients’ eyes often “go back” or deviate again after surgery
During LASIK, a thin circular “flap” is created on the eye’s surface using a microkeratome or a femtosecond laser surgical tool. The surgeon then folds back the hinged flap to access the stroma and reshape the corneal tissue using an excimer laser. The flap is then returned to its original position and serves as a natural bandage, keeping the eye comfortable as it heals. The flap adheres securely without stitches, and healing occurs relatively quickly. During PRK, instead of creating a corneal flap as in LASIK, the surgeon completely removes the extremely thin outer layer of the cornea (epithelium, which is like a clear “skin layer” covering the cornea), using an alcohol solution, a “buffing” device or a blunt surgical instrument. The underlying corneal stroma is then reshaped with an excimer laser. A new epithelial layer grows back within five days. The LASEK procedure involves a little of both LASIK and PRK. Like in PRK, the corneal epithelium is separated from the underlying stromal layer. But instead of completely removing and discarding this tissue, as in PRK, the LASEK surgeon pushes an ultra-thin “flap” of epithelium off to one side of the cornea, where it remains attached to the eye (like the thicker flap of corneal tissue created during LASIK surgery). After the laser treatment is finished, the epithelial tissue is repositioned on the surface of the eye to cover the lasered stroma, and a bandage contact lens is placed on the eye to keep the epithelium in place as it heals.
If you have had LASIK surgery, in which a flap is created during the procedure, then returning to sports or exercise soon after surgery could put you at risk of flap complications. Even something as innocent as wiping sweat out of your eye can cause these kinds of complications, so it is imperative that you wait the full length of time advised by your optometrist.
Presbyopia affects virtually everyone some time after age 40. In the past, the usual remedy for presbyopia was to wear reading glasses or multifocal eyeglasses, such as bifocals or progressive lenses. For presbyopic eyes, the only currently available FDA-approved LASIK procedure provides monovision. This means one eye is corrected for better distance vision, and the other eye is corrected to enhance near vision. Many people cannot adapt to this kind of sight, which can cause problems such as loss of depth perception.
You are fine to shower or bathe the day after you have had laser eye surgery. However, you do need to try to ensure you do not get any soap or water in your eyes for at least a week. After one week, you will be able to enjoy yoga, pilates, aerobic exercise, and jogging. If you do weight lifting, please allow two weeks before resuming. We don’t recommend swimming or using a steam room or sauna for at least two month after the procedure.
It is advisable to abstain from wearing any eye makeup for two week after the treatment. However, you can wear other face makeup, such as lip-gloss and bronzer, a day or two after the treatment. If applying foundation, be very careful around the eye area. To avoid any interference and allow your eyes the best chance of recovery, it’s recommended to wait at least 48 hours after surgery to apply makeup. For eye makeup — mascara, eye shadow, eyeliner – it’s typically recommended to wait a period of fourteen days following your procedure. False eyelashes are included in this category, and therefore should be avoided for two week unless your surgeon tells you otherwise at your first post-op check-up. It’s also important to note that when returning to wearing eye makeup after the two-week period, you must be careful not to rub your eyes when removing it to again avoid any further chance of irritation.
Some patients see very well the day after cataract surgery. Other patients see well a few days after surgery, and still others may need a full month to reach their maximum vision improvement. During the first week after surgery, it generally is recommended that the patient keep his or her eye covered at all times, either with eyeglasses or an eye shield, to protect it from being bumped or rubbed. A small amount of pressure can easily open the incision, and protecting the eye prevents this. Also, it is recommended that the patient refrain from (a) bending with the head below the waist, (b) lifting more than 10 pounds, and (c) straining (on the toilet, for example) to the point of holding one’s breath. All of these activities increase the pressure inside the eye and can open the incision.
Your eyes start healing immediately after your LASIK surgery, and the initial healing usually occurs rapidly. But it’s normal to experience some blurred vision and fluctuations in your vision for several weeks or even months after LASIK. Your eye doctor or LASIK surgeon typically will see you the day after your surgery to check your visual acuity and make sure your eyes are healthy and healing properly. Most patients are legal for driving (without eyeglasses or contact lenses) and are able to return to work the day after their LASIK procedure. In most cases, vision should be stable and clear at the six-month post-op visit.
Once your epithelium is healed, you can bathe and swim normally. This is usually after a week, but please check with your surgeon as some patients may take longer.
A cataract is a clouding of the lens in the eye that affects vision. Most cataracts are related to aging. Cataracts are very common in older people. But as we age, some of the protein may clump together and start to cloud a small area of the lens. This is a cataract. Over time, the cataract may grow larger and cloud more of the lens, making it harder to see. During middle age, most cataracts are small and do not affect vision. It is after age 60 that most cataracts cause problems with a person’s vision. Although most cataracts are related to aging, there are other types of cataract: secondary cataract, traumatic cataract, congenital cataract, and radiation cataract.
Of course, the procedure is safe and we’ve used it successfully many times on different people. For those that want to know how soon they can be back on any electronic device like a phone or tablet and television after LASIK, the short answer is that you can get back to a normal routine the next day.
We advise patients to spend the first 24 hours after surgery away from harsh lights, screens, and visually demanding activities like reading. The day after Laser Eye Surgery, patients can be back at work, using a computer, and enjoying their devices as normal — that includes watching TV.
In LASEK a flap of cornea is not created. Instead the surface cells are folded back, and the laser is applied directly to the top of the cornea. The surface cells are replaced and a bandage contact lens is placed in the eye. During this time, the eye can be uncomfortable and the vision a little blurry. Occasionally, though, it can take up to several weeks for the surface cells to heal, during which time the vision can be blurry.
Almost everyone undergoing laser refractive surgery has some mild dryness, in which the eyes feel. Typically, these symptoms resolve after a few months; however, a small percentage of people have chronically worse dry eyes after laser refractive surgery requiring continuous treatment with drops or dry eye medications. The LASEK technique avoids any corneal flap-related LASIK complications. By avoiding a deeper flap, there also is slightly less risk of developing dry eyes after LASEK eye surgery.
Currently, people who develop cataracts must have an operation to remove them to restore their sight.
Cataracts are caused by damaged crystallin proteins in the eye lens. These proteins start off soluble and transparent, but they can become mis-folded over time forming opaque, insoluble clumps that are highly stable.
If we can find a small molecule that binds the soluble, natural fold of the crystallin proteins—the free energy of that interaction will make that the more stable form and we’ll basically turn back the clock on the ageing of that protein.
But so far it has been difficult screening drugs that target these proteins. The crystallins don’t have an enzymatic function, they’re just structural, so all of the classic ways of finding molecules to bind to them don’t work.
You will be awake during the procedure, but steps are taken before and during surgery so you won’t feel any pain.
When you arrive on your day of surgery, you typically will be given a mild sedative to help you relax. Also, anesthetic (numbing) eye drops are applied to your eye to prevent discomfort.
In some cases, you may receive additional medication intravenously during surgery to ensure you remain comfortable, and your cataract surgeon will ask you how you are feeling throughout the procedure.
Your eyes start healing immediately after your LASIK surgery, and the initial healing usually occurs rapidly. But it’s normal to experience some blurred vision for several weeks or even months after LASIK.
Your eye doctoror LASIK surgeon typically will see you the day after your surgery to check your visual acuity and make sure your eyes are healthy and healing properly.
After LASIK surgery, you should take precautions to protect your eyes from injuries. This is true even after your surgeon advises you that your eyes have fully recovered.
The main difference is how the cornea is opened to allow access for the laser and the most appropriate method depends on the current thickness of your cornea. Therefore, the procedure types suit different people.
Sometimes the unique characteristics of your eye can make you unsuitable for LASIK treatment— for example, if you have a thin cornea. If you are unsuitable for LASIK treatment, you might be recommended LASEK treatment as an alternative.
Only a medical professional will be able to tell you what type of laser eye surgery you’re suited to. Both treatments provide exactly the same quality of results and both are as effective as each other.
The estimated time you need to schedule for your laser eye surgery is only 1.25 hours. Your time in the laser suite is only about 10 minutes. The laser that reshapes the cornea typically is on less than one minute per eye.
Laser eye surgery usually does not require general anesthesia. General anesthesia (being “put asleep”) during any type of surgery has its own risks and would significantly increase the cost of surgery without adding significant benefits.
If you fear you will be anxious during the procedure, your surgeon will give you a mild sedative or other medication prior to surgery to help you relax. The use of a mild sedative is common with surgery.
Most patients are surprised by how quickly their LASIK procedure goes and feel afterward it was much easier and less stressful than they expected it would be.
To prevent eye-rubbing, we recommend wearing sunglasses to bed. For the 24 hours after surgery, it is important that you wear your sunglasses at all times, both indoors and outdoors. For the two (2) following days, it is important that you wear sunglasses every time you go outside to protect your eyes from wind and dust. Do not drive at night with sunglasses on.
Driving. You cannot drive yourself home after LASIK, and you should have someone drive you back to the laser center the following day for your first post-op exam. Your eye doctor or LASIK surgeon will check your vision at that visit and advise you whether you meet the legal vision requirement for driving without corrective lenses. If you do, you can resume driving that day.
Showering/Bathing. It’s safe to shower or bathe the day after surgery but take care to avoid getting soap or water in your eyes for at least a week.
Returning to Work. Generally, you can return to work within a day or two, provided you work in a clean environment. Use artificial tears frequently for at least a few weeks to reduce the risk of dry eyes after LASIK, especially if you spend significant time working in front of a computer screen.
Wearing Eye Makeup. It’s best to wait about a week. Also, it’s a good idea to discard your old mascara and buy a new supply (to avoid risk of using old mascara that is contaminated with bacteria that could cause an eye infection). That goes for eye shadow and eye liner, too.
Exercising. You can resume exercise within a few days. Don’t allow sweat to run into your eyes, and avoid rubbing your eyes for at least two weeks.
Swimming/Hot Tubs. Wait at least two weeks after LASIK surgery.
LASIK eye surgery is one of the easiest vision correction procedures available. The actual procedure usually takes less than 10 minutes per eye. Depending on your prescription, and the amount of correction needed, the laser itself only takes 20-50 seconds to correct your vision. However, you should plan on being in the office for approximately an hour-and-a-half on your day of surgery. This means patients can get the surgery and go home on the same day.
In most cases, PRK and LASIK does not hurt during or immediately after the procedure. Before your LASIK eye surgery begins, numbing eye drops are used to alleviate any pain or discomfort to the eye during the procedure.
Most surgeons may also prescribe medication to help you relax before the procedure. LASIK eye surgery requires only topical anesthetic drops, and no stitches are required to heal after the procedure. LASIK does not hurt during the procedure, however you may feel some pressure on your eyes.
In nearly all cases, LASIK is performed on both eyes the same day at the same appointment time.
LASIK surgery is very safe, and the procedure takes only about 10 minutes per eye, so usually there is no reason to schedule separate surgical times for each eye.
But if you prefer to have LASIK performed on each eye on separate days (generally a week or two apart), most LASIK surgeons will accommodate your desire for this. It’s important to know, however, that it may be uncomfortable having one eye corrected and the other eye uncorrected between surgery days, depending on your eyeglass prescription.
An exception to this rule might be if a person is mildly nearsighted in both eyes and also has presbyopia. The patient and surgeon might agree that it’s better to have LASIK performed on just one eye in such a situation to create a monovision LASIK correction for presbyopia, which would reduce the need for reading glasses after surgery.
Another exception might be when a person needs a LASIK enhancement procedure performed on just one eye to further sharpen the vision in that eye after a primary LASIK procedure.