Frequently Asked Questions

On the day of your cataract surgery

Please arrive promptly, on time at the hospital for your surgery.

You will need to check in at the reception desk when you arrive.

A nurse/ optometrists will welcome and check your details.

You will have some basic observations taken including your temperature, blood pressure and pulse. You will also have your blood sugar level checked if you are diabetic.

A nurse will confirm which eye is being operated on and will mark on your forehead. A doctor will check your eye before surgery and you are shifted to the operation theatre. You will be asked to hand over your belongings to your bystander for safe keeping whilst you are undergoing surgery.

You will be taken to the pre-operative room where you will be looked after by the operation theatre team. They will help you onto the surgery bed where you will be lying flat and monitoring equipment will be connected to check your vital signs during surgery.

Your eyes will be covered with a sterile drape during surgery. Your eye will be anaesthetized so you won’t feel anything during the surgery – this may be by using drops, injection or both. You may hear sounds of machine during your surgery and may feel water on your eyes. This is all perfectly normal. If you have any discomfort , you are allowed to say it, so that we can help you out.

The surgeon will inform when your operation is finished, which is approximately 10 -20 minutes for cataract procedures.

Your eye will then be dressed with a protective shield. You will be helped off the operation table and staff will take you to the discharge lounge. The nurse in the discharge lounge will take your observations again and check whether you are feeling well enough to leave.

You will be provided with eye drops to use after your operation to help your eye to heal, and instructions on how to look after your eye at home.

You will be seen by the doctor before being discharged.

Once you are happy with your discharge instructions you can go home. Following your surgery, you will also be given an appointment for post–operative review which will be 3 – 5 days after surgery.

As the effect of the anaesthetic wears off, there can be a dull ache or a foreign body sensation like something in the eye, felt in and around your eye. Your eye may be red, watery and your vision may be blurry.
Your eye usually settles over one to two days after the operation although some patients take slightly longer. A slight feeling of grittiness or as if there is a foreign body in your eye can last for a few weeks after the operation. You should contact us if the pain, redness or blurred vision is getting worse rather than better.

A nurse will teach you how to look after your eye. You will be shown how to clean your eye and put in the eye drops correctly as detailed below.

Tilt your head back.

Gently pull down your lower lid with one hand.

Look up and allow drops to fall inside the lower lid.

Do not let the tip of the bottle come in contact with your eye or fingers.

Wash both hands with soap and water before instilling the eye drops.

In some circumstances, family and friends will be taught how to do this so they can help you.

You should avoid rubbing or touching your eye for the first two days after the surgery. You might find yourself sensitive to light, so it is useful to have a pair of plain dark goggles in case you need them.

The medical and nursing staff will advise you if there are any activities you should avoid. Most patients can resume normal physical activity within a day or two. You should be able to return to work the day after your first post-operation check up, depending on your occupation. The doctors and nurses in the clinic will advise you. Your eye will take a couple of weeks to settle and for the best vision to be achieved.

The need for corneal tissue is never satisfied, as patients who might benefit from the procedure are regularly identified. Corneal tissue can also only be stored for a limited amount of time. To date, the use of artificial tissue for transplantation has been unsuccessful.

You are advised to be careful when washing. A Head bath is better avoided till the first post-operation visit to avoid soap and water getting into the operated eye.
A clean face cloth can safely be used. Do not directly splash water into your face in the shower or immerse your head in the bath for one week after surgery.

A comprehensive retinal examination will take atleast an hour. On peak OPD days there could be some variation. The time is variable because some patients may have grave retinal problems where the doctor may have to subject him/her to multiple tests and even get a cross consultation to finalise a diagnosis and institute treatment. At the clinic the following procedures will be done as part of the comprehensive retinal examination:
You need to report at the reception: The reception staff will identify you as a new patient or old patient. New patients often will need a preliminary evaluation before you are worked up for seeing the consultant. Old patients by virtue of the fact they have been to the clinic before and their disease information often loaded into the electronic medical records may bypass this step unless any new additions need to be made. The reception nurse at the reception desk will guide you through this.
Preliminary history taking and data entry: All new patients and certain designated old patients will be seen by an ophthalmologist who will take history from you and record it in the Electronic medical records. Please carry all your old data including investigations and reports and show the doctor during this process. It is a good habit to keep all the old records arranged in chronological order and pinned for easy referral. The doctor will do a basic eye examination using an equipment called slit lamp. Sometimes the doctor may also record your eye pressures in this station.
Visual acuity test: The next step will be getting your vision tested. Sometimes a simple test called the pinhole test will be done which is a very short test. Often a detailed evaluation called refraction is done which could take around 5-10 minutes. This process involves trying out different glass powers so that the best possible power is identified. Sometimes the refractionist will ask you to come back after dilating your eyes to refine the power changes detected. If you need to change your glasses please tell the refractionist at this step. Reading glasses cannot be given after dilatation on the same day. Anyway even though the refractionist finds relevant power glasses for you, the eye doctor will prescribe glasses only after completing his/her examination. Sometimes refractionists would call you for a test called LOW VISION AID Testing which may be done for people with poor reading vision and involves the use of various magnifying glasses and prisms in combination.
Eye pressure test: The next step is eye pressure testing. This is done by the refractionist or an opthalmologist. Numbing drops will be used initially and the test performed. The test may be done with a handheld device (Tonopen) or it may be done on the slit lamp machime with a tonometer(Applanation tonometry).
Dilated eye examination: A good retinal examination needs dilatation of the pupils. Dilating drops are placed in your eyes to widen (dilate) your pupils so that the retina consultant can examine the back of your eyes. Some of the dilating drops used may cause allergy and some are better avoided in certain disease conditions. If you are hypertensive or cardiac, please the nurse. Also if you have allergic to eye drops in the past please inform the nurse. An alternative drug will be used by the nurse in case of the above. Eye allergies due to drops are not serious and may resolve in a few days spontaneously. The usual dilating eye drops would widen your pupils in around 15-20 minutes. The nurse may administer 2-3 drops sometimes to achieve better effect in some individuals. Some of the alternative eye drops may take a longer time. Keep your eye closed after instillation of the drops. It helps in better efficacy of these drugs. Your vision may get blurred after dilatation and may become normal after 2-4 hrs.
Indirect ophthalmoscopy: This test is done by the retina consultant in his/her cabin. Often you may have to lie in a semi-reclined position. The doctor will shine a bright light from the instrument and use a handheld lens to visualize the inner layers of the eyes. He may ask you to look at different directions while examining. He may also use an instrument called ‘Sclera Depressor’ to gently press the eyeball to see certain pathologies clearly. The consultant may also examine you in a seating position on the slit lamp machine using a different set of handheld lenses. All these tests allow the eye care practitioner to identify the disease involving the back of the eye specifically the retina, choroid and optic nerve and plan your treatment.
The Vitreoretinal consultant may advise relevant investigations which may be essential for him to make a diagnosis or to rule out other diseases that may closely mimic. The investigations will help the consultant to plan the future course of treatment. Some of the investigations may be done the same day, while some may have to do on another day as they may require a physician's consultation before it can be safely done( refer to diagnostic services).
Please note that the appointment time given denotes the time when the first examination is done and not the final examination with the consultant.

Eye injections are used to administer medications to treat a variety of retinal conditions. They are called intravitreal injections because they are injected into the vitreous cavity of the eye. The common injections include a group of agents called anti-VEGF agents, steroids and antibiotics. Age-related macular degeneration (AMD), diabetic retinopathy and retinal vein occlusion are the most common conditions treated with intravitreal anti-VEGF drugs. The common intravitreal drugs that we use include Ranibizumab ( LUCENTIS, ACCENTRIX, RAZUMAB), Aflibercept (EYLEA), Brolucizumab ( PAGENAX). Intravitreal steroids like triamcinolone and dexamethasone (OZURDEX) are used in some eyes with diabetic retinopathy, retinal vein occlusion and uveitis. The anti-VEGF drugs and steroids help to reduce fluid leakage associated with these disorders. Intravitreal injections often need to be repeated in conditions such as AMD, diabetic macular edema, and retinal vein occlusions, which require frequent injections. Repeat injections are usually safely tolerated over several years. We do not prefer the use of Bevacizumab (AVASTIN) considering the risk of eye infections with spurious preparations in the market. Safety has been our priority over the years. The need for an eye injection for a retinal disease is determined during the clinical examination by the retinal physician. Often the retinal physician resorts to investigations like OCT to decide on repeat injections. The nursing staff may advise you to undergo an OCT scan before you visit the doctor after previous injection. Sometimes FFA/ICG angiography or OCT angiography may have to be done.
PREPARING FOR EYE INJECTIONS
Make sure you have met the counsellor at the surgery fixing centre. Make sure you get the date of injection handwritten.
Please confirm if you need any special fitness or approval Make sure that you understand what drops to use before the surgery. Before you come in for your injection you will need to administer the eye drops already prescribed.
The drop given is the antibiotic drops that need to be instilled on the day prior to injection and on the morning of injection. To give the drops enough time to work you need to start using the drop ONE hour before your appointment time on the day of your operation. Please remember to wash your hands before and after you put in your drops. The last drop can be administered upon arrival at the hospital. Once you undergo the procedure you will not be able to travel alone, please make necessary arrangements for your travel to the hospital and back.

Please arrive promptly at the hospital for your surgery, at the specified time. Please take care to plan your journey to avoid unexpected traffic and delays. You will need to check-in at the reception desk when you arrive. You will be directed to the Injection clinic where the initial preparation is planned. A nurse/ optometrist will check all the records and the investigations. This includes ocular and other investigations if applicable and fitness documents. They will ensure that your eyes are sufficiently dilated for the procedure. You will undergo basic evaluation including recording blood pressure and pulse. You may also have your blood sugar level checked if you are diabetic. A nurse will confirm which eye is being injected and will mark your forehead with a sticker over the corresponding eyebrow or mark an arrow using a special disposable pen. A retinal surgeon will meet you and clarify things. The doctor may check your eyes and see you if you have any redness or discharge. You may have to change into a theatre gown from your street clothes. You will be asked to hand over your belongings to the bystander for safe keeping whilst you are going for the injection. You will be taken to the operating room by the assistant. If you need a wheelchair, please ask for one.

If you Have Any Questions Call Us On +91 4712955500