Cataract surgery today is usually done under "topical anesthesia" which involves the instillation of anesthetic agent drops on the surface of the eye. The patient retains the power to close the eyelids and move the eyeball during surgery, does not feel pain, but the sensations of contact and pressure are not affected. An anesthesia with peribulbar block can sometimes be used at the discretion of the surgeon, which involves an injection of anesthetic agent around the eyeball with a short needle. This removes the lid and eye movements greatly, but a little control can remain with the patient.
The operating surgeon expects the patient to follow the instructions for a surgery without problems. It is important to have a surgical counseling session with the doctor to understand the procedure and the sounds / conversations expected during the surgical procedure. The sequence of events must be understood and reproduced in your mind as you move through the surgical suite.
You should wear a loose and comfortable hospital pajama suit. Do not hesitate to change it if it is tight around your neck. Some hospitals have a policy of allowing you to wear your own loose clothing and give a hospital gown over them. Please make sure you are not wearing tight clothing and your neck is free. Ladies to tie the hair in a ponytail with a band or a soft bun without clips or snaps Sit quietly in the preoperative area and use the restrooms before going to the operating room. You can drink sips of water if your mouth feels dry, but do not hydrate too much. You may be given a cap and a marked eye for surgery. The antiseptic solution will be painted around the eye. Let the solution dry and do not touch your eye. Or the assistant will help you lie down on the OT table with a rubber ring under your head to keep it from rolling from side to side. He should be comfortable and be able to breathe rhythmically while lying down. Ask for a head lift if the neck extension is hurting you and adjust the ring to your comfort and if it is difficult for you to order a softer ring. When you feel comfortable, allow staff to install monitoring devices that could be just an oxygen meter by pulses or additional cardiac electrodes. Breathe rhythmically and try to relax. Sterile curtains will be placed around your head and a blind eye curtain in your eye to be operated on. Please keep your head in the required position and adjusted by the surgeon. Do not move your head or lower your chin. The surgeon works under a microscope and any movement changes the focus and becomes obstructed in a smooth surgery. There will be several sounds in the operating room that you should ignore: the beeps of the monitors, the buzzing of the air circulation unit, the wheels of the car, the doctor would be giving instructions to the staff and asking for instruments, etc. Try to keep your attention focused only on surgery. Coughing and puffing during surgery can create complications, always ask the surgeon to stop the surgery if you feel like it. Do not try to suppress coughing or sneezing by holding your breath. Do not go down or move. Follow the instructions of a surgeon and do not start a conversation. Answer only when there is a question addressed to you. The surgeon may ask you to look in a particular direction. You must follow the command by moving the eyes and not the head unless the specific instruction is performed. The first touch of the instrument will increase your confidence. Do not grimace, squeeze your eyelids or make sudden movements if you feel some pain. Inform the doctor, who will reinforce the anesthesia. Cataract surgery machines also produce different types of sounds during the different phases of surgery and also have verbal results synthesized. Do not get distracted by the same. You will see movements in front of the eye during surgery and will also feel vibrations. The intensity of the light will increase towards the end of the surgery.
A calm patient who has regular rhythmic breathing and a regular normal pulse rate facilitates the work of a surgeon.
(In case of specific problems, it is possible that additional monitoring and specialized anesthetic coverage will be required, which the operating surgeon will analyze in advance).
Read the full article "How do I behave when I undergo cataract surgery?" Written by Dr.Manoj Rai Mehta at Practo.com here: https://www.practo.com/healthfeed/how-do-i-behave -when-i-am-undergoing-cataract-surgery-24901 / post
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