Laser Eye Center SMILE Surgery Confirmation (SJ)

Thank you for choosing Dr Bindi and the Laser Eye Center as your vision correction specialist.
Please read and follow the Pre-Operative instructions below and review the attached Post-Operative instructions.
We look forward to seeing you at your appointments with Dr. Bindi at our San Jose office,
located at 606 Saratoga Avenue.
SURGERY: Day/date/surgery time/check in time
POST OPERATIVE EXAM: Day/date/time
PRE-OP INSTRUCTIONS FOR SMILE:
1.) Please purchase over the counter “Preservative Free” artificial tears (any brand ok) and fill the prescription eye drops
     that were given to you. Please bring these with you on the day of your surgery.  
2.) Please fill out the Informed Consent form and bring this with you on the day of surgery. 
     Please do not sign the form until you meet with a Patient Counselor on the day of your surgery. 
3.) For all cases, it will be necessary for you to be seen by the doctor within 48 hrs. Your post-
     operative appointment MUST be kept.
4.) YOU MUST HAVE SOMEONE DRIVE YOU HOME AFTER SURGERY.  We cannot assume liability
      for any vehicle left in the parking lot.
5.) Absolutely no makeup around the eye on the day of surgery and for one (2) days after
     surgery. This includes sunblock, and moisturizers.
6.) Wear warm comfortable clothing and walking shoes.
7.) Please inform the doctor of any prescription medications you are currently taking.
8.) No restrictions on meals. Do not consume alcohol beverages on the day of surgery.
9.) You may be given 5 mg to 15 mg of Valium orally in the office on the day of surgery. If you prefer to
      not take the Valium, please let us know.
10.) CONTACT LENS WEARERS: remove 24 hours/1 week prior to surgery
If you need to make any changes to your appointments, please give us at least 48 hours advance notice. 
Call us at 408-984-1010, should you have any questions or concerns.  
We are available Monday – Friday, 8:00 a.m. – 5:00 p.m.
On behalf of the Laser Eye Center of Silicon Valley and our staff, thank you for choosing Dr. Bindi as your
vision correct specialist!
Sincere Regards,
Angelica Sanchez
Laser Eye Center Staff