Pterygium and Conjunctival Lesion Surgery

Dear Respected Patient,

 Please read this handout on the day you receive it, bring it to all of your appointments before and after surgery, and on the day of your eye surgery.

 Please obtain your eye drops (with the attached prescription) and artificial tears before the day of surgery. People who are prepared for surgery and who take part in their care enjoy a better experience and can recover in less time with fewer or no problems. The information in this handout will help to get you, your family and your home ready for surgery.

Thank you for allowing us to help with your care. We wish you a pleasant surgical experience and a quick recovery.

Sincerely,

Team Seema Eye Care

Preoperative Instructions

  1. Your surgery will take place at Holy Cross Surgical Services (Suite 101 2210 2nd St SW, Calgary, AB)
  2. Before the day of surgery, please arrange to have a responsible person to:
    • Bring you to and from the Holy Cross Surgical Services. or hospital (by car or taxi). You will NOT be allowed to drive yourself home or take a bus.
    • Stay at the Holy Cross Surgical Services. during your stay if you need a translator or if you require help and stay with you for at least 24 hours after surgery (if possible).
    • Help you with daily activities as needed and to follow post-op instructions.
  3. NO SOLID FOOD, NO MILK PRODUCTS and NO SMOKING AFTER MIDNIGHT the day before surgery.
    • If this rule is not strictly followed, your surgery will be cancelled.
    • Sips of black coffee/tea, apple juice and water are okay up to four (4) hours before surgery.
    • No alcoholic beverages for 24 hours before surgery.
  4. Medications
    • Your surgeon has recommended the use of non-preservative artificial tears. Please start these drops 4 times per day, 14 days before eye surgery.
    • Please take all your regular high blood pressure medications (with small sips of water only) on the morning of your surgery, unless told otherwise by your surgeon or family physician.
    • DO NOT TAKE INSULIN or DIURETICS (please bring them with you to take after surgery).
    • If you are currently using eye drops, please ask your surgeon for specific directions about stopping or continuing these after the surgery.
    • Please have acetaminophen (Tylenol®) at home to use if you have discomfort after surgery.
    • A post-operative kit is available for purchase at Seema Eye Care Centre, which includes protective sunglasses, skin tape, eye shields and a bag for your prescriptions and instructions. You made need to purchase additional skin tape.

Day of Surgery

What to Bring and Wear to the Holy Cross Surgical Services

  • Please bring your Alberta Health Care Card, a form of photo ID and proof of substitute Medical Insurance Plan if required.
  • Please bring a translator if you do not understand English.
  • Please wear comfortable clothing (e.g. loose pants and short or loose sleeves, and lowheeled, non-slip shoes).
  • Please DO NOT WEAR jewelry, make-up or false eyelashes. Face cream is okay. Acrylic nails and nail polish are okay, but avoid dark coloured, metallic polish.
  • Bring your surgical kit (if purchased), all of your prescribed eye drops and other regular medications on the day of the surgery to be started immediately after the surgery.
  • Bring sunglasses to wear home in case your eyes are sensitive to light.
  • You may brush your teeth, bathe or shower, and wear your hearing aid or dentures on the morning of the surgery.

What to Expect

  • The surgery takes about 60-120 minutes, but expect to be at the Holy Cross Surgical Services. for 2 to 4 hours. Sometimes the surgery may be a bit later than planned and at other times earlier.
  • Check-in at the Surgical Centre Inc. A nurse will ask questions, lay you down, put eye drops in your eye and you will meet the Anesthesiologist. If you are nervous, you will be offered medication to help you relax. You will change into a gown and intravenous medication will be administered to lower eye pressure. The Anesthesiologist will perform an injection around your eye to prevent pain and keep the eye from moving. A surgical balloon is then placed over the eye for 15 minutes. You will then be asked to void in the bathroom.
  • If you are able, you will walk with a nurse into/out of the operating room. In the operating room, you will be laid down on a bed, monitors are placed, your eye will be cleaned and your face will be covered with a sterile drape.
  • The eyelid (of the operated eye) is kept open with a small, comfortable clip. Please keep both eyes open (under the drape), blink normally and look towards the two microscope lights. The lights may move slightly or fade in /out during surgery. Again, please do not squeeze your non-operated eye, just keep it open and blink normally under the drape.
  • During surgery, you may experience mild pressure or pulling, see unusual shapes, movements and/or very brilliant colours.

IMMEDIATELY AFTER PTERYGIUM SURGERY

  • After surgery, a patch and a shield are placed over your eye with tape. Please leave this on until your 1 day post-op appointment the next morning. Wait until the next day before you apply your Tobradex eye drops.
  • You are discharged home when you are alert and stable.
  • You may eat normally and resume taking all your regular medications after surgery.
  • Some achiness, soreness, scratchiness, tearing and mild burning are all normal symptoms immediately after the surgery and during the first few days after

Postoperative Instructions

  1. You will receive a prescription for medicated eye drops and will use nonpreservative artificial tears as outlined in the drop schedule below.
    1. Hylo and i-drop non-preservative artificial tears are available at Seema Eye Care Centre
  2. When using two or more eye medications, always wait 5 minutes after instilling the first eye medication before instilling the next one.
    1. Only one drop from each bottle is required each time
  3. Please start drops the next day after surgery and follow this medication schedule:

  4. Use the chart below to track drops for the first month by filling in a circle every time you use a medication drop. Always wait 5 minutes after instilling the first medication before instilling the next one.
  5. After Your Operation
    1. Avoid rubbing the eye, getting it wet and protect the eye from dust particles for 1 week.
    2. Hold all regular activities until 1 week after your surgery. If you have any questions regarding specific activities be sure to ask your doctor.
    3. It is recommended to take 1 week off of work to ensure proper healing.
    4. Wear dark glasses to protect from bright light, as the eye may be sensitive for 1 week.
    5. Avoid lifting anything over 10 pounds and do not strain (constipation) for 1 week.
    6. Reading, writing, working on a computer and TV watching are permitted but only for very short periods (minutes) for 1 week. If you feel fatigue, pressure or strain in your eye, STOP the activity immediately and rest your eye.
    7. Air travel is allowed after 4 weeks, please consult with your eye surgeon before flying.
    8. Do not schedule dental work, massage or chiropractic work for 1 week after surgery.
    9. Your eye may remain red (residual blood under the autograft) for 1 month after surgery. This is a normal part of the healing process.
    10. You may feel as though something is in your eye or experience a scratchy sensation. You may have different visual sensations after surgery while the eye is healing. Vision may be blurry and variable and mildly sensitive to light. These changes are normal and usually decline over the first week after surgery