What to Expect...

An Overview of Cataract or Lens Exchange Surgery

Approximately 2 1/2 to 3 hours is the total estimated time for preparation,surgery and recovery at Bridgewater Day Surgery.

Care and attention is taken with each patient and sometimes this means there are unforeseeable delays. Every effort is made for the optimum outcome possible.

(Approx: 15 to 20 minutes)

  • Check correct patient, procedure and site (e.g. Wrist band and consent form).
  • Identify any allergies.
  • Nurse will fill in the pre-admission part of the chart
    (e.g. Check and record relevant health history, medications, blood pressure, pulse, oxygen saturation, temperature and blood sugar if indicated and when food and fluids were last consumed).
  • Nurse will give brief overview and answer any relevant questions.

(Approx: 30 to 45 minutes)

  • Commence eye drops (to make the pupil larger).
    • 2 drops to the operated eye every 15 mins for 3 doses.

  • An electronic tablet/ipad is available to view discharge instructions, with the opportunity for staff to answer any questions.

(Approx: 15 to 30 minutes)

  • Nurse will check paper work and verbally confirm (e.g. consent form, wrist band, allergies and correct eye).
  • Positioned on a bed.
  • Local anaesthetic used to numb the eye (e.g. drops, gel or an injection).
  • Squeaky duck (communication device).

(Approx: 30 to 45 minutes)

  • Using the World Health Organisation (WHO) Time Out Standards, the nurses and surgeon will check paper work and verbally confirm
    (e.g. consent form, wrist band, allergies, correct eye and correct implant (lens)).
  • A disposable translucent sheet is used to keep the operating area sterile with a special instrument to hold your eye open so you do not have to worry about blinking.
    There is a special pipe that keeps the drape off your face and blows air so it's easy to breathe.
  • A special clip is placed on your finger to monitor your heart rate and oxygen saturation throughout the procedure.
  • Use the "squeaky duck"(communication device) if you need attention (if you need to cough, move or are uncomfortable/sore).

(Approx: 30 to 60 minutes)

  • Refreshments given and medication (Panadol and/or Diamox).
  • If you have had sedation, you will need to be stable (blood pressure, pulse and oxygen saturation) before discharge and must have someone who can be with you when you go home.
  • Nurse will contact your driver/transport person and go through your discharge information with you.
    • Any special instructions, plus overnight instructions and emergency contact numbers.
    • Eye drops (in a blue take home bag).
    • Follow-up appointment (when to see the surgeon next).

For further information see Information brochure Cataract Surgery provided by Hamilton Eye Clinic.
Website: Hamilton Eye Clinic Patient Information brochures