You have a painful eye with poor vision. This could be from an injury or previous eye surgery. Your vision unfortunately cannot be improved with either glasses, eye drops or with surgery.
The only help we can offer you is to make the pain go away. We can give you eye drops for the pain but these are not very effective. Also, they work only as long as you take them. They will not cure your pain permanently.
There is a procedure we can do which, if successful, will cure your pain permanently. We will cover the front part of your eye called cornea, which is giving you the pain, with the white part of your eye, called conjunctiva, pulled down from above.
The procedure lasts for about half hour and is painless as we are going to numb your eye before. Afterwards you will need to wear a patch for a day. You will have to return to the eye clinic the next morning for an exam. We will remove your patch and give you eye drops to use for about a month. You will need to return for an exam a few more times after the procedure. Your eye will be covered with a thin membrane but eventually it will not be red like now and the membrane will be only minimally visible. YOUR VISION WILL NOT IMPROVE BUT STAY THE SAME. The pain will gradually resolve in a few weeks. Please think about this and let us know if you would like to have the procedure. Please, do not go to a traditional healer, he will not help you. Also let us know if you have any questions.
I understand the above and I am consenting to the conjunctival flap in my RIGHT LEFT eye.
I also understand that I am NOT going to have better vision after the procedure.
Name:…………………………………………………… Date: ………………