| EYE SURGERY INFORMATON AND LINKS | |
| Method For Manual IOL Calculation | |
| Pre-operative Chart Review |
Consent on chart and signed Correct eye scheduled for surgery (look at last chart note to see which eye was to be scheduled) Check that projected target refraction and IOL power calcualtions match Also calculate for sulcus lens (1 diopter less) and AC lens (3.5 less) Check that axial lengths of each eye match or are explained by pre-op refraction Review chart notes from previous eye after surgery or check last office note for special comments ASA/Plavix/Coumadin/Flomax/Fish Oil? Review past medical history Sulfa allergy? Glaucoma patient - combined? Need to consider post-op IOP? Diamox? Mark TOP on bottom of toric IOL calculation sheet (for taping sheet to microscope during case to insure proper orientation of toric lens). |
| 1. Anterior capsulotomy with bent 30 gauge needle
2. Anterior capsulotomy with bent 30 gauge needle |
A capsulotomy with a bent 30 gauge needle barely distorts the wound or cornea. This technique requires repeated repositioning of the needle tip to keep continual and close control of the tear. I find it a more controlled way of performing a capsulotomy when compared with a capsular forceps. The latter can often distorts the wound and collapses the anterior chamber. Repeated repositioning of the capsular forceps to control the tear can often be more difficult than with a capsulotomy needle. Furthermore, in patients with shallow anterior chambers, using a bent needle for the capsulotomy is less likely to damage the corneal endothelium than using a capsular forceps in these same patients. |
| J shaped cannula for cortex removal | This technique is particularly useful for removing subincisional cortex. |
| 1. Hydrodissection and Hydrodelineation
2. Hydrodissection and Hydrodelineation |
The J-shaped cannula is used to hydrodissection at the subincisional site, giving the added benefit of loosening subincisional cortex from the lens capsule. Hydrodelineation is carried out at one or two locations, boring the cannula into the epinucleus and then infusing saline to create a "golden ring" as the nucleus separates from the epinucleus and cortex. |
| Phacoemulsification - Grooving and Cracking | Cracking nucleus with phaco tip and iris sweep |
| 1. Lens insertion using cartridge | Notice haptic stuck to lens surface that releases as lens warms within eye. |
| 2. Lens insertion using cartridge | Notice counter-clockwise rotation of cartridge toward the end of the insertion. |
| Toric Course Link | Alcon course |
| Post op sheet for medications and eye shield instructions |
Bring ALL of your eye drops to EVERY post-operative office visit. Drop Eye Dosage Apply drops 5 minutes apart if they occur at the same time. Wear your eye shield while you are asleep, only with tape (no pads), over your operated eye for one week. Call the office immediately if you notice any worsening of your vision, pain, increased redness, or other eye problem. Bring ALL of your eye drops to EVERY post-operative office visit. |