If you have a history of Cardiac (Heart), Pulmonary (Lung), or other serious health conditions you will need to obtain Primary Care or Cardiology Clearance prior to surgery. This clearance will need to be faxed or sent to your surgery center in advance.
It is important to review all your medications with your doctor prior to surgery and you may be asked to adjust some medications before surgery. If you take a blood thinner please refer to patient information and consent on blood thinner medications. Please avoid aspirin (unless prescribed for heart disease), Ibuprofen (Motrin), and vitamin E products (Hydroeye) for 2 weeks before surgery. You may resume these medications immediately after surgery.
Many patients have dry eye disease which can worsen after eye surgery. The dry eye worsening typically lasts several months. It is common to need to improve control of dry eye disease prior to surgery. There are many options for treating dry eye and some preoperative treatments may include lubricating eye drops, oral supplements, warm compresses, and procedures such as Lipiflow.
THE DAY OF SURGERY
Your surgery will be done in an outpatient surgery center or hospital and you will likely go home the same day.
Continue all your usual eye drops as prescribed, including the morning of surgery. You may take your usual blood pressure or heart medications with a small sip of water in the morning unless directed otherwise by your doctor or anesthesia team.
One business day prior to your surgery someone will call you from the surgery center to discuss your arrival time for surgery. Plan to be at the surgery center for several hours.
Surgery requires FASTING. NO EATING OR DRINKING starting at MIDNIGHT the night before surgery. If your surgery is scheduled for the afternoon, then please NO EATING OR DRINKING AT LEAST 6 HOURS BEFORE your arrival time.
Please wear loose comfortable clothing. Shower and wash your hair the evening prior or morning of your surgery. WASH YOUR FACE THOROUGHLY.
No Makeup, Perfume, Lotions, or Jewelry/Valuables. No Smoking or Alcohol 24 hours prior to surgery.
You will need to arrange transportation to and from the surgery. You may NOT drive yourself.
ANESTHESIA FOR SURGERY
Many patients worry if eye surgery will be painful. Modern anesthesia has advanced greatly, helping patients feel comfortable during the procedure.
In addition to local or topical anesthesia, many patients choose to have light sedation and an eye block. The sedation is often administered by an anesthesiologist or nurse anesthetist during surgery.
We use eye drops called proparacaine and tetracaine to numb the eye prior to surgery. Once the eye is numb, you may feel mild pressure and cold water during the surgery but not pain. It is normal to see bright lights during surgery as well.
In addition to topical anesthesia, your surgeon may recommend numbing the eye with an injection around the eye. This is called a peribulbar or retrobulbar block and it can help place the eye in a deeper state of numbing. This type of anesthesia is typically offered for pterygium and eye lesion removal surgeries.
Intravenous (IV) Anesthesia:
Though many patients prefer it, IV sedation is not necessary for eye surgery. Sedating medications, such as Versed and Fentanyl, are given to help relax you during your surgery. All medications are dosed incrementally to achieve the right level of sedation and comfort for each patient. Please be aware that even with IV sedation, MANY PATIENTS WILL BE AWAKE DURING SURGERY. Do not expect to be “put to sleep” as your eye surgeon often prefers that you can hold still and focus on the microscope light during the procedure.
There are risks associated with anesthesia and sedation. Though uncommon these risks include injury to the eye, heart and breathing problems, brain injury, and in very rare cases, death.
RESUMING ACTIVITIES AFTER SURGERY
Wait to drive until advised by your doctor. You may resume normal activities and can wear eye makeup 2 weeks after surgery.
Sleep in the eye shield at night. It is never a good idea to rub your eye, but especially avoid rubbing your eye for 2-3 weeks after surgery. You may shower after surgery but face away from the water and avoid getting water directly in your eye for a few days.
NO SWIMMING POOLS, HOT TUBS, or GARDENING (LAWN MOWING) for 3 weeks after surgery. These activities increase your risk of serious eye infection during the post-op period.
You may wear your regular eyeglasses after surgery however the old prescription will no longer work in the surgical eye. Some people opt to remove the lens in front of the eye that had surgery. Typically, glasses are prescribed about 4 weeks after surgery though sometimes it may be advised to wait longer for the eye to heal.
If you experience severe eye pain, a curtain, or veil in your vision, or a sudden shower of black dots, or a significant decrease in your vision then call the office immediately at 941-499-1570.
There will be a patch in place over the eye for comfort and protection after surgery. Please leave it in place until your appointment the following day. It is common and normal for your eye to be red and feel scratchy and sore after surgery. You may take acetaminophen (Tylenol) or ibuprofen (Motrin) for pain. If you receive a prescription for Ultram please follow the instructions on use.
Once the patch is removed, you may use lubricating drops to help. It is also normal for you to see glare and halos or foggy vision immediately after surgery. You can expect these changes in your vision to gradually improve in the days to weeks following surgery.
Pick up your medication eye drops PRIOR to surgery as you will need to start them right away after surgery. Your doctor will review your post-op medications with you so please bring them with you to your follow up appointment.
You may resume your normal diet and medications immediately after surgery. Light duty activities such as reading, TV and computers are ok but these activities can make your eyes feel more scratchy, sore, and dry especially right after surgery.