Instructions BEFORE Cataract Surgery

Transcription

1 Instrutions BEFORE Catarat Surgery Your Surgery is at the Surgery Center of Southern Illinois: Loated at: 806 N. Treas, Marion, Ill The surgery enter will all you prior to your surgery and will give you speifi instrutions as well as an appointment time for your surgery. You must bring all 3 eye drops with you into the surgery enter on the day of surgery (see below). You must bring the signed Catarat Consent Form to the surgery enter. Two onsents are loated in the bak of this paket (one for surgery on eah eye). W Kimmel N Russell To The Surgery Center from IL-13 From IL-13 E turn RIGHT at N Russell St, from IL-13 W turn LEFT at N Russell St W N F S E Take the first RIGHT onto W Kimmel, then turn LEFT onto N Treas. The Surgery Center is the last building on the LEFT at the end of the road. The parking lot is on the right. Before Surgery: In this paket is a presription for 3 eye drops (found after page 7). You will need to fill this presription at least 2 days prior to surgery. The presription is written for Dr. Parker s preferred list of eye drops for atarat surgery. Program Savings Cards for two of the drops, Ilevro and Durezol, are inluded in this paket in the instane your insurane does not over the ost of these branded drops. If you are unable to fill the preferred drops, the pharmay will all our offie to authorize generi drops. The surgery enter will give you revised drop instrutions for the generi drops at the time of surgery. Instrutions ontinued on bak... wespeialeyes.om /wespeialeyes 3

2 Instrutions BEFORE Catarat Surgery Your Surgery is at the Dotor s Park Surgery Center: Loated at: 30 Dotor s Park, Cape Girardeau, Mo The surgery enter will all you prior to your surgery and will give you speifi instrutions as well as an appointment time for your surgery. You must bring all 3 eye drops with you into the surgery enter on the day of surgery (see below). You must bring the signed Catarat Consent Form to the surgery enter. Two onsents are loated in the bak of this paket (one for surgery on eah eye). Dotor s Park Surgery Center Loated at 30 Dotor s Park Take Entrane C into Dotor s Park off of Mount Auburn Rd. and ontinue to the stop sign. Make a right turn at the stop sign and proeed to the seond driveway on the left. Before Surgery: In this paket is a presription for 3 eye drops (found after page 7). You will need to fill this presription at least 2 days prior to surgery. The presription is written for Dr. Parker s preferred list of eye drops for atarat surgery. Program Savings Cards for two of the drops, Ilevro and Durezol, are inluded in this paket in the instane your insurane does not over the ost of these branded drops. If you are unable to fill the preferred drops, the pharmay will all our offie to authorize generi drops. The surgery enter will give you revised drop instrutions for the generi drops at the time of surgery. Instrutions ontinued on bak... wespeialeyes.om /wespeialeyes 3

3 Instrutions BEFORE Catarat Surgery p.2 Before Surgery (Continued): PREFERRED PRESCRIPTIONS: GENERIC PRESCRIPTIONS: 1. Gatifloxain (antibioti) 1. Gatifloxain (antibioti) 2. Ilevro (nonsteroidal) OR 2. Ketorola (nonsteroidal) 3. Durezol (anti-inflammatory) 3. Prednisolone (anti-inflammatory) Whether preferred or generi, the presription will have 1 refill for eah drop so you an have a seond bottle filled for atarat surgery on your other eye. 2 days prior to surgery begin the antibioti and nonsteroidal drops: 1. Gatifloxain (antibioti): 1 drop, 4 times a day in the eye to have surgery. 2. Ilevro (preferred nonsteroidal): 1 drop, 1 time a day in the eye to have surgery. OR Ketorola (generi nonsteroidal): 1 drop, 3 times a day in the eye to have surgery. Do not eat or drink after midnight before surgery. When the surgery enter alls with the appointment time for your surgery, they may tell you what you an eat or drink that morning if your surgery is late in the day. The Morning of Surgery: Take your regular mediations with a little sip of water (no offee, juie, soda, et.). If you are diabeti, the surgery enter will instrut you regarding your diabeti mediations for the day of surgery. If you take glauoma mediations, ontinue to use as direted and be sure NOT to miss any doses. You may resume all your mediations the day following surgery. Please do not wear any jewelry to the surgery enter. You will need someone with you to drive you home after surgery. COR_PKT_CatPreOp INSTRUCTIONS BEFORE CATARACT SURGERY... 4

4 After Surgery: It is important to avoid rubbing your eye after surgery. Your eye may be pathed immediately following surgery. If you have an eye shield, you may remove it in 4 hours. Always wear the eye shield while sleeping or napping for 5 days. You will be given a post-op kit the day of surgery. The dotor or nurse will instrut you on how to use your new drops. It is important to use your eye drops as instruted and not to miss any doses. A Dosage Traking Chart is inluded on the bak of your drop instrutions to help trak doses. You may wear your glasses or sunglasses. Your old glasses will not hurt your eye. An appointment time for the following day for your first post-op visit is on the yellow sheet of this paket. Ativities After Your Surgery: You are restrited from heavy lifting (over 20 lbs.), bending, or straining for the first week following surgery. Please do not swim for 3 weeks after surgery. THE DAY AFTER SURGERY, you may resume these ativities: Climbing stairs, taking short walks or trips. Wathing TV, reading, using the omputer, or sewing for short periods of time. Showers and shampooing Avoid getting soap and water in the eyes - (tilt your head bakwards). You may gently wash the lids with a warm wash loth to remove debris. Pik up small objets by bending forward slightly at your knees, keeping your head above your waist. Beauty shop appointments. ONE WEEK AFTER SURGERY, you may resume these ativities: Driving may be possible before 1 week after surgery after a disussion with your dotor. Applying eye makeup. Instrutions AFTER Catarat Surgery wespeialeyes.om /wespeialeyes

5 Instrutions AFTER Catarat Surgery p.2 Work You may return to work in less than 1 week depending on how your eye is healing and what kind of tasks you perform. Normal onditions you may experiene following atarat surgery: Mild disomfort, soreness or srathiness. Varying degrees of redness. Mild light sensitivity (light may seem very bright to both eyes). Mild blurring of your vision. Drooping of the eyelid. Mild disharge (if exessive, all the dotor). Flikering of light or a shadow in the peripheral vision. You should all the offie immediately if you experiene any of the following: Sudden or nauseating pain in or around the eye that lasts for several hours and is not relieved by Tylenol or pain that ontinues to get worse. A sudden derease or louding of vision or loss of sight. Part of your vision missing or a urtain or shade oming over your vision with or without pain. Onset of new flashes of light or floaters. Bleeding around the eye. All surgial experienes are different and individual to every patient. If you have any questions or onerns, ontat the offie at or after hours at Dr. Parker an be reahed at (home) Stephanie Kasten, RN (Administrator) an be reahed at (ell) COR_PKT_CatPostOp_DPS

6 Preferred Mediation Instrutions SURGERY DATE: EYE: m Right m Left If using Dr. Parker s preferred brands of drops (Gatifloxain, Ilevro, and Durezol), please follow the dosing instrutions below. You will find a orresponding hart on the reverse side to help keep trak of your dosages for your surgial eye. *Wait five minutes in between eah drop. STARTING 2 DAYS BEFORE SURGERY: Gatifloxain four (4) times a day in operated eye (ex. breakfast, lunh, dinner, and bedtime). Ilevro one (1) time a day in operated eye. 4x 1x DAY OF SURGERY: IN THE MORNING BEFORE SURGERY 4x 2x 2x Gatifloxain one (1) time in operated eye. Ilevro one (1) time in operated eye. Durezol one (1) time in operated eye. AFTER SURGERY Gatifloxain three (3) times in operated eye (spae them out equally through the day). Ilevro one (1) time in operated eye. Durezol one (1) time in operated eye. STARTING THE DAY AFTER SURGERY Gatifloxain four (4) times a day in operated eye for one (1) week then STOP. 4x 1x 2x Ilevro one (1) time a day in operated eye for four (4) weeks then STOP. Durezol two (2) times a day in operated eye for two (2) weeks then STOP.

7 Dosage Traking for Preferred Drops Morning of Surgery Put a drop of Gatifloxain, Ilevro, and Durezol in the surgial eye before arriving for surgery. After Surgery After you get home from surgery, put a drop of Gatifloxain in the eye three more times before bedtime (spae them out equally). Put one drop of Ilevro and Durezol before bedtime. Always wait 5 minutes in between eah drop. PRIOR TO 2 DAYS BEFORE 1 DAY BEFORE DAY OF SURGERY BEFORE SURGERY AFTER SURGERY Gatifloxain Gatifloxain Gatifloxain Gatifloxain One before surgery 3 times after surgery Ilevro Ilevro Ilevro Ilevro One before surgery 1 time after surgery Durezol Durezol One before surgery 1 time after surgery 1 WEEK WEEK 1 DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Gatifloxain Gatifloxain Gatifloxain Gatifloxain Gatifloxain Gatifloxain Gatifloxain Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro Durezol Durezol Durezol Durezol Durezol Durezol Durezol 4 WEEKS WEEK 2 DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro Durezol Durezol Durezol Durezol Durezol Durezol Durezol 2 WEEKS WEEK 3 DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro WEEK 4 DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro Ilevro

8 SURGERY DATE: Generi Mediation Instrutions EYE: m Right m Left If using generi drops (Gatifloxain, Ketorola, and Prednisolone Aetate), please follow the dosing instrutions below. You will find a orresponding hart on the reverse side to help keep trak of your dosages for your surgial eye. *Wait five minutes in between eah drop. STARTING 2 DAYS BEFORE SURGERY: 4x 3x 2x 2x 1. Gatifloxain four (4) times a day in operated eye (ex. breakfast, lunh, dinner, and bedtime). 2. Ketorola three (3) times a day in operated eye. DAY OF SURGERY: IN THE MORNING BEFORE SURGERY 4x 1. Gatifloxain one (1) time in operated eye. 2. Ketorola one (1) time in operated eye. 3. Prednisolone Aetate (shake well before using) one (1) time in operated eye. AFTER SURGERY 4. Gatifloxain three (3) times in operated eye (spae them out equally through the day). 5. Ketorola one (1) time in operated eye. 6. Prednisolone Aetate (shake well before using) one (1) time in operated eye. STARTING THE DAY AFTER SURGERY 1. Gatifloxain four (4) times a day in operated eye for 1 week then STOP. 4x 3x 2. Ketorola three (3) times a day in operated eye for four (4) weeks then STOP. 3. Prednisolone Aetate (shake well before using) NOTE: You will be tapering off of the Prednisolone Aetate drops over 1 month: 1 drop four (4) times a day for one week. Then, 1 drop three (3) times a day for one (1) week. Then, 1 drop two (2) times a day for one (1) week. Then, 1 drop one (1) time a day for one (1) week then STOP. TAPER

9 After Surgery One home from surgery, put a drop of Gatifloxain in the eye three more times before going to bed (spaed out equally). Use one drop of the Ketorola and Prednisolone Aetate before going to bed. 2 DAYS BEFORE 1 DAY BEFORE Gatifloxain Gatifloxain Ketorola Ketorola DAY OF SURGERY Morning of Surgery Put a drop of Gatifloxain, Ketorola, and Prednisolone Aetate in the surgial eye before arriving for surgery. PRIOR TO Dosage Traking for Generi Drops 1 WEEK WEEK 1 Always wait 5 minutes in between eah drop. WEEK 2 WEEK 3 Ketorola Ketorola Pred. Aetate Pred. Aetate One before surgery 1 time after surgery One before surgery 1 time after surgery DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Gatifloxain Gatifloxain Gatifloxain Gatifloxain Gatifloxain Gatifloxain Ketorola Ketorola Ketorola Pred. Aetate Ketorola Pred. Aetate Ketorola Pred. Aetate Ketorola Pred. Aetate Ketorola Pred. Aetate Pred. Aetate DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Ketorola Ketorola Ketorola Ketorola Ketorola Ketorola Ketorola Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Ketorola Ketorola Ketorola Ketorola Ketorola Ketorola Ketorola Pred. Aetate WEEK 4 Gatifloxain DAY 1 TAPER OVER 4 WEEKS Gatifloxain One before surgery 3 times after surgery Gatifloxain Pred. Aetate 4 WEEKS BEFORE SURGERY AFTER SURGERY Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 Ketorola Ketorola Ketorola Ketorola Ketorola Ketorola Ketorola Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate Pred. Aetate

10 Catarat Consent Form INFORMED CONSENT FOR CATARACT SURGERY Shawn Parker, MD, FACS Corneal and Refrative Speialist WHAT IS A CATARACT AND HOW IS IT TREATED? The lens in the eye an beome loudy and hard, a ondition known as a atarat. Catarats an develop from normal aging, from an eye injury, or if you have taken mediations known as steroids. Catarats may ause blurred vision, dulled vision, sensitivity to light and glare, and/or ghost images. If the atarat hanges vision so muh that it interferes with your daily life, the atarat may need to be removed. Surgery is the only way to remove a atarat. You an deide not to have the atarat removed. If you don t have the surgery, your vision loss from the atarat will ontinue to get worse. HOW WILL REMOVING THE CATARACT AFFECT MY VISION? The goal of atarat surgery is to orret the dereased vision that was aused by the atarat. During the surgery, the atarat is removed and a new artifiial lens, alled an intraoular lens or IOL, is implanted. Catarat surgery will not orret other auses of dereased vision, suh as glauoma, diabetes, or agerelated maular degeneration. Most people still need to wear glasses or ontat lenses after atarat surgery for either near and/or distane vision and astigmatism. WHAT TYPES OF IOLs ARE AVAILABLE? Dr. Parker will help you deide on the type of IOL that will replae your loudy lens. There are IOLs available to treat nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. IOLs usually provide either near or distane vision: these single fous lenses are alled monofoal IOLs. Some newer IOLs an provide for near, intermediate, and distane vision: these multiple fous lenses are alled multifoal IOLs. IOLs that treat astigmatism are alled tori IOLs. You an also have one eye orreted for near vision, and the other for distane vision, a hoie alled monovision. WHAT IS ASTIGMATISM? ARE THERE OTHER TREATMENTS FOR ASTIGMATISM? Patients with nearsightedness and farsightedness often also have astigmatism. Astigmatism is aused by an irregularly shaped ornea; instead of being round like a basketball, the ornea is shaped like a football. This an make your vision blurry. In addition to tori IOLs, astigmatism an be redued by glasses, ontat lenses, and refrative surgery (LASIK or PRK). There is also a proedure alled a limbal relaxing inision (LRI), whih an be done at the same time as the atarat operation, or as a separate proedure. A limbal relaxing inision (LRI) is a small ut or inision Dr. Parker makes into your ornea to make its shape rounder. Any attempt at astigmatism redution ould result in over- or under-orretion, in whih ase glasses, ontat lenses, or another proedure may be needed.

11 Informed Consent for Catarat Surgery (Continued) WHAT ARE THE MAJOR RISKS OF CATARACT SURGERY? All operations and proedures arry risk and an result in unsuessful results, ompliations, or injury, from both known and unknown auses. The major risks of atarat surgery inlude, but are not limited to: bleeding; infetion; injury to parts of the eye and nearby strutures from the anesthesia, the operation itself, or piees of the lens that annot be removed; high eye pressure; a detahed retina; a droopy eyelid. These an lead to dereased vision, pain, or loss of the eye. The major risks of a limbal relaxing inision are similar to those for atarat surgery, but also inlude double vision, damage to the ornea, sarring, or possibly under- or over-orretion ould our. Depending upon your eye and type of IOL, you may have inreased night glare or halos, double vision, ghost images, impaired depth pereption, blurry vision, temporal shadow, and trouble driving at night. Dr. Parker may be unable to use the IOL you hoose. In addition, the IOL may later need to be repositioned or replaed. Depending upon the type of anesthesia, other risks are possible, inluding ardia and respiratory problems, and, in rare ases, death. There is no guarantee that atarat surgery or astigmatism redution will improve your vision. As a result of the surgery and/or anesthesia, it is possible that your vision ould be made worse. In some ases, ompliations may our weeks, months, or even years later. These and other ompliations may result in poor vision, total loss of vision, or even loss of the eye in rare situations. You may need additional treatment or surgery to treat these ompliations.

12 Informed Consent for Catarat Surgery (Continued) PATIENT S ACCEPTANCE OF RISKS I understand that it is impossible for the dotor to inform me of every possible ompliation that may our. By signing below, I agree that my dotor has answered all of my questions, that I have been offered a opy of this onsent form, and that I understand and aept the risks, benefits, and alternatives of atarat surgery. My hoie of IOL is indiated by the heked option below. q Monofoal IOL Option I wish to have atarat surgery with a monofoal IOL on my m Right Eye m Left Eye With this option, reading glasses and possibly distane glasses may still be neessary after surgery. q Monovision with 2 IOLs Option I wish to have atarat surgery with two different-powered IOLs implanted to ahieve monovision. Glasses may still be needed after surgery for sharpest vision. I wish to have my m Right Eye m Left Eye orreted for distane vision. I wish to have my m Right Eye m Left Eye orreted for near vision. q Multifoal IOL Option for Both Distane and Near Corretion I wish to have a atarat operation with an ArySof ReSTOR multifoal IOL implant on my m Right Eye m Left Eye q Tori Monofoal IOL for Astigmatism Corretion Option I wish to have a atarat operation with an ArySof Tori monofoal IOL on my m Right Eye m Left Eye and wear glasses for near vision. Patient (or person authorized to sign for patient) Date Witness Date