Policyholder Services

How soon after cataract surgery should the first post-operative exam occur?

Although OMIC requires as a condition of coverage that patients undergoing elective intraocular refractive surgery be seen within the first 36 hours following surgery, no underwriting requirements or policy conditions have been established for the timing of post-operative exams following cataract surgery on patients with visually significant cataracts. In their October 2011 Preferred Practice Pattern, Cataract in the Adult Eye, the American Academy of Ophthalmology provides guidelines for follow-up based on consensus in the absence of evidence for optimal follow-up schedules, with the first visit generally occurring within 24 – 48 hours of surgery.  (See Table 5.)  In addition, they recommend that patients be informed about appropriate signs and symptoms of possible complications and be instructed to contact the ophthalmologist promptly if problems occur. The AAO further suggests that the frequency and timing of postoperative visits in the absence of complications depends on several factors, including the size or configuration of the incision, the need to cut or remove sutures, and stabilization of refraction, visual function, and the medical condition of the eye.


Updated 12/8/2015

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