Cataract surgery is a common and successful procedure for restoring vision in those suffering from cataracts. However, it is important to be aware of how certain medications or supplements may affect your vision after the surgery. Long-term use of certain medications, such as corticosteroids, can accelerate the onset of cataracts and increase the risk of glaucoma. Drugs taken by mouth are absorbed systemically and can affect all parts of the body, including the eye.
After cataract surgery, patients should expect their vision to begin to improve within a few days. Blurred vision is normal during the healing process, as the eyes need time to heal and adapt to the new lens that has been implanted. Your doctor may prescribe eye drops or other medications to prevent infections, reduce inflammation, and control eye pressure.Tetracycline medications are commonly used in the treatment of acne and rosacea, as they help dilute oil secretions. Digoxin may cause eye symptoms such as yellowing of vision, scintillating scotoma, and blurred vision.
These changes are likely due to direct photoreceptor toxicity, and visual symptoms are usually reversed when digoxin is stopped. Retinal toxicity caused by Plaquenil is rare, but even if the medication is stopped, vision loss may be irreversible and continue to progress. Anticholinergic drugs cause the ciliary muscle to relax, causing temporary blurred vision. Alpha-blocking medications, primarily tamsulosin (Flomax), have been associated with a condition that can occur during cataract surgery known as intraoperative flaccid iris syndrome (IFIS). Amiodarone is an antiarrhythmic medication used to treat serious cardiac arrhythmias, such as ventricular tachycardia or ventricular fibrillation, as well as some atrial arrhythmias. According to the American Optometric Association, approximately 90 percent of patients say they have better vision after cataract surgery.
If possible, it may be beneficial to evaluate and treat other eye problems before making the decision to have cataract surgery. Cataract surgery is performed by an eye doctor on an outpatient basis, which means that you don't have to stay in the hospital after surgery. These medications usually have ocular side effects such as dry eyes and mouth, pupillary dilation, and decreased accommodation (ability to focus). Although rare, cases of orbital inflammation, uveitis, and scleritis occurred shortly after starting the medication. It is important for patients considering cataract surgery to discuss any medications they are taking with their doctor before undergoing the procedure in order to minimize any potential risks or complications. With proper preparation and care, cataract surgery can be a safe and successful way to improve your vision.
