Community Eyecare

With over 450,000 cataracts undertaken in the NHS every year, the waiting times at the local hospitals are generally a hindrance to patient well-being.

CHEC, through our Shared Care Partners Programme, delivers cataract surgery faster than any other provider in the UK and maintains exceptionally high standards of outcomes.

The workflow of how efficiency is delivered centres around using the skills of all stakeholders at every part of the pathway. Our treatment timelines show how this works in many places through the shared care model.

Cataract Treatment Timeline

DAY 1 GOS examination
Assessment in line with cataract accreditation
Referral to CHEC through local pathways, e.g. Referral Management centres or directly
Nursing Assessment
Direct Listing for Surgery
DAY 10 Cataract Surgery First eye
DAY 28 Post operative assessment
Referred back to CHEC for second eye
Direct listing
Second eye surgery
Discharge to community Optometrist
DAY 48 Post-operative assessment of second eye
Spectacle correction issued

Frequently Asked Questions

What is a cataract?

A cataract is when the natural lens within your eyes becomes cloudy and limits your vision. Often they are there and you may not know that they are present until your optician tells you.

Why have I developed cataracts?

Often this is due to ageing and nothing more. However, other causes may include:
  • A family history of cataracts
  • Use of medications, such as steroids
  • Injuries to the eye

Are my family at risk of cataracts?

Yes, cataracts can run in families but unfortunately, there isn’t any treatment to prevent them from happening just yet, so we wait until they affect your sight and then remove them through an operation.

How do I treat cataracts?

The only effective treatment for cataracts is an operation. The operation is generally undertaken under local anaesthetic so you are awake. However, the operation is generally quick and fairly straightforward, although complications can occur that impair your vision life-long.

What happens at the preassessment appointment?

Don’t worry, CHEC are there to ensure we meet your expectations and answer any questions so you are at ease before the operation. At the preassessment, you will initially be greeted by our friendly reception staff. They will provide you with an information booklet to read whilst you wait for the nurse. Once the nurse calls you into their room, they will go through some medical history questions with you and measure your eyes for the lens we will use to replace your natural lens. Following dilating drops, a clinician will see you and assess your eyes again. You will have the opportunity to ask any questions at this stage before signing the consent form. Don’t worry, we are all here to help and signing a consent form does not mean you have to have the operation. It is just a record of the discussions you have had and confirmation of the eye that is having the operation.

How long do I wait for a date for the operation?

Usually, a date for surgery is provided at the time of the preassessment and is usually within 10 days.

Do I have one eye done first or both together?

We pretty much always do one eye first. The eye chosen depends on the discussions with you and the preassessment clinician. Generally, it will be your worst seeing eye, but it also depends on other medical conditions that affect your eyes.

Can you tell me about the cataract operation and what happens?

On the day of surgery expect a 2-3 visit, sometimes longer. You will again be greeted by our reassuring receptionists. An admission nurse will then go through your assessment again to ensure nothing has changed. Remember to take your normal tablets on the day and if you are on warfarin, bring your yellow book with you. The nurse will then put a small white tablet in your lower eyelid after confirming the eye you are having operated on. They will place a wristband on your arm. The dilating tablet takes 30-45 minutes to work. Once you are ready, a nurse will take you into the anaesthetic room where they will check your details and then place some anaesthetic drops in the eye to numb the eye before the operation. When you are ready, you are taken into the operating room where everyone will introduce themselves. We will lay you flat (as much as possible) and then clean around the eye. Please do not wear any face or eye makeup on the day. You will then have a cover over you with oxygen below this. After looking at the bright light for 10-15 minutes the operation will be finished.

What happens after the operation?

After the operation, a plastic shield covers the eye and stays in place for the first 24 hours and then at night for 2 weeks. The discharging nurse will give you a nice hot cup of tea and a biscuit while they talk you through the instructions after the operation. They will give you drops to take with appropriate instructions.

When can I drive or go on holiday after the operation?

We usually say not to drive until you fit the driving criteria, but generally, this is after you have seen your optician after 2-3 weeks. You can go on holiday for about 14 days.

How long until I can wash my face?

We recommend you avoid water in the eye for about 2 weeks. You can wash your face, but use a wet cloth and avoid the eye area. After 2 weeks, you will be back to normal with great vision.

Can I use eyedrops for dry eyes and glaucoma?

Yes, these can be used as well as the new drops you are given. Please use a new bottle and wait for at least 24 hours.

What do I do if I run out of drops?

Please contact your GP for a re-prescription of eye drops if you run out.

How long will my eyes be blurry, light sensitive and gritty?

The blurriness of your vision usually subsides after a few days, so if your vision becomes worse quite suddenly, contact us immediately. Grittiness and light sensitivity is common and can last up to 6 months in some cases. It is an annoying but innocent finding.

Making a Referral