The specific preoperative preparation of the patient who is about to undergo ophthalmic surgery varies widely with the individual surgeon’s preferences. The following orders, therefore, are suggestions for ocular surgery in general and should be tailored to the specific procedure planned, the particular needs of the patient, and the specific requirements of the ambulatory surgery center or hospital.

Note: Preoperative administration of topical antibiotics has been shown to decrease lid and conjunctival bacterial colony counts and likely minimizes the risk of postoperative infection. As yet, however, no specific regimen has been rigorously shown to be superior. Following are suggestions of preoperative antibiotics that provide broad prophylactic coverage.

Ambulatory Surgery

Preparation

Document indications for surgery.

Explain risks, benefits and alternatives of procedure, carefully addressing the patient’s expectations. Document this in the chart.

Obtain informed consent.

Discuss suggested method of anesthesia and possible alternatives.

Give patient the opportunity to ask questions about the surgery.

Obtain medical clearance from primary care physician.

Review preparatory and operating room procedures that patient should expect.

Obtain laboratory evaluation as indicated.

Note: Workup should be tailored to patient’s age and medical history. Different surgery centers have different requirements. For example:

Complete blood count.

Chemistry panel.

Electrocardiogram.

Chest X-ray (if required for preoperative clearance).