Preparing for an operation

Post-operative check-ups

These appointments take place in Dr. Vryghem’s clinic or in St. Jans’ clinic, in the Ophthalmology department (2nd floor), depending on the consultation schedule. In some cases the check-ups are performed by the ophthalmologist who referred you to Dr. Vryghem.

CHECK-UP 1st DAY
CHECK-UP 3rd DAY
CHECK-UP 10th DAY
CHECK-UP 3rd WEEK
CHECK-UP 2nd MONTH
CHECK-UP 6th MONTH

Procedure

At least 1 week before the pre-operative examination:

  • The patient’s GP must confirm that there are no contraindications for performing the procedure under local anaesthetic. An ECG must be taken as well as a blood test, unless these investigations have already been conducted during the previous six months.
  • Bring along the prescribed medication: Tobrex eye drops (see below), Tobradex eye drops (against infection), Homatropine eye drops 1% (for pupil dilation).

3 days before the procedure:

  • 3x/day 1 drop Tobrex in the eye to be treated.
  • Stop taking or replace blood thinners (to be agreed with GP)

 

The weekday before the operation:

  • Call 02/221. 99. 95 to find out the exact time of your operation.
  • Make arrangements with a driver to bring you and take you back home.

The day of the operation:

  • All medications may be taken in the morning with the exception of blood thinners.
  • If the operation is taking place in the morning, you should not eat or drink anything. If you are being operated on in the afternoon, you may eat a light breakfast.
  • No mascara or make-up
  • Bring with you to St. Jans Clinic: Tobradex drops (sealed bottle) and Homatropine drops.
  • The operation and preparation phase last about 1.5 hours. If there is any delay with patients before you, you will have to wait a little.

During the operation:

  • The anaesthetic consists of an injection next to the eye.
  • The ophthalmologist will take the time to explain everything to you, so that there are no surprises.
  • An eyelid retractor will keep your eyelids open, so that you don’t accidentally blink.
  • You won’t feel any pain.
  • The entire operation will last about 1 hour.

After the operation

  • You will not have to wear a pressure bandage after your operation.
  • The protective transparent eye shell will have to be worn at night for one week after treatment.
  • You must take the drops after the operation according to the following schedule:
    - Tobradex eye drops (anti-inflammatory):
    · 1 drop 4 x/day for +/- 12 weeks
    · 1 drop 3x/day for +/- 1 month.
    · 2 x/day long term.
    - Homatropine eye drops 1%:
    · 1 drop 2 x/day for +/- 3 weeks
    - Homatropine + Tobradex to be used at 5 minute intervals!!!!
  • The technique for using eye drops is very important:
  • Do not touch the eyeball. Gently pull down the lower eye lid, while looking upwards. Squeeze the drop inside your eyelid, and then gently close your eye.
  • Your vision will become clear in a matter of weeks. Any adjustment to your glasses will only be possible after at least 2 months.
  • If you suffer any serious pain or agitation, you should inform your GP via the Emergency Department of St-Jans Clinic: 02/221. 91. 11.
  • Do not plan any sport or other important activities in the days following the operation.
  • Avoid dusty places!
  • During the first 3 weeks: don’t rub your eyes!!!
  • During the first 3 weeks: no swimming.
  • During the first 2 weeks: don’t apply make-up.
  • Make a note of the check-up appointments with your ophthalmologist on the 1st, 3rd, 10th day, 3rd week, and the 2nd and 3rd month after the operation. The healing will be evaluated after about 2 months and 6 months.
  • After a graft, patients must often continue to use cortisone drops 1 to 2 times a day for the rest of their life.

If you want more information, or would like to make an appointment:
Contact us or call 0032 (0)2 741 69 99