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My Cataract Story

My Cataract Story

I would like to share the story of my cataract surgery, my experience leading up to the surgery, and what happened on the day and afterwards. It is all good and highly recommended! Little did I know that this journey would be a remarkable turning point in my life. Here’s a detailed account of what happened before, during and after my cataract surgery. Welcome to my blog!

Once upon a time…

My eyes have always been the most important thing for me, often taken entirely for granted. I wore short-sighted (myopic) glasses from about the age 13 and always enjoyed near visual activities, including painting, embroidery, illumination, pottery and generally making things with my hands, which involved good near sight. Glasses were worn for distance only and were fun, followed by contact lenses for skiing, and then back to glasses over the years. I would take my glasses off for near vision. I think if I had been born a century ago, I would have made a good watchmaker.

About ten years ago, I noticed that the colours in one eye (left eye) were subtly warmer or different, especially when reading in bed. I started to close my left eye to read, and reading just with my right eye became a habit. As the sight deteriorated incrementally, I recalled that I had suffered an accidental blow to my left eye about ten years before and suspected that had accelerated the cataract. I had no family history of cataracts.

Insidiously reading in the evenings became more difficult over time, especially closing one eye! So I took to listening to Audiobooks…

Over the last three years, driving at night became a problem, I found I disliked it, especially if it was both dark and raining, with the glare of car headlights. Increasingly, when required to drive, I found oncoming lights caused a bright, lasting glare, and I felt unsafe driving.

I consulted an eye doctor for new glasses and was told “you have a cataract”, however, they were not in a hurry to recommend surgery, and neither was I accepting the need to have cataract surgery. It was not until the central vision began to be affected with a troublesome significant blur, causing me to lose depth perception, that it became critical, and I realised something had to be done. Even simple tasks such as walking down stairs became difficult with “one eye”.

Stubbornly, I decided to wait another year as I was busy working and worried about the effect cataract surgery could have on my job. I have to admit I was scared of the thought of cataract surgery too.

Finally, I saw a wonderful Ophthalmologist at Clinica London who said “I will do your cataract” and the journey began. He imbued me with confidence that I could see clearly again, and I agreed to go ahead. From his CV and reputation, I knew he was one of the top cataract surgeons, though the other four cataract surgeons at Clinica London also had much to recommend.

Old man with glasses in his hand, touching his closed eye

Cataract Consultation

My ophthalmologist conducted a thorough eye examination and explained the procedure to me in detail. We discussed the type of intraocular lens (IOL) that would be implanted to replace my clouded natural lens and the surgical options available.

The pre-surgery steps:

I took my regular glasses to the consultation assessment and first had my vision tested by the optometrist. Then I had various vision tests, including one called The Biometry, which was to measure the size of my eye for the intraocular lens (IOL). Dilating drops were put in, and I then waited back in the waiting room for them to work. My vision improved slightly with the drops because my cataract was right in the visual axis, a posterior sub-capsular cataract.

The consultant then reviewed my ophthalmic tests and asked me about my vision and what I wanted to be able to do after the cataract surgery. I was offered a special focusing lens but opted for a more traditional or standard lens to maintain near vision. I had always worn glasses and was happy to continue to wear them for distances such as driving and wanted to see clearly from near. He chose my intraocular lens power to fit these wishes. Many people opt to get out of glasses, but I was happy to continue to wear them. He checked the back of my eyes (healthy!). I was given all the information about the cataract surgery and signed the consent form.

The date for surgery was chosen, just three weeks away. I was so excited!

I had admitted I had a cataract and that it was really bothering me, and I wanted to be able to see well again. I received lots of communications from the hospital about what to do on the day, such as eating a normal breakfast, where to come, and when. I was introduced by email to my anaesthetist, who would be doing the local anaesthetic and Intravenous sedation, and made to feel that everything was going to go well. I knew I was in good hands.

I had my pre-assessment consultation with the nurse about a week before the surgery. Although all the pre-operative and post-operative care was done at Clinica London, the surgery was done in a dedicated private cataract suite at a main private hospital.

Woman doctor examines old man

My Day for Cataract Surgery

The time had finally arrived, the day I had been both anxious and hopeful about for weeks: My Cataract Surgery – MCS.

The morning of the surgery, I was trying to finish all my emails, do all my calls and get to the hospital. I knew I had to take a few days off from work, so it seemed I had to meet so many deadlines.

I dressed in comfortable clothing and popped my bus pass in my handbag, along with my mobile phone, house keys and a small amount of money plus a credit card in case it was needed.

I got on the bus and went along to the hospital. Arriving a little early, I sat in a café opposite the hospital for 20 minutes, then made my way up to the ward.

The Ophthalmic Consultant greeted me as I came in, and a nurse took me to my small room. After measuring my blood pressure and temperature, the nurse handed me a menu and asked me to choose my lunch! Life would continue “After Cataract Surgery” – ACS.

The nurses and staff were friendly and reassuring, which helped alleviate all of my nervousness.

A mixture of emotions coursed through me. The prospect of clearer vision and improved quality of life excited me, but the thought of undergoing surgery also brought a sense of trepidation.

Cataract Surgery

  1. I was given a cotton surgical gown to cover my clothes and kept my comfortable shoes on.
  2. An eye pupil dilating insert was placed inside my lower eyelid to dilate my left eye pupil.
  3. Entering the Surgery Room: The nurse walked me to the theatres and into the anaesthetic room, where the anaesthetic team ensured I was comfortable and at ease. They put in an intravenous line, and after that, I don’t remember very much! The anaesthetist gave me an injection around the eye to numb it, called a sub-tenon local anaesthetic, of which I was unaware and experienced no pain.
  4. I was wheeled into the Operating Theatre, where they prepped and draped the eye, oblivious to the world under the local anaesthetic and sedation.
  5. The surgery:
  • I felt no discomfort or pain as the local anaesthetic and sedation were highly effective
  • The surgeon began by making a couple of tiny incisions into my eye to access the cataract
  • Next, the anterior capsulotomy
  • Then, a process called phacoemulsification was used, where ultrasonic waves break up the clouded lens into small pieces, which are then removed
  • Once the cataract was entirely removed and the posterior capsule “polished”, the chosen IOL was carefully placed in its position. This artificial lens would now take over the role of my natural lens and restore clear vision
  • The incision was self-sealing, requiring no sutures as the entry points were so small
  • An eye dressing was placed over my eye
  • The whole procedure usually took around 30 minutes and was seamless, pain-free and I felt totally safe throughout

Post-Surgery and Recovery

  • After the surgery, I was returned to my room in a chair.
  • The nurses monitored my blood pressure and gave me lunch.
  • Discharge and Home Care: Within three hours of entering the hospital, I was walking out on my own steam, with a bag of eye drops and post-operative instructions.
  • My eye dressing was to remain on overnight, so I caught the bust “one-eyed” and went home.
  • The first day after surgery: Around mid-morning, I braved it and took the eye dressing off. It was a pleasure to know I could see, albeit blurry at the start. The eye was a bit achy, and I started putting in eye drops four times a day for a couple of weeks and had a protective plastic shield to wear at night for the first week.
  • My surgeon called me to make sure I was alright and to let me know how the surgery had gone. That added service and reassurance made me feel cared for and looked after.
  • Over the first week to ten days following the surgery, my vision gradually improved, becoming significantly clearer than before the surgery. There was a little bruise on the eye from the local anaesthetic injection; otherwise, there was very little to see to show I had undergone cataract surgery.
  • My eye dressing and dark glasses at the start gave it away that I may have had eye surgery. I found wearing dark glasses helped protect the eye and reduce the ache from light over the first few days.
  • My first follow-up consultation with the consultant was about ten days after the surgery, by which time my vision was very good.
  • I was told I would require a laser procedure between 3 and 6 months after surgery because the cataract was traumatic, and the posterior capsule was thickened and would gradually thicken more. I will report back on YAG laser Posterior capsulotomy surgery in a few months.
  • I can see just fine with my old glasses, and I love having two eyes with better depth perception, and I am driving happily at night.
  • Undergoing cataract surgery was an unexpected life-changing experience for me.
  • The procedure itself was quick and virtually painless, and the results were nothing short of miraculous. My day of surgery marked the beginning of a new chapter in my life, one where I could see the world with renewed clarity and appreciation.
  • If you’re considering cataract surgery, you should know that it’s a relatively safe and effective procedure that can significantly improve your vision and enhance your overall well-being. Trust your ophthalmologist, follow the post-operative care instructions diligently, and embrace the beautiful journey to better sight.
Old man driving a car

A Clearer Outlook: How I Feel After Cataract Surgery

For those who may be facing this procedure, I hope my story can provide some insights and reassurance.

Before Surgery: Living with cataracts was a challenge. I struggled with blurred vision, difficulty driving at night, and reading became increasingly frustrating. As the cataracts progressed, my quality of life was noticeably impacted. After consulting with my eye doctor, we decided it was time to step toward cataract surgery.

Preparation and Expectations: Leading up to the surgery, I admit I had some nerves. It’s only natural to be apprehensive about any surgical procedure. My doctor thoroughly explained the process and addressed all my concerns, which helped ease my mind. I knew the surgery was common, safe, and had a high success rate, which gave me some comfort.

Day of Surgery: The day had finally arrived. I followed the pre-operative instructions diligently, and despite my nerves, I felt a sense of hope and anticipation. The surgical team was warm and supportive, which helped create a calming environment. The procedure itself was relatively quick, done under sedative local anaesthesia, and I was surprised by how painless it was. The thought of seeing more clearly after so long was exhilarating!

Recovery Period: Immediately after the surgery, I rested at the clinic briefly before heading home. My doctor had prescribed some eye drops and advised me to take it easy for a few days. I followed their instructions carefully to promote healing and minimise any complications.

The First Few Days: During the initial days after the surgery, I experienced mild discomfort and sensitivity to light. My vision was slightly hazy, but my doctor had warned me about this, and I knew it would improve with time. I took this opportunity to relax, listen to audiobooks, and let my eyes rest for a couple of days, then was back at work by Day 3 after surgery.

The Magic of Clarity: As the days passed, I could feel my vision improving significantly. Colours became more vibrant, and the world seemed sharper than ever before. The joy of being able to read a book without squinting, closing one eye, and driving confidently at night was indescribable. It was like rediscovering the beauty of the world!

Long-Term Impact: It’s been over a month since the surgery, and I continue to marvel at the difference it has made in my life. The independence and freedom from the limitations caused by cataracts have been truly life-changing. I know I will require a small Laser procedure in a few months and that the vision will blur a little before this, but I am undaunted.

Cataract surgery has given me a positive attitude on life ahead. I feel like I have regained an extra 15 years of my active life. The decision to undergo this procedure was undoubtedly the right one for me. If you are considering cataract surgery, remember that it’s a well-established and relatively safe procedure that can significantly improve your vision and overall well-being. Of course, there can be complications, hence I waited until I felt ready for the surgery.

Always consult with your ophthalmologist in order to determine the best course of action for your unique situation. Remember, a clearer outlook is just around the corner!

Clinica London has 5 cataract surgeons. All are wonderfully trained to carry out cataract surgery to the highest level. The surgeon I chose gave me first-class treatment and is to be congratulated for their intra-ocular ophthalmic cataract skills.

Author is Anonymous.

By “Frederick Loveridge” pen name of the real patient who wishes to remain anonymous. The author is 69 years old, a professionally employed person, who now feels 55 to 60 years old with a new clear vision.

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