Since your surgery is being done in the office using local anesthetic only, you may eat per usual the day of your procedure.
It is generally recommended to have someone drive you home unless otherwise instructed by Dr. Saunders.
Please do not apply any makeup around your eyes the day of your surgery.
Please wear comfortable clothing the day of your surgery.
Please notify Dr. Saunders before you come to the office if your condition changes (i.e., fever, cough, sore throat, nausea, vomiting or diarrhea).
If you have any questions please call our office (859) 277-4403.
Do not eat or drink anything at least 8 hours before your scheduled surgery.
NPO Guidelines for Adults:
Children:
Clear liquids are to be considered water, apple juice, Gatorade and black coffee.
Medications may be taken the morning of surgery with a sip of water unless otherwise directed.
Diabetics may be instructed on an individual basis.
It is recommended patients not smoke or drink alcohol 24 hours prior to surgery.
Wear comfortable clothing. Please leave valuables at home. Do not wear make up.
You must make arrangements to have someone drive you home.
Please bring a copy of your insurance card and a list of your medications with you on the day of surgery.
Please notify Dr. Saunders before you come to the surgery center if your condition changes (i.e., fever, cough, sore throat, nausea, vomiting or diarrhea).
Get a good night's rest before your surgery.
Bathe or shower the night before or the morning of your surgery.
Stop 2 Weeks Before Surgery
Aspirin Compounds:
Acetylsalicylic Acid, Aggrenox, Alka-Seltzer, Arthritis Pain Formula, Arthritis Strenght Bufferin, Ascriptin, Aspergum, Bayer, BC Powder, Bufferin, Cama, Darvon, Disaclid, Doans Pills, Easprin, Ecotrin, Empirin, Endodan, Equagesic, Excedrin, Fiorinal, Fiorital, Gelprin, Goodies, Halfprin, Lortab ASA, Magsal, Midol, Mobigesic, Monogesic, Norwich, PAC, Pentasa, Pepto-Bismol, Percodan, Relafin, Robaxisal, Roxiprin, Salicylic Acid, Salsalate, Soma, Synalgos, Talwin Compound, Trigesic, Trysilate, Ursinus, Vanquish
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs):
Advil, Aleve, Anaprox, Bromfenac, Cataflam, Clinoril, Daypro, Diclofenac, Diflunisal, Dolobid, Duract, Etodolac, Feldene, Fenoprofen, Ibuprofen, Indocin, Indomethacin, Ketoprofen, Ketorolac, Lodine, Mefanamic Acid, Meloxicam, Midol 1B, Mobic, Motrin, Nabumetone, Nalfon, Naprosyn, Naproxyn, Nuprin, Orudis, Oruvail, Oxaprozin, Piroxicam, Relafin, Sine-Aid 1B, Sulindac, Talwin NX, Tolectin, Tolmetin, Toradol, Vicoprofen, Votaren
Heparin or Anti-Thrombin Medications:
Stop 1 Day Before Your Surgery If Approved By Your Doctor
Abciximab (Reopro), Argatraban, Dabigatran (Pradaxa), Desirudin (Iprivask), Enoxaparin (Lovenox), Eptifibatide (Integrilin), Fondaparinux (Arixtra), Heparin, Lepirudin (Refludan), Tinzaparin (Innohep)
Anti-Platelet Medications:
Stop 10 Days Before Your Surgery If Approved By Your Doctor
Anegrelide (Agrylin), Cilostazol (Pletal), Clopidogrel (Plavix), Dipyridamole (Persantine), Ticagretor (Brilinta), Ticlopidine (Ticlid)
Other Medications:
Rivaroxaban (Xarelto): Stop 2 Days Before Surgery If Approved By Your Doctor
Apixaban (Eliquis): Stop 2 Days Before Surgery If Approved By Your Doctor
Coumadin (Warfarin): Stop 5 Days Before Surgery If Approved By Your Doctor
Vitamins and Herbal Medications:
Stop These Medications 2 Weeks Before Surgery
Billberry, Bromelain, Chon, Echinacea, Ephedra, Fish Oil, Flaxseed Oil, Garlic (ajo), Ginko, Ginseng, Horse Chestnut, Kava, Omega-2 fatty acids, Saw Palmetto, St. John's Wort, Valerian, Vitamin E (ok if in multivitamins)
Swelling and bruising is normal after surgery. This usually reaches a peak on the second or third postoperative day and then slowly decreases. Swelling and bruising may be under your eyes, even if you only had upper eyelid surgery- this is normal. Applying ice or a cool compress to the area (20 minutes on and 20 minutes off) and sleeping with your head elevated will help.
It is normal for the incisions to leak blood or fluid after surgery. Pat the incisions with a clean cloth- do not rub.
If you were prescribed an antibiotic ointment, apply it to the incisions twice per day with a clean finger or Q-tip. Some of the ointment may get into your eye and blur your vision- this is normal.
If you have an incision on the surface of the eyeball or on the inside of the eyelid it is normal for the eye to collect a lot of mucus after surgery. The mucus will be worse upon awakening in the morning. This is normal and not an infection.
Lower eyelid surgery may cause the covering layer of the white of the eye (conjunctiva) to swell and bulge out between the eyelids (looks like a blister)- this is normal.
If you feel like you need pain medication Acetaminophen (Tylenol) is preferred as NSAIDs (Ibuprofen, Aleve, and Advil) tend to cause increased bruising.
You may shower, shampoo and wash your face per usual. It is ok to get the incisions wet, even if you have a patch over your eye. Take care to pat the area dry- do not rub.
Avoid strenuous physical activity and heavy lifting to prevent breaking stitches or worsening bruising. Brisk walking is usually ok.
Do not resume any medications that cause bleeding until 5 days after surgery unless instructed otherwise.
IF YOU HAD TEAR DUCT SURGERY- Try not to sneeze or blow your nose to avoid bleeding. Some bleeding into the eye or from the nose is normal. You may have a tear duct tube that goes from the inside corner of the eye and into the nose. Do not try to pull this out. If it does fall out it is not an emergency. Simply call the office the next business day.
Should you have a question or concern during regular business hours please call our office at (859) 277-4403 or call the Medical Society Exchange at (859) 276-2594 if you have an issue after hours or on the weekend.