Dr. Kashif Baig

Cornea - Anterior Segment Surgery - Refractive Surgery - Cataract Surgery

Post-Op Routines

Once surgery has been performed, you will need to take drops to reduce inflammation and minimize the risk of infection. Here is a list of procedures with the usual associated medication regimens, restrictions, instructions, and follow-up schedules (Dr. Baig may modify your post-op routine depending on your unique situation, allergies, healing response, concurrent ocular issues, etc.). At the bottom of the page is a list with pictures of the usual drops that Dr. Baig uses.

PROCEDURES

 

Cataract Surgery

- Vigamox 1 drop 4 times a day for 10 days, then stop
- PredForte 1 drop 4 times a day for 2 weeks, then 2 times a day for 2 weeks, then stop
- Acuvail 1 drop 2 times a day starting 2 days before surgery and continuing for 4 weeks, then stop (some patients may have to continue for total of 3 months)
- Restrictions for 1 week: No water in eye, no rubbing eye, shield at night, no make-up, no sexual activity, no bending below waist, no heavy lifting
- What to watch for: Signs of and symptoms of infection (pain, drop in vision, red eye) and symptoms of retinal tear or detachment (many new floaters, sustained flashing lights, change in peripheral vision like a curtain coming across and blocking your side vision). If this happens, call us right away, don’t wait till next appointment!! If a suture was placed to secure the wound during surgery, it will likely be removed in the clinic at the 1 week postop visit.
- Follow-up appointments after surgery: 1 day, 1 week, 1 month, 3 months
- Dr. Baig will let you know when you may start driving again
- Return to work within a week

 

Corneal Transplant: Endothelial keratoplasty (DMEK, DSAEK, UT-DSAEK)

- Vigamox 1 drop 6 times a day for 1 week, then 4 times a day until advised to stop
- Predforte 1 drop 6 times a day for 1 week, then 4 times a day for 4 months, then 3 times a day for 1 month, then 2 times a day for 1 month, then once a day for 6 months, then stop PredForte and with to FML 1 drop a day and continue indefinitely
- Dr. Baig may recommend for you to take Muro 128 (sodium chloride) drops or ointment during the healing phase
- For pain, 2 tablets of  Tylenol (325 mg per tablet) every 4 hours
- Restrictions for 2 weeks for DMEK or 4 weeks for DSAEK: Laying flat on your back for 3 days following surgery, you can however get up to have your meals, and use the restroom. No water in eye, no rubbing eye, shield at night, no make-up, no sexual activity, no bending below waist, no heavy lifting, no physical exercise.
- What to watch for: During the first two visits after surgery, we look to see if the graft is attached or detached from your cornea (if it is detached, we may put more air in the eye). Watch for signs and symptoms of infection (pain, drop in vision, red eye).  Dr. Baig along with your optometrist or ophthalmologist will follow the pressure in the eye (intraocular pressure, IOP) to make sure it stays in the normal range; IOP may increase which may potentially cause glaucoma in patients who take steroid drops. If a bandage contact lens was placed at the time of surgery to help with surface healing, it will usually be removed at the 1 week postop visit.  Sutures will be removed in the clinic either 1 month after surgery (in DMEK cases) or 3 months after surgery (in DSAEK  cases).
- Instructions: Lay flat with head facing up for 3 days after surgery except when using the restroom, eating a brief meal, or in transit (try to recline passenger seat and look up).  If your neck or back hurts, you may get up for 2-3 minutes every hour or two to stretch your neck and back in an upright position. Laying flat is important because the air bubble in your eye is securing the positioning of the corneal graft.
- Follow-up appointments after surgery: 1 day, 3 days, 1 week, 1 month, 2 months, 3 months, 6 months, 1 year, then yearly thereafter with Dr. Baig AND every 6 months with your optometrist or ophthalmologist.
- Dr. Baig will let you know when you may start driving again and when you may return to work.

 Corneal Transplant: DALK and PKP

- Vigamox 1 drop 6 times a day for 1 week, then 4 times a day until advised to stop
- Predforte 1 drop 6 times a day for 1 week, then 4 times a day for 4 months, then 3 times a day for 1 month, then 2 times a day for 1 month, then once a day for 6 months, then stop PredForte and with to FML 1 drop a day and continue indefinitely
- Dr. Baig may recommend for you to take Muro 128 (sodium chloride) drops or ointment during the healing phase
- For pain, 2 tablets of  Tylenol (325 mg per tablet) every 4 hours
- Restrictions: No water in eye, no rubbing eye, shield at night, no make-up, no sexual activity, no bending below waist, no heavy lifting, no physical exercise.
- What to watch for: During the first two visits after surgery, we look to see if the graft is attached or detached from your cornea. Watch for signs and symptoms of infection (pain, drop in vision, red eye).  Dr. Baig along with your optometrist or ophthalmologist will follow the pressure in the eye (intraocular pressure, IOP) to make sure it stays in the normal range; IOP may increase which may potentially cause glaucoma in patients who take steroid drops. If a bandage contact lens was placed at the time of surgery to help with surface healing, it will usually be removed at the 1 week postop visit.  Sutures will be removed in the clinic around 8 months after surgery.
- Follow-up appointments after surgery: 1 day, 3 days, 1 week, 1 month, 2 months, 3 months, 6 months, 1 year, then yearly thereafter with Dr. Baig AND every 6 months with your optometrist or ophthalmologist.
- Dr. Baig will let you know when you may start driving again and when you may return to work.

 LASIK

- What to expect: English  |  French
- Post-op instructions: English  |  French
- Post-op schedule for drops: English  |  French

 

PRK and PTK

- What to expect: English  |  French
- Post-op instructions: English  |  French
- Post-op schedule for drops: English  |  French

 

Collagen crosslinking (CXL)

- What to expect: English  |  French
- Post-op instructions: English  |  French
- Post-op schedule for drops: English  |  French

 

 

COMING SOON….

Pterygium

Secondary lens

Intraocular lens exchange

Iris reconstruction

Phakic intraocular lens (IOL)

Refractive lens exchange (RLE)

Superficial keratectomy (SK)

EDTA chelation

Artificial iris

Artificial cornea: Boston keratoprosthesis (KPro)

Artificial cornea: KeraKlear keratoprosthesis (KPro)

 

USUAL DROPS

- Antibiotic: Vigamox (moxifloxacin)

Vigamox

 

- Steroid: PredForte (prednisolone acetate 1%)

pred_forte

 

- Steroid: FML (fluorometholone)

FML

 

- Steroid: Maxidex (dexamethasone 0.1%)

Maxidex 2

 

- NSAID: Acuvail (ketorolac tromethamine 0.45%)

acuvail

 

- Antibiotic/Steroid: Tobradex (tobramycin/dexamethasone)

Tobradex Drops 2