Preparing for Your Retinal Surgery - Specialty Vision

Preparing for your retinal surgery is a crucial step towards ensuring a successful procedure. Our expert Retina Specialists are dedicated to guiding you through every step, helping you feel confident and ready for your surgery.

Table of Contents

Retinal Surgery Preparation Guide & Pre-Operative Planning & Securing Medical Clearance and Required Testing & Important Medication Considerations & Blood Thinners  & Diabetic Medications  & Pre-Surgical Eye Drops & Arranging for Transportation and Post-Surgery Support & The Night Before Surgery & Fasting and Nutritional Considerations

Retinal surgery is a specialized procedure designed to address issues in the delicate, light-sensitive tissue at the back of your eye. Preparing for the surgery properly can help you feel more relaxed and confident about what lies ahead. Our Retina Specialists' are committed to guiding you every step of the way so that you are well-informed and ready for a successful procedure.

Before your retinal surgery, thoughtful preparation is key. One of the first steps is to schedule a pre-operative appointment with your primary care physician (PCP) and, if needed, with your cardiologist to ensure you are medically cleared for the procedure. This appointment not only confirms your overall health but also helps our team ensure that any existing conditions are well-managed prior to the surgical date.

In the days leading up to your surgery, you will likely need to get a comprehensive evaluation from your PCP. This evaluation may include routine tests such as an EKG or blood work, and your doctor will then send the results to the surgical center before your procedure. It is important to follow these instructions and share any new symptoms or concerns—like a fever, rash, or cold—immediately with your doctor, as such issues may require rescheduling the surgery to ensure your safety.

Your Retina Specialists' will review all medications you are taking, particularly those that might affect bleeding or interact with anesthesia. If you are on blood thinners, such as aspirin, Plavix, or Coumadin, you may receive specific instructions on when to discontinue them prior to surgery—typically, 4 to 7 days in advance, depending on the medication. Additionally, if you rely on any morning medications, you might be instructed to take them with just a small sip of water on the day of your surgery, especially if fasting is required.

Discontinue these medications as directed (e.g., 5-7 days for aspirin or Plavix; 4 days for Coumadin) to reduce the risk of intraoperative bleeding.

Contact the surgical team to determine whether adjustments are necessary, as managing blood sugar levels is crucial before and after the procedure.

If prescribed, use them strictly as scheduled to minimize infection and reduce inflammation.

Since you are not allowed to drive yourself home after retinal surgery, it is essential to plan transportation in advance. Ask a trusted family member, friend, or arrange a medical transportation service to ensure a safe journey to and from the surgical center. It is also advisable to have a responsible adult stay with you for the first night after surgery, as some post-operative restrictions may affect your ability to resume a normal routine immediately.

Your evening before the procedure is as important as the days leading up to the surgery. Prior to bedtime, confirm all details with your surgical coordinator, and review the list of do’s and don’ts provided by our Retina Specialists'. This final phase of preparation helps set the tone for a smooth surgical experience.

One of the most critical instructions is to refrain from eating or drinking after midnight on the night before your retinal surgery. This fasting period is essential to minimize the risk of complications under anesthesia, such as choking or vomiting. If you have any specific dietary or fasting concerns, please discuss them with your doctor to ensure that you fully adhere to the guidelines while maintaining your health.

Late-Night Essentials and Medication Adjustments & Preparing Your Personal Items and Clothing & What to Bring  & What to Leave Behind  & On the Day of Your Surgery & Morning of the Surgery: Essential Do’s and Don’ts & Hygiene  & Medication  & No Smoking or Makeup  & Dress Comfortably 

If you are habitually on morning medications, check with our surgical team regarding any special instructions. Sometimes, a sip of water is allowed for very important medications, but only as directed by the nurses at the surgical center. It is also necessary to secure any last-minute details with your care team—ensuring that all your paperwork and test results are in order before the scheduled surgery day.

When planning for your surgery, think ahead about what you will need for your visit to the surgical center. You should leave any valuables such as jewelry, money, or other personal items at home to avoid any mix-ups or accidental loss. Instead, choose comfortable, loose-fitting attire such as a button-down shirt and casual pants, as these outfits make it easier for you to change once you’re at the facility.

Personal ID, insurance cards (including Medicare if applicable), and a list of your current medications.

Makeup, cologne, and any facial piercings or jewelry that might interfere with the surgical preparation.

The day of your retinal surgery is filled with specific instructions designed to ensure your safety. Begin your morning with a shower and basic hygiene routines such as brushing your teeth, while strictly following your doctor’s instructions regarding body care. Arriving on time is absolutely vital, as delays can cause the surgery to be postponed or even canceled.

Although you are encouraged to maintain your usual morning routine, there are a few restrictions to keep in mind. Since you must continue fasting until after your surgery, avoid any food or drink on the morning of your procedure. Follow these simple guidelines to ensure you are properly prepared:

You may shower and brush your teeth, which helps you feel fresh before the procedure.

Take only the medications allowed by your doctor, and use just a sip of water if instructed.

Refrain from smoking, wearing makeup, or using any scented products; these can interfere with the pre-operative assessment.

Wear loose and comfortable clothing that will not hinder your movement or cause discomfort while the surgery is underway.

Check-In and Pre-Surgical Preparation at the Facility & Anesthesia and Comfort Measures & Detailed Pre-Operative Instructions & Preparing for a Vitrectomy & Preparing for Retinal Detachment Repair & Preparing for Macular Hole and Epiretinal Membrane Surgeries & Addressing Common Concerns Before Surgery & Managing Pre-Surgery Nerves & Ensuring Clarity on Dietary and Medication Restrictions & Final Day Preparations

When you arrive at the surgical center or hospital, you will be greeted by the staff who will verify your personal information and health history. Expect to be at the facility at least 2 ½ hours before your scheduled procedure to allow for any necessary paperwork, a final review of your medical history, and a check of your vital signs. Nurses will administer any final tests, such as an EKG if required, and start an IV line if needed, all in preparation for the surgery.

Most retinal surgeries are performed under local anesthesia combined with mild sedation, allowing you to be awake yet relaxed during the procedure. Our Retina Specialists' and anesthesiologists take extra care to ensure you remain comfortable, and in some more intensive procedures, you might even be put completely to sleep. Prior to entering the operating room, you can discuss any concerns about the anesthesia with our team, who are always available to provide reassurance and ensure the process is as smooth as possible.

Each type of retinal surgery may come with its own set of specific pre-operative instructions. Whether you’re scheduled for a vitrectomy, retinal detachment repair, macular hole surgery, or an epiretinal membrane removal, following your customized preparation plan is essential for ensuring the best possible results.

If you are having a vitrectomy, which involves removing the gel-like vitreous from the eye to address issues like retinal detachment or vitreous hemorrhage, your pre-operative instructions will be tailored accordingly. In addition to the fasting guidelines mentioned earlier, you may be asked to use prescribed eye drops and avoid certain medications. This procedure often requires careful pre-surgical imaging and eye pressure measurements, so be sure to attend your scheduled examinations before the surgery.

For retinal detachment repair, time is of the essence. If your condition demands urgent repair, your surgery may be scheduled promptly. Be prepared to follow strict instructions, such as ceasing food and drink after midnight and making arrangements for immediate transportation. Our Retina Specialists' might also advise you to avoid certain medications and to come in wearing loose, comfortable clothing to help facilitate a smoother process once you reach the surgical center.

The pre-operative steps for macular hole repair or epiretinal membrane removal are similar to other retinal surgeries, with careful attention to your medication schedule and overall comfort on the day of surgery. Again, fasting from midnight ensures that anesthesia works effectively, and attending any provided pre-surgical eye exams is crucial. These exams help in confirming that the surgical plan is perfectly aligned with the current state of your retina.

Your feelings about having retinal surgery might range from relief to a bit of understandable anxiety. Here’s the thing: being well-prepared and informed can alleviate many of those concerns. Our Retina Specialists' encourage you to ask questions and review every instruction carefully so that nothing comes as a surprise on your surgical day.

Feeling nervous before any surgery is completely normal. Remember that thousands of patients successfully undergo retinal procedures every day, and each one is supported by a dedicated team focused on your well-being. Taking the time to understand the process, from pre-operative tests to medication adjustments, can greatly help reduce anxiety and ensure that you are mentally and physically prepared.

One of the key elements of preparation is strictly adhering to dietary restrictions. Not eating or drinking after midnight is a standard practice to prevent complications during anesthesia, such as nausea or vomiting. Similarly, your doctor may have advised specific restrictions regarding blood-thinning or diabetic medications, which are carefully designed to minimize risks and ensure a smooth operation.

  • Food & Drink: Refrain from anything by mouth after midnight to keep your stomach empty for anesthesia.
  • Medication Adjustments: Follow advice regarding discontinuing or modifying doses of blood thinners and other critical medications.
  • Pre-Surgical Reviews: Ensure that any last-minute tests, such as an EKG or blood tests, are completed and the results are forwarded to the surgical center.

Your final preparations on the day of your surgery are all about smooth transitions—from ensuring you are well-rested to being early enough for the pre-surgical check-in. Arriving on time is not only a courtesy to our team but also minimizes the stress of last-minute delays. With every detail taken care of, you can move forward with confidence, knowing that you have followed each step diligently.

If you have any questions about these instructions or need personalized assistance with your preparation, please do not hesitate to call our office. Our dedicated team is eager to offer guidance and ensure that every aspect of your preparation is addressed. We are here to help you achieve the best possible outcome, so reach out today and let us support you in this important step toward preserving your vision.

Checking In and Meeting the Team & What to Expect Just Before the Procedure & Post-Surgical Planning & Setting Up for Recovery at Home & Understanding Follow-Up Appointments and Long-Term Care & Checklist to Review Before Your Surgery & Medical Clearance  & Medication Management  & Transportation & Support  & Fasting and Dietary Habits 

Once at the surgical center, you will be met by caring professionals who review your personal information, verify your scheduled tests, and prepare you for the procedure. During check-in, expect to have your vital signs taken and possibly an IV line placed. This part of the process is designed to ensure that all safety protocols are met before you are asked to relax in the pre-operative area.

During the period just before your surgery, you will receive clear guidance from our team. Whether you need to remove any pre-applied eye drops or if there are additional instructions about your posture or positioning, follow these directions carefully. This discipline helps our Retina Specialists' maintain an environment that supports the highest possible safety and precision during your surgery.

Although the primary focus is on pre-operative preparation, understanding the initial post-surgery instructions can make the process more predictable and manageable. After your retinal surgery, the recovery guidelines you have been briefed on begin immediately, with careful monitoring in a recovery area that typically lasts from 30 minutes to an hour. By knowing what comes after the procedure, you can align your expectations and be ready for a seamless transition at home.

Before you leave the surgical center, confirm that you have all the items you need for a comfortable recovery period at home. This includes arranging a quiet, secure space where you can rest, and ensuring the presence of a supportive family member or friend who can assist you during the initial hours after surgery. Our Retina Specialists' may also provide you with specific instructions regarding the use of eye drops, precautions against strenuous activities, and guidelines for when to resume normal activities such as driving.

Your pre-surgical preparations extend to setting clear expectations about follow-up care. It is important to schedule and keep all post-operative appointments so that our Retina Specialists' can monitor your healing process and address any potential complications. Waiting until you feel completely “back to normal” before attending these appointments can be risky, as subtle issues are best managed early. Therefore, during your pre-surgery consultations, ask about the timeline and frequency of these follow-ups to be as well-prepared as possible.

Preparation is your best ally when facing retinal surgery. Every step—from obtaining medical clearance and managing your medications to arranging transportation and choosing the right attire—plays a pivotal role in ensuring that your surgical procedure is as smooth as possible. Being organized not only reduces unexpected hassles on the day of surgery, but it also sets a positive tone for your recovery.

Appointment with your primary care physician and possibly your cardiologist; confirm that all tests (EKG, blood work) are completed and sent to the surgical center.

Clearly understand which medications to avoid, adjust, or take with a sip of water; follow instructions for blood thinners diligently.

Arrange for a reliable ride to and from the surgical facility and plan for assistance at home during initial recovery.

Do not eat or drink anything after midnight; confirm any exceptions with your care team if necessary.

Appropriate Attire  & Arrival Time  & Moving Forward with Confidence & Essential Reminders on the Day of Surgery & Post-Operative Considerations and Continued Care & Taking the Next Step & Feel Empowered and Informed & Your Call to Action

Wear a button-down shirt and loose, comfortable clothing; leave out makeup, jewelry, and any valuables.

Plan to be at the surgery center at least 2 ½ hours before your scheduled start time to allow for check-in and final evaluations.

The journey leading up to your retinal surgery is filled with important steps designed to safeguard your health and optimize your outcome. By actively engaging with your pre-operative instructions, you contribute to a smoother process that starts from the moment you schedule your medical clearance and lasts well into your recovery. Our Retina Specialists' are here for you every step of the way, providing personalized advice and support tailored to your unique needs.

On the morning of your procedure, be sure to:

  • Adhere strictly to the fasting guidelines by consuming no food or drink past midnight.
  • Take only the medications permitted with a minimal sip of water, if instructed.
  • Dress in comfortable, loose-fitting clothing while leaving behind all makeup, jewelry, or any potentially conflicting accessories.
  • Arrive at the surgical center on time, with your photo ID and insurance cards in hand.

While the preparation phase focuses heavily on what to do before the surgery, being aware of initial post-operative steps can also provide reassurance. After your retinal surgery, expect to spend some time in a recovery area where your vital signs and overall condition will be closely monitored before you are allowed to go home. Adhering to the recovery instructions—including the use of prescribed eye drops and avoiding strenuous activities—ensures that your healing process proceeds without unnecessary complications.

Preparing for your retinal surgery is a joint effort that begins well before the surgical day and continues through your recovery. By following the detailed instructions provided—from obtaining a medical clearance and adjusting your medications, to arranging transportation and understanding the check-in process—you are taking proactive steps that set you up for lasting success. Every component of this preparation is designed with your comfort, safety, and ultimate vision health in mind.

Approaching this important procedure with a clear plan can help ease any anxiety you might have. Trust in the expertise of our Retina Specialists' and the comprehensive guidance provided throughout your pre-operative period. With careful planning and adherence to your doctor’s advice, you can face your retinal surgery with a sense of calm and confidence.

If you have any questions about these instructions or need personalized assistance with your preparation, please do not hesitate to call our office. Our dedicated team is eager to offer guidance and ensure that every aspect of your preparation is addressed. We are here to help you achieve the best possible outcome, so reach out today and let us support you in this important step toward preserving your vision.

Preparing for Your Retinal Surgery - Specialty Vision

If you have any questions about these instructions or need personalized assistance with your preparation, please do not hesitate to call our office. Our dedicated team is eager to offer guidance and ensure that every aspect of your preparation is addressed. We are here to help you achieve the best possible outcome, so reach out today and let us support you in this important step toward preserving your vision.

Common Questions

It is recommended to refrain from food or drink after midnight the night before your surgery to minimize the risk of complications during anesthesia.
You should have someone available to drive you home after the surgery as you will be unable to drive yourself. Make prior arrangements with a trusted friend or family member.
It is critical to attend a pre-operative appointment for medical clearance with your primary care physician and, if needed, with a cardiologist.
Be sure to follow all medication instructions, including discontinuing any blood thinners as advised, and take permitted medications only with a sip of water on the day of the surgery.
During your surgery, you'll either receive local anesthesia with sedation or be put fully under, depending on the procedure and your doctor's recommendations.
You will be monitored during recovery for about 30 minutes to an hour, and it's essential to have someone with you to assist during the first night.
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Preparing for Your Retinal Surgery - Specialty Vision

Get ready for your retinal surgery with vital preparation tips from our Retina Specialists. Proper planning ensures a smoother experience.

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