the perception of their care which will aid the educating nurse to develop best plan of care for the individual patient. The education session should be individualised to assess mental and physiological status.

It is the paramount to use the pre-operative patient educational clinic effectively to identify and foresight the patients concerns which can help to minimise disrupted theatre time and it also help for discharge planning of the patients. The patient education session can provide good understanding of the journey ahead, quality care, reduce pre-operative anxiety of patients and families. It also provides holistic needs, support at every step, safe and compassionate care, it also helps to reduce cancellations which has adverse impact on hospital finances, waste of resources and prepare patient psychologically to increase their resilience to cope with stress and anxiety so that patient can achieve satisfactory outcome of the surgery.

In the clinic, the information about cross linking surgery is imparted to the patient in the clinic through a discussion with the clinician or distributing information leaflet about the surgery and management or a combination of both. Sometimes the information leaflet provided is ignored by the patient or do not understand the information. It might be because of poor communication, stress, limited time, limited education, anxiety, perceptive abilities. The patient comes for surgery with anxiety or fear of possible loss of vision or visual impairment which can affect their self-esteem. Stress could affect patient’s cooperation intraoperatively, by increasing the risk of complication in uncooperative, stress or fearful patients. It is important to improve pre-operative patient education.

According to my experience generally, the information provided to patients in the clinic does not help to enhance their understanding of the crosslinking surgery. I experienced that when patient comes for cross-linking surgery they forget or misunderstand the information about the surgery which was provided to them at the clinic appointment. Even though at clinic, the clinicians provide leaflets and explain to the patient about surgery, still most of the time they fail to retain the information maybe because of a