How To Take Care Of Your Eye

  • What to do after your cataract surgery ?
  • What NOT to do after your cataract surgery ?
  • Medications and Diet
  • When do I see the doctor after surgery ?
  • When should I call my doctor ?

What to do after your cataract surgery ?
You will be given eye drops for about a month to prevent infection and reduce inflammation. Follow your doctor's instructions carefully. If you need to, ask a family member or friend to help instill the eye drops. If you were to go out, make sure you have access to hand hygiene facilities so that you can clean your hands before you instill your eye drops.
You may read and watch TV.Gentle exercises are fine too. You can go out, but try to avoid crowded and dusty places. Wearing sunglasses when you are outdoors may help to keep your eyes comfortable and less sensitive to light.
If you have pain that is not relieved by this medicine, call your doctor.
When you sleep, please put on the eye shield given to you for at least 2 weeks so that you don’t press on the operated eye.

What NOT to do after your cataract surgery ?
For the first few days, your vision may sometimes be blurred, so be careful to avoid falling over or hurting your head or eye.
It is common to experience some eye irritation and discharge after surgery during the first week .However, for the first month, refrain from rubbing or touching your eye.Also avoid getting dust or soap water in your eye. Do not swim; do not use a hot tub, visit a sauna or spa.This is because there is a small wound in your eye, and you need to prevent it from getting contaminated.
No matter how small your wound is, try to avoid exerting yourself.Try not to bend over, carry heavy loads or perform strenuous exercises.Leave that 10km marathon to the next few months, and take a break from carrying the grandchildren for 2 to 3 weeks. Let your eye heal.
You may find that your pre-existing spectacles are not right anymore after the cataract operation. This is because the power of your operated eye has changed due to the surgery.Usually the power of the operated eye would stabilize at 1 month after the operation, at which time you can be measured for a new power for your glasses.
Refrain from driving or riding a motorcycle till you are confident that your vision is clear.

Medications and Diet
For the first 7 days, please clean the operated eye gently with the cotton balls given to you.You can continue to clean your eye with cool boiled water and clean cotton gauze thereafter.
Please use the eye drops and medications as the doctor prescribed, even when you feel that your eyes are fine.Do not instill anything else into your eye apart from the prescribed eye drops.Always wash your hands before your instill your eye drops.
Store your eye drops and medications as instructed.Do not keep them for longer than the instructed period as they may become contaminated.
Shake the eye drop bottle before use.Tilt your head back, look up and pull the lower eyelid down.Instill just ONE drop into the eye, avoiding contact with the eye lashes.Wait 5 minutes before instilling a different eye drop.
You can keep to your usual diet. There are no new dietary restrictions following your cataract surgery. Any pre-existing diets should be continued.

When do I see the doctor after surgery ?
You will need to return for an eye examination the day after your surgery.Further appointments are usually called for at 1 week and 1 month after your operation. Keep all your appointments, even if you feel and see well.

When should I call my doctor ?
Do not hesitate to contact us should you experience any of the following:

  1. Pain that is not relieved by medication.
  2. Deterioration of vision.
  3. Excessive discharge from the operated eye.
  4. Sudden onset of flashes or floaters.

  • What should I do after corneal transplant ?
  • What should I avoid after corneal transplant ?
  • What do I look out for after corneal transplant ?
  • How well can I expect to see after surgery ?
  • How can I protect my eye ?
  • Will I need to see the doctor after surgery ?
  • Will I need to use medications ?
  • When should I call my doctor ?

What should I do after corneal transplant ?
You will need to do eye dressing for two (2) weeks after the surgery, once every morning. The sterile cotton balls and sterile water can be obtained at the pharmacy without a doctor’s prescription.

What should I avoid after corneal transplant ?
You must not rub or touch your eye postoperatively. Do not get water and soap into your operated eye for one to two (1 – 2) months. Stay away from dusty and crowded environments. Avoid strenuous exercises for four to six (4 – 6) weeks and swimming and contact sports for six to nine (6 – 9) months.Avoid constipation, bending and lifting heavy objects.

What do I look out for after corneal transplant ?
It is normal to experience irritation on your operated eye during the first few weeks. You may also experience “sandy” sensations due to the presence of sutures in the operated eye. Do not touch or rub the eye. Sutures may be removed by the doctors at the doctors' discretion any time from three (3) months to one (1) year postoperatively.

If you experience irritation or pain in the operated eye, please consult a corneal specialist immediately. It could be due to a loose or broken suture which needs to be removed by a doctor.

How well can I expect to see after surgery ?
Your vision may be poor initially or fluctuate from time to time after surgery. As the cornea heals, your vision will improve gradually, as the swelling and inflammation subsides and the refractive error (power of spectacle lenses) stabilises. Your glass prescriptions may need to be changed from time to time.

How can I protect my eye ?
You will need to wear the eye shield when you sleep for 1st month to protect the operated eye to prevent inadvertant rubbing of eyes during sleep.

Wear sunglasses to avoid excessive glare when you go outdoors.

Will I need to see the doctor after surgery ?
Corneal Transplant follow-up checks are a lifetime commitment. It is important to attend regular follow-up checks with your surgeon after the surgery.

Will I need to use medications ?
It is important to understand the purpose of the prescribed eye drops and adhere to the eye drop regime to prevent infection and rejection of the donor cornea. If you run out of eye drops, it is very important to get a new prescription from your doctor before your next follow-up visit. Please do not stop your eye drops unless instructed to do so.

When should I call my doctor ?
You should seek medical treatment right away if you have any of the following symptoms:

  1. Redness of the eye
  2. Pain and discomfort of the eye
  3. Sudden drop in vision
  4. Increased tearing

  • Glass powers
    • What should I do to avoid glass powers ?
    • what should I do if I have already developed glass powers ?
    • what will happen if I don't wear my glasses regularly ?
    • Are there any medicine or exercises to reduce my glass powers or become completely glassfree ?
  • Food
    • which food items are good for my eyes ?
  • Eye safety for children

Age 3 – 18 years

Glass powers
Growing age is an age where the body grows and also adapts itself to the lifestyle and environment and eye development is no different.

Glass powers develop when the focussed light from cornea and lens fails to fall exactly on the retina. The reason for this being lack of coordinated growth among the eye structures as the eyeball grows in size with age.
Minus (-) power means clear near sight and blurred distance vision.
Plus (+) power means poor near vision and sometimes far vision also is blurred.

Most commonly children are born with good sight (no glass power) and as the age progresses tends to develop minus powers. These powers tend to increase till the growth age is complete. Progression of such powers comes to a halt after the growth age.
Few studies have shown that those who stay mostly indoors and do more of near work related activity (like excessive use of computers , excessive reading) in their growing ages tends to develop minus glass powers as compared to those who spend an equal amount of time outdoors and indoors.

What should I do to avoid glass powers?

  1. Make outdoor games a part of child's growing up. They should play outdoor games or do activities like cycling, going out for a walk, even spending time in the balcony while brushing your teeth or taking breakfast will do. The idea being to look far (more than 60 metres) for 1 ½ to 2 hours per day.
  2. Avoid video games, computer games, mobile games, excessive hours in front of computer, waching TV for long hours. Reading and usage of computers are unavoidable in the current scenario but parents need to understand that they do affect eye. (the eye adapts to the work given to it and as a consequence farsight becomes poor.)

what should I do if I have already developed glass powers?

  1. Minus glasses needs to be worn during full waking hours (except during bathing and sleeping).
  2. Yearly once power checkup is essential.
  3. Incase of blurred vision / evening headaches or headache worsened by outdoor activity a checkup is advisable even if a year is not completed.
  4. Avoid wearing loose fitting frames as even with correct glass powers loose frames can lead to headache.
  5. 1 ½ to 2 hours of outdoor /farsight viewing may help prevent rapid deterioration of glass powers.
  6. Cut down usage of TV, computer games , mobile games during free time.

what will happen if I don't wear my glasses regularly?
Glass powers tends to increase or reduce as is the nature of that eye irrespective of usage of glasses. So please dont believe that using glasses will arrest progression or help in reducing glass power.

In short term...
...not using glasses will lead to evening tiredness, eyepain , headache , inability to study after coming from school, sometimes poor performance in school can also be due to uncorrected glass powers.

In long term..
...uncorrected glass powers sometimes lead to Squint (also called deviated eyes or eyes that dont look parallel all the time)
… Amblyopia or lazy eye is a term given to eyes which even after putting correct glass powers are unable to read till the last line of vision testing chart.This happens in eyes with high glass powers or unequal powers inbetween the two eyes, which are left without wearing glasses for a long time especially under 9 years of age. The child here becomes habituated to use only one eye ( the better seeing eye) and the poor seeing eye sometimes deviatescausing squint. These kind of eyes are treated by patching (one eye needs to be closed with a sticking plaster) and sometimes can be recovered to full potential.

Are there any medicine or exercises to reduce my glass powers or become completely glassfree?
There are no medicines to arrest glass powers,the reason being – it is related to growth and growth is dufficult to arrest.
Eye exercises are there to cure double vision and (convergence) problems, but it has nothing to do with glass powers. No exercises/ yoga can help in reducing or arresting progress of minus glass powers in growth age, so dont fall for false assurances from quacks. Plus powers on the contrary slowly reduces by itself in growth age.

which food items are good for my eyes?
The vitamins essential for good eyesight are Vitamin A, Vitamin B6 and Vitamin B12.

  1. Yellow coloured fruits like pappaya, mango, raw carrot are good for eyes as it contains vitamin A
  2. Non vegetarian food – goatliver, fish
  3. Cod liver oil capsules are available as a dietary supplement which is rich in vitamin A,Vitamin D and omega-3 fatty acids
  4. Make “any one fruit a day” a part of your diet. If you can take more, it's better. It is your daily dose of multivitamin.

NOTE : Important thing to remember is that vitamins overdose is also harmful, so when taking multivitamin medicines , make sure thay are not given more than a month on a stretch. If you want to continue, give alternate month (one month gap in between). Codliver oil capsules can also cause Vitamin A overdose.

Eye safety for children
...let there be a pair of goggles in their school bag .

  1. Wear protective goggles while going out in two-wheelers, playing in dusty environment.
  2. Washing of eyes with potable/ tap water daily after returning from school.
  3. Avoid wearing crown glass speactacles as it can shatter and enter eye.
  4. Clear plastic goggles should be worn while lighting crackers.
  5. For sunlight protection UV-400 labelled dark goggles are preferable.