Patient Instructions for Surgery

PATIENTS BEING DISCHARGED FROM SURGERY

Contacts

Who should I contact if I need support following my discharge?

For concerns or questions about your operation:
Mr Mahi Muqit (Consultant) 0203 700 0556
Email: pp@retinasurgeon.uk.com

For anything to do with your follow-up appointment call:
Samantha Ovies 07717203564

Email:
Moorfields Private patients: pp.Mahi.Muqit@Moorfields.nhs.uk
The London Clinic patients: pp@retinasurgeon.uk.com

For out-of-hours emergency advice:
Weekdays 9.00pm to 8.30am or Weekends 9.00pm to 8.30am
Moorfields Eye Hospital, Main Switchboard:
0207 253 3411

For advice during daytime hours until 9.00pm in the evening:
Mr Mahi Muqit (Consultant) 0203 700 0556

Emergency Symptoms

Please be vigilant of the following eye problems:

Pain: If you experience pain in your operated eye, you should take your usual pain relief. If the pain persists you should follow the contact advice.

Vision Loss: If you notice any loss of vision you should contact your surgeon Mr Mahi Muqit immediately during daytime hours until 9.00pm in the evening.

After 9.00pm in the evening, please visit your local Eye Emergency department, or go to the 24-hour Accident & Emergency department at Moorfields Eye Hospital.

Feeling Unwell: If you are feeling generally unwell, contact your General Practitioner

General Advice

• Please wear the protective shield at night for 1 day unless otherwise instructed. To clean the shield, simply rinse it under the tap and dry it with a clean tissue.

Do Not Rub or Press your eye for two weeks, or longer if advised

You should avoid: heavy manual lifting, contact sports, gardening, swimming until you have discussed this with Mr Mahi Muqit at your follow up appointment

You may continue all of your other usual activities: showering, washing your face and hair (though try to keep water out), watching television, reading, using handheld devices/tablets, cooking, praying and going for walks, unless you are advised otherwise.

• You should not use eye make-up until seen in your follow up appointment.

• There is no problem wearing your current glasses if you wish. The spectacle lens in the operated eye may be covered with masking tape to block out any reflections or shadows from an air bubble or gas bubble. Please do not wear contact lenses in the operated eye until discussed with Mr Mahi Muqit.

• If you run out of eye drops, please contact your GP for a repeat prescription, or contact the secretary of Mr Mahi Muqit for advice.

How to put in the Eye Drops

• Always wash your hands
• Tilt your head back
• Gently pull down your lower lid with one hand
• Look up and allow drops to fall inside the lower eyelid
• Don not let the tip of the bottle touch your eyeball
• Use a clean tissue to dab your closed eye, not a handkerchief
• Leave a gap of between 3 and 5 minutes between each eye drop.

Instructions After Vitrectomy Surgery

This advice will be useful if you are having an operation for macular hole, retinal detachment, and in cases of vitreomacular traction with a macular hole.

Posturing Advice
Posturing is necessary after certain types of macular and retinal surgery to ensure the gas bubble is positioned against the part of the retina that requires flattening.

Never fly in a plane if a gas bubble is still present. This can lead to a severe eye pressure complications and loss of your vision.

• Posturing face-down after macular hole surgery. This is only required for the 1 day and 1 night after macular hole surgery.

• Posture as instructed during the day with a 10 minute break every hour (excluding toilet purposes and for meals) and maintain your posture all night if possible.

• Mobility will be limited, but you should move around as much as you can, maintaining your posturing position.

• You might find an inflatable travel pillow and a neck massage help with your posturing.

• Do not lie on your back until the gas bubble has completely disappeared.

• Move around as much as you can maintaining your posturing position.

Your Vision after Surgery

• An eye filled with a gas bubble will be unable to see clearly. During the first 2 weeks, your eye may only see hand motions or finger counting vision.

• The gas bubble will dissolve naturally over time. As the gas bubble reduces in size, it will float upwards and then cast a shadow that will appear in the lower part of your vision. For a short period, you may see what appears as a “spirit level-like effect” and this is entirely normal as it is due to the light reflecting off the gas bubble.

• In some cases, it is normal for the gas bubble to break into smaller bubbles, and this may appear as “small black, fish egg-like shadows.” These shadows move with your eye, and can appear in the central part of your vision when waking in the morning. These are normal and will disappear as the gas bubble dissolves.

• The short-acting gas bubble will be gone completely by 3 weeks. The longer-acting gas bubble will be gone completely by 2 months.

• After the gas bubble has disappears, the eye becomes filled with aqueous fluid that is always present inside the eye.

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