Michael J Kutryb, MD  

Specialties: Ophthalmology, Cataract Surgery, glaucoma

Interests: Ophthalmology
Kutryb Eye Institute - Titusville
Titusville, FL
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Things You Can Do to Increase Your Cataract Surgery Success

Oct 14, 2009 - 6 comments

    Usually after I finish cataract surgery on a patient, the first thing I tell them is "You did great!."  I'm often heard saying to patients, "I'm proud of you!"  Successful cataract surgery requires not only excellent surgical technique but also a partnership with an interested motivated patient.

    Here are some things YOU can do to help make YOUR cataract surgery experience more successful.

1.  Make sure your surgeon had addressed any co-existing eye conditions and how they will affect your outcome.  Macular degeneration, macular pucker, diabetic retinopathy, glaucoma and dry eye keratopathy are the main co-existing conditions we see.

2.  Make sure you let the surgeon and anesthesiologist know if you have had trouble with surgery or anesthesia before and if you are extremely nervous or have clostrophobia.

3.  If you are feeling ill and having trouble with fevers or a cough or shortness of breath please let the surgeon know and be ready to possible delay the surgery.

4.  If you have blepharitis or granulated eyelids follow instructions on using baby shampoo or lid cleaning pads like Ocusoft in addition to an antibiotic ointment for the prescribed time before surgery.

5.  Make sure you are able to actually put in your eyedrops properly and follow the drop schedule exactly.  If you can't do it yourself you will need to have someone do it for you.  This is one of the main areas where I run into trouble is when patients forget to use the drops or think that they are doing so well that they don't need to use them.

6.  After surgery report any problems right away to the surgeon's office.  All ophthalmologists will have a 24 hour call service that will relay your call to the doctor on call that day.  Don't be shy or afraid or embarrased to call your doctor.  He or she needs to know right away if you're having a problem.

7.  Keep aware of your medical allergies and make sure that none of the drops or medications you are given are not on your allergy list.  I know that is mainly the job of the doctors and nurses but mistakes can still happen and if you're paying attention you could help to prevent a problem.

8.  Stay clean, wear clean clothes, take a good shower the night before and wash well especially around your face.  Wash your hands a lot and try to keep them away from your eyes if possible.  These are just common sense things to help reduce the risk of infection.

Good Luck, and God Bless.

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740516 tn?1360942486
by AppleBr, Oct 20, 2009
Wishing you were my doctor once more."You did great"  for sure was what my RD surgeon expected to heard, he would never said that to me !! As a "revenge" I neved did it either ;-) despite the surgical success.
I'm gladly said it for all the other doctors,cause they all saw me as more than an eye.
I promise I would remember the tips and come back "religiously"to that hateful but needy drop eyes routine when I 've got my surgery. It worked fine the first time.

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by stella5349, Oct 24, 2009
very nice... you sound very compassionate to your patients. You sound wonderful.

Avatar universal
by walkietalkie, Oct 27, 2009
Hey doc. Good job!

Avatar universal
by Ann168, Jan 07, 2010
Dear Dr. Kutryb:

I read your article on mini-monovision with interest.  I recently read an article online regarding MMV - www.dovepress.com  This article is called:  A Study of Monofocal Intraocular Lens )AcrySof) in Mini-Monovision (MMV) and premium multifocal implantation of ReSTOR by Dr. Ming Chen of Honolulu, Hawaii.  

I wonder how you compare your approach on MMV with Dr. Chen's?  I have cataracts in both eyes.  I stay home most of the time, doing intermediate range work - computer and reading piano music (I am a piano teacher) at 23".  I would prefer not to wear glasses at home.  I don't mind wearing glasses for driving and for watching TV and movies.  Do you recommend MMV or having both eyes slightly myopic blended?  

I would very appreciate your opinion and guidance in this area.  Thanks.

Ann - I enjoyed reading your blogs.

Avatar universal
by mortar94, Sep 29, 2010
I saw this post and would also be interested in seeing Dr. Kutryb's thoughts.

284078 tn?1282616698
by Michael J Kutryb, MDBlank, Sep 30, 2010
If you have always been nearsighted (myopic) I would have no problem leaving you something like -1.25 in one eye and -2.75 in the other but if you have never been myopic I would strongly caution against it.  In other words I like to work with what you have been used to, rather than making radical shifts in vision.  You are in charge and can choose either way, minimonovision (distance one eye, intermediate in other) or true blended monovision (intermediate in one eye and near in the other.)  Be cautious about the restor implant because there is no way to know if you will like it until after it is already done.

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