Cataract Eye Orlando, Frequently Asked Questions, Filutowski Cataract LASIK

Frequently Asked Questions Regarding Cataract/Lens Implant Surgery

Q: Does lens implant surgery hurt?

A: Thanks to numbing drops and medications to help you relax, this procedure involves minimal discomfort. It is normal to experience some soreness for the first 24-48 hours after surgery, but severe pain is rare and should be reported to your doctor right away.

Q: Will I be asleep for the surgery?

A: Since this procedure does not take very long, it is unnecessary to put you to sleep with general anesthesia. Instead, we will use topical/local anesthesia to numb the eye and you will remain awake during surgery.

Q: Who performs the procedure?

A: Either Dr. Filutowski or Dr. Winslow will perform the procedure. There will be a technician and nurse in the room to assist.

Q: I have cataracts in both eyes. Will Dr. Filutowski do surgery on both at the same time?

A: No, only one eye will be operated on at a time. Typically, we will perform surgery on the second eye one or two weeks after the first eye. All patients are different and heal at different rates, so talk to your eye doctor about what is appropriate for you.

Q: How long will I be in surgery?

A: The surgery itself is very quick and usually lasts less than 10 minutes. However, due to pre-operative preparation and brief post-op recovery, your entire stay in the surgical center will be about 1 1/2 to 2 hours.

Q: Can I drive myself to and from the surgical center on the day of surgery?

A: No. Even if you elect not to take the relaxing medication before surgery, your vision will be blurry in the operative eye (due to dilation and anesthesia) and not suitable for driving. You must arrange for transportation to and from the surgical center.

Q: Will I have stitches or have to wear a patch?

A: We use the most modern technique for lens implant surgery, which involves a tiny incision that self-seals and does not require stitches. Because we use topical anesthesia that numbs the surface of the eye only, it is not necessary to wear a patch on the operative eye to keep it closed. You will have the ability to blink and close your eyelids.

Q: How long before I can see after surgery?

A: Every patient and eye is different, but patients commonly see well enough to drive the day after surgery.

Q: How long until I can return to normal activities?

A: Most patients can resume normal basic activities like reading and watching TV by the next day, and return to work within two to seven days. However, results vary for different patients, so you should ask your doctor if you have questions about specific activities. We usually recommend that the patient avoid rubbing the eye, engaging in activities like sports where an object could hit the eye, and getting dust, dirt or sand into the eye. We also advise you to avoid swimming and wearing eye makeup for two weeks after surgery. You may exercise if you avoid letting sweat run directly in your eyes.

Q: Can I go to the hair salon?

A: Yes, just advise your stylist of your recent eye surgery and to take precautions to prevent any chemicals, water or hairspray from getting into your eyes.

Q: After surgery, will I be able to drive at night?

A: Your ability to drive at night should be much enhanced once your cataract is removed. Patients with the ReSTOR™ IOL may notice a ring of light around headlights and other point-light sources. Most patients with any type of IOL notice halos and starbursts around lights for the first few nights after surgery. These are typically mild, rarely bothersome, and tend to diminish with time.

Q: Will I need glasses after IOL surgery?

A: It depends on what type of intraocular lens you elect to have implanted. Most patients who choose monofocal IOL’s do not need glasses for distance, but rely on reading glasses for near tasks. If you elect monovision with monofocal IOL’s, you may occasionally need glasses for some near and distant tasks, but can go without glasses the majority of the time. In clinical trials, four out of five patients who received ReSTOR™ multifocal IOL’s reported never wearing glasses for distance, intermediate or near tasks after surgery.

Q: If I need glasses after IOL surgery, how soon can I get a prescription?

A: The eye typically takes 3-4 weeks to stabilize after IOL implantation. It is recommended that you wait until then to have a prescription made.

Q: If I elect to have LASIK after IOL surgery, how soon can I have it?

A: We wait a minimum of 3 months after IOL surgery to give the eye adequate time to heal before performing any additional surgery on it. Your eye doctor will be able to determine when you are ready for LASIK.

Q: Can my cataract come back or Can I develop a cataract after a lens implant?

A: No, once a cataract/crystalline lens has been removed it cannot return. Implant lenses do not cloud over like human lenses do. However, over time patients may complain that their vision has once again become cloudy. This fairly common condition, which may occur with any type of IOL, is known as posterior capsular opacity or “PCO”. Some doctors refer to it as a “secondary cataract” because the visual symptoms are similar to a cataract. If the posterior capsular opacity (PCO) becomes bothersome, the surgeon can clear it away with a simple laser procedure performed in the office.


Q: Are there any side effects? Anything I won’t like?

A: There is a chance that you will experience halos or glare in your vision, but this is uncommon and usually goes away in time. Halos and starbursts around lights at night are common for only the first few days after surgery. Your intermediate vision may not be as crisp as your near and distance vision, but four out of five ReSTOR IOL patients in the clinical study reported never needing glasses following surgery in both eyes. The technician and doctor you see during your eye examination will help you determine if the ReSTOR IOL is right for you.

Q: Can the lens be replaced if it doesn’t work? Does it ever need to be replaced?

A: Although this would be unlikely, the IOL can be replaced with a different one if needed. However, the IOL is intended to be permanent and never needs to be replaced under normal circumstances.

Q: Any precautions after surgery?

A: See the answer above regarding resuming normal activities.

Q: Who do I call if I have a problem?

A: Contact one of our offices immediately if you have any problem, especially if you experience decreased vision or pain.

After Hours Physician Pager: 386.820.1682
Daytona Beach office: 386.788.6696
Lake Mary office: 407.333.5111
Veranda Park office: 407.902.2533

It is not necessary to call the office in which you had surgery; the staff and doctors in any office can help you. In addition, we have a doctor on call after regular business hours. Call any office and a recording will give you the doctor’s emergency pager number. The doctor will return your page ASAP.

Q: Do you have a specific question about Custom Catarcact Surgery?

A: Contact Us and we will be happy to contact you directly to answer your questions about High Definition LASIK and the Filutowski Cataract & LASIK Institute. We look forward to hearing from you!