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How does Sapphire Eye Care personalise the RLE procedure for each patient?

Personalisation is key to the RLE procedure at Sapphire Eye Care. We understand that each patient’s eyes are unique, with different vision correction needs and health considerations. Therefore, we begin with a detailed examination of your eyes, discuss your visual goals and lifestyle requirements, and then select an intraocular lens (IOL) that best fits your specific circumstances. The choice of IOL is critical and can include options such as multifocal lenses. Additionally, we consider your overall eye health, the shape and size of your eyes, and any other ocular conditions that might influence the choice of lens and surgical approach. By tailoring each aspect of the RLE procedure, we aim to achieve optimal results that not only enhance your vision but also complement your way of life.

How long will it take my eyes to recover after oculoplastics surgery?

Every patient responds to surgery in different ways and heals at different speeds. As a rule of thumb, though, you can expect some swelling and bruising in the first week after eyelid surgery, which will be visible to other people. In the second week, this begins to settle and it’s usually not very apparent that surgery has taken place. Any scars from the operation are designed to blend into the normal creases of the skin around your eyelids.

We see all our patients a week after their surgery so that we can review the healing process and remove any sutures. We will see you again for a final check after about two to three months. For patients who work, we usually recommend taking at least one week off to recuperate after surgery. Some people prefer to allow a fortnight, but we can review this when you come in for your post-operative appointment at the end of the first week.

What can I do to help my recovery from oculoplastics surgery?

The effects of the local anaesthetic usually begin to wear off after an hour. In practice, most patients rarely experience much discomfort after the operation. But if your eyes do feel painful, it’s fine to take some paracetamol (assuming you don’t have an allergy to this medication). Eyelids have an excellent blood supply. This is good because it means they heal very quickly, but by the same token they can also become bruised and swollen following surgery. The amount of bruising and swelling you experience can be quite variable and difficult to predict. But there are some things you can do to help reduce them.

Ice-packs: Using ice and gentle pressure on the eyelids after surgery can help to reduce the swelling. The simplest way to do this is with a bag of frozen peas wrapped in a clean tea towel. Press this gently onto your closed eyelids for 20 minutes. You can repeat this at regular intervals, ideally five to six times a day for the first three days.

Elevation: Eyelid swelling can be affected by the position of your head relative to your body during the healing process. Keeping your head up and above the rest of your body during the first few days may help to ease some pressure on the lids. Sleeping with a few extra pillows, or putting a few books under the head-end of your bed, can keep your head a little higher when you are asleep and reduce any extra swelling overnight.

Rest: It’s important to give your body time to heal and recover, so we always recommend that you avoid any strenuous activity for at least two weeks following your surgery. Light exercise such as walking is fine, but try to avoid anything that raises the heart rate too much or involves putting your head below your body. You should avoid swimming for the first two weeks as well. You can wash your face and take showers but try to avoid getting the eyelids too wet.

Avoiding smoking: Studies have shown that smoking affects the healing process after eyelid surgery, which is why we ask patients to stop smoking in advance of their procedure. If you do smoke, we recommend you avoid it for at least two weeks before your operation takes place, and for the first few weeks afterwards.

Are the treatments at Sapphire Eye Care performed using the latest technology?

Yes, Sapphire Eye Care is committed to staying at the forefront of technological advancements in eye care. Our clinics are equipped with state-of-the-art diagnostic and surgical tools, enabling us to perform highly precise and effective treatments. This commitment to technology, combined with our surgeons’ expertise, is central to our philosophy of providing the highest quality care and achieving the best outcomes for our patients.

Can I reach out to the Sapphire Eye Care team if I have questions about my eye surgery preparation?

Absolutely, our team is here to provide support and address any questions or concerns you may have about preparing for your eye surgery. We understand that every eye treatment is unique, and we are committed to ensuring that you have a clear understanding of the process. Feel free to get in touch with us here and at any time to discuss your surgery and any preparations you need to make. Your comfort and well-being are our top priorities.

When should you have cataract surgery?

There is no specific level of vision at which surgery is indicated, but as soon as your impaired vision interferes with your daily life, the procedure is worth considering. You may notice your impaired vision when reading, working, watching TV, driving, playing sport or caring for others.

If you are a driver, you must be able to achieve the visual standard required by the DVLA and it may be necessary to have cataract surgery to keep your licence. Leaving a cataract untreated does not damage the eye, but as the lens opacity worsens, your vision will deteriorate until little sight remains. Surgery at this stage may be more difficult.

What is an epiretinal membrane and how does it affect vision?

An epiretinal membrane, often referred to as macular pucker, is a semi-translucent layer that forms atop the macula, the central portion of the retina responsible for sharp central vision. Patients may notice a gradual decline in visual acuity, including blurriness and distortion, as if looking through cellophane. Detailed images or reading small print become challenging, and straight lines may appear wavy or bent.

What is vitreomacular traction and how does it impact vision?

Vitreomacular traction is when the vitreous, the eye’s gel-like substance, sticks to the macula — the part responsible for sharp central vision — whilst the surrounding gel is detaching, and so exerts a pulling force. This condition can lead to visual symptoms such as blurriness, distortion, or a decrease in visual acuity. The traction may also cause swelling or cysts in the macula and can lead to a hole if left untreated, severely impairing detailed vision.

What is dry macular degeneration and how can it be treated?

Dry macular degeneration, or dry AMD, is a chronic eye disorder characterised by thinning and deterioration of the macula, leading to a gradual loss of central vision. Treatment focuses on lifestyle modifications, dietary supplements, and regular monitoring to manage the condition, as well as Photobiomodulation (depending on the case).

What do you need to consider prior to surgery?

Since most cataract surgery is only carried out with drops to numb the eye (known as ‘topical anaesthesia’), there are usually no restrictions on what you can eat and drink prior to admission. If you require a general anaesthetic, we can supply you with additional written advice about this.

The procedure is usually carried out as a day case, with a hospital stay of a few hours. Please remember that you won’t be able to drive yourself to hospital. You may wish to ask a relative or friend to accompany you, or to drop you off and collect you when you’re ready to go home. If getting to and from the hospital is difficult, we may be able to offer assistance. Please alert our secretarial team, as the hospital bookings office won’t be able to help with transport.

What will my surgery journey look like? Find out by clicking here.

How is an epiretinal membrane diagnosed?

Diagnosing an epiretinal membrane involves a thorough eye examination, where Ophthalmologists at Sapphire Eye Care use high-resolution imaging technology. Optical Coherence Tomography (OCT) is the gold standard, offering cross-sectional views of the retina to confirm the presence and extent of the membrane. Visual acuity tests complement these images to assess the impact on vision, facilitating an accurate and early diagnosis which is crucial for optimal treatment outcomes.

How is vitreomacular traction diagnosed and when is surgery recommended?

Diagnosis involves a comprehensive retinal exam using optical coherence tomography (OCT), which provides detailed images of the retina’s structure, allowing for precise identification of the traction. Surgery, typically a vitrectomy, is recommended when the traction does not resolve naturally and starts to affect vision significantly, or if there is an impending macular hole.

What are the symptoms of dry macular degeneration?

The symptoms of dry AMD typically emerge appear acutely and then often worsen slowly and include blurred or reduced central vision, the need for brighter light when reading or doing close work, distortion, increased difficulty adapting to low light levels, increased blurriness of printed words, a decrease in the intensity or brightness of colours, and difficulty recognising faces. Regular check-ups at Sapphire Eye Care can help in early detection and management.

Which implant lens should you have?

The whole suite of lenses available to the public is currently not available on the NHS. At Sapphire Eye Care we pride ourselves on being able to offer the entire suite of lenses, from Toric lenses to multifocal lenses, from monofocal lenses to extended depth of focus lenses.

As with spectacle lenses, there are different implant lenses available. You may be given a choice of using a regular monofocal lens (single-vision power), or a multifocal lens which is designed to give you a degree of spectacle independence for most everyday tasks.

We will discuss with you the type of implant lens that will best suit your needs, and the visual outcome you can expect.

What does epiretinal membrane surgery involve?

Epiretinal membrane surgery, or vitrectomy, is a delicate procedure performed by the skilled surgeons at Sapphire Eye Care. The surgery entails making tiny incisions through which specialised instruments are inserted to remove the vitreous gel. The surgeon then carefully peels away the epiretinal membrane from the retina’s surface. The procedure aims to restore the macula’s natural contour and relieve the traction, thereby improving visual clarity and reducing distortion. It is typically carried out under local anaesthesia. The use of intravenous sedation can be discussed with your surgeon in clinic.

What is the recovery process like after epiretinal membrane surgery?

Post-operative recovery from epiretinal membrane surgery is a critical phase managed closely by the Sapphire Eye Care team. Patients might be advised to maintain a specific head positioning to allow the air bubble, placed to facilitate retinal healing, to exert its effect optimally and is dispersed between four and eight days. Use of anti-inflammatory and antibiotic eye drops is standard to reduce swelling and prevent infection. Vision improvement is gradual and may continue to enhance over several months. A follow-up visit is scheduled to monitor the healing process and ensure the retina remains attached and heals properly.

How do I know if I have wet or dry AMD?

When you come into the clinic for an appointment, we will analyse your eyes carefully to determine which form of AMD you may have. The main way to do this is with a test called an OCT scan. This is really just like having a photograph taken of the retina – it is quick and completely painless. Occasionally more information is required, for which you would be asked to attend a local hospital for a fluorescein angiogram. This involves injecting an orange dye into a blood vessel in your arm and then taking a series of photographs to watch the passage of the dye through retinal blood vessels.

We now have an OCT machine, which takes such detailed pictures that the actual blood vessel layer beneath the retina can be visualised. This is called OCT angiography (or OCT-A). This has dramatically decreased the need for the dye test.

What does vitreomacular traction surgery at Sapphire Eye Care involve?

The surgery offered at Sapphire Eye Care for vitreomacular traction is a vitrectomy, a procedure where the vitreous gel causing traction is delicately removed to release the macula. The surgery is minimally invasive and may involve filling the eye with a temporary gas bubble to aid in the healing process and ensure the retina remains in the correct position. The procedure is typically carried out under local anaesthesia. The use of intravenous sedation can be discussed with your surgeon in clinic.

What happens during cataract surgery?

Most cataract surgery today is carried out using topical anaesthesia. This is done with eye drops to numb the eye and surrounding area. You will be awake during the operation and aware of some movement, touch and water, but the procedure will be painless. We routinely offer intravenous sedation, which many people find reassuring and relaxing.

For potentially challenging cases, we may recommend a local anaesthetic block for your treatment. This involves gently injecting anaesthetic around the eye, and it will help you to relax while the procedure is carried out.

We will make sure you feel comfortable on the operating couch. We then thoroughly cleanse the skin around your eye and place a sterile cover (or ‘drape’) over your eye and face. The cover will be lifted off your mouth so you can breathe and talk easily. A tiny clip is gently used to hold your eyelids open. The surgeon will then ask you to look at a central light, which allows us to position your eye correctly for surgery.

Since you will only see a little of what’s happening during surgery, we will explain what we are doing as the operation goes along. The theatre staff will be on hand to help you feel relaxed and comfortable. We can even make sure that someone is there to hold your hand if you wish. The operation usually takes about 15 to 20 minutes, though in some cases it may take longer.

Many people believe that cataracts are removed with lasers, but that’s not usually the case. The modern technique for extracting cataracts is called phacoemulsification. It’s carried out under an operating microscope and involves making a very small incision in the cornea (the clear part at the front of the eye, which covers the iris and pupil). We then insert a tiny probe through the incision to remove the cloudy lens. The incision is self-sealing, so stitches are not required.

The natural lens of the eye is contained within a ‘capsular bag’. The aim of surgery is to remove the lens contents while leaving the capsular bag intact, apart from a small circular hole on the front surface which allows us to perform the operation.

An ultrasonic probe breaks up and then vacuums away the cataract material, leaving a cavity for the new lens.

What are the success rates and potential risks of epiretinal membrane surgery?

The success rates for epiretinal membrane surgery at Sapphire Eye Care are high, with patients experiencing a significant improvement in visual distortions and acuity. However, as with any surgical intervention, there are inherent risks, which may include cataract development, infection, or retinal detachment. Prior to surgery, a detailed discussion of potential risks and benefits is conducted to ensure patients are well-informed. Our surgeons utilise state-of-the-art techniques to minimise risks and optimise surgical outcomes.

What does recovery look like after vitreomacular traction surgery?

As with all vitrectomy surgeries, medicated eyedrops are provided to prevent infection and inflammation, and possibly positioning requirements to maintain the retina’s proper positioning, if an air bubble has been inserted. Visual recovery can be gradual, and the degree of improvement will depend on the traction’s severity and the presence of any associated retinal conditions.

What can I do to manage my condition with dry macular degeneration?

Managing dry AMD involves a combination of regular eye exams to detect any changes, a traditional diet with natural foods, and a minimum of ultra-processed or high-sugar foods, taking specific vitamin supplements designed for eye health and wearing sunglasses with UV protection. At Sapphire Eye Care, we work with our patients to create a personalised management plan that suits their lifestyle and needs, as well as what options may be available to them, such as the potential use of macular photobiomodulation in dry AMD.

How does Sapphire Eye Care ensure safety and comfort during cataract surgery?

At Sapphire Eye Care, patient safety and comfort are paramount during cataract surgery. We use the latest in surgical techniques and technology to minimise discomfort and expedite recovery. Surgeries are typically performed under topical anaesthesia, which numbs the eye surface without the need for injections. For patients feeling anxious, we offer sedation options to ensure a calm and comfortable experience. Our surgical team closely monitors each patient throughout the procedure to maintain the highest safety standards.

What are the outcomes and success rates for vitreomacular traction surgery?

The success rates for vitreomacular traction surgery are generally favourable, with patients experiencing an alleviation of traction and a stabilisation or improvement in vision. The prognosis is particularly good when the surgery is performed before significant retinal damage has occurred.

Are there advanced treatments for dry macular degeneration at Sapphire Eye Care?

While there is currently no cure for dry AMD, Sapphire Eye Care provides access to the latest advancements in treatment, which may include participation in clinical trials for new therapies as they become available, such as Photobiomodulation. Our commitment is to offer our patients the most current and effective options for managing their condition.

How does Sapphire Eye Care approach the treatment of dry macular degeneration?

Sapphire Eye Care’s approach to treating dry AMD is proactive and patient-centred. We conduct comprehensive assessments to monitor the condition’s progression and recommend evidence-based interventions such as Photobiomodulation, nutritional supplements, lifestyle changes such as quitting smoking, and protecting the eyes from ultraviolet light.

What follow-up care is provided after cataract surgery?

Following cataract surgery at Sapphire Eye Care, our comprehensive follow-up care begins with a post-operative call the day after the surgery to ensure the eye is healing correctly. Additional follow-appointments may be scheduled for the weeks following the procedure to track recovery and measure visual improvement, but sometimes this can be done with post-operative telephone consultations or a visit to your local Optometrist.

What is an Ophthalmologist?

An Ophthalmologist is a medical doctor specialising in eye and vision care. They have trained specifically in various aspects of eye disease and ophthalmic surgery.

How much does it cost to see an Ophthalmologist privately?

The cost to see an Ophthalmologist can vary widely based on the services required, location, and whether the care is public via NHS or private. For specific fee structures, it’s best to see our pricing page here, or simply contact Sapphire Eye Care directly.

How long is the average wait time to see a Sapphire Ophthalmologist?

Sapphire Eye Care prides itself on offering timely appointments. The average wait time can vary, but we strive to see patients as soon as possible, often within one to two weeks. For the most accurate wait times, please schedule an appointment by contacting our team here.

What is the difference between an Optometrist vs Ophthalmologist?

An Optometrist is an eye care professional who can perform eye exams, prescribe corrective lenses, and diagnose common eye conditions. An Ophthalmologist is a medical doctor with the ability to perform eye exams, prescribe medications, and carry out eye surgery. They can treat more complex eye conditions and provide a higher level of medical care. For more information on our Ophthalmologists, visit our team page here.

How can I find an Ophthalmologist near me?

To find a Sapphire Ophthalmologist near you, visit our clinic locator page here. You can find detailed information about each of our locations and the services offered, ensuring you find the perfect match for your eye care needs.

What causes short-sight, long-sight, astigmatism and presbyopia?

To understand how our vision changes under certain circumstances, it helps to know a little more about the inner workings of the eyes. In simple terms, the lens of the eye lies just behind the iris. Its function is to focus light rays onto the retina, the light-sensitive layer of nerves at the back of our eyes.

The way the eye focuses light depends on three main factors:
• the power of the cornea, which is the part of the eye that acts as a clear window
• the power of the lens inside the eye
• the length of the eye.

The cornea and lens work together to create a focused image on the retina. The length of the eye remains fixed.

In a normally-sighted eye, a healthy young lens has the ability to adjust the eye’s focus, allowing us to see things clearly both near and far away. Many people begin to lose this ability, however, when they reach middle age. Around this time they begin to discover that they need a spectacle correction for reading. This is called presbyopia.

How can refractive lens exchange correct my sight?

Refractive lens exchange works by altering the focus of the eye. It provides clear vision by changing the optical power of the lens. This allows the image to be focused onto the retina, rather than in front of or behind it. A multifocal or accommodating lens can then help to provide near and distance focusing.

When should I have refractive lens exchange surgery?

There are no hard and fast rules about when to have refractive lens exchange surgery. But if you find that wearing glasses or contact lenses is interfering with your daily life, it’s definitely worth considering the treatment.

Refractive lens exchange is technically very similar to modern cataract surgery. Thanks to major developments in surgical technique, the very low risk of complications, and the huge visual benefits of modern implant lenses, it has become very popular.

During surgery we remove your natural lens and replace it with a clear, plastic lens implant. It remains permanently in your eye, but you won’t be able to feel it.

How does Refractive Lens Exchange differ from LASIK?

Refractive Lens Exchange (RLE) involves the removal of the eye’s natural lens, which is then replaced with a custom intraocular lens (IOL) to correct vision. This method is particularly beneficial for patients who have presbyopia or high refractive errors that LASIK, a laser-based procedure that reshapes the cornea, cannot correct. RLE offers an alternative for those who may not be ideal candidates for corneal-based refractive surgery due to thin corneas, dry eyes, or other corneal issues. By addressing the lens rather than the cornea, RLE can provide a comprehensive correction that may reduce or eliminate the need for glasses, including reading glasses, which LASIK cannot always accomplish.

What can I expect in terms of visual outcomes after RLE surgery?

The visual outcomes following Refractive Lens Exchange surgery can be transformative – patients often noticing a stark difference almost immediately after the procedure. While individual results can vary, the primary objective of RLE is to correct vision to the point where dependence on corrective lenses is greatly reduced or no longer necessary. It’s important to note that while many patients achieve 20/20 vision, the outcome will depend on several factors, including the type of intraocular lens (IOL) implanted and the individual’s specific eye health. Our team at Sapphire Eye Care provides thorough post-operative care to optimise visual outcomes and enhance your visual experience.

Is the Refractive Lens Exchange procedure safe?

Refractive Lens Exchange is considered a safe and effective procedure with a long history of success. At Sapphire Eye Care, patient safety is paramount, and we employ advanced surgical techniques and technologies to ensure the highest standards of care. The procedure is performed in a controlled environment by experienced surgeons who specialise in lens exchange. Although all surgeries carry some degree of risk, complications from RLE are rare, and our team is trained to manage them effectively should they occur. We take every precaution to minimise risks, including a comprehensive pre-surgical assessment to ensure that RLE is the most suitable option for your vision needs.

What are the advantages of a private Ophthalmologist vs NHS?

Private Ophthalmologists such as Sapphire can offer shorter wait times – in some cases just weeks instead of years in the NHS system – more personalised service, flexible scheduling, higher quality materials and often more time dedicated to each appointment. They may also have access to more advanced treatments and technologies. Learn more about the benefits of choosing Sapphire Eye Care here.

What is the recovery process like post-cataract surgery at Sapphire Eye Care?

The recovery process at Sapphire Eye Care is designed for comfort and effectiveness. Post-surgery, patients may experience mild discomfort and blurry vision, which typically subsides from a few hours to a day or two. Most are able to return to their daily activities within 24 to 48 hours. The best combination of drops is prescribed to aid healing and patients are advised to avoid strenuous activities during the initial recovery phase.

How do we diagnose glaucoma?

The diagnosis of glaucoma can be difficult and requires several tests. It may not be possible to give a definitive diagnosis at the first consultation.

  • Tests for glaucoma include:
    Tonometry: this measures the intraocular pressure of your eyes. It’s performed by Goldman Applanation Tonometry, not the ‘air puff’ that you may have experienced at the opticians.
  • Slit lamp examination: a slit lamp allows us to examine the eye in detail, especially the optic nerve.
  • Gonioscopy: this test enables us to examine the drainage angle. It’s performed using a special contact lens on the eye.
  • Pachymetry: pachymetry is a test that allows us to measure the thickness of your cornea. This is important, as a thicker-than-average cornea could lead to an overestimated intraocular pressure, while a thinner-than-average cornea could result in an underestimated pressure reading so it’s important to get a very accurate measurement.
  • Visual field perimetry: this test measures the specific area of sight loss, especially in the peripheral vision.
  • Optic nerve imaging: this test measures the thickness of the nerve fibre layer of the optic nerve and can detect areas of nerve fibre loss. It can also be used to monitor any further loss.
What is selective laser trabeculoplasty (SLT)?

Selective laser trabeculoplasty (also called SLT) is a treatment aimed at lowering the pressure in the eyes if you have ocular hypertension or open angle glaucoma (see ‘Types of glaucoma’). The laser treatment helps fluid drain from the eye, which in turn lowers the pressure.

Some people respond better to the treatment than others. While the initial treatment may be successful, the pressure can rise again in time. If this happens, the treatment can be repeated, although the results may not be quite effective as after the first treatment. You may also need to continue eye drop treatment. In some cases, we may also recommend further treatment, including surgery, if the pressure does not return to a satisfactory level.

Complications of SLT: complications are rare but may include inflammation, a temporary increase in eye pressure, blurred vision, headaches and corneal oedema (clouding of the clear window at the front of the eye).

How SLT works: During treatment, patients are normally given drops to make the pupil smaller, which can often cause a slight headache above the eye. Once you sit in front of the laser machine, further drops are given to numb the surface of the eye.

The consultant doctor will place a special contact lens onto the eye and aim the laser at the part of the eye where the fluid drains (known as the ‘trabecular meshwork’, in the angle between the iris and the cornea). Many patients don’t feel any discomfort from the treatment, but those that do usually describe the pain as mild. It takes about five minutes to treat one eye.

After laser treatment, the eyes will be temporarily dazzled, but vision should improve over the following few hours. It may help to wear sunglasses when you go home.

There is a chance that you may experience a headache during the first few hours following the procedure. If this happens, you should take your usual painkiller. You may also need to take extra drops for a week or so after the treatment. You will probably also be advised to continue with your usual glaucoma drops until your next appointment.

What is a trabeculectomy?

Glaucoma can get worse if the pressure inside the eye is too high. If this happens and eye drops are not sufficiently lowering the pressure, and if there is a significant risk that glaucoma is going to cause further damage to your sight, we may recommend trabeculectomy surgery.

A trabeculectomy is an operation to lower the pressure inside the eye. It involves making a new channel in the white wall of the eye (the sclera), through which fluid flows out into a space underneath the outer layer of the eye (the conjunctiva). A successful trabeculectomy creates what we call a ‘bleb’ (a small elevation), which is usually covered by the upper eyelid.

Trabeculectomies are usually done as day cases, under local anaesthetic. The local anaesthetic involves an injection beside the eye a few minutes before the start of the operation. This makes the eye numb, and usually blurred as well.

What happens during a trabeculectomy treatment?

The treatment is performed with you lying on your back. A paper drape is placed over your face, with fresh air piped beneath it. A clip is used to keep the eye open. You may see light and shadow, but you will not see the surgery itself. It usually takes between 40 and 80 minutes to complete the operation. At the end of the procedure, a patch is taped over the eye. You will leave this on until the next day.

In many cases we will treat the area of the trabeculectomy with additional medication during the surgery, to prevent scar tissue from closing the new channel we have created. The medications we use for this include mitomycin-C and 5-fluorouracil (5-FU).

What happens after the treatment?

Frequent follow-up is required in the first few weeks after this operation. You will need to be reviewed the day after surgery. If all is well, you will be reviewed a week later, and again one to three weeks after that. The exact timing of these and future reviews depends on how your eye is settling down; more frequent visits are quite often required. The first few weeks after the operation is a very important time for checking the eye and carrying out adjustments. Most of these adjustments are minor and will be done as part of an outpatient visit. To be on the safe side, it’s best to avoid planning any holidays within two months of the treatment.

You will be given new drops (an antibiotic and steroid) to use in your eye for several weeks after the operation. You won’t need to use your previous glaucoma drops in the eye that has had the operation (although, in the longer run, some patients do need to restart these to lower the pressure sufficiently). In your other eye, you should continue with any glaucoma drops as you did before.

What will my vision be like?

It’s common for the eye that has had the surgery to be quite blurred for a few weeks, and sometimes longer. There’s no need to change your glasses straight away, but some patients benefit from getting new glasses sooner than they normally would (though it’s best to wait for three months while things settle). You can resume driving if your vision is sufficient for you to meet the legal requirements. Bear in mind, however, that trabeculectomy doesn’t improve vision. Its purpose is to prevent sight loss in the future.

When can I get back to everyday activities?

You can use your eyes for reading, television and computers etc as soon as you wish; this won’t harm your eye. Gentle exercise such as walking is fine, but you should avoid strenuous exercise (such as running, ball sports and fitness workouts), or lifting heavy objects, for at least a month after the operation. You should avoid swimming or immersing the eye in water for at least one month. Please ask at your check-up if you’re planning to resume swimming.

How successful is trabeculectomy?

The treatment helps to lower the pressure in the eye in about 80% of cases, and most patients will not need glaucoma drops in the eye that has had the operation. A lower pressure is beneficial to nearly all patients with glaucoma, but glaucoma can still progress – in some cases even after a ‘successful’ trabeculectomy.

What are the risks and complications of trabeculectomy?

It’s important to weigh up the risks as well as the potential benefits before undergoing any form of surgery. The surgeon who has recommended this operation will have judged that the risk to your sight from glaucoma without the operation is greater than the risks of the operation itself. For most patients, trabeculectomy achieves a lower pressure without any significant problems. But as with all operations, there are some risks. These include:

Reduced vision: this is very common in the first two weeks after the operation due to swings in the eye pressure, minor bleeding inside the eye and inflammation. These typically settle within the first few weeks. A small minority of patients (around five to eight percent) may have some degree of permanently reduced vision after the operation. As with all intraocular surgery, loss of all vision in the eye due to the surgery itself is possible, but it’s very unusual.

Discomfort: any discomfort from the procedure usually settles within a few weeks, but some patients do experience long-term discomfort. However, the symptoms are usually mild and can be controlled with artificial tears.

Increased likelihood of cataracts: This is quite common within five years of the operation. If cataracts do occur, they can be treated in the normal way. In some patients, a trabeculectomy works less well if a cataract operation is performed subsequently.

Infection and loss of vision in the eye: There is a small risk of infection after any form of eye surgery, including trabeculectomy. With trabeculectomy there is also a permanently increased risk of infection getting inside the eye. But the risk is small: roughly one in every 100 operations.

Further surgery may be required to ensure that the operation is successful, or to correct low pressure. It’s not unusual for an additional procedure of some sort to be required, but this is usually a much shorter procedure than the trabeculectomy itself.

What is minimally invasive glaucoma surgery (MIGS)?

Minimally invasive glaucoma surgery (also known as micro invasive glaucoma surgery, or MIGS) is the latest advance in surgical treatment for glaucoma. It aims to reduce intraocular pressure by either increasing outflow of aqueous humour, or reducing its production.

MIGS comprises a group of surgical procedures which share common features. They focus on a minimally invasive approach, often with small cuts or micro-incisions through the cornea that cause the least amount of trauma to surrounding scleral and conjunctival tissues. The techniques minimise tissue scarring, allowing for the possibility of traditional glaucoma procedures such as trabeculectomy or glaucoma valve implantation (also known as a glaucoma drainage device) to be performed in the future if needed.

MIGS procedures reach their surgical target from an internal route, typically through a self-sealing corneal incision. This contrasts with traditional surgery, where external techniques are used. By using an internal approach, MIGS procedures often reduce discomfort and lead to more rapid recovery periods.

While MIGS procedures offer fewer side effects, they don’t tend to lower intraocular pressure to the same extent as trabeculectomy or glaucoma tube shunt implantation.

How does glaucoma surgery help in managing the condition?

Glaucoma surgery aims to reduce intraocular pressure, which is essential in slowing the progression of glaucoma and preventing vision loss. By creating new pathways for fluid drainage or reducing fluid production in the eye, these surgeries can stabilise or even improve your current level of vision.

What is the recovery process like after glaucoma surgery?

Post-surgery, patients may experience mild discomfort and temporary visual disturbances. Recovery time varies depending on the type of procedure, but most activities can typically be resumed within a few weeks. We provide detailed aftercare instructions and close monitoring to ensure the best possible outcome.

What is vitreoretinal surgery and when is it needed?

Vitreoretinal surgery encompasses a range of procedures that address problems in the retina and vitreous of the eye. It’s typically required for conditions like retinal detachment, macular holes, and complications from diabetic retinopathy.

What can I expect during the recovery from vitreoretinal surgery?

Recovery varies by procedure but generally involves some post-operative restrictions like avoiding strenuous activities. We provide comprehensive post-op care instructions to ensure a smooth recovery.

Are there any risks associated with vitreoretinal surgery?

As with any surgery, there are potential risks. However, our surgeons use the latest techniques and equipment to minimise complications, and we discuss all potential risks with you before the procedure.

When can I return to work?

Most people are able to return to office-based work two weeks after the treatment, although some patients need longer. It’s usually wise to wait at least a month before resuming physically strenuous work, or work in a dusty or dirty environment.

What are the types of glaucoma surgery offered at Sapphire Eye Care?

We provide a range of surgeries, including laser treatments like Selective Laser Trabeculoplasty (SLT), conventional surgeries like trabeculectomy, and shunt procedures. The choice of surgery depends on the type and severity of glaucoma, as well as the individual’s specific health profile.

What types of vitreoretinal surgeries are available at Sapphire Eye Care?

Our clinic offers a variety of vitreoretinal procedures, including vitrectomy, membrane peeling, and laser surgeries. The choice of surgery depends on the individual condition and the best course of action for optimal visual outcomes.

How experienced are the surgeons at Sapphire Eye Care with vitreoretinal procedures?

Our surgeons are highly experienced and stay abreast of the latest advancements in the field, ensuring that our patients receive the most effective and safe surgical care possible. For more insight into our surgeons and their experiences, qualifications and more, see their profiles here.

What are eye floaters and how can surgery help?

Eye floaters are small, shadowy shapes that appear in your field of vision, often as spots, threads, or web-like structures. While they are usually harmless, persistent floaters can be bothersome, especially if they impair vision. Floaters surgery, or vitrectomy, removes the vitreous gel containing these floaters from the eye, providing relief from these visual disturbances.

How do I know if I need surgery for my floaters?

Floaters are common and usually not a cause for concern. However, surgery may be considered if they significantly obstruct your vision and impact your quality of life. At Sapphire Eye Care, we conduct a thorough assessment to determine if you are a candidate for surgery based on the severity and impact of your symptoms.

What can I expect during the recovery period after floaters surgery?

Recovery from floaters surgery is generally quick. Patients may experience temporary visual disturbances as the eye heals. We provide detailed aftercare instructions and schedule follow-up visits to monitor the healing process and ensure a successful outcome.

Are there any risks associated with floaters surgery?

As with any surgical procedure, there are risks involved with floaters surgery, such as infection or retinal detachment. However, our experienced surgeons at Sapphire Eye Care use meticulous techniques to minimise these risks. We discuss all potential risks and benefits with you in detail before the procedure.

What is a macular hole and how does surgery correct it?

A macular hole is an opening in the centre of the retina, the macula, which can cause significant blurring and distortion of central vision. Vitrectomy surgery involves removing the vitreous gel to prevent it from pulling on the retina and then filling the eye with a gas bubble that gently allows the edges of the macular hole to come together, promoting natural healing and closure of the hole.

What are the symptoms of a macular hole and when should I seek treatment?

Symptoms include a significant decrease in central vision clarity, difficulty reading, and distorted vision where straight lines appear wavy. It is important to seek treatment promptly if these symptoms arise, as early intervention can lead to better surgical outcomes and may prevent further vision loss.

What can I expect during recovery from macular hole surgery?

Recovery from macular hole surgery usually requires patients to not to lie flat on their backs for the first two weeks to allow the gas bubble to exert pressure on the macula – or there may sometimes be advantages to posturing face-down for a period of time after surgery. This will be discussed with you by your surgeon. Vision will initially be poor after the surgery due to the presence of the gas bubble, but as the gas is absorbed and the eye heals, vision typically improves.

What is retinal detachment, and why is surgery necessary?

Retinal detachment is a serious condition where the retina, the layer of tissue at the back of the eye that processes light, separates from its normal position. Without surgical intervention, this condition can lead to permanent vision loss. Surgery is necessary to reattach the retina to its proper place, helping to restore vision and prevent further deterioration.

What are the symptoms of retinal detachment, and how quickly should I seek treatment?

The symptoms of retinal detachment are often sudden and require immediate attention. These can include a rapid increase in floaters, flashes of light, and a shadow or curtain that appears to cover a part of the visual field. Quick treatment is essential; the sooner the retina is reattached through surgery, the better the chances are for recovering vision.

What can I expect during the recovery from retinal detachment surgery?

Recovery from retinal detachment surgery varies based on the procedure performed. Patients undergoing vitrectomy surgery with installation of a gas bubble who need to maintain a specific head position to help the retina reattach. Vision recovery can take weeks to months. You’ll have scheduled follow-ups to monitor the healing process.

What is the procedure for floater vitrectomy surgery at Sapphire Eye Care?

Floaters vitrectomy surgery at Sapphire Eye Care involves making tiny incisions in the eye to remove the vitreous gel and replace it with a saline solution. This surgery is typically reserved for severe cases where floaters significantly impair vision. The state-of-the-art techniques we use ensure the procedure is as safe and effective as possible. The procedure is typically carried out under local anaesthesia. The use of intravenous sedation can be discussed with your surgeon in clinic.

How is macular hole surgery performed at Sapphire Eye Care?

Macular hole surgery at Sapphire Eye Care is performed using state-of-the-art equipment to conduct a vitrectomy. Our surgeons carefully remove the vitreous gel and a gas bubble is inserted into the eye to promote the hole’s closure. The procedure is typically carried out under local anaesthesia. The use of intravenous sedation can be discussed with your surgeon in clinic.

How successful is macular hole surgery at Sapphire Eye Care?

Macular hole surgery has a high success rate, especially when performed on holes that have not been present for an extended period. Most patients at Sapphire Eye Care experience significant improvement in their vision. The success of the surgery is often determined by the size and duration of the hole as well as the patient’s adherence to post-operative care instructions.

How is retinal detachment surgery performed at Sapphire Eye Care?

Sapphire Eye Care offers several surgical options for retinal detachment, including pneumatic retinopexy, where a gas bubble is injected into the eye to push the retina back into place, scleral buckling, which involves attaching a band around the eye to push the walls of the eye against the detached retina, and vitrectomy, which removes the vitreous gel and replaces it with a gas bubble or oil. The presence of the gas bubble means that you cannot fly or travel to altitude until it has reabsorbed. It is also important to wear a wristband to warn other doctors that the gas is present, just in case you need an unexpected hospital admission. The procedure is typically carried out under local anaesthesia. The use of intravenous sedation can be discussed with your surgeon in clinic.

How successful is retinal detachment surgery at Sapphire Eye Care?

Retinal detachment surgery has a high success rate, particularly when performed promptly after the detachment occurs. While some patients may need additional treatment, most surgeries result in the successful reattachment of the retina, with many patients experiencing a significant return of vision.

What causes a vitreous haemorrhage and how does it affect vision?

Vitreous haemorrhage surgery becomes necessary when the clear gel (vitreous) inside your eye becomes clouded with blood. Conditions like diabetic retinopathy, retinal tears, or ocular injuries can lead to this issue, obscuring vision and creating a sense of floating shadows or darkness over your field of sight.

What does vitreous haemorrhage surgery involve?

Vitreous haemorrhage surgery, or vitrectomy, at Sapphire Eye Care involves the careful removal of the vitreous gel and the blood within it. This procedure not only clears the blood obstructing your vision but also allows our surgeons to treat any underlying retinal pathologies that may have caused the bleed. The procedure is typically carried out under local anaesthesia. The use of intravenous sedation can be discussed with your surgeon in clinic.

What is the recovery process following vitreous haemorrhage surgery?

Recovery after vitreous haemorrhage surgery typically involves careful postoperative management, including medication to control inflammation and detailed instructions on activity levels to ensure optimal healing and the best possible visual outcome.

What can I expect after injections for Wet AMD? 

The eye can feel dry and uncomfortable for the first few days, and may look red with a bleed on the surface. These symptoms are due to the anaesthetic eyedrops and antiseptic drops applied to your eye for the injection. The eye will start to feel better after a few days. You may be given artificial tear drops to use to help these symptoms of dryness. The surface bleed will look alarming but is harmless and usually resolves on its own without treatment after a few weeks.

What is the success rate of macular degeneration treatment?

The success of macular degeneration treatment at Sapphire Eye Care is measured by its ability to halt the progression of the disease and to preserve the patient’s current level of vision. Injections for Wet AMD are successful in the majority of patients in stabilising the vision and preventing further visual loss. In some patients the vision might improve.

Which antiVEGF injection is the right choice for me? 

There are a number of antiVEGF injections available for the treatment of wet AMD- Eylea, Lucentis, Avastin, Vabysmo. Your surgeon will discuss with you which drug might be more suited to your condition.

Are there any vitamins for macular degeneration?

Vitamins have been shown in some studies to be beneficial in preventing worsening of moderate macular degeneration to advanced stages. The Vitamins have been termed AREDS II formula. The Age-Related Eye Disease Study (AREDS) suggests that certain combinations of vitamins, pigments and zinc may slow the development of AMD in patients with early disease. While this is undoubtedly true, the effect is not overly impressive: for every 13 people taking the supplements, only one will show significant benefit in avoiding disease progression.

What are the treatment options for vitreous haemorrhage at Sapphire Eye Care?

At Sapphire Eye Care, the treatment for vitreous haemorrhage may range from watchful waiting in minor cases to vitrectomy surgery. The decision for surgery takes into account the severity of the haemorrhage and its impact on your vision, with the aim to clear the vitreous and restore visual clarity.

How successful is vitreous haemorrhage surgery at Sapphire Eye Care?

The success of vitreous haemorrhage surgery at Sapphire Eye Care is measured by the clarity of vision restored and the stabilisation of the underlying condition that caused the haemorrhage. The procedure has a high success rate, with many patients experiencing substantial improvements in their vision post-surgery.

What treatments for AMD are available at Sapphire Eye Care?

Sapphire Eye Care offers all the latest treatment options for your macular degeneration, including photobiomodulation or red light treatment for dry AMD, and antiVEGF injections for wet AMD. Your surgeon will guide you to the treatment pathway most suitable for your AMD.

What is wet macular degeneration and how does Anti-VEGF therapy work?

Wet macular degeneration is an advanced form of age-related macular degeneration (AMD) where abnormal blood vessels grow beneath the retina and leak fluid or blood, disrupting the macula’s normal function and architecture, which can rapidly damage and scar the macula leading to central vision loss. Anti-VEGF therapy targets the protein responsible for the pathological blood vessel growth, helping to slow the progression of the disease and in some cases, even improve vision.

How effective is Anti-VEGF therapy in treating wet macular degeneration?

Anti-VEGF therapy has been a game-changer in the treatment of wet AMD, with the majority of patients at Sapphire Eye Care experiencing a cessation of disease progression. While individual results can vary, many patients also see an improvement in their vision, especially when treatment is initiated promptly after the onset of symptoms.

Are there side effects associated with Anti-VEGF injections?

As with any medical procedure, there are potential side effects associated with Anti-VEGF injections, though they are generally well-tolerated. Patients may experience some discomfort, redness, or temporary visual disturbances. The risk of more serious side effects, such as infection or retinal detachment, is low but underscores the importance of receiving treatment in a specialist clinic like Sapphire Eye Care.

How long do patients need to receive Anti-VEGF treatments?

The treatment regimen for wet AMD at Sapphire Eye Care is highly individualised. Some patients may respond well to initial treatments and require less frequent maintenance injections, while others may need ongoing, regular injections to control their condition. Our specialists work closely with each patient to determine the most effective and sustainable treatment frequency.

What are implant lenses and who are they for?

Implant lenses, also known as intraocular lenses (IOLs), are artificial lenses surgically inserted into the eye to replace or supplement the eye’s natural lens. They are a solution for patients with cataracts, high refractive errors, or those seeking an alternative to glasses or contact lenses.

How do implant lenses improve vision?

By precisely focusing light onto the retina, implant lenses can significantly improve visual acuity. For cataract patients, they restore clarity, whilst for all patients they can correct refractive errors, reducing dependence on corrective eyewear.

What can patients expect after surgery?

Post-surgery, patients often notice a rapid improvement in vision quality. Full recovery and stabilisation of vision may take a few weeks, during which time patients will have follow-up consultations to ensure proper healing.

How do I determine if I’m a good candidate for oculoplastic surgery?

The best candidates for oculoplastic surgery are individuals experiencing functional issues such as vision obstruction, discomfort, or tear drainage problems, as well as those seeking aesthetic improvements for conditions like droopy eyelids or bags under the eyes. A thorough consultation with an oculoplastic surgeon is crucial to assess your specific condition, discuss potential outcomes, and determine the most effective treatment plan tailored to your needs. These assessments can be done relatively quickly through our Sapphire Eye Care clinics.

Can oculoplastic surgery improve my vision as well as appearance?

Yes, oculoplastic surgery can significantly improve vision if eyelid conditions are causing obstruction or discomfort. Procedures like ptosis repair lift drooping eyelids, enhancing the visual field and eye function. Cosmetic benefits include a more rested, youthful appearance, but the primary focus is often on restoring or improving eye health and vision.

What is the longevity of the results from oculoplastic surgery?

The results from oculoplastic surgery can be long-lasting, particularly when addressing functional issues. Cosmetic improvements, such as those from blepharoplasty, can last several years but may be influenced by aging, lifestyle, and genetics. Surgeons at Sapphire Eye Care aim for the most durable outcomes and provide advice on maintaining your results.

What can patients expect from Anti-VEGF treatments at Sapphire Eye Care?

Patients undergoing Anti-VEGF treatments at Sapphire Eye Care can expect a personalised treatment plan that typically involves a series of injections directly into the eye after the application of local anaesthesia. The procedure is performed in a controlled environment and is relatively quick. While some patients may notice an improvement in their symptoms shortly after the treatment, others may require ongoing injections to maintain their vision.

What types of implant lenses are available at Sapphire Eye Care?

We offer a range of IOLs, including monofocal, multifocal and extended depth of focus lenses, each designed to address different visual needs, such as distance, near vision, astigmatism, or dynamic focusing. Our patients’ lifestyle will play a key role in the choice of lens.

How long does an eyelid treatment take?

Most unilateral (single-eye) procedures usually take about 30 minutes. Bilateral (both eyes) treatments can take 45-60 minutes. After the surgery we will clean and wipe around your eye and face. In some cases we may apply an eye pad, which will stay in place for between 24 and 48 hours. In most cases, however, an eye pad isn’t necessary. Immediately after the operation, we often advise patients to apply an ice-pack to the eye for 20 minutes, to minimise any post-operative bruising. You can do this as soon as you get into the recovery area — the nurses will have a pack ready for you to use when you need it . In the recovery area, the nurses will also explain how you can best manage your eyes in the post-operative period. Once all this has happened, you’ll be free to go home.

Why should an Ophthalmologist perform my oculolastics surgery versus other medical professionals?

Choosing an Ophthalmologist for your oculoplastics surgery is essential due to the specialised nature of this field. Ophthalmologists, particularly those trained in oculoplastic surgery, have a deep understanding of the intricate anatomy, function, and diseases of the eye and its surrounding structures. This specialised knowledge ensures that both the aesthetic and functional aspects of the surgery are addressed, preserving and enhancing vision while also improving appearance.

Ophthalmologists are medical doctors who have completed additional years of advanced training in eye surgery, including oculoplastics, which is not typically part of the training for other medical or optical professionals. Their focused expertise enables them to diagnose and manage eye diseases that could impact surgical outcomes, provide comprehensive pre- and post-operative eye care, and handle any complications with the highest level of competence.

Furthermore, Ophthalmologists who specialise in oculoplastic surgery have a nuanced understanding of how surgical alterations can affect eye health and facial balance. They are uniquely equipped to perform surgeries that consider the function of the eye, such as tear production and eyelid closure, which are critical to maintaining long-term ocular health. This is why an Ophthalmologist, and specifically an oculoplastic surgeon, is the most qualified professional to perform your oculoplastics surgery.

What makes Sapphire Eye Care different from other ophthalmology clinics?

Our clinics combine the latest advancements in eye care with a personalised approach that considers each patient’s unique needs, ensuring an experience that’s not just effective but also reassuring and comfortable.

Can I expect state-of-the-art technology and treatments at Sapphire Eye Care?

Absolutely. Sapphire Eye Care prides itself on utilising cutting-edge technology and techniques in all treatments, staying at the forefront of ophthalmological innovation.

How does Sapphire Eye Care ensure the best outcomes for patients?

With a team of highly qualified and experienced Ophthalmologists, we are committed to continuous learning and improvement, aiming for the highest standards in patient care and surgical outcomes.

What qualifications do Sapphire Eye Care surgeons have?

Our surgeons are qualified consultants with years of specialised training and experience in the latest ophthalmological procedures. To see what credentials each has, we recommend clicking on their profiles to learn more.

How does Sapphire Eye Care select its Ophthalmologists?

We have a rigorous selection process to ensure our team consists of only the most skilled and compassionate eye care professionals.

Can I choose my surgeon at Sapphire Eye Care?

We encourage patients to get to know our surgeons and select the one who best fits their care needs and personal preferences. You may also be referred to a specific member of the team in which case we recommend making initial contact with them. If unsure, please get in touch with our support team – we are happy to learn more about your ideal timing, location and needs and recommend from there which surgeon may be right for you.

How do patient stories reflect the care at Sapphire Eye Care?

Patient testimonials offer a window into the personal attention and expert treatment provided by our clinic, illustrating our commitment to each individual’s eye health.

Can I submit my own story after my treatment?

Absolutely, we welcome and cherish feedback from all our patients and encourage you to share your experience to help others on their journey to better vision.

How are these eye surgery testimonials verified at Sapphire Eye Care?

We ensure all our testimonials are authentic and represent the honest opinions and experiences of our patients, upholding our values of trust and transparency.

Do the case studies include a range of treatments offered at Sapphire Eye Care?

Yes, our case studies encompass a broad spectrum of the treatments available, providing insight into various conditions and the effective solutions we provide.

What can new patients learn from these testimonials?

New patients can gain understanding and confidence from these stories, learning about the patient-centred approach and the life-enhancing outcomes that Sapphire Eye Care delivers.

How do I know which treatment is right for me?

Determining the right treatment involves a detailed examination and consultation with our experienced Ophthalmologists. We start with a thorough assessment of your eye health, including vision tests and eye imaging. Our specialists consider your lifestyle, medical history, and specific eye conditions before recommending a treatment plan. Whether it’s a surgical procedure or ongoing management for a chronic condition, we ensure that you are informed and comfortable with all aspects of the proposed treatment.

How much does cataract surgery cost?

The cost of cataract surgery at Sapphire Eye Care is one of our most common questions and depends on the specifics of the procedure required, such as the type of lens implant chosen. Above you can see the breakdowns and explanations, however when it comes to your individual options , we provide a tailored quote after a detailed assessment during your consultation. Our surgical prices are all-inclusive, covering pre-surgical assessments, the surgical episode , hospital fees, and follow-up care. We aim to offer competitive pricing that reflects our commitment to using state-of-the-art technology and providing top-tier medical care.

How does Sapphire Eye Care ensure pricing transparency for surgeries?

At Sapphire Eye Care, transparency is at the core of our service philosophy. We provide a comprehensive breakdown of costs for each procedure, ensuring patients are fully informed. This detailed explanation covers all aspects of the surgery, including pre-surgical assessments, the surgical procedure itself, anaesthesia, use of the surgical facility, and all follow-up visits required for optimal recovery. We aim to avoid any unexpected charges, allowing our patients to plan financially for their eye care without concern for hidden fees.

What types of eye care treatments are available at Sapphire Eye Care?

Sapphire Eye Care offers a full spectrum of ocular health services, ranging from preventive eye care to advanced surgical procedures. Treatments include cataract surgery using the latest intraocular lenses, laser vision correction personalised to each patient’s visual needs, comprehensive glaucoma management employing both medication and cutting-edge surgical techniques, and specialised vitreoretinal services for conditions such as epiretinal membrane and symptomatic vitreous opacity (floaters). Our approach is to create a tailored care plan that addresses the unique needs and conditions of each patient.

Private cataract surgery cost vs NHS

Private cataract surgery costs are higher than NHS options due to the use of the latest technology, more choice of practitioner, bespoke lens options and more, expedited service – often just a few days or weeks vs the months or years you can be waiting in the NHS system – and more personalised care. You will always spend time with your surgeon, discussing your options, prior to your procedure. We will never substitute your surgeon or allow trainees to perform your surgical procedure. Your consultant will remain responsible for your episode of care from the moment you enter a Sapphire Eye Care clinic to the moment you are discharged.

With us, the investment in private surgery not only covers the procedure but also ensures a premium experience such as ensuring an anaesthetist in every surgery, dedicated clinical team and more to name a few of these key differences that matter.

NHS healthcare options may have lower or no costs but often come with a lesser outcome than that of the private sector, which can affect your post-operative quality of life. We offer transparent pricing for our private services to ensure there are no surprises, and you can make an informed decision about your eye care.

Are there any hidden costs I should be aware of?

We uphold the highest standards of pricing transparency, which means the price we quote is the complete cost of your treatment journey – there are no hidden fees. Our pricing includes the surgery, facility fees, surgeon’s fees, anaesthetic costs, and all necessary post-operative care you require. We discuss all potential costs and payment structures well in advance, ensuring our patients can make informed decisions with confidence and peace of mind.

Does the quoted price include aftercare?

Absolutely. Our quoted price is all-encompassing, which means it includes all necessary aftercare. This includes follow-up visits to monitor your recovery and any adjustments or additional treatments that may be required to achieve the best results. We believe that comprehensive care does not end with the surgery, and our pricing reflects our commitment to your continued eye health. Unlike most providers, the Sapphire Eye Care team are available to patients from Monday to Saturday with/through a dedicated telephone number for our patients – 0238 2000 200

What are my options for payment?

At Sapphire Eye Care, we offer a variety of payment options to accommodate your financial needs and ensure that managing the cost of your treatment is as convenient and stress-free as possible. Here are the payment options available:

  • Self-Pay: For patients who prefer to pay for their treatment directly, we accept all major credit and debit cards, bank transfers, and cash payments. Full payment is typically required on the day of the treatment unless otherwise arranged.
  • Payment in Instalments: For certain treatments, we offer the option to pay in instalments leading up to the procedure. This way, you can break down the total cost into more manageable payments.

Our care coordinators are available to discuss these options with you in more detail and help you determine the best payment method for your situation. We are committed to providing high-quality care that is accessible and affordable. Please contact us to learn more about our payment options or to discuss your specific needs.

What are the benefits of choosing Sapphire Eye Care for my eye treatment?

When you choose Sapphire Eye Care, you gain access to a world-class ophthalmology experience. Our commitment to excellence means you’ll receive care from top-tier consultant surgeons using the latest treatments and state-of-the-art facilities. We prioritise your wellbeing, ensuring a tailored approach to your eye care needs. From comprehensive consultations to personalised treatment plans, we provide an unmatched level of attention to detail, material, expertise and experience when delivering your care.

What is the process for booking an appointment at Sapphire Eye Care?

Booking an appointment at Sapphire Eye Care is simple and convenient. You can call us at 0238 2000 200 to schedule your appointment or book online here. Our friendly team will assist you in finding a suitable time at your preferred clinic. After booking, we’ll send you a welcome pack in the post to help you prepare for your visit, ensuring a smooth and comfortable experience.

Can I choose the location for my eye treatment at Sapphire Eye Care?

Yes, you have the flexibility to choose the location where you’d like to receive your eye treatment. Sapphire Eye Care collaborates with a range of private hospitals, allowing you to select the one that best suits your preferences and needs. We prioritise your convenience and comfort throughout your treatment journey so will work with you to choose the facility that best matches your desires.

What kind of post-treatment support can I expect from Sapphire Eye Care?

At Sapphire Eye Care, our commitment to your well-being extends beyond the treatment room. After your procedure, one of our specialised ophthalmic nurses will reach out to you within 48 hours to check on your progress and ensure your recovery is on track. We also arrange follow-up appointments with your local Optometrist or at our clinics to monitor your ongoing eye health and provide any necessary support.

Is Sapphire Eye Care suitable for most private patients considering eye surgery?

Absolutely. Sapphire Eye Care is an ideal choice for patients seeking eye surgery or any other eye treatments. We offer a comprehensive range of services to address various eye conditions and vision correction needs. Our team of expert consultants and surgeons will guide you through the process, ensuring you receive the highest standard of care and the best treatment options available. Your vision and well-being are our top priorities, and we’re here to support you every step of the way.

I am having treatment on both eyes. Will they be operated on together?

We occasionally operate on both eyes on the same day, but normally carry out the surgery on different days, a week or so apart. Your surgeon will discuss this with you before you book your eye procedure.

I wear contact lenses. Do I need to do anything differently before my treatment?

This depends on the type of contact lenses you wear and if you wear glasses as an alternative. As a guide, soft contact lenses should be removed for a minimum of 1 week before biometry measurement is carried out at the initial consultation, while patients wearing rigid gas-permeable lenses need to omit wearing them for longer, and should ask specifically.

Our specialist team will talk this through with you prior to your consultation/treatment to ensure the very best outcome.

Can I eat or drink before my procedure?

This depends on the type of anaesthesia you will have during your treatment. If you’re having an operation under a local anaesthetic, there are usually no restrictions on what you can eat and drink beforehand.

If you’re likely to have a sedative during the procedure, you should avoid eating a heavy meal for two hours before you arrive at the hospital. Some eye operations are carried out under general anaesthesia; if this is the case, you will need to fast before your surgery.

We will tell you well in advance what to expect so you can plan accordingly.

Who looks after me during surgery?

Everyone who has eye treatment with Sapphire Eye Care is looked after by a full team of dedicated and specialised medical staff. During your surgery, you will be cared for by:

  • your consultant surgeon
  • a specialist ophthalmic theatre nurse
  • a consultant anaesthetist
  • a specialist ophthalmic ward nurse.

Together, this team of specialists will carry out your treatment to the highest of standards, while keeping you comfortable, calm and informed.

What should I do before coming to the hospital for my eye surgery?

Before your eye surgery at Sapphire Eye Care, you should follow these steps:

Inform our team about any prescribed medications you are taking, as some medicines, like blood-thinners, may need to be temporarily stopped before surgery.
Expect to receive confirmation of your admission date, along with a health questionnaire and hospital information, soon after your initial assessment.
Plan for your surgery to take place within approximately two weeks after you’ve decided to proceed with the procedure.

Remember – we’re with you every step of the way, so if you’re ever unsure, please reach out.

Can I continue taking my prescribed medications before eye surgery?

In most cases, you can continue taking your prescribed medications as usual. However, it’s crucial to inform our team about all your medications, as some may need to be temporarily discontinued, especially if they can pose risks during surgery. Medications like warfarin, which is a blood-thinning agent, may require a brief pause before the treatment. You can typically resume taking these medications immediately after your surgery. If you have concerns about stopping your medication, please discuss this with our team.

What is the follow-up procedure after my eye surgery?

After returning home, one of our specialist ophthalmic nurses will reach out to you within 48 hours of your procedure. They will check on your recovery progress and ensure that everything is proceeding as expected. Subsequently, we will schedule a follow-up appointment for you either with your local Optometrist or at one of our Sapphire Eye Care clinics.

What type of marketing support can partners expect?

Our partners receive customised marketing support tailored to their unique market and patient demographic. This includes digital marketing, brand development, patient and Optometrist education materials, and community engagement strategies to promote your practice. That said, every new partner and clinic that joins us is unique, so we will work together with you to understand your needs and goals and craft a marketing strategy based off that to go forward with.

What happens immediately after my eye surgery at Sapphire Eye Care?

Right after your surgery, you will be taken to a private room where you will receive post-operative care with our dedicated nurses will ensure your comfort. Once you have fully recovered from the treatment and any sedation has worn off, you will be discharged and allowed to return home.

What does Sapphire Eye Care offer in terms of treatment support to its partners?

Partners benefit from extensive treatment support that includes practice management consulting, financial and accounting support, and administrative services optimisation. This support is designed to streamline clinic treatments, allowing our partners to focus on clinical excellence.

How does partnership with Sapphire Eye Care impact patient care?

Partnership with Sapphire Eye Care enhances patient care and experience by providing access to a broader, more premium range of services, specialised treatments, and a collective wealth of medical expertise. It allows for a more integrated care approach, ensuring patients receive the best possible outcomes while never compromising on service, materials or expertise. It also helps reassure patients who is behind the scenes alongside our partners in working to provide them with outstanding eye care.

Is there a Rapid Access and Urgent Care Clinic available?

Yes, we offer a Rapid Access and Urgent Care Clinic that provides same and next day private appointments for patients with acute or undiagnosed eye symptoms. No referral is needed; patients can simply call us on 0238 2000 200 to book appointments. We address urgent eye problems such as trauma, sudden vision changes, eye infections, and more.

Why should I refer my patients to Sapphire Eye Care?

Sapphire Eye Care is renowned for its world-class eye treatments and advanced facilities. Our team includes internationally recognised experts who provide exceptional care and pioneering treatments for a wide range of eye conditions. We are dedicated to ensuring the highest standards of ophthalmic care for your patients.

How can I refer my patients to Sapphire Eye Care?

Referring your patients to Sapphire Eye Care is easy. Simply fill in our referral form which you can find here, call us at 0238 2000 200 or email

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Our dedicated team will assist in arranging a consultation with the right eye specialist consultant for your patient’s specific condition.

Can patients self-refer to Sapphire Eye Care?

Yes, patients have the option to book their appointments directly by contacting our new patient team at 0238 2000 200 or via the online contact form found here. Our team will guide them through the booking process and provide information on preparation and what to expect during their appointment.