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General pre-operative instructions

General preoperative instructions for laser refractive surgery

Low stress surgery

Painless surgery

General post-operative instructions

General post-operative instructions for laser refractive surgery

Post-operative limitations (for 4 weeks)

Post-operative eye care

How to use eye medications

Eye hygiene


 

GENERAL PRE-OPERATIVE INSTRUCTIONS

  1. You will be informed about your pre-operative laboratory examinations and cardiopulmonary clearance schedule. Please coordinate closely with our staff if you wish to move the tests and CP clearance to an earlier or later date.

  2. If you have your laboratory examinations performed within the building, the results will be forwarded to our clinic, unless otherwise specified. If you wish to have the examination performed elsewhere, kindly bring all the results with you on the day of your cardiopulmonary clearance with the internist.

  3. Do not use aspirin products or Ibuprofen (Advil, Motrin) for 10 days prior to surgery unless approved by your physician. If you wish , you may use Tylenol or any non-aspirin type product.

  4. The night before surgery, have nothing to eat or drink after midnight, unless otherwise specified. In the morning, if you have medications to take, you may do so with a small sip of water. If you are a diabetic, please discuss with the physician what medication you should take before surgery. Please make arrangements for someone to be with you following surgery. You may only be released to a responsible adult.

  5. Please do not schedule anything for the rest of the day.

  6. If you have any questions or are uncomfortable about your surgery, please call prior to the surgery date.

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GENERAL PRE-SCREENING INSTRUCTIONS FOR LASER REFRACTIVE SURGERY

  1. Soft contact lens (SCL) users are required to discontinue the use of SCLs for at least 2 weeks prior to the refractive screening. Hard contact lens and Rigid Gas Permeable (RGP) users are required to discontinue the use of RGPs for at least 4 weeks prior to the refractive screening. Please coordinate closely with our staff if you wish to move the tests to an earlier or later date.

  2. Kindly apply over-the-counter lubricating drops hourly to both eyes during waking hours for at least 1 week prior to the surgery. This will make you feel comfortable with instilling topical medication to your eyes after surgery.

  3. We require no diet restriction prior to the surgery. We suggest that you sleep early the night before surgery. Please make arrangements for someone to be with you following surgery. You may only be released to a responsible adult.

  4. Please do not schedule anything for the rest of the day.

  5. If you have any questions or are uncomfortable about your surgery, please call prior to the surgery date.

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LOW STRESS SURGERY

 

The entire surgical experience with our eye surgeons has been designed to help patients and their families be as comfortable and relaxed as possible. This "patient first, family friendly" approach is at the heart of the surgery experience.  An important part of Ophthalmic Consultants Philippines Co.'s low stress approach to cataract surgery is the maintenance of familiar routines. In most cases, people do not have to miss meals or medications prior to surgery. Once they arrive at the surgery centre, helpful and friendly staff greets them. Another reassuring aspect of the surgical experience is the introduction of calming music during surgery. The patient has a choice of classical, new age, nature, or instrumental jazz music.

 

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PAINLESS SURGERY

 

Thanks to recent developments in anesthesia, eye surgery is a painless experience. Our anesthesiologist will ensure your comfort during the operation and will discuss this with you on the day of surgery. Three kinds of anesthesia are used by our eye surgeons -- topical anesthesia, regional anesthesia, and general anesthesia.

  1. Topical anesthesia is very popular with most people because no needles are required. Instead, topical anesthesia simply uses drops which numb the eye. No eye patches are needed, and people usually notice improved vision immediately after surgery.

  2. Regional anesthesia involves gently injecting numbing medications into the tissues around the eye. Regional anesthesia gradually wears off after the surgery. The eye is patched overnight and people begin to notice their improved vision by the next day.

  3. General anesthesia is reserved for children, the elderly, the deaf, individuals with seizure and/or muscle contraction/relaxation disorders, as well as, highly anxious and uncooperative individuals.

There are advantages to each kind of anesthesia, so the specific needs of each surgery patient will be carefully considered by the anesthesiologist and surgeon in selecting the most suitable method of anesthesia.

 

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GENERAL POST-OPERATIVE INSTRUCTIONS

  1. Postoperative schedules are usually set for DAY 1, 3, 7, 14, and 28.

  2. For 12 hours following surgery do not operate an automobile or other machinery. You may wish to start eating lighter, with liquids and progressing to your regular diet as tolerated by your stomach.

  3. Unless directed by your surgeon, do not remove your polycarbonate goggles except when applying eyedrops as directed. In rare instances, a surgical dressing may be placed. Do not remove your eye dressing and do not begin your eyedrops until after your first post-operative appointment.

  4. You may take Tylenol or any other non-aspirin containing pain reliever as needed every 4 hours for pain. Continue your regular medications as directed by your physician including any eyedrops prescribed for the other eye.

  5. Your first post-operative appointment will be the day following surgery. At this time your eye will be examined. Your post-operative care schedule and medications will be reviewed.

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GENERAL POST-OPERATIVE INSTRUCTIONS FOR LASER REFRACTIVE SURGERY

  1. Postoperative schedules are usually set for DAY 1, 7, 14, and 28, MONTH 2, 3, 6, 9 and 12.

  2. For 3 hours following surgery please take a nap. This will ensure comfort and proper healing of your eyes.

  3. Unless directed by your surgeon, do not remove your polycarbonate goggles except when applying eyedrops as directed. In rare instances, a surgical dressing may be placed. Do not remove your eye dressing and do not begin your eyedrops until after your first post-operative appointment.

  4. You may take Tylenol or any other non-aspirin containing pain reliever as needed every 4 hours for pain. Continue your regular medications as directed by your physician including any eyedrops prescribed for the other eye.

  5. Your first post-operative appointment will be the day following surgery. At this time your eye will be examined. Your post-operative care schedule and medications will be reviewed.

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POST-OPERATIVE LIMITATIONS (for 4 weeks)

  1. You may bathe or shower; protect the eye from soapy water by patching it securely. Always turn your back against the shower spray.

  2. Always wear your polycarbonate goggles while sleeping. Avoid sleeping on the side of your operated eye.

  3. Do not bend at the waist to pick up objects on the floor. If you must, squat or bend at the knees and use your hand to stabilize yourself. Do not lift anything over 15 lbs.

  4. Avoid playing with babies or children.

  5. Do not submerge your eye under water.

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POST-OPERATIVE EYE CARE

  1. Cleansing of the eye
    Wash your hands before caring for the eye. If the lids are sticky or itchy in the morning, they may be gently cleaned with a cotton ball moistened with sterile water. Wipe from your nose toward you ear, in one direction only. Be careful not to rub or put pressure on the eye.

  2. Protection of the eye
    The operated eye should be protected at all times by either glasses (prescription or sunglasses) or the polycarbonate goggles. When the glasses are removed for showering, gently tape the metal shield over the eye. A soft eye patch may also be used under the shield/goggles if desired.

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HOW TO USE EYE MEDICATIONS

 

General Information

  1. Directions for use of your drops or ointment are on the label of the bottle or tube. Record the name of your medication in case the medicine is lost or spilled. Refrigerate drops only when the label has instructions to do so.

  2. You must use your medications as often as the doctor has instructed. Unless you have been told to awaken and use medication during the night, medications are intended to be used during waking hours. Plan a schedule and make every effort to use the medicine as close to the prescribed time as possible.

  3. Carry your medicines with you when ever you are away from home and continue to use them as usual. Be sure to bring them to your doctor at each visit and ask for any change in instructions. Avoid exposing the medications to sunlight.

  4. It is not unusual for eye medications to sting or burn slightly for a few minutes when they are first used. Eye ointments may cause vision to be temporarily blurred, and may cause prolonged burning.

Instructions for Eye drops

  1. Always wash your hands before putting drops in your eyes.

  2. Shake the eye medication well if labeled to do so.

  3. Carefully open the medication container. Be sure the tip of the dropper does not touch anything!! Place the cap on its side on a flat surface.

  4. Tilt your head back, or if needed, lie down comfortably on your bed.

  5. Place the ridge of the eyedrop bottle on the bridge of your nose with the dropper facing over the affected eye.

  6. Look up. (If your eye is swollen, pull your lid down gently, forming a pocket between your eye and your lid.)

  7. Squeeze bottle

  8. Close your eye gently for 5 minutes.

  9. Replace cap.

  10. If you are using more than one medication, wait 5 minutes between each drop.

Instructions for Ointment

  1. Always wash your hands.

  2. Remove the cap from the tube and place it on its side on a flat surface. Be sure the applicator end of the tube does not touch anything. To ensure that the ointment going into the eye is sterile, you may want to squeeze a small amount of it onto a wet cotton ball. Discard the cotton ball.

  3. Hold the ointment in one hand and with the fingers of the other hand, pull down the lower lid of the eye.

  4. Hold the applicator end of the tube close to the eye, but not touching and squeeze the ointment in a ribbon about 1/2" along the inside of the lower lid while you look up.

  5. Carefully replace the cap on the tube.

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EYE HYGIENE

 

The following steps are recommended before using your eye drops or ointments

  1. Always wash your hands.

  2. Wet a cotton ball with sterile water.

  3. Close the operated eye.

  4. Wipe the eye gently from the inner corner outward, being careful not to apply pressure.

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