phacoemulsification
OD
OS
Preoperative Diagnosis:senile cataract, lens grading
NS(++)
NS(++)+PSC
NS(++)+PSC(++)
NS(+++)+PSC
NS(+++)+PSC(++)
NS(++++)
PCO(++)
PCO(+++)
ASC(++)
ASC(+++)
white
brownish-black
Operation: phacoemulsification
Postoperative Diagnosis:pseudophakia
Operation Procedure:
Preoperative disinfection:Proparacaine 0.5% lgtt instilled into both eyes.Eye lids, adenexa and surrounding face were scrubbed with Phiso-Hex, Betadyne sol'n. and 75% Alcohol
Anesthesia:Topical and subconjunctival injection 0.5cc 2%e xylocaine
Lid speculum:Barraquer, with solidblades.
Conjunctival Flap:fornix based, 0mm from limbus.
sclera
cornea tunnel form limbus
0
0.5
1
1.5
2
2.5
3
mm,
one
two
tree
plane with
1.0
1.5
2.0
2.5
2.8
3.0
3.5
mm
Diamond knife
steel knife
, at
12:00
12:30
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
5:00
5:30
6:00
6:30
7:00
7:30
8:00
8:30
9:00
9:30
10:00
10:30
11:00
11:30
O/C.
Anterior capsulectomy:Continuous Curvilinear Capsulorhexis with
bent needle
forceps,
hydrodissection done ,
hydrodelineation done.
Sideport created by
No.25 needle
1.0mm steel knife
diamond knife
, entered at
12:00
12:30
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
5:00
5:30
6:00
6:30
7:00
7:30
8:00
8:30
9:00
9:30
10:00
10:30
11:00
11:30
O/C.
Nucleus removal:phacoemulsification with
Surgical Design occsystem Art
Alcon infiniti
AMO signature
,method
divide reverse conquer
2-snips
divide and conquer
,power
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1.0
,flow rate
10
15
20
25
30
35
40
45
50
,vacuum
40
45
50
55
65
100
200
300
500
mmHg
,bottle high
80
90
100
110
120
130
140
150
200-300
>300
cm ,phacotime
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1.0
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
2.0
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
2.9
3.0
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
4.0
4.1
4.2
4.3
4.4
4.5
4.6
>4.7
Cortex removal:aspiration and irrigation by sincoe,
posterior capsule polished,
sideport enlarged by
No.11 knife
Diamond knife
steel knife
OVD
code
irrigated,
wound extended to
2.0
2.5
3.0
3.5
5.0
5.5
6.0
mm by
No.11 knife
Diamond knife
steel knife
no extended.
IOL: IOL manufacturer
model
I.O.L model select
power
0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
14.0
14.5
15.0
15.5
16.0
16.5
17.0
17.5
18.0
18.5
19.0
19.5
20.0
20.5
21.0
21.5
22.0
22.5
23.0
23.5
24.0
24.5
25.0
25.5
26.0
26.5
27.0
27.5
28.0
28.5
29.0
29.5
30.0
30.5
31.0
32.0
D,code
,
IOL position in
bag
sulcus
AC
PC by suture
bag and sulcus
unsure
axis
0
10
20
30
40
45
50
60
70
80
90
100
110
120
130
135
140
150
160
170
inserted.
K-S wound:
sutured with
1
2
3
4
5
6
7
8
9
stitches by 10-0 Nylon
sutureless.
Conjunctival wound:coaptation with electric coagulator.
Patch:Tobrex oint,monocular patch and shield.
remarks:
Vitreous loss
Hyphema
OVD remnant
Escape CCC at
12:00
12:30
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
5:00
5:30
6:00
6:30
7:00
7:30
8:00
8:30
9:00
9:30
10:00
10:30
11:00
11:30
O/C
Operator:
Assistant:
Scrub Nurse:
Circulating Nurse:
Time op. started:
ended:
surgeon:______________
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