Cataract Services at Angel Eyes

Angel Eyes is proud to offer some of the most advanced treatments available for Cataract which is one of the most common and debilitating eye conditions in the world. The Cataract Service at our centre is dedicated to excellence in both the consultation and treatment of all types of cataracts. Our cataract surgeon uses state-of-the-art equipment and have experience with complicated cataract cases. This helps ensure exacting diagnosis and best practices in medical and surgical care.

Cataract surgery has become one of the most technically advanced areas of modern medicine. The development of advanced surgical techniques involving small incisions and high-quality lens implants have made cataract surgery one of the most successful forms of treatment offered by the medical profession. The operation can be performed either on a day-case or in-patient basis, either under local, ‘twilight anaesthesia’ or general anaesthesia or topical anaesthesia depending on the preferences of the patient. 

For the majority of patients, the procedure is virtually painless, with a recovery period of just a few hours to just few days. The vision provided by a lens implant (an intraocular lens – IOL) is as clear as that provided by the natural lens of the eye.

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Diagnosis of Cataract

To determine whether you have a cataract, your doctor will review your medical history and symptoms, and perform an eye examination. Your doctor may conduct several tests, including:

• Visual acuity test. A visual acuity test uses an eye chart to measure how well you can read a series of letters. Your eyes are tested one at a time, while the other eye is covered. Using a chart or a viewing device with progressively smaller letters, your eye doctor determines if you have 20/20 vision or if your vision shows signs of impairment.
• Slit-lamp examination. A slit lamp allows your eye doctor to see the structures at the front of your eye under magnification. The microscope is called a slit lamp because it uses an intense line of light, a slit, to illuminate your cornea, iris, lens, and the space between your iris and cornea. The slit allows your doctor to view these structures in small sections, which makes it easier to detect any tiny abnormalities.
• Retinal exam. To prepare for a retinal exam, your eye doctor puts drops in your eyes to open your pupils wide (dilate). This makes it easier to examine the back of your eyes (retina). Using a slit lamp or a special device called an ophthalmoscope, your eye doctor can examine your lens for signs of a cataract.

Steps to Restoring Vision after you decide to get cataract removed:

1. Reviewing your medical fitness
2. Reviewing your ophthalmological fitness
3. Investigations
4. Pre-operative Counselling
5. Calculation of IOL power
6. Appointment for Cataract Surgery
7. Pre-operative Instructions
8. Day of Surgery

1. Reviewing your medical fitness:

Before you can undergo Cataract Surgery, we undertake a detailed and comprehensive medical exam to ascertain your fitness prior to the surgery. Knowing your past and current medical status will help us evaluate your special needs during anaesthesia and surgery. It is essential that you provide us with correct information about your current medications as we may need to discontinue some of them during the immediate pre and post-operative period. The medicines for long standing conditions like Hypertension, Heart disease, Diabetes, Asthma, Epilepsy etc. may need a review and specific instructions during this period.

 In almost all patients suffering from any of these diseases, a fitness report to undergo anaesthesia and surgery is mandatory from the patient’s physician or our in-house physician.

2. Reviewing your ophthalmological fitness:

Every patient will be carefully evaluated to ascertain the status of the vision and general eye health of the patient. This will enable us to develop a plan as to how your vision can be best restored to its maximum potential. Also, only after a thorough examination of the eye, we will be in a position to give a clear understanding of what they should expect from the surgery. Though we will make every effort to restore best possible vision, we do not believe in making false promises and getting the hopes high of the patients. For comprehensive examination the patient will undergo:

• Refraction
• Tension Measurement
• Glaucoma Screening
• Slit – Lamp Examination
• Retina – Fundus Examination

3. Investigations

Before undertaking Cataract surgery, few investigations are a must to ensure that the course of surgery and port-operative period goes without untoward incidences.  These comprise of two specific segments:

General Investigation:

• Blood Pressure
• Blood Sugar (Random and Post Parandial)
• Other investigations will be done depending upon the presence of systemic diseases
• HIV I and HIV II
• HBsAg

Ophthalmological Investigation:

• Vision
• Refraction
• Non- Contact Tonometry for IOP
• GDx VCC Screening for retinal nerve fibre analysis
• Slit Lamp Examination
• Fundus examination
• Conjuctival smear for Gram’s Staining. If staining comes positive then we do its culture and senstivity.

4. Pre-operative Counselling:

Regarding the type of IOL to be implanted: Once the fitness for surgery has been ascertained, the next crucial step is to help the patient choose the correct IOL for implantation. For this purpose, our counsellors will give you a detailed overview of the basic and advanced technological features of various types of IOLs available at our centre.  Every cataract surgery patient should take some time to contemplate what type of IOL he wants.

Regarding the type of Anaesthesia: Though our surgeon will assess you and discuss with you the choice of anaesthesia and decide which is the most suitable one for you, but you can again discuss with the counsellor all aspects of the type of anaesthesia chosen.

Regarding the visual recovery: Another point which the Counsellor will discuss with the patient will be what type of vision recovery the patient should expect. The patient’s course of visual recovery and his need regarding glasses after recovery will be discussed as per the case. It is ensured that the patient has a clear understanding of what he/she should expect after the surgery. Though Cataract surgery nowadays is a highly successful and predictable with more than 98% patients getting more than the expected results, but this may not be true in patients where the vision is additionally impaired by glaucoma, long standing Diabetes, Hypertension or some problem with the retina. In such patients, it is imperative to provide a guarded prognosis regarding the visual recovery. The amount of vision gain in such patients will depend upon how much loss of vision was due to Cataract and what contribution was because of other diseases.

5. Calculation of IOL power:

As the result of the cataract surgery will be greatly affected by the accuracy of IOL power implanted in the eye, great care is taken in calculating this parameter. Most of the advantages of implanting an advanced IOL are lost if we fail to implant an accurately powered IOL. The more discerning patients today expect more than just vision from cataract surgery. Cataract surgery today has become a combination of restoring vision as well as removing the need for glasses either for distance alone or for both distance and near. By implanting an accurate IOL we can greatly reduce the need of distance glasses for the patient. To achieve this objective, we have three diagnostic equipments at our disposal to accurately calculate the IOL power as per the patient requirement.

 IOL Master: We, at Angel Eyes, routinely use IOL Master for this purpose. This is a laser biometry scan. It is very quick, non-touch and totally comfortable. The accuracy of IOL power calculation is highest amongst all other methods of power calculation. For all those patients with a history of Lasik surgery, IOL Master is the only machine equipped with calculating the IOL power. The only drawback is that this scan cannot be performed in patients who have more mature cataract.

Immersion A – Scan Biometry : At Angel Eyes, to calculate the IOL power of patients where the IOL Master is unable to arrive at an accurate reading because of hyper mature cataract, we use the Immersion A – Scan Biometry. This method of A-Scan is far more accurate than the applanation A-Scan biometry being used earlier. With the immersion A-scan technique, the probe tip does not come into contact with the cornea. Instead, the ultrasound beam is coupled to the eye through fluid. Because there is no corneal compression, the displayed result more closely represents the true axial length. Measurement consistency from one measurement to the next is often outstanding, due to the lack of corneal compression and the fixed position of the ultrasound probe over the surface of the cornea.

At Angel Eyes, this service is part of Cataract surgery package, if a patient is contemplating to get the surgery done at our centre. The report of the scan in used to determine what type of IOL will suit the patient best. The patient is then counselled about the available range of IOL which most suitable for him/her. In case a patient wants to get a second opinion and wants to collect the report, a nominal fees is charged and the report can be handed over on the same day.

6. Appointment for Cataract Surgery:

Once all of the above steps are completed, the patient is given the appointment for surgery as per the availability and the requirement of the patient. The surgical days for Cataract surgery at AELC are as follows:

Monday (every 1st and 3rd only): Morning session – 8 am to 11:30 am

Tuesday : Evening session – 4:30 pm to 8 pm

Wednesday: Evening session – 4:30 pm to 8 pm

Thursday: Evening session – 4:30 pm to 8 pm

Friday: Morning session – 8 am to 11:30 am

Sunday: No routine session. (Surgery possible only on request under special circumstances)

7. Pre-operative Instructions

Now that you’ve met with your doctor and have learned that you are indeed a good candidate for cataract surgery, you will be instructed by your counsellor on what you can do before surgery day to prepare.

To adequately prepare the patient for the day of surgery, a set of instructions are issued.

Pre-operative Instructions to be followed from 1 week before the surgery:

• Please ensure that your blood pressure and blood sugar stays within normal limits. Be sure to follow all the precautions so as to maintain these parameters within normal limits.
• Please ensure that you put all the prescribed eye drops as advised by your surgeon. Antibiotic eyedrops will be prescribed for use one or two days before the surgery.
• In case you are a patient of Diabetes/ high blood pressure/ asthma/ chronic cough/ heart disease/Alzheimer’s/Parkinsonism/Epilepsy or any other long-standing disease, you must have a fitness certificate of a recent date (within a week’s time) from your attending physician. We will reschedule your surgery, if you fail to get a clearance from your physician.
• Please ensure good general condition of both your eyes. There should not be any redness, itching, discharge etc from any of the eyes. Do contact us immediately if any of these problems occur.
• Please ensure that you have informed us about all your past and present medications. This information is crucial to your surgical outcome. There are some medications which cause thinning of blood which need to be discontinued 5 – 7 days prior to surgery. The medicines used for thinning of blood are Aspirin/Disprin/Acetrom. These are usually prescribed to patients with heart disease. As these medicines interfere with coagulation of blood, it is imperative to with hold them from at least 5 days prior to surgery and for 5 days post-operatively.
• Please do not stop your other medications (for of Diabetes/ high blood pressure/ asthma/ chronic cough/ heart disease/Alzheimer’s/Parkinsonism/Epilepsy or any other long-standing disease etc.) unless advised by your doctor. You should take these medicines on the day of surgery also.
• All female patients are advised not to use any eye make-up for a week before surgery.
• Do confirm your date and time of surgery from the reception/counsellor.
• If you have any doubts at all, regarding the procedure, anaesthesia or the type of IOL, you are welcome to contact us for clarification.

8. Day of Surgery

 Pre-operative Instructions to be followed on the day of surgery:

• Schedule time off from work.Most people need at least one day to recover before resuming their regular work schedules.
• Make arrangements for a ride onthe day of the surgery, to and from the hospital or surgery centre. Tell your spouse, caregiver, or friend that the entire process from check-in to checkout should last about 2 to 3 hours. You may also need someone to pick up postoperative medications for you and give you a ride to your follow-up exam the next day.
• Eat a light breakfast or mealon the day of the procedure, depending on your doctor’s advice. As a general rule, patients are asked to refrain from alcoholic beverages for at least 24 hours prior to surgery.
• Shower and wash your hairon the day of the surgery to help maintain a clean surgical environment. You should also wear clean, comfortable clothes.
• On the day of surgery, female patients are advised not apply eye make-up or sindoor on their forehead.
• The patients are not to put any tilak or sindoor on their forehead on the day of surgery.
• Please do not forget to bring all your medical records, past and present, along with the latest prescription and eye drops that you are putting just prior to surgery when you come to the centre.
• Prepare for your recovery.Normally you can go home on the same day as your surgery, but you won’t be able to drive, so arrange for a ride home. Also arrange for help around home, if necessary, because your doctor may limit activities, such as bending and lifting, for about a week after your surgery

Preparation for surgery:

As soon as you reach AELC on the day of surgery, please contact the reception. Please present all your medical records. Soon you will be guided through the following steps:

• You will be asked to sign the admission and consent form for surgery.

• After you clear the dues, the surgical prep team will take over.

• Your blood pressure is checked and you will be given some oral pre-op medication. This is to keep you free from anxiety.

• First, your doctor will place eyedrops in your eye to dilate your pupil. You’ll receive local anaesthetics to numb the area, and you may be given a sedative to help you relax. If you’re given a sedative, you may remain awake, but groggy, during surgery.

• If injectable local anaesthesia has been planned for you, then you will be given a subcutaneous test dose of the same.

• You will be given eye-drops to dilate the eye which is to be operated.

• Unlike in the past, nowadays the eyelashes of the eye to be operated are not required to be trimmed.

• The area around the eye is clean and prepped.

Anaesthesia for Cataract Surgery:

As already discussed with the patient, the eye is either numbed by putting anaesthetic drops (topical anaesthesia) or by giving injection around the eye for local anaesthesia. Anaesthesia is administered in the presence of anaesthetist and under vital signs monitoring. Once the desired effect has been achieved, the patient is draped and prepared for the surgery.

• Cataract Surgery – Cataract surgery, usually an outpatient procedure, takes less than 15 minutes to perform.
• Cataract Surgery – Phacoemulsification with IOL Implantation:

The surgery typically takes 12 -15 minutes. You are awake and aware of your surroundings during the surgery as you are either under local anaesthesia or topical anaesthesia. You will be able to hear and follow all commands during the surgery. The patient is hooked up to monitors to keep track of the vital signs during surgery. The surgery is done under a high-power microscope. We use the phacoemulsification technique to gently and swiftly break the cloudy lens into very small pieces which can be removed by suction through the same phaco probe. The incision size is typically less than 2.8mm which is approximately the diameter of the probe. Once the cloudy lens has been removed, we either insert a foldable IOL using an injector through the same incision or may have to enlarge the incision to 5.5mm in case a non-foldable IOL is being used. As this incision is given in such a way that it is self-sealing so no stitches need to be put. Once the surgery is over, the operated eye is patched using a small adhesive dressing/patch. This patch is used only in cases where local/injectable anaesthesia has been used. In case of topical anaesthesia, no patch is required.

• Cataract Surgery – MICS (Micro Incision Cataract Surgery):

Earlier cataract surgery was performed with an incision of 12 mm which had now over few years with the advent of Phacoemulsification / Phaco reduced to the minimum incision of 2.8-3.4mm. This is the current popular trend for cataract surgery worldwide making it a lot simple, comfortable and safe for the cataract patients. But recently, a new revolutionary technique of cataract removal called MICS (using coaxial-micro incision cataract surgery) was introduced.

This involves the procedure of C-MICS (Coaxial – micro incision cataract surgery) through a 1.6 mm – 1.8 mm incision with the implantation of a 3rd generation ultra thin foldable Intra ocular lens called MIL (Micro incision Intra ocular Lens). Surgery through such a small incision represents high degree of surgical skill as well as use of technologically very advanced Phacoemulsification machine. The vision recovery after the surgery is near instantaneous within a matter of minutes with no need for pad or bandage after the surgery where in the patient can resume the daily routines of life on the same or within one day. 

Advantages of MICS

The need to reduce the incision size has been driven by the astigmatism induced by larger incisions, interfering with the predictability of the postoperative visual and refractive results.

Micro Incision Cataract Surgery with implantation of a MICS IOL through a 1.8 mm incision has several distinct advantages –

• Minimizes the surgically induced astigmatism as smaller incision induces lesser change of original shape of eye. This will mean lesser requirement of post operative Spectacles.
• Smaller incision size promotes rapid wound healing and accelerated postoperative regeneration. This leads to faster vision recovery.
• Enhanced quality of postoperative vision as these improved IOLs have advanced optics technology which gives an enhanced vision contrast
• Decreases the risk of endothelial cell loss
• Reduces the risk of inflammation

• Faster healing means good news for diabetic patients (who have delayed wound healing tendency)

• Lesser incidence of infections (as wound healing is fast)

• Minimal restrictions post operatively (as the wound heals rapidly). The patient can get back to his normal life style like watching T.V, computer reading etc. nearly immediately.
• Less follow up visits to the surgeon

All these above advantages contribute to the MICS cataract surgery being more safe even in summer/rainy season, thus breaking the age old myth about cataract surgery being unsafe in summer and rainy seasons.

This surgery is completed using a special lens- MIL (Micro Incision Lens) which can be inserted through the 1.6-1.8 mm incision. Most commonly used MIL are Bausch and Lomb Envista AO MIL and Zeiss Lucia Ultrasert and Alcon IQ IOL range 

Immediately After Cataract Surgery

 The patient is accompanied to the post-operative/recovery room where once he/she settles down comfortably and the vital signs are noted. You are allowed to drink and have a small snack once you are comfortable. You may be asked to stay back for a period of upto half an hour before being discharged.

• You may feel groggy from the sedation if given along with local anaesthesia. This is normal and will wear off fairly quickly.
• Your doctor may place antibiotic drops in your eye to prevent infection and administer anti-inflammatory drops to minimize swelling. You may also be provided an eye patch.
• You may receive prescription medications and instructions on how to care for your eye. Your follow-up appointment(s) will be scheduled, and then you will go home. Your doctor may give you dark sunglasses for the drive.
• Avoid touching or rubbing your eye or removing the protective covering. Your eye may feel sensitive, even scratchy, for a few days. You may even see a little glare orhalos, but this will go away over time.
• Resume your normal daily activities—except for driving—within the first 24 hours, unless told otherwise. Avoid lifting anything over 15 pounds as it can increase intraocular pressure.
• Wear your protective eye covering while you sleep, if advised, and try to avoid sleeping on the side of your body that has been operated on.
• The next day, you should return to your doctor for a check-up.

Discharge from the hospital:

After explaining all the post-operative precautions and medicine regime to the patient and the attendant, the patient is allowed to go home within two hours after cataract surgery. Under no condition the patient can be allowed to go home alone. Also, the patient is not allowed to drive on the day of surgery. You are expected to go home and rest. The eye drops are started immediately or after the patch is removed. In case of foldable IOL implantation, the patch can be safely removed after 3-4 hours where as in non- foldable IOL implantation it is removed after 12 hours of surgery.

9. Post-operative Instructions:

After Your Operation
After having one of the most delicate microsurgical operations in modern medicine, you should be able to resume most activities almost immediately. However, a short period of convalescence is required and some care is necessary to ensure proper healing.

Vision usually improves within a few days and although complete healing of the eye takes a few weeks, an eye test 2 to 3 weeks after the operation may allow glasses to be prescribed at that stage if they are needed at all. It is sometimes difficult to persuade a healthy, active person that he or she is a post-operative patient with physical limitations. You must accept this fact so that any complications can be avoided. Complications are usually much easier to avoid than to treat.

After Leaving Hospital

•  Avoid heavy lifting and strenuous exercise: these can put unnecessary strain on the wound in your eye as it heals.
• Avoid sleeping on the side of your body that has been operated on.
• Avoid driving until the condition of your eyesight is sufficient to meet the visual standard required.
• Housework and cooking can be undertaken but remember that the operated eye is initially in a delicate state. Eye drops to be used four times a day will usually be necessary for a period of approximately 3 weeks.
• Hair washing should be carried out leaning the head backwards rather than forwards. Help at home will always be useful.
• It is not necessary to stay indoors but you should exercise caution in windy conditions.
• Returning to work will depend on your occupation: ask for advice on additional instructions and restrictions that may apply.
• After the first two weeks, if there are no complications, normal activities can be resumed gradually. Heavy work and vigorous sports should not usually be undertaken for approximately six weeks.
• You will be given a shield to wear at night to protect your eye from accidental rubbing or bumping.
• If the eyelids become sticky, cleanse with cotton wool soaked in sterile saline or cooled boiled water.
• If your eye becomes red, sticky, painful or if the vision suddenly deteriorates, contact the hospital straight away.
• You will be given eye drops to use as prescribed for the first few weeks. On leaving the clinic or the hospital, make sure that you understand how to apply your medication and that you know the time, date and place of your next appointment.
• Medical follow-up is very important during the first few weeks after surgery.
• Don’t wear eye make-up until your doctor tells you it is okay.
• If you are in good health, you should be able to resume exercise after one week.

Individual results may vary. No information contained here is intended to substitute for a physician’s advice.

How to Use Your Medicines
Take your medicines as directed. Keep your medicine in a cool, dry place. Medicines can change with age if they are stored in a warm, damp place. Keep the container tightly closed. Remember: Read the instructions carefully. Make sure you understand them and follow them at all times.

How to Use Your Eye Drops
Read the instructions on the bottle.

1. Wash your hands
2. Tilt the head backwards
3. Pull down lower eyelid with one finger
4. With the other hand put one drop into the eye, without touching the eye with the nozzle or dropper
5. Gently close the eye
6. Wipe away any liquid that did not go in the eye with clean cotton wool
7. Replace the cap or dropper immediately
8. At first your vision may be blurred. Do not drive or operate machinery until it has cleared

Note: It may be helpful to use a mirror or ask someone else to help you. The preparation is free from germs before use – keep it clean. Store upright in a cool place. Keep all medicines out of reach of children. 

10. Post-operative Follow-up:

Though Cataract Surgery nowadays has become so advanced so as to totally do away with hospital stay of any kind, it is mandatory to follow a proper post-operative follow-up visit schedule. The patient is instructed to visit as follows:

Follow-up Visit on the 1st post-operative day

Follow-up Visit on the 1st post-operative week

Follow-up Visit on the 1st post-operative month

During these visits, your surgeon will ensure that the healing of the operated eye is progressing as expected. He will also be alert for signs of any untoward incidence and to take proper steps if required. The medicines prescribed and their regime will also need to be updated from time to time in the post-operative period.

Life After Cataract Surgery

• Within the first month, your eye should fully recover. Your brain will continue learning how to work with your new IOL. If you have dry eyes, your physician may administer some mild dry-eye therapy drops.
• Return for your follow-up visit a month later. If you need cataract surgery on your other eye, this is likely when that will occur. If you received a monofocal IOL and are not having surgery in your other eye, this is the time when you will be fitted for new eyeglasses or contact lenses.
• Challenge your vision by engaging in a full range of activities. The more your eyes and brain work together, the more you will enjoy the results.
• You will continue to adjust for the next 2 to 4 months, probably feeling and seeing great. You doctor may still want to check your progress, especially if you have another eye condition.
• If you develop a secondary cataract, where the posterior capsule holding the IOL becomes cloudy, which is not common, your doctor will perform an in-office, follow-up procedure using a YAG laser.
• At 6 months, your vision should be optimal. Do anything and everything you can.
• At one year, and every year thereafter, have a complete eye exam by an eye care professional.

Cataract Services for Out-of-Station patients:

The world class services at Angel Eyes attracts a very large number of outstation patients. To make the process of getting treatment as convenient as possible for out station patients, we make an all-out effort to make the process an easy one to understand and follow. You can follow the steps given below and find it out for yourself:

1. Contact us: As discussed in ‘Visiting Angel Eyes’ section, you may contact us telephonically or by mail. The ‘Query Form’ can also be used to let us know your requirement and to help us contact you.

Upon contact, you can seek telephonic counselling to learn the details of the service you desire. As far as possible our counsellor will guide you in your queries. However, over the phone there is only a limited information we can give regarding your condition. It is always better to come and meet us.

2. Book an appointment: Refer to the ‘Visiting Angel Eyes’ section for the Consultation process and schedules to book an appointment. Do not forget to mention that you are an out-station patient and are looking for cataract services.
3. Consultation, Investigations and Counselling: This process will be similar to that for all patients. However, as you are outstation patient and if you have been under the care of a qualified eye doctor in your city who had already diagnosed Cataract in your eye/eyes, you may have already made up your mind about getting the surgery done. In such a case, when you visit us bring all your past and present medical records including your eye records if present. You may get the following investigations done at a reliable pathology laboratory in your city:

• Blood Pressure
• Blood Sugar (Random and Post Prandial)
• Other investigations will be done depending upon the presence of systemic diseases and as advised by your physician. We normally require a fitness certificate from your attending physician that you are fit to undergo surgery.
• HIV I and HIV II
• HBsAg

If any of the investigation are not meeting our requirements, we may still ask you to get a repeat of that test done. Also, if we feel the need, we may ask our own physician to give you a thorough check up.

In case you have not consulted any doctor in your city or do not have the investigations, you need not worry at all. We have all the facilities to provide you with these services under one roof at our centre.

During the main consultation, you will be examined thoroughly and your investigations will be reviewed (if required you may be investigated further). If you desire a surgical treatment and you are found fit to undergo surgery, your IOL power will be ascertained by the help of IOL master.

As per your specific visual needs, you will be counselled as to what type of IOL will suit you. Our counsellor will inform you about all the options available for you. You can choose an option and also discuss it with the consultant. The counsellor will also guide you about the course of events before, during and after the surgery.

4. Scheduling the Surgery: Once your consultation, investigation and counselling are over, you can very well discuss the available date for surgery. You also have the option of scheduling the surgery at a later date. You should discuss this with the counsellor and select a date which is convenient to you. Before your surgery, you are required to put pre-operative eye drops for 3 – 4 days. So, your surgery will be scheduled after that only.

 In case you were under treatment and was already putting the required pre-operative antibiotic-anti inflammatory eye drops in the eye, you may undergo surgery on the same day of your arrival. However, in such a case, we expect you to have all your investigations done recently and you should have taken an appointment over the phone for the surgery. Unbooked cases are very difficult to be adjusted on a short notice.

For those who have outstation patients who have booked their surgery, it is still imperative that we satisfy ourselves regarding the fitness of your eye as well as your general medical fitness. If we do not find your eye fit for surgery, we will take proper steps to rectify the problem and will ask you to return at a later date.

Please remember, the investigations done are usually valid for a week or ten days only, so once you have the investigations have been done you should schedule your surgery within the next 4 – 5 days. If the time between the investigation exceeds the required time, you will most likely need to repeat them. This will not apply to HIV and HBsAg results which are normally valid for 2 – 3 months unless you are travelling. The tests for Blood Sugar in a diabetic patient are repeated on the day of surgery before the surgery and also after it, however before you come for surgery, it is better to be sure that your blood glucose levels are at near normal levels.

Please talk to our counsellors for the pre-operative instructions to be followed. Any failure to follow the instructions will result in rescheduling the surgery and a wasted visit.

5. Planning your visit for surgery: As nowadays most of the surgeries are done under topical (eye drops only) anaesthesia, the patient does not have to wear an eye patch and because of very small incision surgeries (for foldable IOL implants only) we are able to perform a surgery in the morning and do the first follow-up check up in the evening itself. Such patients can then leave for their city. All the patients not fulfilling these criteria are required to stay back for a night and to have their first follow-up check up the next day and then leave for their city. Also, if a patient wishes to come for a check up next day of surgery even if not required by us, they can inform the staff and come at the appointed hour. The outstation patients who are required to stay for a day or two for their follow up, can find lots of medium to high quality accommodations within 2 kms of our centre. You can obtain this information from our staff. For a nominal fee, you can also book a room in our hospital.
6. Day of Surgery: All the steps on the day of surgery will be same as those for all surgical patients as given above.
7. Post-operative Follow up: The schedule for post operative follow up will also be same as that for a local patient. However, if you were under the treatment of a local qualified eye doctor, you may cut short some of the post-operative visits after discussing this option with our doctor. Do not under any condition, do anything against our advice. The schedule of post operative visits is same as that given above for general patients.