Refractive Lensectomy

Refractive Lensectomy procedures are done in order to correct patient’s presbyopia and reduce or eliminate their need for reading glasses. Some patients choose to have this procedure done before they develop cataracts. This procedure is very similar to cataract surgery but may be performed before an official diagnosis of a cataract. During Refractive Lensectomy, the natural clear lens inside your eye is removed and replaced with an intraocular lens (IOL).

BEFORE SURGERY

Refractive Lensectomy

1. Consultation and Tests

Eye Examination
Your surgeon will conduct a thorough eye exam, including measuring the size and shape of your eye. This helps determine the appropriate type of artificial intraocular lens (IOL).

Medical history review
Your doctor will assess your general health and any other conditions that may impact the surgery. A History and physical examination (H&P) will be required before surgery, and the validity of this exam is generally 30 days. This preoperative assessment ensures the patient is in good overall health and helps identify any potential risks or complications that could affect the surgery or recovery. If there are significant changes in the patient’s health condition or if the H&P has expired, an updated assessment may be necessary to maintain compliance.

2. Preoperative Instructions

Medications: If you have diabetes or other chronic conditions, your doctor will guide you on managing them during the procedure. Please notify the nurse during your pre-admission testing phone call of any prescription or non-prescription drugs you are currently taking.

Eye drops: You might be prescribed eye drops to reduce the risk of infection or inflammation before the surgery. Follow all pre-op instructions from your clinic regarding these eye drops.

Fasting: You may be asked not to eat or drink for 6-8 hours before the surgery if anesthesia is used.

3. Arrangements for After Surgery:

Transportation: You will need someone to drive you home after surgery, as you will not be able to drive right away.
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Post-surgery care: Make sure you have someone who can help you during the first 24-48 hours after the procedure, especially if you have any difficulty with vision or performing tasks.

DURING SURGERY

Refractive Lensectomy
  • Anesthesia Refractive Lensectomy’s are typically performed under local anesthesia, meaning you will be awake, but your eye will be numb. You might also receive a mild sedative to help you relax. An anesthesia provider will interview you and be present during your surgery.
  • Procedure The surgeon makes a small incision in the cornea and uses ultrasound or laser to break up the natural lens, then removes the pieces. A new IOL (intra ocular lens) is then inserted.
  • Duration The procedure typically takes about 15-30 minutes and is usually done on an outpatient basis.
  • FEMTO Laser Treatment This can also be an extra procedure for refractive lensectomies. Based on your provider’s recommendations, you might undergo this procedure right before your surgery.

AFTER SURGERY

Refractive Lensectomy

1. Immediate Recovery

Post-operative instructions: You will be given eye drops to reduce inflammation and prevent infection. Your doctor may also prescribe pain relievers or mild sedatives.

Vision: It’s normal to experience blurry vision or some discomfort in the first few days. Your vision should improve over time.

Follow-up: You’ll likely have a follow-up appointment the day after surgery and then another one a week or two later to monitor your healing.

2. Preoperative Instructions

Strenuous activities: Avoid heavy lifting, bending over, or vigorous exercise for a few weeks to prevent pressure on the eye.

Rubbing your eye: It is crucial to avoid rubbing the operated eye, which could cause complications.

Water: Be cautious around water; avoid swimming or getting water in your eye for several weeks.

3. Long-term Recovery:

Vision improvement: Full recovery can take several weeks. Your vision should steadily improve, and many people notice a significant difference soon after the procedure.

Follow-up visits: These are important to check on the healing process and the health of your eye.

RISKS & COMPLICATIONS

Though cataract surgery is generally safe, like any surgery, it comes with some risks, such as:

  • Infection
  • Bleeding
  • Swelling or inflammation
  • Dislocation of the IOL
  • Retinal detachment (rare)

It is important to follow your doctor’s instructions carefully to minimize risks.

Refractive Lensectomy
Refractive Lensectomy

Tips for a Successful Recovery:

  • Rest: Give your eyes time to heal by avoiding reading, screen time, and other activities that strain your vision in the early recovery period.
  • Use prescribed eye drops: These will help reduce the risk of infection and control inflammation.
  • Wear sunglasses: Protect your eyes from bright light and UV rays, which can be uncomfortable after surgery.

By following these guidelines, you can help ensure a smooth procedure and recovery.