Patient Services

Surgery Instructions

PLANNING YOUR SURGERY AT SHROFF EYE

FIXING THE DATE OF YOUR EYE SURGERY

All eye surgeries including cataract, retinal etc are day care eye surgeries NOT requiring overnight stay in our hospital

Meet the nurse for fixing the time, date of surgery along with room, lens specifications, signatures and consent forms Collect the list of medicines, list of investigations, instruction sheet to be done from the nurse Fix the appointment for your A- Scan test if cataract surgery for determining power of lens after surgery Fix and complete your pre- surgery investigations- Laboratory facilities with ECG testing etc are available on the 2nd floor of Shroff Eye Hospital, Bandra and Shroff Eye Clinic, Marine Drive. All Pre op tests may be done here. The tests must be done at least one week prior to surgery. Please come with all your reports in person or send a relative with the same, between 12 noon and 4 pm only-to fix date of surgery with the nurse. This will be only fixed in person and not by telephone or fax. The time of admission will be informed at time of fixing the surgery. This will be reconfirmed on the day before the surgery. If there is a change you will be informed accordingly. Insurance patients- Please provide a copy of your card and insurance policy to the front reception staff Use your eye drops and tablets as per the prescription given to you by the nurse / doctor. Upon discharge, please take your discharge summary and confirm your follow up visit (date and time)

COMMON PRE OPERATIVE INSTRUCTIONS

Patient must not eat any solid food 3 hours prior to surgery or have liquids 2 hours prior to surgery, unless instructed otherwise. The food must be a light meal. The patient should take a head bath in the morning of the day of surgery A responsible relative or attendant must accompany the patient for surgery. The patient must bring along all his reports and prescribed list of current medications including any other medication which the patient is taking. This is to be handed over to the nurse after admission. If the patient is taking any medication for high blood pressure, cardiac problems, asthma, or medicines like anticonvulsants etc, the patient must take this medication with a few sips of water even if asked to come fasting. Start the antibiotic tablets and dilating eye drops as per the prescription given to you by the nurse / doctor.

SPECIAL INSTRUCTIONS (IN ADDITION TO THE ABOVE)

FOR DIABETICS: Take the dose of insulin or tablets with a light meal, unless instructed otherwise. If asked to come fasting overnight (12 hours)- for general anaesthesia or surgery under sedation- Do not take a dose of insulin or anti-diabetic tablets. FOR G6PD patients: Patients must bring this condition to the notice of the doctor before starting any per operative medications. FOR GLAUCOMA SURGERY: Do NOT use the dilating eye drops FOR RETINAL / SQUINT SURGERY Fasting time should be 12 hours prior to time of surgery. Patient must not have any solid or liquids in this period except few sips of water to take any medications for high blood pressure, cardiac problems, asthma etc. FOR THOSE ON ANTICOAGULANT TREATMENT If you are using any anti coagulants like aspirin, Ecosprin, Loprin etc - Stop it 72 hours before the date of surgery. If using long acting anticoagulants such as Warfarin, Clopidogrel etc - Stop the tablets 7 days earlier. The same can be restarted the day after your surgery. If you have any further queries please call the hospital and speak to the Nurse for clarifications.

ACTIVITIES TO BE EXPECTED AFTER SURGERY

After the surgery you will be seen by the doctor and may go home shortly thereafter. You must not drive yourself home! Please make arrangements beforehand for a ride. The day of surgery you should plan to take it easy. Generally there is very little if any discomfort following surgery. If you do experience some mild pain, you may take the pain killers prescribed. Your eye will be patched after surgery. You will receive specific instructions at the end of surgery before your leave the hospital. The dark glasses will be handed to you from our hospital, when you return to see the doctor the day after surgery at the appointment time given to you at discharge. You will be informed of all post operative care and instructions by the Nurse at time of discharge Improvement in vision is gradual. You will have an appointment with our optometrist about a month after surgery for your eyeglass prescription. These glasses may need to be adjusted later as your eye continues to heal.

SPECIFIC POST OPERATIVE INSTRUCTIONS

CLEANING YOUR EYE:- For the first week following surgery you should protect the eye from injury. Do not rub or put pressure on the eye. Take small pieces of cotton wool and place them in a bowl containing water. Boil for 10 minutes and keep the bowl covered. Wash your hands with soap. Take a small piece of the sterilized cotton wool from the bowl. Squeeze out the excess water. Clean the discharge around the upper and lower lids without applying pressure on the eye. PUTTING EYE DROPS:- Retract the lower lid and instill one drop of the prescribed eye drop into the eye. Eye drops should be used as per the prescription. PROTECTING YOUR EYES:- Put on dark glasses throughout the day for one week (provided by the hospital) Wipe tears below the margin of the dark glasses. Do not touch the eye. Before going to sleep, cover the eye with the shield provided to you and sticking plaster  for one week. Do not place cotton wool between the shield and the eye. Do not sleep on the operated side for one week. For the first 5 days from the time of operation, take a bath below the neck. Face and hair can be washed after 5 days. ACTIVITIES:- Avoid strenuous activities. Do not lift any objects heavier than 10 kg for about 15 days after the surgery Do not bend with your head below waist level for about 10 days after the surgery You may start reading and watching TV after 2 days. Many people return to light work immediately after surgery, but please discuss your needs with your doctor during your post operative visit (next day). Ask your doctor about any specific activities you may have in mind as in leaving town, driving, yoga, walks, gym etc.   FOLLOW UP VISITS:            Please come for a post operative check up as advised upon discharge. Please make sure that you call and confirm the appointment 2 days earlier. If you have any further questions regarding your surgery or post operative treatment kindly speak to the Nurse who will coordinate with your doctor to answer your queries.