After operation. Recommendations for a quick recovery

Laser vision correction is a surgical procedure that cuts the cornea to restore vision.

This is a direct reason for taking sick leave at work.

The degree of eye damage depends on the technique used and the patient’s health status. Therefore, in some cases, it is recommended to extend the sick leave so that vision is fully restored without causing complications.

After the procedure, the patient is recommended to adhere to the following rules:

• do not overstrain the organs of vision;
• do not be in the area of ​​bright sunlight or artificial light without sunglasses;
• keep quiet;
• use medications prescribed by a doctor;
• do not carry out activities that cause increased physical stress on the body.

All these points cannot be fulfilled if a person is at work. The risk of a repeated decrease in visual acuity increases, which may lead to the doctor prescribing another operation. Therefore, doctors recommend immediately after the procedure to take sick leave for 2 weeks. After this time, they return for a second appointment with an ophthalmologist. He performs diagnostic tests, detects visual acuity, and monitors tissue healing. If all indicators are normal, the person can return to work if desired.

If the patient has minor deviations in health, the sick leave is extended for up to one month. After this time, the person must re-appear for an appointment with an ophthalmologist after treatment. If his health condition allows him to work, the doctor will give permission.

Non-surgical eye treatment in 1 month.

There are postoperative complications when the patient’s sick leave can be extended for up to 1 year:

• corneal deformation requiring repeated surgery;
• clouding, scarring of the cornea, complicating the quality of vision even with the use of optical aids (lenses, glasses);
• increased intraocular pressure due to the influx of secreted fluid into the chambers of the eyes, which is called glaucoma.

Treatment of these diseases requires a certain time, which is determined by an ophthalmologist or surgeon.

Payment for sick leave is made in accordance with the requirements of the Labor Code of the Russian Federation. If a person works in private companies that have their own regulations, sick leave may be paid additionally.

Poor vision significantly worsens the quality of life and makes it impossible to see the world as it is.

Not to mention the progression of pathologies and complete blindness.

MNTK "Eye Microsurgery" published an article on non-surgical restoration of vision up to 90%, this became possible thanks to.

Periods for which the patient is released from work

How many days of sick leave are given after cataract removal depends on many factors. The main ones:

1. 1) Success of the operation. The surgeon examines the operated eye and determines the possibility of complications.
2. 2) Method of treatment. During lens extraction, release from work is given for a longer period than during phacoemulsification, since the latter operation is less traumatic.
3. 3) The patient has concomitant diseases - glaucoma, astigmatism, diabetes. These are additional risk factors that may affect the timing of rehabilitation.
4. 4) Working conditions. Sick leave after lens replacement is usually given to patients working in an office for 10 days. If the work involves heavy lifting, a computer or hazardous working conditions, the period can be extended to 30-45 days.
5. 5) One of the main factors is the speed of recovery processes in the eye. Every body is different, and everyone heals at a different rate. The condition of the artificial lens and the entire eye is assessed by an ophthalmologist during a re-examination, and depending on this, sick leave is extended.

The doctor determines how many days the patient is on sick leave after cataract surgery. As a rule, this period is 10-14 days. If necessary, it can be increased.

Today a month has passed since the operation.

Hi all!
As far as I can see, a really large number of people have gone through the same thing as me. Laser vision correction (in my case, SuperLasik) gave me a chance to see the world in bright colors! Now I’ll tell you how everything happened for me.

I first learned about this operation from my second cousin, who had this operation. After finding out many things from her, I also decided to take this step.

I called the clinic (Penza) and made an appointment for diagnostics, I want to say that they made an appointment for me only after 2 months, since we have huge queues for all this. That very day came, my eyes were checked and they said that I have retinal dystrophy, there is also damage and that I first need to do laser retinal restoration. I humbly said, “I agree,” and signed up for this small operation, which cost me 8,000 rubles. I will say one thing, this operation turned out to be much more painful for me than the vision correction itself, I even had to take sick leave through friends, because my left eye hurt unbearably, after a week the pain went away and after another week I went for an examination. They checked the eyes and said that everything went well, which made me very happy.

And then they assigned me the day of the operation - May 15, 2014. Before the operation they told me to prepare tests, they cost me 4,100 rubles. in a specialized clinic. The tests turned out to be good.

The day before the vision correction surgery, I arrived at the clinic, they checked me again on the machines, looked at the tests, and the surgeon said that he was waiting for me tomorrow in a good mood and asked me to listen to him carefully, since the result of the operation directly depends on ourselves .

The next day I woke up in horror, but I really wanted to get through it all as quickly as possible!

I arrived at the clinic at about 12 o’clock; people who had undergone surgery were already sitting in the corridor)))

The very anticipation of this moment was scary, but it came. At first, drops were dripped into my eyes, from which I could not see anything around me at all, when the time came, I was taken to a room, changed into special clothes and taken to the operating room almost under escort)) They said stand by the wall)) They brought the girl out after the correction and put me on the operating table, stuck some kind of oilcloth on my face so that only one eye was visible, the surgeon put on a dilator, it was painful, as my eye began to twitch)) Then the instillations began in the eyes, poured something into it, wiped it with a small roller, then said to look at the red dot, the laser began to hum, and I only heard the words of the assistant. he was counting down. They finished with me quite quickly, because I flawlessly listened to everything the surgeon told me. I will say one thing - it didn’t hurt. It was more unpleasant after removing the expander. I went out, put on my shoes, went to my mother’s and sat looking forward)) Everything was cloudy, like in a fog. I didn’t feel any sand in my eyes. Then I waited for the surgeon, they put very burning drops in my eyes, told me restrictions and recommendations (sleep only on my back, don’t wash my eyes, don’t rub or drip drops), and sent me home. The next day, of course, there was an inspection. The doctor said that everything went well and allowed me to wash my face))

At home the most interesting thing was - My eyes simply could not be open, they closed on their own, I was unable to control them. The anesthesia began to wear off and then the pain began. To smooth it out, I took ketorol, the doctor gave me permission, and went to bed. I woke up when it got a little dark and then I could already look at the world with bright colors, but only in the distance, up close it was completely blurry, I couldn’t look at people up close at all. But in the distance there was already a good result, I saw everything at a great distance from myself from the window)) They prescribed a bunch of drops, but they helped bring my eyes back to normal faster, the first week was not comfortable, fear of light and complete blurriness near, but then everything went away and the only unpleasant thing left is the feeling of sand in the morning when you wake up, but you put Oftolic in and everything went away.

Now my vision has improved to 120% in both eyes, my initial vision was -2.75, on the one hand this is not so much, but I could only distinguish transport in front of my nose, I didn’t see anything at night, but now it’s beautiful, I see everything and recommend it to everyone also go through this and feel like a fully healthy person, eyes on the world with a smile in your eyes))

The operation is not cheap, according to my calculations it turned out like this: 1500 (diagnosis) + 4100 (tests for the operation) + 8,000 (retinal restoration) + 44,000 the vision correction operation itself = 57,600 rubles + today they prescribed 2 types of drops, vitamins for eyes and blood vessel strengthening pills, and that’s another 2000. Total = 59,600 rubles. But despite the prices, it was worth it! They gave me sick leave for 2 weeks.

Today I was in the hospital, they examined me, prescribed vitamins and medicines, lifted all the restrictions (I started painting my eyelashes after 2 weeks, although they were forbidden for a month, but I work in a bank and it’s somehow not very good to walk around without makeup) and I left happy home! My eyes, of course, still hurt because I work all day on a computer at a bank, but this is all natural, it’s still an operation, recovery will occur gradually over the course of a year.

1. Tune in to this step.

2. Listen to your doctor and surgeon.

3. Follow all restrictions after surgery.

Conditions for obtaining sick leave

You should not think that a certificate of incapacity for work is issued after the operation in any case. Sometimes a doctor can completely rightfully refuse you. This happens if the patient does not comply with the recommendations on the regimen (for example, drinks alcohol, does not take prescribed medications (does not instill drops), does not visit an ophthalmologist on time. Also, before surgery, it is necessary to take tests and undergo the necessary examinations. Keep in mind that sick leave may not be extended if you show up for a follow-up appointment later than the end date of the first b/l.

Let's summarize.

Cataract removal is performed surgically and after it the patient needs a certain recovery period. For rehabilitation, the patient can receive a sick leave, the validity of which is determined in each case individually. It is given out either in a clinic or in a clinic from a therapist or ophthalmologist. The period for which sick leave is issued usually does not exceed 10 days. However, this period can be extended by the attending physician if more time is needed to restore all functions of the eye.

Features of microinvasive vitrectomy

The essence of the operation remains the same - partial or complete replacement of the vitreous body with fixation of the retina, but the intervention itself is carried out through three punctures with a hole diameter of 0.3–0.5 mm. These microscopic punctures require the use of a small instrument. This allows:

• achieve less trauma to healthy tissues;
• reduce the risk of possible bleeding, which often occurs due to pathological proliferation of blood vessels;
• the rehabilitation period is significantly reduced;
• This operation is often performed on an outpatient basis.

Microinvasive vitrectomy requires special equipment and highly qualified specialists, so the method is not used in all vision restoration clinics.

Patient reviews of vitrectomy are mostly positive. Everyone talks about different times for vision restoration, but it still happens. And this is already a big plus in favor of vitrectomy.

Sources used:

• Rosenblum, Yu. Z. Optometry / Yu.Z. Rosenblum. - Moscow: Lights, 1991.
• Stepanov, A.V. Modern ophthalmotraumatology / A.V. Stepanov. - M.: Medicine, 2007.
• D. Hubel. Eye, brain, vision. — ed. A. L. Byzova. - M.: Mir, 1990.
• Wikipedia article

Contraindications to laser vision correction

Limitations to laser vision correction

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Contraindications to laser vision correction include the following points.

1. Under eighteen years of age. The thing is that the child’s body is still going through the formation stage. And the operation may be pointless due to a possible relapse.
2. The presence of ailments in the form of glaucoma (is chronic), cataracts (clouding of the lens occurs), keratoconus (the cornea is convex and resembles a cone).
3. Previous treatment for retinal detachment using surgery.
4. Progressive myopia.
5. Iridocyclitis.
6. Any changes in the fundus.
7. Dystrophy of the retina.
8. Inflammatory eye diseases.
9. The period of bearing a baby and breastfeeding.
10. Diabetes.
11. Weakening of immune function.
12. The presence of unstable refraction.
13. Mental disorders.
14. Performing surgery on only one visual organ.
15. Acute diseases such as arthritis and collagenosis.
16. Alcoholism and drug addiction of a severe type.
17. Dry eye syndrome.
18. Incurable blindness.

But experts say that even with one of the above diseases, you should not lose hope. Every year, technologies are improving, which will make it possible to perform laser vision correction for any critical illness.

Today, laser vision correction is classified as a cosmetic procedure, as it improves the quality of life of patients and is not an emergency rescue measure.

Recommendations for recovery

Rehabilitation after cataract surgery includes a set of rules and doctor’s advice on how to behave after surgery:

1. During the first few days, try not to leave the house too much, especially if it is hot in summer or cold in winter; temperature changes adversely affect the operated eye.
2. If you do have to go outside, cover your eye with a sterile gauze bandage. In the later period of rehabilitation, use special glasses after cataract surgery; they must be protected from ultraviolet radiation.
3. Do eye exercises regularly; they are prescribed individually by an ophthalmologist.
4. To prevent eye infections, maintain good hygiene and use anti-inflammatory drugs in the form of drops or solutions.
5. Follow a daily routine, do not overwork your visual system, for a quick recovery you need a sufficient amount of sleep.
6. During the rehabilitation period, visit an ophthalmologist to monitor the regeneration process.
7. If you have small children, pets, or any other unpredictable risk factor at home, wear glasses or a blindfold even indoors.
8. All appointments and rehabilitation procedures must be carried out in accordance with the doctor’s prescription, do not skip or change anything, independence will only harm you.
9. Physiotherapy helps very well, but only in the late period of rehabilitation, in particular the Almag-03 home magnetic therapy device. It improves blood circulation and nutrition of the tissues of the head, neck and eyes, saturates them with oxygen and microelements.

More details about this device, its use in clinics, and types of models in the following video:

Strict adherence to all recommendations after lens replacement for cataracts is the key to your successful recovery.

Using eye drops

Eye drops after cataract surgery are used to prevent possible complications. As a rule, the doctor prescribes antibacterial agents, decongestants, steroidal and non-steroidal anti-inflammatory drugs, painkillers, antihistamines and drugs that stimulate regeneration.

It is necessary to use eye drops strictly at the right time. After cataract surgery, several types of drugs are prescribed, and if their instillation times coincide, you need to wait 5-10 minutes between each drug.

Follow all hygiene rules, wash your hands before the procedure, use sterile swabs and wipes when treating with ophthalmic eye drops, otherwise you risk getting an infection.

Read more about eye drops for the treatment, prevention of cataracts and in the postoperative period here.

The most popular names of eye drops and drugs that have proven themselves in rehabilitation after cataract removal:

• "Korneregel";
• "Solcoseryl";
• "Diclofenac";
• "Ibuprofen";
• "Nevanak";
• "Dexamethasone";
• To improve regeneration, you can drip Taufon.

Coordinate all medications and procedures with your treating ophthalmologist; self-medication is dangerous and can lead to loss of vision and health.

Nutrition during rehabilitation

The postoperative period has its limitations. After cataract removal, it is important for us to have a complete, balanced diet with a reinforced complex of vitamins, minerals and trace elements, since the body needs strength to recover.

If recovery is accompanied by severe, long-lasting edema, it is worth limiting the amount of liquid you drink and salt intake, and taking diuretics. Avoid spicy, fatty, unhealthy foods, as well as alcohol.

The second point in the diet after eliminating cataracts is associated with older patients, who are often accompanied by stool retention; this should not happen, excessive overexertion can play a bad joke.

A more detailed postoperative diet will be prescribed in a medical institution, taking into account all your individual characteristics.

Lasik: about laser eye surgery

Myopia, farsightedness, astigmatism... an increasing number of people are encountering these diagnoses in their lives. Unfortunately, the age of people suffering from one of the eye diseases becomes younger every year. In order not to stand out from society, a person looks for the safest solution to a problem. Thus, in recent years, a vision correction technique called LASIK has become widespread. What is the essence of the technique and in what case should it be carried out? Let's look at it in more detail in the article.

Description of the technique

The essence comes from the abbreviation LASIK itself: Laser-Assisted in Situ Keratomileusis - “laser keratomileusis”. The goal of the correction is to achieve normal optical power of the cornea by changing its shape and using the “cold” ultraviolet beam of an excimer laser. That is, if the patient is farsighted, then the cornea is “rounded”; if nearsighted, then it is made flatter; in the case of astigmatism, the cornea is given the correct shape as a whole.

It would seem that the technique is already ideal, but medicine does not stand still. The Super LASIK method was invented, which is more personalized, taking into account the individual structure of the cornea.

Also read: General indications and contraindications for laser vision correction surgeries

Indications for correction using the LASIK method:

stable myopia ( Stages of LASIK correction

The correction process using this method is divided into two large stages.

The first stage involves the formation of a corneal flap. An automatic microkeratome comes to the rescue, which painlessly (although local anesthesia will be used in any case) and in a short period of time (from 2 to 5 seconds) creates a flap directly in the superficial layers of the cornea.