Preparing for Surgery

adding clarity to your journey

faqs-sabrina-1

What should I do to prepare for my surgery?

Starting 14 days prior to surgery, if safe to do so, stop regular aspirin to minimize the risk of bleeding. Avoid using ibuprofen or other non steroidal anti inflammatory agents and supplements like gingko, ginger & garlic.
If you are on anticoagulants because you have cardiac problems/ atrial fibrillation/ deep vein thrombosis or have had a stroke you need to liaise with your GP/ anticoagulation nurse or haematologist / cardiologist before you can stop Aspirin (generally 2 weeks before surgery), clopidogrel (generally 10 days before surgery) and Warfarin is dose adjusted 3 days before surgery, based on the running INR.

Avoid drinking alcohol particularly in excessive amounts during this period as well, as it can have the same blood thinning effect as aspirin.

Be sure to write down any allergies you may have to medication or dressings and bring your list to the hospital with you on the day of your surgery. It is also helpful to make a list of any questions you would like to have answered before your surgery. There are lots of preparations going on before surgery and it’s easy to forget questions if they aren’t written down.

Have a good wash, including a hair wash on the morning of surgery. For your safety, contact lenses must be removed prior to any procedure.

Please do not wear any make up or jewelry on the day of treatment/surgery.

Should I continue to take my prescribed medications in the days before my surgery?

In most cases it is important to continue taking your medications up to and including the day of your surgery. There are a few exceptions to this rule, however, so it’s important to tell your team about all the types of drugs you are taking now or have used recently. As a rule of thumb, you take your blood pressure pills as normal and carry all other medications with you. If you are having sedation or a general anaesthetic, you will need to be fasting for 6 hours before your scheduled surgery (no food/water/drinks).

Do I bring a partner, friend or parent to be with me or can I drive home after surgery?

Travel to the hospital with a relative or friend if you can. You are required to arrive an hour before your scheduled surgery (this is to allow sufficient time to complete the admission formalities).

Arrange for someone to accompany you home after your surgery – even if your procedure is being performed as a day case. In addition, most anaesthesia requires that someone stay with you the night after you are released.
We would not suggest travelling home on public transport. It is advisable to be driven home by a friend or relative. You must not drive yourself.

After Surgery

How soon after my operation will I be allowed to get up?

That depends on the kind of surgery and anaesthetic you’ve had. One or both eyes may be bandaged for up to 2 hours or overnight (depending on the type of operation). On removal of the dressing, ice packs/frozen peas (in a clean zip lock bag) should be applied to reduce the swelling and bruising. This routine is performed for 20 -30 minutes 3 times/day for the first 2 days.

Mrs Shah-Desai will let you know what to expect. Normally, although, you will be encouraged to mobilize soon after surgery, you are advised to take it easy on the sofa or armchair, sitting upright. Sleep with your head raised on 2 pillows if possible for the first 2 days after surgery.

Will I have to take medication after my surgery?

Mild Painkillers and antibiotics may be prescribed after surgery. Please check to make sure nothing you are allergic to has been prescribed, then take your medications as prescribed. Even if your pain is only moderate, using your pain relief medication will make your overall experience considerably more comfortable.

Your anticoagulants must be started the day after your surgical procedure based on Mrs. Shah-Desai’s advice.
A topical eye ointment is often prescribed for application on the wound or within the eye, generally twice/day for 2 weeks, based on the type of surgery you have had. A lubricant eye drop or ointment may also be prescribed.

What should I do if I have a problem outside of normal office hours?

After your surgery, you can contact Mrs. Shah-Desai [email protected] if you have an out of hours emergency. During business hours you can contact Mrs. Shah-Desai’s secretary and she will be happy to answer any questions you may have.

Recovery

When can I get back to my normal activities?

That will depend on what kind of surgery you’ve had, however everyone needs some time to recover from surgery and anesthesia. Please ask your team about which activities you should avoid and for how long.
As a general rule, you’ll be advised to avoid make up & strenuous exercise for the first two weeks after surgery and swimming & contact lens wear for at least four.

Once this period is over, you should be able to resume your normal activities gradually so that by six weeks following your surgery you should be back to your normal level of exercise. This does not mean, however, that your operation site is fully settled or that the final result is achieved. It simply means that normal exercise is not likely to cause any problems.

Is it safe to fly after my surgery?

Generally speaking, it takes approximately one month for the body to restore its normal clotting. During this time it is better to avoid flying.

There is not enough information to clearly define whether the same level of risk of deep vein thrombosis applies to shorter operations on the upper body as it would on procedures on the lower limbs. However, for maximum safety it is best to assume that for the first month the risk of clots forming in the deep veins is higher.

Therefore, it is better to avoid longer flights. When you do resume traveling, be careful to use compression stockings, do in-flight exercises and drink plenty of fluids. After the first two weeks following your surgery you may also use aspirin before a flight to thin the blood and reduce the risk of clots.

May I wash the area where I’ve had surgery?

You need to gently dab clean (not rub) the operated area with clean tissue dipped in boiled cooled water. It is advisable to keep the wound dry and uncovered, and not pick on any scabs or stitches. Avoid a shower, you can soak in the bath, & clean your face with a clean flannel cloth. Wash your hands prior to instilling the eye drops/ointment. You can have your hair washed by visiting a beauty salon or having someone wash your hair (with your neck extended over a washbasin) for a week to 10 days after surgery.

Will I have bruises in the area where my surgery was done?

Bruising is an inevitable consequence of most surgical procedures. A mild product that can help clear the bruises more quickly is Arnica cream, you may use this straight after your surgery.

1. Left age related droopy eyelid (involutional ptosis)

2. One week post surgical repair of left ptosis – note bruising & swelling, with stitches hidden in skin fold

3. Four weeks post surgical repair of left ptosis – note: virtually invisible scar hidden in skin fold

When do the stitches come out?

That will depend on what kind of surgery you’ve had, however Mrs. Shah-Desai tends to remove the stitches 1 -3 weeks after surgery.

Other Questions

What if something goes wrong and I’m not happy with the results of my surgery?

Although they are extremely rare, complications can arise with any surgical procedure, despite the best efforts of both the surgeon and the patient. If the medical outcome of the surgery desired by both the patient and surgeon is not achieved, the surgeon may waive the surgical fee for revision surgery.

What if I have a complain?

Although Mrs. Shah-Desai seeks to offer you the highest level of service, if do have cause for complaint please email [email protected]

Can I be sure my privacy will be protected?

Perfect Eyes Ltd has an obligation to ensure that your health records are maintained efficiently and your confidentiality is protected. We adhere to the guidelines of the Data Protection Act.