EXPECTED VISION
- 20/20 – 20/40
- Mixed astigmatism common due to edema at incision
PATIENT EXPERIENCES
- Residual daytime haloes
- Night time halos
- Minor ghosting
- Near vision blur
TESTS TO PERFORM
- UCVA
- IOP
- Slit Lamp Exam (pupil may still be dilated)
POINTS TO DISCUSS
- Halos will subside with time
- Near vision will improve
- Review of medications
- Review of activity restrictions
MEDICATION PROTOCOL
- Discontinue Vigamox
- Maxidex 0.1% tid x 1 week, then bid x 1 week, then
qd x 1 week, then stop - Preservative free artifiical tears q1-2 hours
IMPORTANT: It is highly recommended to have a well stocked emergency IOP Kit and have an emergency IOP protocol

Pro Tip:
Refraction at this stage is likely to be a mixed astigmatism due to incisional edema; I usually wait until month 1 to refract unless the patient is bothered by reduced VA or I want to rule out a rotated ICl.









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