
We then placed some antibiotic ointment on the eye. Then we performed hydrodissection, hydrodelineation, phacoemulsification, irrigation and aspiration of the lens cortical material, and then we implanted an artificial intraocular lens implant power of +21.5 diopters Model SN60WF serial number 10002451 inside the capsular bag without any complications.Īt the end of the procedure, we used irrigation and aspiration to remove the viscoelastic material, injected 1 cc of Miostat to constrict the pupil, and the seal the corneal wound with balanced salt solution. We refilled the anterior chamber with additional viscoelastic and then used cystotome and Utrata forceps to complete an anterior capsulotomy. Then we used a 2.75 diamond blade to perform a shelved temporal clear corneal incision. The anterior chamber was then refilled through the same incision with viscoelastic. We injected nonpreserved lidocaine 1 cc through the paracentesis in order to anesthetize the anterior chamber. Then using a 0.12 forceps and a 15º diamond blade, a paracentesis was performed on the temporal clear cornea. We used a lid speculum to open the iris of the right eye to initiate the procedure. Attention was given to the right eye and using a lid speculum to open the eye lids.

A time out was conducted in which the patient’s identity, surgical procedure, intraocular lens power, and name were verified by the surgeon, circulating nurse and scrub nurse.

PROCEDURE: The patient was taken to the Operating Room and was placed in a recumbent position. All the risks and benefits of the procedure were explained to the patient. INDICATIONS FOR PROCEDURE: This is a 78-year-old Hispanic female with a diagnosis of cataract and glaucoma affecting her activities of daily living. Retrobulbar block and monitored anesthesia care.

OPERATIVE NOTE SAMPLE #1 DATE OF SURGERY:Ĭombined phacoemulsification of cataract extraction with primary trabeculectomy without mitomycin of the left eye.
