Reminder for patients
Here you will find important information and guidelines to help you prepare for the day of your lens exchange surgery.
Before and after surgery
Contact lenses
Wearing contact lenses is prohibited for one week before the surgery.
Cosmetics
Using cosmetics or perfumes is prohibited on the day of the surgery. It is also not recommended to use cosmetics around the eyes for one week after the surgery. Fake eyelashes must be removed at least one week before the surgery and can be re-applied one month after the surgery.
Clothing
We ask that you wear comfortable long-sleeved clothing when you come to the surgery, and avoid clothing with a high neckline that goes over your head.
Medications
On the day of the surgery, continue taking your daily medicines as usual. On the day of surgery, the surgeon will give you a digital prescription for anti-inflammatory eyedrops, which you must start using from the first day after surgery.
Arrival
You must arrive 15 minutes before the agreed time. The entire procedure takes approximately three to four hours for the patient.
Bring along
If possible, sunglasses to protect your eyes from dust, other particles and bright light. If necessary, quality sunglasses can be purchased from our clinic.
Going home after the surgery
After the surgery, you must not drive or use public transport. If possible, ask someone to pick you up or order a taxi.
Follow up
Two post-operative eye check-ups are free of charge for the patient. Mandatory check-ups are carried out:
- The week after surgery, in agreement with the surgeon.
- The second check-up will be at the optometrist one month after the surgery unless instructed otherwise by the doctor.
After lens replacement surgery
- Driving is prohibited on the day of the surgery.
- The eye needs follow-up treatment with eyedrops as prescribed by the doctor.
- The length of the period of incapacity for work after surgery is individual and depends on the patient’s occupation.
- Visiting the sauna, swimming in a pool, pressing on the eyes and lifting loads (over 15 kg) is prohibited for three weeks after the surgery.
- The artificial lens is permanently placed in the eye and does not require any further special care.
- If your eye starts to hurt or your vision suddenly gets worse within one month after surgery, you should see an ophthalmologist immediately.
- In the case of multifocal lenses, getting used to the “new vision”, or brain adaptation, takes time. The time required to focus on different distances and the intensity of perception of night-time halos decreases with time. Adaptation time is individual and may take 3–12 months.
- Previously myopic persons have more problems with looking at close objects in the first week after surgery.
Potential complications
- Intraocular inflammation and resulting vision damage or vision loss (risk about 1:5000 surgeries).
- Cataract surgery may contribute to retinal detachment (risk is higher in eyes with more than -5 dioptres of myopia), which requires surgical treatment.
- Associated eye or general diseases (hypertension, diabetes, blood clotting disorders) may contribute to the development of intraoperative retinal or vitreous haematoma.
- Oedema and damage to the cornea (keratopathy) is a rare complication, resulting in reduced visual acuity and pain in the eye. In most cases, oedema of the cornea resolves with time. The risk depends on the condition of the cornea and endothelial cells before the surgery.
- Macular oedema – swelling in the bottom of the eye in the central visual area of the retina. Its symptom is a change in vision so that straight lines are perceived as curved. The risk of oedema is about 1–2%. The oedema usually resolves on its own but may also require eyedrops or an eye injection.
- Inaccuracies in selecting the strength of the artificial lens, resulting in a lens that is too “weak” or too “strong”. Today’s pre-operative predictive measurement tools do not guarantee an absolute result. With <5% probability, the eye may require additional surgery with an excimer laser (LASIK or PRK) or an additional artificial lens. These surgeries have excellent results but are not completely risk free.
- Post-operatively (in about 40% of patients), the lens capsule may become cloudy over time, leading to a loss of visual acuity. The resulting interference can be removed with a special laser during the appointment and the problem is solved in just 10 minutes.
Do you have any questions?
Please call Silmalaser reception: +372 675 0017 or leave a message by e-mail: info@silmalaser.ee