Making Your Decision

I’ve read the information on this website and am not sure whether I’m a good candidate.
   What should I do?

Contact us at VRV. Our technicians are here to answer your questions. We will ask you a series of questions to determine whether surgery is a good option for you.

Should I be concerned about the risks of this type of surgery?

All surgeries have minor risks.

Will both eyes be done in the same surgery?

No, surgery will be booked for one eye at a time.
The date and time for surgery on your second eye will be reserved for you. We will confirm the details for your second procedure during the post-operative checkup for your first eye.

Before Surgery

What do I have to do to prepare for surgery?

You should see your family physician approximately two weeks prior to your surgery date for a pre-operative check-up and examination. There may be a fee for this appointment. Please have your family doctor fax this history to Broadmead Surgery Centre Fax at 250-383-0333. Take your MDS METRO lab requisition to the lab of your choice as soon as possible. Finally, follow the pre-operative eye drop regime very carefully.

Should I keep taking my prescription medication prior to surgery?

Please bring all prescription medications in the original containers or an accurate list of medications to your pre-operative appointment.

Can I smoke prior to surgery?

If you are a smoker and are unable to stop completely,
please discontinue for at least 48 hours prior to surgery.

How do I apply the eye drops?

  1. Tilt your head back and look at the ceiling, keeping both of your eyes open.
  2. Place a finger on your cheek just below your eye and pull down until a “V” is formed between your eyeball and your lower lid.
  3. Put one drop into the eye. Do not let the dropper touch your eye.
  4. Do not force the eyelids open to apply the drops.

The Day of Surgery

Will I be able to drive on the day of my surgery?

No, you will require a responsible adult to drive you to from the clinic on the day of surgery. Your length of stay at the clinic will be approximately two hours. Your driver may make themselves comfortable in VRV’s lounge, or drop the patient off and return for them in 1.75 hours.

What should I wear?

Wear loose, comfortable clothing to surgery. Please have a bath or shower at home on the day of surgery. Do not wear any make-up, jewelry, or nail polish to the surgery. Leave all valuables at home or in the care of your family/caregiver for safekeeping.

Can I eat anything?

You may have IV sedation and therefore will be required to fast.
You may have light meals up to four hours prior to arrival time and clear fluids up to two hours prior to arrival time. Insulin dependant diabetics should follow special instructions.

Should I take my medications?

You should take all prescription medications (except insulin) according to your usual routine on the day of surgery. If you use inhalers (puffers) even occasionally, please bring them with you. If you have diabetes, it is important to bring your glucometer with you to the clinic.

I woke up feeling ill just before my surgery. What should I do?

If you develop a cold, sore throat or other illness between seeing your surgeon and the day of surgery, please contact us for advice.

After Surgery

Will I have a follow-up appointment?

Yes, the doctor will see you to check your eye after surgery. Our staff will set up this appointment prior to your surgery. Please do not drive yourself to this appointment.

Do I need to take any precautions after my surgery?

Your wound is healing but it will not be firm enough to take direct pressure for six weeks. The doctor uses a self-closing incision which normally does not require sutures, and which is very resistant to opening with pressure. You should wear the eye shield provided over your eye for one week following surgery. You may resume normal physical activity the first day after surgery. Simply avoid extremely heavy lifting for the first week, and ensure that the eye does not sustain a blow.

I just had surgery and am concerned about how it is healing. What should I do?

If there is persistent decrease in vision or increase in pain or redness, please contact either your eye care doctor or our office. If you are unable to reach either of us, you must go to the emergency department of the nearest hospital, where Dr. Brierley or one of his colleagues will be on call.

Should I wear my old glasses after the surgery?

You may wear your old glasses after the surgery but may find vision better without them in the operated eye. If you wish to go without glasses, this will be fine. You may be sensitive to light for weeks or months after surgery and may wear sunglasses when necessary.

I used eye drops before my surgery. Should I still use them?

If drops were used before surgery, continue to take them as before in the unoperated eye.

My eye was “crusty” when I woke up this morning. What should I do?

If crusting is found on the eyelid edges in the morning, it can be removed gently by washing the eyelid with a clean washcloth. Avoid scrubbing.

General Information

How does aging change the eye’s natural lens?

As we age, a continuous process of degeneration of the natural lens of the eye diminishes our quality of vision. This lens, the size of a small button, lies just behind the pupil in the front part of the eye. Throughout life new lens fibers are continuously laid down on top of old fibers just under the surrounding lens capsule, much like the growth of an onion.

The resulting progressive enlargement of the lens makes it more round, which reduces the ability of the eye to see in low contrast environments, particularly in the evening and at night. This process continues from the 20s on.

A second effect of age is that older lens fibers are compressed into the center of the lens where they both harden and yellow. The lens becomes inflexible and we lose our ability to change focus.  Most people feel the impact of these changes in their mid-forties.

This process is known as presbyopia , which necessitates the use of readers, progressive lenses or bifocals, the use of which results in a progressive weakening of the muscles of focusing from disuse. We know that these muscles can regain function if an Accommodating Intraocular Lens is used to replace the aging lens with surgery.

At about the same time a progressive loss of blues and violets from our colour perception begins. People over fifty all have some impairment of colour perception from this process, but it happens gradually and awareness of the loss is only apparent in specific situations, such as discerning a black sock from a navy blue one in poor light.

Ultimately these compressed fibers break down to scatter the light passing through the lens, resulting in a gradual increase in clouding. When advanced, this is known as cataract . In its VRV- Vision Rejuvenation™ Victoria : FAQs early stages one notices only increased glare around lights at night. Later progressive blurring develops. Left untreated, cataract frequently leads to blindness, and it unfortunately remains the leading cause of blindness in the world.  In Canada this is now rare, owing to the greater availability of cataract surgery.

What is Astigmatism ?

Astigmatism is an optical imperfection of the eye which most of us have in some degree, due to a non-spherical curvature of the cornea , the front window of the eye. It is not a serious problem and normally spectacles are used to clarify the image in patients with significant astigmatism .

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