Anda di halaman 1dari 12

6 Mistakes Cataract Patients Make That Cause

Unnecessary Complications in Treatment and How


to Avoid them
Mistake 1: Choosing the Wrong Doctor
Many patients do not ask if the Doctor has enough relevant experience. Many times,
this leads to an inexperienced Doctor performing the surgeries. These Doctors learn
from the mistakes they make on your precious eyes.
What you should do:
Ask how many Cataract Surgeries your Doctor has performed. Ask for details of past
patients and feel free to call up a few past patients to get their opinion. Ask about the
current kind of surgery that the Doctor is performing and how many eyes he has
operated upon using this current procedure. (This report provides you with an overview
of the different kinds of Surgeries performed to treat cataracts.). Doctor Uday Gadgil
has been performing Catarct Surgeries for the past YY years

Mistake 2: Not using the eye drops prescribed by the Doctor as per
his recommendations.
When patients do not follow the doctors instructions in the use of the prescribed eye
drops, they may experience pain and swelling inside the eye. Worse, they may even get
an infection and unnecessarily complicate their treatment.
What you should do
Make sure you follow the Doctors prescription totally. Use the exact dosage for the
exact period of time recommended by your Doctor. If the Doctor has prescribed a
painkiller, take it as per his instructions. Chances are it also functions to bring down
Dr.Gadgils Eye Hospital
Page 1
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

swelling and promote healing along with reducing pain. Not taking it may slow down the
healing process.

Mistake 3: Performing tasks contrary to Doctors Instructions


Patients who insist on lifting heavy objects, bending down from the waist and performing
tasks that the Doctor has instructed them to avoid, are putting themselves at great risk.
These tasks increase the pressure in the eye and can cause complications in the
operated eye.
What you should do
Avoid certain tasks for a few weeks after your cataract surgery. Your Doctor will give
you clear instructions about what these tasks are. By following your Doctors
instructions, you are helping your body to heal better and faster, without trouble.

Mistake 4: Not discussing your current medication in detail with your


Doctor.
There are certain medicines (like Tamsulosin) that can cause serious problems (such as
Intraoperative floppy iris syndrome (IFIS) ) in the eye after a cataract surgery even
when the medicine has been discontinued for year before the surgery in some
cases.
What you should do:
Give a full, detailed exhaustive list of all the medicines you are taking currently and have
taken in the recent past to your doctor. S/He can then advise you on managing the
medication to avoid complications during the surgery.

Mistake 5: Not going for proper Follow-up check-ups


Patients often skip follow-up visits. In this case, some problems that may be prevented if
detected earlier, are allowed to manifest till they are major complications.
What you should do
Visit the Doctor when the visit is scheduled. It is up to you to keep track of your date of
operation and the number of weeks going by. Make sure you meet your doctor as per
his/her recommendations. Follow-up check-ups are required at different stages of the
healing process so that the Doctor can ensure that you are healing properly and there
are no unwanted complications.

Mistake 6: Not gathering enough information


Dr.Gadgils Eye Hospital
Page 2
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

Patients often blindly rely on what the Doctor recommends without reading any
additional information. They are vulnerable to being misled.

What you should do


Take the time to gather information (such as this report) and go through it before your
treatment. This helps you to take an informed decision on what is best for you.

Did You Know?


Cataract surgery was known in South Asia at a very early period, and was described by
the Indian physician Sushruta ( 800 BC), who described it in his work the Compendium of
Sushruta or Sushruta Samhita.

How we see
The retina is like a camera film which stores an image of
what we are looking at. The image directed onto the
retina is then sent along to the brain where it is
processed, like developing a camera film. Therefore we
actually "see" in our brain with the light information sent
to it from our eyes.

What is cataract?
A cataract is an eye disease in which the normally clear lens of the eye becomes cloudy or opaque,
causing a decrease in vision. Cataracts are usually a very gradual process of normal aging but can
occasionally develop rapidly. They commonly affect both eyes, but it is possible for a cataract in one
eye to advance more rapidly. Cataracts are very common, affecting roughly 60% of people over the
age of 60.

Dr.Gadgils Eye Hospital


Page 3
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

View through a normal, clear lens (above) and view through a cloudy cataract lens (below)

Why do Cataracts Occur?


Precisely why cataracts occur is unknown.
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, and over
time, it may grow larger and cloud more of
the lens, making it harder to see.
Many studies suggest that exposure
to ultraviolet light is associated with cataract
development. people with diabetes, users of
steroids, diuretics, hormone replacement
therapy (HRT) and major tranquilizers are
at risk for developing a cataract.

What is the treatment for cataracts?


Many cataracts are not bothersome, In that situation, no surgical treatment is
necessary. However, the only true treatment for cataract is surgical removal of the
cloudy lens.
Surgery is suggested if the patient loses the ability to perform necessary activities of
everyday life, such as driving, reading, or looking at computer or video screens, even
with glasses, and there is the expectation that vision will improve as a result of the
surgery.
Depending on a patient's specific visual needs, surgery is sometimes done on cataracts
that are not very dense or surgery can wait until the cataract and the vision gets more
cloudy. Since the lens of the eye is necessary to accurately focus light onto the retinal
surface and removal of the cataract involves removal of the lens, modern cataract
surgery combines removal of the lens with placement of a new artificial lens into the
eye. Cataract removal is very common in India.

What is the progression of cataracts?


The rate of progression of cataracts is usually predictable and surgery is successful in
restoring vision in a large majority of cases. If other diseases are present within the eye,
Dr.Gadgils Eye Hospital
Page 4
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

the degree of visual improvement will be limited by the other disease process. Your
EYE Doctor can usually determine this in advance.

When should you have Cataract Surgery?


Most cataracts associated with aging develop slowly, and many patients may not notice
visual loss until it is fairly advanced.
Despite being told that you have cataracts, it is not imperative to have surgery to
remove them until they begin to affect your vision. A Cataract needs to be removed only
when vision loss interferes with your everyday activities, such as driving, reading,
participating in sports, or watching TV.
Thus, the decision and timing to proceed with cataract surgery is individualized for each
patient. You and your Doctor can make this decision together. Your doctor will be able
to tell you how much of your vision loss is due to cataracts and the type of visual
recovery that may be expected if surgery is chosen.
If the eye has other diseases that have caused visual loss such as glaucoma, macular
degeneration, diabetic retinopathy, or optic nerve damage from glaucoma, cataract
surgery may not improve the vision significantly.
People who need cataract surgery may also have other eye conditions, such as agerelated macular degeneration or glaucoma. If you have other eye conditions in addition
to a cataract, please talk with your eye doctor to learn about the risks, benefits,
alternatives, and expected results of cataract surgery in your particular case.
If both eyes have cataracts and surgery is agreed upon, the surgery on the second eye
is generally planned at least a week after the first eye. There is usually no harm in
waiting a much longer period of time between the two eye operations.

What are the different Types of Surgery?


There are five types of cataract surgery to remove your cataract and replace it with an
intraocular lens (IOL) implant to help improve your vision. They are
Phacoemulsification, Femtosecond Laser-Assisted Cataract Surgery,
Extracapsular Cataract Surgery, Intracapsular cataract extraction (ICCE),
Cryoextraction (A form of ICCE). Your eye doctor can explain the differences and help
determine which method better for you. The most common procedure is
Phacoemulsification.
Phacoemulsification (or "phaco"):
Dr.Gadgils Eye Hospital
Page 5
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

Almost all cataract surgery today is done by phacoemulsification, also called "small
incision cataract surgery." The Phaco procedure is by far the most common way to
remove a cataract and is the procedure of choice for most cataracts.
A small incision is made on the side of the cornea, the clear, dome-shaped surface that
covers the front of the eye. Your doctor inserts a tiny probe into the eye. This device
emits ultrasound waves that soften and break up the lens so that it can be removed by
suction.
After the cataract is removed, an Intraocular Lens Implant (IOL) is placed inside the eye
to refocus the light rays. An Lens is a clear, plastic lens that requires no care and
becomes a permanent part of your eye. The IOL Lens not only replaces the cloudy
cataract but can also correct nearsightedness (myopia), farsightedness (hyperopia) and
astigmatism (blurred vision).
In most cases a suture is not required since the incision is generally very small (less
than 3 mm). This is referred to as No Stitch Cataract Surgery.

You can visit the following websites and view simulations of


Cataract Surgery
http://www.trustedlasiksurgeons.com/cataract_surgery_overview.htm
http://www.bupa.co.uk/individuals/health-information/directory/c/cataractsurgery

What are the different types of intraocular lenses


implanted after cataract surgery?
There are a variety of intraocular lens styles available for implantation, including monofocal, toric,
and multifocal intraocular lenses.

General

MonoFocal Lens

Toric Lens

These lenses are


the most
commonly
implanted lenses
today. They have
equal power in all
regions of the
lens and can
provide high-

The intraocular
lenses used in
correcting
astigmatism are
called toric and
have been FDA
approved since
1998.

Multifocal Lens

Accomodating
Lens
The multifocal
This is another
intraocular
type of
lenses are
Multifocal
ones of the
intraocular
newest types of Lenses
such lenses.

Dr.Gadgils Eye Hospital


Page 6
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

Focus

quality distance
vision, usually
with only a light
pair of
spectacles.
Monofocal lenses
are in sharpest
focus at only one
distance.

Toric lenses
have more
power in one
specific region in
the lens to
correct
astigmatism as
well as distance
vision. Due to
the difference in
lens power in
different areas,
the correction of
astigmatism with
a toric lens
requires that the
lens be
positioned in a
very specific
configuration.

They are often


referred to as
"premium"
lenses because
they are
multifocal and
allow the
patient to
visualize
objects at more
than one
distance,
removing the
need to wear
eyeglasses or
contact lenses

Requirement
of
Spectacles
Post
Surgery

Patients who
have had
monofocal
intraocular lenses
implanted usually
require reading
glasses.

While toric
lenses can
improve distance
vision and
astigmatism, the
patient still will
require
corrective lenses
for all near tasks,
such as reading
or writing.

Patient
generally does
not require
spectacles post
surgery

Additional

Your surgeon
may correct your
astigmatism at
the time of
cataract surgery
by making one or
two additional

No additional
incisions (on the
cornea) are
required when
these lenses are
used to correct
astigmatism

Premium
intraocular
lenses are
those used in
correcting pres
byopia or
astigmatism.

An
accommodative
intraocular lens
implant has
only one focal
point, but it acts
as if it is a
multifocal IOL.
The intraocular
lens was
designed with a
hinge similar to
the mechanics
of the eye's
natural lens. So
the eye
muscles can
change the
focus of this
lens as they do
with the natural
lens.

This is also
considered a
premium lens.
You may have
to pay the
difference
yourself.

Dr.Gadgils Eye Hospital


Page 7
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

incisions in the
periphery of the
cornea. This
does not make
the surgery more
dangerous.
People with
significant
astigmatism
require corrective
lenses for
sharpest vision at
all distances.

Premium
intraocular
lenses are
typically not
covered
by insurance
companies as
their additional
benefits are
considered a
luxury and not
a medical
necessity

However, it
greatly
facilitates better
Vision.

What Does Cataract Surgery Involve?


Cataract surgery involves removing the cloudy lens in your eye and replacing it with an
artificial lens known as an Intraocular Lens Implant (also known as an IOL). The
femtosecond lasers are now being used to assist with cataract surgery.

What to expect in Cataract Surgery?


What Tests Are Generally Performed Before Cataract Surgery?
A week or two before cataract surgery, your doctor will do some tests on your eyes.
These tests may include measuring the curve of the cornea and the size and shape of
each eye. The information from these tests and measurements helps your eye surgeon
recommend the type of Intraocular Lens Implant that can best improve your vision
problems.
What to Expect Just Before Cataract Surgery
It is important to remember to follow all of your preoperative instructions.
As cataract surgery is done in a Hospital / Clinic, arrangements should be made
with family or friends to transport you home after the surgery is complete.
You will have a medical check-up by your regular doctor to make sure it is safe to
have cataract surgery. This check up will usually include blood tests and an EKG.
You will be asked not to eat or drink anything 12 hours before your cataract
surgery.
You may also be asked to apply eye drops on the day before surgery.
What Happens During Cataract Surgery?
To prepare your eye for cataract surgery, drops will be put into your eye to dilate the
pupil and the area around your eye will be washed and cleansed.
Dr.Gadgils Eye Hospital
Page 8
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

Cataract surgery usually lasts less than one hour ( many times only 15 minutes) and is
almost painless. Many patients choose to stay awake during surgery. Others may need
to be put to sleep for a short period of time.
If you are awake, you will have an anesthetic to numb the nerves in and around your
eye.
After cataract surgery, a patch may be placed over your eye. After leaving the operating
room, you will be brought to a recovery room where your doctor will prescribe several
eye drops that you will need to take for a few weeks postoperatively.
You will rest for a while. Your medical team will monitor your eye for any problems, such
as bleeding.
Most patients who have cataract surgery can go home within an hour of the procedure.
You should always arrange for someone to drive you home.
While you may notice some discomfort, most patients do not experience significant pain
following surgery; if you do you experience decreasing vision or significant pain, you
should contact your ophthalmologist immediately.
What Happens After Cataract Surgery?
You may experience little Itching and mild discomfort are normal after cataract surgery.
Some fluid discharge is also common. Your eye may be sensitive to light and touch.
After one or two days, moderate discomfort should disappear. If you have any
discomfort that continues, contact your eye doctor to get this treated.
For a few days after surgery, your doctor may ask you to
use eye drops to help healing and decrease the risk of
infection. Ask your doctor about how to use your eye drops,
how often to use them, and what effects they can have.
You will need to wear an eye shield or eyeglasses to help
protect your eye. Avoid rubbing or pressing on your eye.
When you are home, try not to bend from the waist to pick up objects on the floor. Do
not lift any heavy objects. You can walk, climb stairs, and do light household chores.
In most cases, healing will be complete within eight weeks. Your doctor will schedule
exams to check on how you are progressing.
Following surgery, you will need to return for visits within the first few days and again
within the first few weeks after surgery. During this time period, you will be using several
eyedrops which help protect against infection and inflammation.
Dr.Gadgils Eye Hospital
Page 9
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

Within several days, most people notice that their vision is improving and that they are
able to return to work. During the several office visits that follow, your doctor will monitor
for complications.
Once vision has stabilized, your doctor will fit you with glasses if needed. The type of
intraocular lens you have implanted will determine to some extent the type of glasses
required for optimal vision.

What Problems Can Develop After Cataract


Surgery?
Problems after cataract surgery are very rare, problems can include infection, bleeding,
inflammation (pain, redness, swelling), loss of vision, double vision, and high or low eye
pressure. If any of this occurs, please meet your Doctor immediately since these
problems can usually be treated successfully.
Problems generally occur due to patients non-compliance with Doctors
post-operative care instructions and when patients do not give
complete, detailed, exhaustive lists of current medication they are
taking. For example, a common drug used for patients with Prostate
problems can cause a complication called Floppy Iris Syndrome after
cataract Surgery.
When you discuss your current medication properly with your Doctors, they can advise
you on managing medication to minimize the risk of complications.

When Will Your Vision Return To Normal?


You can return quickly to many everyday activities, but your vision
may be blurry. The healing eye needs time to adjust so that it can
focus properly with your other eye, especially if your other eye has
a cataract. Be sure to ask your eye doctor when it is safe for you
to resume driving.
If you received an IOL (lens implant), you may notice that colors
have become brighter than before. This is because IOL is clear,
unlike your natural lens which may have had a yellowish or brownish tint. Typically, you
will become accustomed to the improved vision within a few months after receiving an
IOL. Also, when your eye heals, you may need new glasses or contact lenses
depending on the type of lens you had implanted and what vision correction was
achieved.

What should You Do Now?


Dr.Gadgils Eye Hospital
Page 10
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

The reason you have this report is because you or someone close to you has been
diagnosed with Cataract.
Please get whatever information you can and then write
down a list of questions youd like to ask your Doctor
when you meet him.
Fix up an appointment with the Doctor and discuss all
your concerns in detail.
Find out if the Doctor has enough relevant experience.
Fix a path of treatment with your Doctor and stick to it.
All the Best!

About Dr.Gadgils Eye Hospital


Doctor Gadgil, from Thane, made the entire Indian Medical
Fraternity proud when he presented his Pioneering Laser
Vision Correction Technology at the European
Ophthalmologists convention in Vienna on 21/09/2011. The
6000+ Ophthalmologists at the convention appreciated the
fact that patients who previously could not get this
procedure done because of very thin cornea can now safely
undergo laser vision correction thanks to Dr.Gadgils
innovative procedure.
Dr.Gadgil established his Eye Hospital and Laser clinic in Thane in 1992 and since
then, he has treated over 1,30,000 patients, conducted over 9,500 surgeries and used
his new procedure to successfully correct 500 patients vision over the last two years.
The Doctor ensures that his hospital and clinic are constantly getting the latest
machines and keeps up-to-date with the latest changes in medical technology. He
considers this necessary as he also teaches ophthalmic surgery to other Doctors. For
instance, the clinic currently has a German Allegra 400hz Wave light Eximer laser
machine, Ocular topolyser, Wave light analyzer, aberometry, Zeiss Humphrey
perimeterthe list goes on.
The Doctors philanthropic side shows as he conducts Free Eye-Check-Up camps twice
a year and offers free consultation at his clinic to the first five patients at his clinic on
Wednesday evenings.

Dr.Gadgils Eye Hospital


Page 11
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com

All this and the fact that his clinic is situated close to Thane Station near McDonalds
restaurant, ensures that the Hospital attracts patients not just from Mumbai and Navi
Mumbai but from all over Maharashtra. Young Girls who would like to get rid of
spectacles for beauty reasons or before their marriage, Youth seeking jobs where
spectacles are a deterrent such as aspiring pilots, sportspersons, Cataract patients,
Glaucoma patients, diabetics with eye diseases, people with minor or major eye injuries
and ailments, all flock to Dr.Gadgil Eye Hospital and Ultralase LASIK centre to ensure
that they get treated by a world renowned, Experienced Doctor, and find solutions
to all their eye problems at one location while being assured of the best diagnosis
and state of the art technology. Thanks to Doctor Gadgil Eye Hospital, World class
treatment is now available right here in Thane.

Heres what some of our patients have to say:


(Phone Numbers available on request)

Satisfactory. No Complaints. Good Doctor.


- Jaykumar D Purohit. 71 yrs, Kolshet Road, Thane.

Staff is very helpful, Doctor, Mrs.Gadgil, really helpful


and explained all other important information /
precaution in very excellent way. Satisfied in toto.

- Vijaya D Joshi, Bhandup (E),

Very Nice
- Ramesh H Mhatre, 64yrs , Vitawa, Thane.
-

Dr.Gadgils Eye Hospital


Page 12
Address: 1st Floor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.
Timings: 11.30a.m. -1 & 6.30 9 p.m. (Sunday Closed) Mobile: 9819321818 www.DrGadgilEyeClinic.com