Normally, you will be staying in our hospital for one night
before discharge . This booklet will give you the information you
need to get ready before, during and after your cataract surgery.
一、What is a cataract? ：
A cataract is a painless, cloudy area in the lens of the
eye. The lens is located behind the iris and is normally clear.
Light passes through the pupil, the dark area in the centre of
the iris, to the lens. Because cataracts block this light, they
can cause vision problems. The purpose of cataract surgery is to
remove the clouded lens of the eye (the cataract) to improve
sight. The lens can be replaced with an artificial lens called
an intraocular lens implant (IOL).
二、Your hospital stay：
(一)Check-in procedure：
OPD area for pre-op exams→Sign informed consent→27E ward
→Nurses giving orientation of ward facilities→Explanation of
indication and procedures of the surgery→Ordering meals if you
need food service
(二)Pre-op preparation：
(1)Change clothes for entering operation room
(2)Please take off glasses, dentures and jewelry
(3)Valuable personal items can be kept in storage by
nursing staff tempora rily
(4)Ward nurse will instill eye drops for three times before
sending you to operation room
(5)Please use the toilet in advance, then our staff will
transport you to operation room by wheelchair or bed
(6)Undergo the surgery
(三)Post-op care：
On the day of surgery：
(1)You eye will be covered by clean gauzes, please do not
take it off
(2)While resting on bed, avoid sleeping on the operated
side
(3)Avoid coughing, sneezing, vomiting, straining or
lifting heavy items, please inform nurses if there is
severe pain
(4)Stay away from irritating food, fruits and vegatables
are encouraged to avoid constipation
First day after surgery：
(1)Your doctor will replace eye shield and check wound in
the morning
(2)Nurses will instill eye drops for you
(3)You will be discharged afterwards
三、Care at home:
(一)Avoid rubbing or bumping your eye, do not let water
enter your eye while taking shower. Wear your eye
shield when sleeping/lying down and sun glasses for
protection at daytime.
(二)Sterilize metal eye shield by boiled water for 30
minutes daily, or clean it with 75% ethanol
(三)Your next OPD appointment will be booked upon
discharge, remember to take the eye drops with you to
the appointment, doctor will decide if you still need
those eye drops and protective eye shield
(四)How to instill eye drops:
(1)Wash your hands
(2)Prepare eye drops and cotton swabs
(3)Take off eye shield, clean your eye discharges with a
clean cotton swab or gauze, do not wipe back and forth,
do not wipe your eye with handkerchief or paper
tissues; tilt your head back and look at the ceiling,
using clean cotton swab or gauze, gently pull down your
lower eyelid to form a pocket, Keeping both eyes open,
gently squeeze 1 drop into the eye pocket. Do not let
the bottle top touch your eye, eye lashes, fingers,
or any other surface.
(4)When using 2 or more eye drops, wait about 3~5 minutes
after instilling the first medication before instilling
the next.
(5)Put protective eye shield back.
(五)Please return for medical help if following condition
occurs：
(1)persistent eye pain or stingling
(2)suddent onset of eye swelling sensation or nauea/
vomiting
(3)eye trauma or contusion
(4)increased amount of mucopurulent discharge
(5)change of vision
四、參考資料：
江尚宜(2011)‧臨床眼科工作手冊(第二版)‧台北：合記。
李和惠、黃鈺雯(2012)‧眼、耳、鼻、喉疾病病人之護理‧於胡月娟
總校閱，內外科護理學下冊‧(六版，1010-1056頁)‧台北：華杏。
侯佩儀、黃惠滿、許秀月、李昭憲(2012)‧白內障手術病人的照護
需求與整體滿意度之相關性研究‧高雄護理雜誌，29(2)，8-24。
Vancouver Island Health Authority.(2012). A guide for adults
having cataract surgery at the Royal Jubilee Hospital.
Rtrieved from http：//
ca/eye health.