Having an eye operation as a day case patient (under a general or local anaesthetic)

Telephone numbers for Day Surgery Units and the Ophthalmic Unit

• Channel Day Surgery Centre, William Harvey Hospital, Ashford
  Telephone: 01233 616263 (24 hours a day, 7 days a week)

• Canterbury Day Surgery Centre, Kent and Canterbury Hospital, Canterbury
  Telephone: 01227 783114 (7:30am to 8pm)
  Telephone: 07887 687645 (8pm to 7:30am)

• Day Surgery, Queen Elizabeth the Queen Mother (QEQM) Hospital, Margate
  Telephone: 01843 234499 (7:30am to 8pm)
  Telephone: 07887 651162 (8pm to 7:30am)

• Ophthalmic Units, Kent and Canterbury Hospital, and Buckland Hospital, Dover
  Telephone: 01227 866493, option 4 (8am to 6pm)
  Telephone: 07887 804133 (6pm to 8am)

Pre-assessment teams

• Pre-assessment, William Harvey Hospital
  Telephone: 01233 616743

• Pre-assessment, Queen Elizabeth the Queen Mother (QEQM) Hospital
  Telephone: 01843 234458

• Pre-assessment, Kent and Canterbury Hospital
  Telephone: 01227 783114

What is day surgery?

Day surgery is when a patient has their operation on the day of admission to hospital, and is discharged home on the same day. Back at home their relatives or friends look after them, supported by their community healthcare team. This team includes their GP and district nurses where appropriate.

What are the advantages to having day surgery?

• Most day surgeries can be carried out sooner.

• We are less likely to cancel admission dates if you are able to have day surgery.

• Many people like to spend as little time as possible in hospital. They prefer to be at home with their children, relatives, and friends.

• There is less disruption to your daily routine. For example, childcare is easier to plan and very often you will be back at work sooner.

How can I prepare for my surgery?

While you wait for your surgery date, you can start preparing for your operation. Research shows that fitter patients, who are able to improve their health and activity levels before surgery, recover more quickly. Taking an active role in planning and preparing for your operation will help you:

• feel in control

• leave hospital sooner, and

• get back to normal more quickly.

To help with this, you may be contacted by a member of the One You Kent (OYK) team. OYK work in the community, and help patients improve their general health. This includes help and advice on:

• Stopping smoking

• Losing weight

• Getting more exercise

More information can be found on the following web sites.

• One You Kent (Kent Community Health)

• Fitter Better Sooner Toolkit (Royal College of Anaesthetists)

What will happen at my pre-assessment appointment?

Before the date of your operation, we may ask you to come into hospital for a pre-assessment appointment. It is important to come to this appointment. If you do not we may need to cancel your operation. We may book you a telephone pre-assessment. Please check your appointment letter. The letter will tell you whether you need to be available for a phone call.

A nurse will see you at your pre-assessment appointment. They will discuss your medical history with you and assess your fitness in preparation for your operation. The nurse will need to know:

• any serious illness or major operations you have had;

• any allergies you have to medicines / metals, tablets, or plaster; and

• any medicines / tablets you are taking; please bring them with you or bring a list of them.

On the day of your surgery, please bring the following with you to hospital

• Any tablets, medicines, or inhalers that you are taking in their containers.

• Slippers, sandals, or indoor shoes, and a dressing gown.

• Something to occupy you if you have to wait, for example a magazine, book, or knitting.

• A small amount of money for telephone calls. Mobile phones may be allowed in some areas. Please check when you arrive.

• A contact number for the person that is taking you home after your surgery.

Do not

• Please do not bring large sums of money or valuables into hospital. East Kent Hospitals accepts no responsibility for the loss or damage to personal property, unless you hand the property into Trust staff for safe-keeping.

• Please do not wear contact lenses or eye make-up to the hospital on the day of your surgery. Make arrangements to wear glasses if you need them for normal use.

What should I do before the day of my operation?

If you will not be coming for surgery, please ring the Waiting List Office or the unit where you are booked to come for your surgery. This will be either the Surgical Admissions Lounge or Day Surgery. Please do this as soon as possible. This will give us time to offer the place to another patient.

Ring the unit where you are booked to attend (Surgical Admissions Lounge or Day Surgery) to let them know if you develop:

• a cough

• a cold or sore throat

• other illness, or

• you become pregnant.

If anything changes with your medical history, please contact your Pre-assessment Team.

Arrange for a responsible adult to collect you from the hospital after your operation, and to take you home (in a car or taxi, not by public transport). It is not advisable or safe to travel home on your own.

If you have had a general anaesthetic or cannot see, due to an eye shield covering your good eye, you must arrange for a responsible adult to be with you for the first 24 hours following your operation.

If you have small children or elderly dependant relatives at home, ask someone to help look after them for at least the first 24 hours after you return home.

What happens when I arrive at hospital?

The maps at the end of this booklet show the location of the Day Surgery centres and Surgical Admissions Lounges.

• Once you arrive at the Day Surgery centre or Surgical Admissions Lounge a nurse will see you. They will ask you questions, and take your pulse, blood pressure, and temperature.

• You will have wristbands put on showing your identity and other details.

• We may ask you to change into a cotton theatre gown and your dressing gown.

• A member of the surgeon’s team will ask further questions and examine you briefly.

• Where appropriate we will mark the site of the operation.

• We will ask you to sign your consent form, if we have not already done so. Use this time to ask hospital staff any further questions or raise concerns. Remember that you can withdraw your consent for treatment at any time.

• If you are having a general anaesthetic, the anaesthetist will put a very small tube (called a cannula) into a vein in your hand or arm. If you are having a local anaesthetic, we will give you an injection or eye drops to numb the area that is going to be operated on. More information is available in the You and your anaesthetic leaflet.

Please try not to smoke for at least 48 hours before your operation.

What should I do before my surgery?

This will depend on the type of surgery you are having. We will give you the necessary information at your pre-assessment appointment.

What should I do to prepare for my operation?

If you are having a general anaesthetic or sedation

• Please follow these fasting instructions before your MORNING admission.

  • On the day of surgery, do not eat food after 2.30am.

  • Please do not drink milk or juice with pulp after 2.30am.

  • You may drink non-alcoholic clear fluids, such as water or black tea / coffee, until 6.30am. This does not include fizzy drinks.

• Please follow these fasting instructions before your AFTERNOON admission.

  • On the day of surgery, do not eat food after 7.30am.

  • Please do not drink milk or juice with pulp after 7.30am.

  • You may drink non-alcoholic clear fluids, such as water or black tea / coffee, until 11.30am. This does not include fizzy drinks.

If you are having local anaesthetic without sedation, you can eat and drink light refreshments until you come into hospital.

Try to have a bath or shower at home before coming to the hospital. Dress comfortably in loose fitting clothes.

Unless told otherwise, take your regular medicine as usual on the day of your operation with only a sip of water.

Please do not wear nail varnish, false nails, or make-up unless you have been told otherwise by a doctor or nurse. These may interfere with the monitors used during your anaesthetic.

What happens after my operation?

If you had a general anaesthetic we will take you to the recovery room. The recovery room is next to the operating theatres, and looked after by a recovery nurse. Whilst in the recovery area we will take your blood pressure several times. When you are able, we may ask you to move to a reclining armchair before being discharged home.

How will I feel after my general anaesthetic?

Some people feel wide awake straightaway, while others feel sleepy for several hours. Some people may feel sick. If sickness is severe we may give you an injection to treat this. You may have a sore throat.

When will I be allowed home?

• Before you can go home you will need to be awake and not in a lot of pain / severe discomfort.

• A nurse will give you an information leaflet about the operation you have had. Please ask any questions and make sure you understand the instructions.

• We may give you an outpatient appointment.

• We will give you written instructions, a copy of your GP letter, and usually some eye ointment to use at home. Please use the ointment as instructed.

• We may cover your eye with a pad. Please wear the pad as advised on the day of surgery and remove as instructed. You usually remove the pad between 1 to 7 days after your operation, depending on what operation you had.

How will I feel when I get home?

You may feel tired. Try to rest for the first 24 hours after your surgery.

If you have a general anaesthetic

• Do not do any strenuous activities for 24 hours, including gardening, housework, and exercise.

• Do not operate machinery or do anything needing fine co-ordination or judgement, for example using a cooker, for at least 24 hours.

• Do not make any important decisions or sign important documents for the first 48 hours after your operation.

• Do not drive a car, or ride a motorbike or bicycle for at least 48 hours, unless told otherwise by your doctor.

• You may eat as you wish. However, your appetite may be poor to begin with. You must drink plenty of fluids.

• Do not drink alcohol or take sleeping tablets for at least 24 hours.

• Follow the advice on the leaflets we have given you.

• Some people may feel emotional or “weepy” during the first few days; this is normal.

Call Day Surgery on one of the numbers listed at the top of this booklet, if you:

• are feeling unwell

• are in severe pain, or

• have other concerns about your surgery.

If you need help or advice out of hours, please call your GP.

Are there reasons why I will need to stay in hospital overnight?

A small number of patients may need stay in hospital overnight, and transfer to a 24 hour ward. The most common reasons for this are:

• you needed a more complicated operation;

• you have been slow to recover from the anaesthetic; or

• you are in severe pain or are vomiting.

How do I use the eye drops / ointment?

Read the label that comes with your drops / ointment for the directions.

• Wash your hands.

• Sit or lie comfortably with your head tilted backwards looking at the ceiling.

• Gently pull down your lower eyelid with one finger to form a sac.

• Holding the eye drops / ointment in your other hand, bring the dropper close to your eye and squeeze one drop into the sac. Make sure the dropper is not too close to your eye, as it may touch your eye causing pain / cross contamination. Do not let the dropper touch your eye or eyelid. If you are using ointment, add about a quarter of an inch of ointment to the inner surface of the lower lid of your eye.

• Close your eye and blot any excess solution with a clean tissue.

• Replace the cap of the eye drops / ointment immediately after use. If any contamination occurs, please throw the bottle / tube away and use a new one.

• You may find it easier to get someone to help you, or to use a dropper aid available from pharmacies.

• Use only for the eye mentioned on the label, unless told otherwise.

• Once you have completed the treatment, throw away the bottle / tube. Otherwise use a fresh bottle every 4 weeks.

• If you do not have enough, get more drops / ointment from your GP before you run out.

Can I still use my other eye drops?

Yes, please continue all your usual eye drops, such as artificial tears or glaucoma medicines.

Use a fresh bottle for your operated eye and a separate bottle for your other eye for the first month after surgery. Please leave a gap of 3 to 5 minutes between different eye drop medicines.

Can I clean my eye?

Yes. Wash your hands first, then gently clean your eye using boiled cooled water and cotton wool pads. Make sure the water is fresh every time. Please do not use a flannel or handkerchief on your eye for the first month due to the risk of infection.

What can I do for the first one to two weeks after surgery?

• You can do your normal activities. Normal activities include reading, watching television, going out, and light housework.

• Avoid getting dirt in your eye or lifting anything heavy.

• Do not lean forward to wash your hair, lean backwards instead. Keep soap and tap water away from your eye.

• Avoid rubbing your eye.

• If you wear glasses, place your thumbs over the ends of the frame when putting them on. This avoids any chance of poking your eye.

When can I swim?

You cannot swim until 4 weeks after your surgery. This reduces the risk of getting an infection in your eye.

When can I wear eye make-up?

You can wear eye make-up when your eye has healed and you have stopped using your ointment.

Will I need a follow-up appointment?

We give some patients a follow-up appointment at the hospital. A member of staff will let you know if you need one.

When can I drive?

You can drive a car or a mobility scooter when you feel safe to do so, and you are meeting the DVLA standard.

Contact your car insurance company. There are specific restrictions that individual companies may have and you may not be covered to drive.

More information is available on the following web sites. Or, you can contact the DVLA for advice.

• Check if health condition affects your driving

• Driving eyesight rules

When can I go back to work?

You can usually return to work about 1 week after your surgery, depending on what work you do. Office / computer work can start again as soon as you feel able.

Can I travel after surgery?

It is usually fine to travel once you have recovered from your eye operation. However, if you have a gas bubble in your eye (some vitreoretinal patients) you cannot fly until your eye doctor tells you it is safe to do so. For other eye operations, there is usually no restriction on flying.

Please make sure you take your eye drops / ointment with you when you travel. Consider travel insurance and how to get medical help for foreign travel.

What should I do if I am worried about my eye?

Please remember that most patients have a very good result from their surgery. If you develop any problems following your operation, please call us using one of the numbers below (Monday to Friday).

• Kent and Canterbury Hospital, Canterbury

  • Waiting List Co-ordinator
    Telephone: 01227 866444

  • Ophthalmology Suite
    Telephone: 01227 866493, option 4

• Queen Elizabeth the Queen Mother (QEQM) Hospital, Margate

  • Waiting List Co-ordinator
    Telephone: 01843 234364

  • Day Surgery
    Telephone: 01843 234458

• William Harvey Hospital, Ashford

  • Waiting List Co-ordinator
    Telephone: 01233 616757

  • Channel Day Surgery Centre
    Telephone: 01233 616263

Useful web sites

• Check if health condition affects your driving

• Driving eyesight rules

• Glaucoma UK

• Kent Association for the Blind (KAB)

• NHS: Health A-Z

• Royal College of Anaesthetists. You and your anaesthetic leaflet.

[Web sites last accessed 11 June 2029]

Channel Day Surgery Centre, William Harvey Hospital Ashford

Channel Day has its own pay and display parking area.

• On turning into the hospital grounds, take the first left. This goes up pass the new Ashford One private hospital and staff car parks.

• Follow the signs for the Channel Day Surgery Centre.

• Go past the loading bay and you will see a glass fronted building with a car park opposite.

If you are coming from the main hospital car park, please ask for directions at the main hospital reception desk.

• Follow signs on the floor for Navy Zone, for the Rotary Suite. At the end of the corridor turn right.

• Go past the stairs and enter the double doors to the left (which are opposite the lifts). Follow this all the way along to the reception of the Rotary Suite.

• Turn left and take the stairs / lift down to Channel Day Surgery. Reception is in front of you.

Channel Day Surgery Admissions

Channel Day Surgery Pay and Display parking is at the back of the hospital.

• Enter the hospital grounds from Kennington Road.

• Continue on the main drive, past the car park on the left. Follow the road around to the back of the hospital.

• The Channel Day and Rotary Suite entrance is on the right, with pay and display parking on the left.

Day Surgery, Queen Elizabeth the Queen Mother (QEQM) Hospital Margate

• Enter through the St Peter's Road entrance to the hospital (the old hospital entrance).

• Use the pay and display car park at the St Peter's Road entrance.

• Enter through the main doors at the St Peter's Road entrance, and go up the staircase opposite the entrance door. The Day Surgery reception is at the top of the stairs.

• A lift is available along the corridor on your left, as you enter the St Peter's Road entrance.

Surgical Admissions Lounge, QEQM Hospital Margate

Enter through the Ramsgate Road entrance and follow the signs for the Surgical Admissions Lounge. If in doubt, ask a member of the reception staff for help.

Ophthalmology Theatre Suite, Kent and Canterbury Hospital Canterbury

• Enter through the Outpatients entrance to the hospital.

• Go past the Outpatients reception desk and follow the corridor down to the bottom.

• Turn left and the Ophthalmic Theatre Suite is down the corridor on your right hand side.

• If you come to Pathology, you have passed the Ophthalmic Theatre Suite.

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