Tel. 07730 714619
Int. +44 7730 714619

Providing eye surgery in Cheshire, Manchester, Lancashire and all surrounding areas.

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Frequently asked questions:

How do I get referred?

Stephen Charles Charles Eye SurgeryMr Charles is happy to receive referrals from GPs, consultant colleagues and optometrists. He also sees patients without a formal referral. However if you have medical insurance you should check with your insurance company whether you require a referral letter from your family doctor. If you wish to make an appointment please ring Mr Charles' secretary on 07730 714619 and we can arrange an appointment at the location of your choice.

How long do I have to wait?

Waiting times for a routine non-emergency private referral is usually less than 2 weeks. Emergency patients are usually seen within 24 hours.

What do I need for my first appointment?

Please bring a referral letter from your GP or eye specialist, or optometrist report if you have one. You should also bring your insurance number and authorisation code for the consultation if you have medical insurance.

What if I need further tests?

Occasionally tests such as optical coherence tomography (OCT) or fundus fluorescein angiography (FFA) are required. These tests will be discussed with you when you see Mr Charles.

What is a fundus fluorescein angiogram?

A fundus fluorescein angiogram (FFA) is a test where a small amount of a special dye (fluorescein) is injected into a vein in the arm, and then travels through the bloodstream to the eye. A rapid series of photographs are taken as the dye passes through the blood vessels at the back of the eye. This gives information about the retina and blood vessels at the back of the eye. This test is not painful but occasionally patients may feel transient nausea. Dilating drops are used to dilate the pupils. Patients develop a yellow tinge after the injection, but this soon passes out of the body in the urine. This test is particularly useful in patients with AMD, diabetic retinopathy, and other diseases affecting the retinal blood vessels.

What is an OCT scan?

An optical coherence tomography (OCT) scan is a special test which uses near-infrared light reflected off the retina to produce a high resolution 3-dimensional scan of the retina and associated structures. Dilating drops are used but the test is quick, non-invasive and entirely painless. It is particularly useful in the assessment of patients with AMD, diabetic maculopathy, macular hole and epiretinal membrane.

What if I need Surgery?

Some conditions may need surgery. If surgery is required Mr Charles will discuss with you the aims of surgery, success rates and potential risks, and answer any questions that you may have. If you decide to have surgery a convenient date will be arranged. We also discuss the form of anaesthetic that is most suitable for you, and whether you will be treated as a daycase or in-patient.

What are Day Case and In-Patient?

These terms describe the amount of time spent in the hospital. A Day case operation is performed and the patient is allowed home on the same day. The patient is usually given a private room or day case cubicle. An In-patient is kept in overnight following surgery. This may be for a variety of reasons such as co-existing medical conditions, social circumstances, more careful observation required etc.

What should I bring with me on the day of the operation?

The level of surgery and length of stay may dictate what you should bring. All patients may require to wait a few hours before the operation. It is advisable to bring a book or lap top to help pass this time. Patients staying overnight may wish to bring wash bags and toiletries.

Local or General anaesthetic?

Most vitrectomy and cataract surgery can be performed under local anaesthesia. This uses a combination of anaesthetic drops on the eye and injection of anaesthetic into the lower lid. You are entirely awake. Mr Charles will not start the operation until satisfied the anaesthetic has worked. Patients can eat and drink normally before the surgery. Some patients prefer to receive a small amount of sedation to help them relax, and this can be arranged by Mr Charles' anaesthetist. However, usually this is not required. General anaesthetic involves putting the patient to sleep for the duration of the operation. Everyone is different and some patients prefer this for their eye surgery. In some cases of retinal detachment, particularly in younger patients, general anaesthesia may be recommended. Patients having sedation or general anaesthesia should not eat or drink for 6 hours prior to surgery. Mr Charles will discuss what sort of anaesthetic is best for you at your initial consultation. Our overriding concern is your comfort and safety.

Who will do my operation?

Mr Charles would perform all private operations and will see you on the first morning after surgery, if this is required. Patients are then seen about 2 weeks after surgery.

What if things go wrong?

Fortunately complications after modern cataract surgery or vitreoretinal surgery are extremely rare. However, Mr Charles will counsel you about what to expect in the post-operative phase. If you do have concerns about your progress in the post-operative phase then Mr Charles will be available to talk to you, and review you urgently if required.





































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