Admission for Surgery & Making an Appointment

 

Moorfields Private Outpatient Centre

9-11 Bath Street
London
EC1V 9LF

Practice Manager
Ms Debbie Keane

T: +44 (0) 7539 525 791
E: debbie@keithbarton.co.uk

Consulting times: Monday mornings and Thursday evenings.

The London Claremont Clinic

50-52 New Cavendish Street
London
W1G 8TL

Practice Manager
Mrs Fiona Shiels

T: +44 (0) 777 333 1103
E: fiona@keithbarton.co.uk

Consulting times: 8:30am – 5:30pm Tuesdays only.

Attending Your Appointment

Getting There

Moorfields Eye Hospital is approximately 200 metres north of Old Street Tube Station on City Road. Take subway 4 from the tube station and follow the green line which leads to the hospital complex.
 
Moorfields Private Outpatients Centre is located on Bath Street which is just at the end of Cayton Street and to the right.

The London Claremont Clinic

The London Claremont Clinic, 50-52 New Cavendish Street, London W1G 8TL is situated between Oxford Circus and Regents Park tube stations and is a ten-minute walk.
 
There is usually metered parking available in the surrounding area.

Your Appointment

It would be most helpful if you could arrive a few minutes early as you will be asked to fill out a registration form. Please bring any information relevant to your eye complaint including previous reports, records and details of any current medication.
 
Mr Barton may need to use drops to dilate the pupil of the eye in order to carry out his investigation. This will result in blurred vision and can take up to four hours to wear off so you may wish to have someone accompany you. You may also find dark glasses helpful against sun glare while the pupils are dilated.

If you are a contact lens wearer please bring a container with you and you will need to remove your lenses during the examination. You must not drive until your vision returns to normal.

Appointment Fees

The fee for a new consultation is £320 at Moorfields or the London Claremont Clinic. The fee for a follow-up consultation is £160. Please note a cancellation charge of £100 may be levied if an appointment is cancelled with less than twenty-four hours’ notice.
 
A number of tests may be deemed necessary on the day and are charged separately by the clinic and not by Keith Barton. These include Visual Field Testing, Optic Nerve or Retinal OCT, Pachymetry (measurement of the Central Corneal Thickness) and Visual Acuity Measurement.

Payment must be made on the day unless your insurer has authorised the consultation and tests in advance. For all non-insured patient’s payment must be made on the day. The clinic accepts all forms of payment including America Express.

Admission for Surgery

Keith Barton’s routine operating lists are held on alternate Wednesdays at Moorfields Eye Hospital, 162 City Road, London EC1V 2PD. He also operates frequently on an ad hoc basis according to patient demand and operating theatre availability.
 
The following instructions apply only to the routine alternate Wednesday operating lists so please clarify with the Practice Manager’s when you are booked as different instructions will apply to ad hoc operating lists.
 

Routine Wednesday Operating Lists – Instructions for the day of surgery

Please arrive at the hospital by 10.30am and proceed to Cumberlege Wing, 4th Floor, where the Admissions Officer will show to your room. There is nothing special to take to hospital other than the usual personal requirements; including any medication you routinely take. Please confirm with a Practice Manager if you are required to stay overnight.

Prior to surgery, you will be seen by Mr Barton’s associate, usually Mr Ahmed El-Karmouty who after discussing the risks and benefits of surgery will ask you to sign a consent form, mark your eye for surgery and organise any preoperative medication that may be required.

Your operation will be carried out in the afternoon and will be performed by Mr Barton under local or general anaesthetia. If general anaesthia is planned, you must fast for six hours before the operation, therefore take nothing by mouth from 7:30am on the morning of the operation. Please inform us in advance if you have any drug allergies, are diabetic or suffer from any other chronic medical condition that might affect your fitness for surgery.

Please be aware that the surgical fee quoted does not include post-operative consultations, tests or post-operative medication you receive upon leaving the hospital. Moorfields Eye Hospital must be paid for any medication on the day and is not reimbursable by your insurer. Mr Barton’s fee must be settled prior to surgery. Please call 07539 525791 to make a card payment or send your remittance to Mr Keith Barton at The London Claremont, 50-52 New Cavendish Street, London W1G 8TL and a receipt will be issued promptly.

The hospital fee can be settled on the day of surgery by card or cash at Cumberlege reception. Please bring a cheque/cash with you to cover Dr David Celaschi (Consultant Anaesthetist’s) fee and his secretary will collect this from you at the time of your admission and issue you with a receipt. If you prefer to pay by credit card to Dr Celaschi, there will be a 5% handling fee.

You may be required to have an ECG (Electrocardiogram), FBC (Full Blood Count) and U&E (Urea and Electrolytes). If you are staying overnight you may also require an MRSA (Meticillin-Resistant Staphylcoccus Aureus) swab.
 

After Surgery

If you are having cataract surgery, have had no previous glaucoma surgery and do not have advanced glaucoma, you will not be seen the following day unless there is a specific reason, but will be given a post-operative follow-up appointment one to two weeks later. You will be asked to use steroid and antibiotic eyedrops, in addition to any glaucoma medication, for roughly one month after surgery.

If you are having glaucoma surgery, have had previous glaucoma surgery or do have moderate to advanced glaucoma, Mr Barton, or one of his associates, will see you for a check-up the following day. You will be given a time for this on the day before surgery. On arrival, please make yourself known to the nurses at the Cumberlege Wing nursing station and ask them to remove the dressing.

You will be prescribed separate postoperative eye-drops in addition to any glaucoma medication that you might be taking for up to 2 – 3 months after surgery and given instructions for the care of the eye in the post operative period. You will usually be given a further post-operative appointment the following week. If you are having Trabeculectomy or Aqueous Shunt (Tube) surgery, you will be seen roughly once weekly for one month after surgery and less frequently thereafter.