/ /

  • linkedin
  • Increase Font
  • Sharebar

    An OD’s perspective on his own cataract surgery

    I had to make the same decisions I asked my patients to make


    Phaco in the left eye

     My left (dominant) eye was operated on first, using phacoemulsification, aimed at plano.

    The procedure itself was smooth and without pain, thanks to the IV sedatives. The post-op healing process, on the other hand, was a little worrisome.

    Initially, things seemed hazy and watery, as if the media had been replaced with something cloudy. At my one-day post op I had a steamy cornea and an intraocular pressure (IOP) of 41 mm Hg, which was not alarming to Dr. Mastrota, and which would not have been alarming to me had it been in someone else’s eye, but this was in mine! My IOP dropped to the low 20s in one hour after a pressure-lowering drop, but I’d guess that to most patients that would be a very long hour. Virtually all the haze disappeared when the IOP normalized, but the media itself took four days to truly clear. This was due to the visco-elastic material injected into the anterior chamber during IOL implantation working its way out through the trabecular meshwork. Most patients would think of this as a disturbing complication and would breathe a sigh of relief when it dissipated, as did I. At the end of four days, my uncorrected VA was 20/25.

    More from Dr. Klein: My nine-month optometry practice 

    Femto in the right eye

    My right eye was operated on two weeks later using femtosecond laser assistance, aimed at -1.75 D.

    The vision in the femto eye cleared in one day, with few, if any, disturbances. IOP never went above 20 mm Hg, and there was no noticeable change in media clarity.

    In the interest of transparency (no double meaning intended), I do have pseudoexfoliation syndrome (PXF), and while Dr. Mastrota thought there was more pre-op pigment in the angle of the left eye (and we know that PXF eyes generally have a robust inflammatory response to surgery), I can’t believe that the difference in visco-elastic clearing was solely attributable to the difference in PXF. Thinking as any patient would, I reasoned that the difference in the procedure itself must have been a factor.

    Related: Post-op considerations for PXF after cataract surgery

    Next: Comparing procedures

    Charles Klein, OD
    Dr. Klein graduated from PCO in 1967. E-mail him at [email protected]


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Optometry Times A/V