Patient Pathway

Cataract Surgery and Refractive Lens Exchange

Test before cataract surgery

The examination of the patients before surgery is performed as part of our outpatient care. It is important to check for other existing diseases, to optimize the overall outcome of the surgery. You might also be referred to your general practitioner for further tests when the need arises. The operation is preceded by a detailed eye examination, so that the expected outcome is determined.

Intra Ocular Lens power

The intraocular lens power is calculated by taking specific measurements of the eye. This series of computerised tests is very accurate and reliable.

The lens type and power required, is determined according to the patient’s needs and lifestyle.

Surgeries patient pathway

The surgery process

“What happens before the surgery?”

Sometimes antibiotic eye drops are prescribed in the eye to be operated on, two days prior to surgery to prevent infection post operatively. This is prescribed to the patient, during the examination prior to surgery. The surgeon and out team of nurses will discuss the surgery in detail with you and will explain all the benefits, risks and complications. A consent form will be given to you to take home with you, so you have ample time to read it and you can call us back with any further questions you might have. By signing the form, you agree to the surgery and that you are aware of its benefits, potential risks and alternatives. You must have this signed declaration on the day of surgery, it is one of the conditions required to perform the surgery.

“What kind of preparation procedure is carried out in the operating room?”

The surgery is performed under local anaesthesia. The introduction of modern surgical techniques, have also further simplified the preparation procedure. We instill anaesthetic drops, several times to the eye to numb the eye. We also instill dilating eye drops to enlarge your pupil. On the day of the surgery, we will ask you some health related questions and if it is deemed necessary we will give you a mild sedative tablet before entering the operating theatre. You will be asked to put on a disposable gown, cap and over shoes.

“What happens during the surgery?”

You will be asked to lie down and relax on our theatre table. After cleaning the eye and its surroundings, you will be covered with a sterile drape. If you are claustrophobic, please let us know. Also you will have a device attached to your finger to monitor your pulse and oxygen levels.

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The surgery is carried out via a very small incision of which is only 2.2 mm long. The size of the wound helps us achieve sutureless surgery and decreased the incidence of infections drastically. Phacoemulsification is carried out with the most technologically advanced equipment, using ultrasonic waves. During surgery, you can speak to the doctor if you feel like and the surgery is completely painless. It is very important not to make sudden movements with the head. The actual surgery takes about 15 minutes.

“What happens after the surgery?”

After surgery, you will be accompanied out of the operating room by one of our nurses. You will be allowed to leave shortly afterwards, and a discharge plan is given to you. It is important not to rub the eye in the first few days after the surgery.

Always wash your hands before touching your face or before putting the eye drops. Do not wash your hair for 1 week after the surgery and avoid for water to come into your eyes for 2 weeks after the surgery.

The vision may be slightly blurred temporarily after the surgery, because the pupil is dilated, the cornea may be cloudy for a transitional period. Follow up with your doctor is necessary the next day. The operated eye may be sometimes a little red, watery, and temporary stinging may occur. You will need to use two kinds of eye drops in the operated eye, and written information is also provided.