Cataract surgery on August 15th

I had my pressure checked right after surgery. my 2nd visit to his office is on Tuesday. I have extreme dry eyes that doesn't help matters either. But I put drops in my eyes.

I did a short drive on Thursday and it went well. But on Friday I did another short drive by and it feel right. On my way back it was getting dark and I was glad to get home. Having dry eyes I am sure didn't help.

i don't have any eye drops to take as I had the dropless surgery. Where I live more Doctors be are doing 2 eyes the same day. They rescrub get new instruments and a new nurse then they do the 2nd eye. Also the dropless surgery is more convenient but more expensive.

I go for my follow up appointment on Tuesday hopefully I will learn more.

Thanks

That doesn't sound right. There should be a wait between cataract surgeries . Vision could change during healing process and the surgeon can make adjustments to 2nd eye yo complement vision.

Only time I see both eyes being done same day is for clear lens exchange (same as cataract surgery - except no cataracts - do people can 'correct' vision - usually near). This is so patient cannot compare vision and surgeon gets rich.

In Canada where I live no cataract surgery does both eyes same day.

I think that has changed or is changing Sue. Apparently, Immediate Sequential Bilateral Cataract Surgery (ISBCS) has been offered to patients in Ontario since 1996, Quebec and British Columbia since 2010 and was being considered or implemented in other Canadian provinces during the pandemic and also now probably to try to reduce the surgery wait lists.

The convenience for the patient is great. Dealing with drops, time off work, time waiting to get glasses etc. are all reduced. Infection risk is manageable with the proper protocols in place. The biggest risk in my opinion is refractive surprise as you mentioned. The opportunity to adjust the target for the second eye is lost. Lot's of folks just get the standard monofocal and don't get toric lenses etc. so glasses will often be needed anyway so refractive surprise might not matter as much in those situations.

Actually my brother who is in Manitoba and has to travel to Winnipeg for surgery was offered surgery on both eyes at the same time. I advised him not to do it, and he is not going to.

I forgot about double travel & associated expenses. I was told that the normal wait time here is two weeks between surgeries. That's the typical scheduling. We have an idea of what our outcomes will be at two weeks but things can still change. My vision at around week 4 is what I ended up with. Seems like same day both eyes should be normal for people who need both eyes done instead of a two week gap. I guess I don't understand the benefits of the two week gap.

If going for monovision or doing multifocals then a 6+ week gap would be better. The second eye target and even IOL choice might be changed.

Personally would not do both eyes at same time. Zero benefit to patient vs gains learned from 1st surgery to adjust for 2nd. Never mind not having one good eye while healing.

Glad I had a 6 week wait. Would never do them both same day. Refractive surprise not a small matter in my opinion. I was work between surgeries with one eye being done at a time. Doubt I could have if both operated on same time. These kind of medical changes in Canada are usually of zero benefit to patient. Likely cost savings to Medicare .

I figure they are the most benefit to the surgeon. Nearly double the billing to the system and little extra time for the surgeon and staff added.