Glaucoma Surgery Pre-Op Questionnaire
What a glaucoma surgery pre-op questionnaire asks, with sample questions on health, medicines, anesthesia, and getting home.
A glaucoma surgery pre-op questionnaire records eye history, health conditions, medicines, allergies, anesthesia history, and who takes the patient home before glaucoma laser or surgery. The questions on this page are a typical set built from the pre-surgery health forms of an eye hospital and an eye surgery center.
Glaucoma surgery pre-op questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a glaucoma surgery pre-op questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample glaucoma surgery pre-op questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Have you had glaucoma laser or surgery before?Eye history
- Do you have other eye problems, like cataracts?Eye history
- Do back or breathing problems make lying flat hard?Health conditions
- Do you have a pacemaker or defibrillator?Health conditions
- Do you take aspirin or other blood thinners?Medications
- Which tablets, drops, and supplements do you take now?Medications
- Are you allergic to latex?Allergies
- Which medicines or foods are you allergic to?Allergies
- Have you had problems with anesthesia before?Anesthesia
- Has a relative had problems with anesthesia?Anesthesia
- Who will take you home after the procedure?Getting home
- What is that person's phone number?Getting home
These are examples to read, not a form to fill in.
Glaucoma surgery pre-op questionnaire: FAQ
What does a glaucoma surgery pre-op questionnaire ask?
The sample questions here are built from pre-surgery forms of the New York Eye and Ear Infirmary of Mount Sinai and an eye surgery center. This page groups them into six areas: eye history, health conditions, medications, allergies, anesthesia, and getting home.
Who fills in a glaucoma surgery pre-op questionnaire, and when?
The patient, before the day of surgery. The New York Eye and Ear Infirmary form says a clinician will review the answers with the patient before surgery.
Why does it ask about lying flat and breathing?
The eye surgery center's form says the health information helps the anesthesiologist plan the patient's care. Its first question asks about back, neck, or breathing problems that make lying flat difficult.
Does it ask about blood thinners?
The eye surgery center's form lists aspirin, warfarin, and other blood thinners. The avatar records what the patient takes and never advises stopping or changing a medicine.
Is it the same as the surgery consent form?
No. The consent discussion and the signature stay with the surgeon; this questionnaire only collects health information beforehand.
What happens after the glaucoma surgery pre-op questionnaire is completed?
The surgical team reviews the answers before the procedure, following the practice's own protocol. AI Doctor only gathers the answers.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
