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Day Surgery

Day Surgery - Eye
 


Most eye operations are completed in a short time and can usually be done under local or regional anaesthesia. The post-operative care is also fairly simple. Hence hospitalization is not required in most cases, and patients can recuperate in the comfort of their own home. This can mean a less traumatic experience especially for children, as they get to recover in a familiar environment.

The elimination of the need for hospital stay results in cost savings and less exposure to infections in a hospital environment, but at the same time quality medical care is maintained.

Some types of eye operations which can be done in day surgery include:

  • Cataract operations
  • Pterygium excision
  • Glaucoma operations
  • Eyelid operations
  • Squint operations

 

General procedure


The procedure will be carried out at the Day Surgery and Endoscopy Suite located on Level 3. After you have registered at the counter, the staff will help you prepare for the procedure. Your belongings will be safe-kept by the nurse and you will change into a hospital gown. You will be asked to rest on a bed or a reclining chair. If you are going for cataract removal, the nurse will put eye drops in your eye to dilate your pupil.

When its time for the procedure, you will either walk across the corridor to the procedure room or be wheeled into the operating area where you will be transferred onto a trolley bed.

The procedure usually lasts for half an hour. At the end of which, you will be wheeled back to the resting room. Your condition will be monitored and light snacks served.

After at least two to three hours rest, you can try walking around. You will be allowed to go home if you are feeding all right and if your vital signs are stable. An eye patch and eye shield will be placed over your operated eye to protect it. You are required to return to the hospital the next day for your dressing to be removed.

 

Preparing for surgery

Your nurse would have advised you on the preparations for the procedure during your cast clinic appointment. The following are some reminders for you.
  • If you are under 21 years of age, your parent or guardian must be present to give consent for your surgery if it has not been given during your clinic visit.
  • Shower and wash your hair before the procedure. Do not apply any hair oil or gel.
  • Dress comfortably. Do not wear make-up, contact lenses, or nail varnish. Please also refrain from bringing valuables, jewelry or excessive cash.
  • Do not drive any form of vehicle on the day of the procedure as the effects of anaesthesia may linger many hours after the operation. Furthermore, your operated eye will be padded after surgery.
  • For your own safety, you need a responsible adult to accompany you home otherwise surgery will be postponed.
  • Refrain from smoking and drinking alcohol for at least two weeks.
  • Please bring along other prescribed medication to consult your doctor e.g. aspirin or anti coagulants.
  • Apply eye drops to the eye to be operated on (right / left/ both) starting two days before surgery date: from _______ (date) to ______ (date) four times a day.

For patients having surgery under local anaesthesia

  • Have a light meal before surgery.
  • Take your usual medications.
For patients having surgery under general/regional anaesthesia
  • Do not eat or drink from 12 midnight onwards the before your procedure.
  • For procedures scheduled in the afternoon, you are allowed to have a plain drink (e.g. plain tea, coffee or water but no milk or equivalent) at 6 am on the day of your surgery. Thereafter, do not eat or drink.
  • If you are a diabetic, do not take your regular diabetic medications including Insulin injections. Please inform the doctor that you are a diabetic on arrival.
  • If you are on medication for hypertension, heart condition or asthma, do take your regular medications at 6 am with sips of water on the day of your procedure.

 

Documents to bring

For all patients:
  • Identity Card or Birth Certificate (if you are under 12 years old) or Passport (if you are a foreigner)
  • Day Surgery Authorization form
  • Letter of Guarantee
  • Completed Medisave Authorization form

Civil Servants:

  • Civil Service Card or Medical Benefit Identity Memo (MBIM)
  • Work Permit / Employment Pass holders, CPF membership, valid work permit or employment pass and employer's letter.

 

After surgery care

Do take the following precautions which are designed to help reduce potential infection and wound 'rupture' - two of the major complications that may arise from improper post-operative care.
  • For six weeks, move around carefully as your vision may still be affected.
  • Avoid driving for at least six weeks after your operation.
  • You may watch television and read in moderation.
  • When you are outdoors, wear sunglasses to protect your eyes from bright light.
  • You may experience discomfort in your eye because of the sutures. This feeling may persist for a few weeks. Avoid rubbing your eyes or closing them too tightly.
  • Avoid strenuous physical activity such as jogging, swimming, tai chi, etc. You may experience discomfort in your eye because of the sutures. This feeding may persist for a few weeks.

Avoid rubbing your eyes or closing them too tightly.

  • When picking up anything from the floor, do not bend your head downwards. Instead, bend your knees and keep your back straight. Avoid stooping, bending, straining, tufting or carrying anything heavy.
  • Avoid going to crowded and dusty places. You may resume your normal diet. Eat more vegetables to avoid constipation and straining.
  • Avoid getting soap and water into your eye when washing your face. You can wash your hair with your head tatted slightly backwards like the way it is done in a hair salon.
  • Avoid carrying children who may unwittingly poke at your eyes.
  • You will be given eye drops and it is necessary to apply them as instructed. Always wash your hands before and after applying your eye medication.
  • Please continue to use the eye shield at night for about two to three weeks.
  • Mild pain and discomfort may be relieved by painkiller prescribed by your doctor.
  • Glasses or contact lenses may be prescribed when the eye is fully healed.
  • Remember to keep your appointment with your doctor, as follow-up care is important in preventing complications.

PLEASE SEE AN EYE DOCTOR STRAIGHT AWAY IF YOU HAVE ANY OF THE FOLLOWING AS THEY MAY BE SIGNS OF INFECTION:

  • Increasing pain and redness of the eye
  • Sticky discharge from the eye
  • Sudden blurring of vision
  • Swelling of the eye

 




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