Surgical Template: Phacoemulsification
The following template is to assist new residents to write their own dictation templates for surgery. It is not intended as surgical advice or instruction to perform surgery. If you would like to submit your surgical template to publish in Pearls in Ophthalmology, then please e-mail adoan[AT]medrounds.org
PREOPERATIVE DIAGNOSIS: Cataract, ___ eye.
POSTOPERATIVE DIAGNOSIS: Same
PROCEDURE PERFORMED: Phacoemulsification with intraocular lens implant in the __ eye.
ANESTHESIA: Topical with monitored anesthesia care.
BLOOD LOSS: Minimal
SPECIMENS: None
COMPLICATIONS: None
DESCRIPTION OF OPERATION AND PROCEDURE: After the patient’ s questions were answered and appropriate informed consent was obtained, the patient was brought to that Operating Room where a "time-out" confirmed the correct patient and the operative eye. Thereafter, tetracaine 0.5% was instilled topically in the operative eye and the eye was prepped and draped in the usual sterile fashion.
A 1.0 mm blade was used to create a paracentesis port at the limbus. Through this paracentesis port, 0.5 mL of preservative-free lidocaine was injected into the anterior chamber. A shell of cohesive and dispersive viscoelastic was created in the anterior chamber in the technique described by Arshinoff in the literature. Thereafter, a fixation ring and 3.0 mm keratome were used to create temporal triplanar clear corneal incision. Through this incision site, a continuous curvilinear capsulorrhexis was accomplished using a cystotome and Utrata forceps. The cortex and nucleus were separated from the capsular bag using hydrodissection with balanced salt solution on a 27-gauge cannula. After hydrodissection, the lens was removed using a chop technique and phacoemulsification power. The total C.D.E. time was ____. Thereafter, residual cortical material was removed with an irrigation-aspiration (I/A) handpiece. The intact capsular bag was reformed using a cohesive viscoelastic, after which a SN60WF lens, ___ diopters (serial #_____) was positioned within the capsular bag. Residual viscoelastic was removed with the I/A handpiece, after which balanced salt solution was used to hydrate the stroma of the paracentesis and corneal wound, rendering them watertight.
Single drops of antibiotic and steroid were placed topically in the operative eye, and a protective metal shield was taped in position over this eye. The patient was escorted from the Operating Room in good condition, having tolerated the procedure well without complication.
Index of Surgical Templates
PREOPERATIVE DIAGNOSIS: Cataract, ___ eye.
POSTOPERATIVE DIAGNOSIS: Same
PROCEDURE PERFORMED: Phacoemulsification with intraocular lens implant in the __ eye.
ANESTHESIA: Topical with monitored anesthesia care.
BLOOD LOSS: Minimal
SPECIMENS: None
COMPLICATIONS: None
DESCRIPTION OF OPERATION AND PROCEDURE: After the patient’ s questions were answered and appropriate informed consent was obtained, the patient was brought to that Operating Room where a "time-out" confirmed the correct patient and the operative eye. Thereafter, tetracaine 0.5% was instilled topically in the operative eye and the eye was prepped and draped in the usual sterile fashion.
A 1.0 mm blade was used to create a paracentesis port at the limbus. Through this paracentesis port, 0.5 mL of preservative-free lidocaine was injected into the anterior chamber. A shell of cohesive and dispersive viscoelastic was created in the anterior chamber in the technique described by Arshinoff in the literature. Thereafter, a fixation ring and 3.0 mm keratome were used to create temporal triplanar clear corneal incision. Through this incision site, a continuous curvilinear capsulorrhexis was accomplished using a cystotome and Utrata forceps. The cortex and nucleus were separated from the capsular bag using hydrodissection with balanced salt solution on a 27-gauge cannula. After hydrodissection, the lens was removed using a chop technique and phacoemulsification power. The total C.D.E. time was ____. Thereafter, residual cortical material was removed with an irrigation-aspiration (I/A) handpiece. The intact capsular bag was reformed using a cohesive viscoelastic, after which a SN60WF lens, ___ diopters (serial #_____) was positioned within the capsular bag. Residual viscoelastic was removed with the I/A handpiece, after which balanced salt solution was used to hydrate the stroma of the paracentesis and corneal wound, rendering them watertight.
Single drops of antibiotic and steroid were placed topically in the operative eye, and a protective metal shield was taped in position over this eye. The patient was escorted from the Operating Room in good condition, having tolerated the procedure well without complication.
Index of Surgical Templates
posted by MedRounds Publications at 9:22 PM
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