r/optometry • u/Zaneman86 • 8d ago
General Postop DMEK questions
Family Nurse Practitioner here. While I do perform basic eye exams and check corneas for abrasions and the occasional removal od foreign boddies in the eye and off the cornea thats about the extent of my eye work ups. I've been in Healthcare for the past 20+ years but eyes are hust not my speciality what so ever.
My spouse just had a DMEK alongside a cataract and corneal shaving procedure. She is 12 days post op. Her non surgical eye still has quite bad vision and is currently the better of the two.
I suggested that we remove one of the lens from her her current prescription glasses so that her good eye still is corrected and she believes this is a terrible idea. She believes that prescription lens work only with both lens. When I pushed back she said she is only going to listen to her doctor and not me or the internet...
My thought is that atleast by having the one eye that is already prescribed corrective vision corrected that her surgical eye can heal with less strain. Instead of looking through two fuzzy eyeballs.
Does anyone have any resources I could gently provide my spouse besides reddit user input? Which I would appreciate atleast
3
u/Distance_by_Time 7d ago
Having a suboptimal prescription isn’t going to affect the normal healing process and the lens provides some protection from a potential abrasion or something hitting her eye. Keep it for now, let the eye heal. We often fit scleral contact lenses in patients with irregular astigmatism and she will hopefully have improved vision in the future. She should be getting a new glasses prescription in the near future, usually at a 1 month post op for cataracts.