Case Scenario: Post- Cataract Surgery

Marcella is a 60 year old single woman who presented herself to the emergency department,
with a chief complaint of progressive diminished vision and increased difficulty with night
driving, R eye. Vital signs was taken and as follows: T- 37.0˚C, PR – 72bpm, RR – 18bpm and BP –
120/70mmHg. Her physician suspects that Marcella has a cataract and does a complete eye
examination and history.
Upon routine eye check-up and laboratory, it was confirmed that Marcella has cataract R eye
and was scheduled for surgery.
After the surgery, the physician ordered the following:
- Flat on bed until fully awake.
- Vital signs monitoring every 15 mins for the 1st hour, then 30 mins until stable.
- Diet as tolerated when fully awake
- Don’t rub affected eye
- Stay away from dusty areas
- Medications:
o Chloramphenicol 1 drop 4x a day to affected eye for 2 weeks
o Dexamethasone eye drop 1 drop 4x a day for 2 weeks