Coming for an eye appointment

Frequent questions after eye surgery/eye procedures

Patient Information Leaflets   

Please click on the links below to download a leaflet in PDF format 

 

Outpatient appointment

Please bring any old prescriptions or current prescription of your spectacles

Please bring a list of currently used eye drops or eye medications

Please make arrangements to get yourself driven back home as it is likely that you will need drops to dilate your pupils during your eye examination. If drops are used your vision is expected to be blurred for the next 3 to 6 hours. Do not drive till your vision has recovered from the effects of the drops.

  

Advice after cataract surgery

You are entitled medical leave after your cataract surgery. Usually try to take time off for at least 2 weeks. Depending upon your job, this can be increased as well. The nurse will give you a discharge letter which will also contain information about medications and eye drops.

You may read and watch TV.

Gentle exercises are fine too.

You can go out, but try to avoid crowded and dusty places. Wearing sunglasses when you are outdoors may help to keep your eyes comfortable and less sensitive to light.

You will be given eye drops for about a month to prevent infection and reduce inflammation. Follow your doctor’s instructions carefully. If you need to, ask a family member or friend to help instill the eye drops.  If you were to go out, make sure you have access to hand hygiene facilities so that you can clean your hands before you instill your eye drops.

For mild pain, you may take paracetamol. If you have pain that is not relieved by this medicine, call your doctor.

When you sleep, please put on the eye shield given to you for at least 1 week so that you don’t press on the operated eye.
 

What NOT to do after your cataract surgery

For the first few days, your vision may be blurred, so be careful to avoid falling over or hurting your head or eye.

Do not do gardening for at least a month.

It is common to experience some eye irritation and discharge after surgery. However, for the first month, refrain from rubbing or touching your eye. Also avoid getting dust or soap water in your eye. Do not swim; do not use a hot tub, visit a sauna or spa. This is because there is a small wound in your eye, and you need to prevent it from getting contaminated.

No matter how small your wound is, try to avoid exerting yourself. Try not to bend over, carry heavy loads or perform strenuous exercises.

Take a break from carrying the grandchildren for 2 to 3 weeks. Let your eye heal.

You may find that your pre-existing spectacles are not right anymore after the cataract operation. This is because the power of your operated eye has changed due to the surgery. Usually the power of the operated eye would stabilize at 1 month after the operation, at which time you can be measured for a new power for your glasses.

Refrain from driving or riding a motorcycle till you are confident that your vision is clear. The law in England states you are not eligible to drive unless you can see a car number plate at 20 meters in good light.


Medications and Diet

For the first few days, please clean the operated eye gently clean your eye with cool boiled water and clean cotton gauze or cotton wool.

Please use the eye drops and medications as the doctor prescribed, even when you feel that your eyes are fine. Do not instill anything else into your eye apart from the prescribed eye drops. Always wash your hands before your instill your eye drops.

Store your eye drops and medications as instructed. Do not keep them for longer than the instructed period as they may become contaminated.

Shake the eye drop bottle before use. Tilt your head back, look up and pull the lower eyelid down. Instill just ONE drop into the eye, avoiding contact with the eye lashes. Wait 5 minutes before instilling a different eye drop.

You can keep to your usual diet. There are no new dietary restrictions following your cataract surgery.  Any pre-existing diets should be continued.


When do I see the doctor after surgery?

You will need to return for an eye examination after your surgery. Further appointments are usually after a few weeks to see if the eye is settling well and there is no need for adjustment of eye drops or medication. Keep all your appointments, even if you feel and see well.


When should I call my doctor?

Do not hesitate to contact us should you experience any of the following:

  • Pain that is not relieved by medication.
  • Deterioration of vision.
  • Pain and redness in the operated eye which worsens over time.
  • Excessive discharge from the operated eye.
  • Sudden onset of flashes or floaters.


Advice after Retinal Laser

There are no special preparations before eye laser treatment. You should eat normally and take your regularly prescribed medications before surgery.

Retinal laser surgery is performed in the consulting room or a special laser room.

Eye drops will be given to dilate the pupil and numb the eye. The treatment is performed while you are seated in a chair, similar to the one used for regular eye examinations. You will remain awake and comfortable.

Treatment is usually painless, although some patients may require a numbing injection for discomfort or sensitivity to the laser light. Patients who have laser treatment for diabetic retinopathy may experience more discomfort towards the end of a laser treatment session.

The laser treatment usually takes less than 30 minutes to complete, and you can go home immediately following surgery.

Arrangements for transportation should be made in advance since you may not be able to drive right away.

You may expect blurred vision for the rest of the day after laser treatment.

There are virtually no restrictions following retinal laser surgery, and you should be able to resume your normal activities and work schedule the following day.

Most patients notice no vision changes following their laser surgery, although there may be some temporary blurring for several weeks to months. In addition, depending on the condition being treated, some may notice a permanent blind spot or decrease in peripheral and night vision.

It will take several weeks to months before we can tell whether the laser surgery has been successful.

Many patients, however, will need more than one treatment to control their eye problem and prevent further loss of vision.


Advice after YAG Laser Capsulotomy

YAG laser may be used to create a small opening in a thickened capsule (membrane), just behind the artificial lens of the eye (after cataract surgery).

There are no special preparations before eye laser treatment. You should eat normally and take your regularly prescribed medications before surgery.

Nd-YAG laser capsulotomy (laser surgery) is performed in the consulting room or a special laser room.

Eye drops will be given to dilate the pupil and numb the eye. The treatment is performed while you are seated in a chair, similar to the one used for regular eye examinations. You will remain awake and comfortable.

Treatment is usually painless.

The treatment generally takes 5 to 10 minutes after starting the procedure.

Most people will notice improved vision approximately 3-4 hours after the procedure ( if there is no other eye condition affecting the eye or vision)

Almost all patients can expect floaters. These floaters usually settle down after a few weeks and become less troublesome. Some floaters may take a few months and in very rare patients remain permanent.

You may expect improvement in vision. In particular the brightness, colour and contrast should improve.

Post operative medications are usually not required in a significant proportion of patients. In some patients drops and tablets may be required for a few days after the laser treatment. This may depend on your individual circumstances and the doctor’s preference. Mr Saeed will write you a prescription only if it is required.

There are virtually no restrictions following retinal laser surgery, and you should be able to resume your normal activities and work schedule the following day.


Advice after YAG laser iriodotomy

YAG laser may be used to create a small opening in a the iris (which is the coloured part of the eye). In simple terms , this creates improved flow of fluids inside the eye and reduces chances of sudden rise in eye pressure called acute glaucoma. Acute glaucoma is a serious condition which can cause permanent loss of sight within 48 hours if left untreated.

There are no special preparations before eye laser treatment. You should eat normally and take your regularly prescribed medications before surgery.

Nd-YAG laser iridotomy (laser surgery to make a hole in the iris) is performed in the consulting room or a special laser room.

Eye drops will be given to dilate the pupil and numb the eye. The treatment is performed while you are seated in a chair, similar to the one used for regular eye examinations. You will remain awake and comfortable.

Treatment is usually painless but some patients can have mild discomfort.

The treatment generally takes 5 to 10 minutes after starting the procedure.

Most patients notice no vision changes following their laser surgery, although there may be some temporary blurring for a few days or weeks. Some patients may have a gritty sensation in the eyes for a few days which usually settles down with drops.

It will take several weeks to months before we can tell whether the laser surgery has been successful.

Post operative medications are usually required. These include drops and tablets may be required for a few days after the laser treatment. Mr Saeed will write you a prescription if it is required.

There are virtually no restrictions following laser surgery, and you should be able to resume your normal activities and work schedule the following day.

If the pressure becomes high you may experience, eye pain and redness with decreased vision. The YAG iridotomy is to try and reduce the chances of such a pressure rise. If the treatment is successful the chances of a pressure rise are reduced but not to zero. You can still have an episode of raised pressure in the eye called acute glaucoma. If this happens please contact Mr Saeed or the closest ophthalmic eye casualty to start immediate treatment.