- Always have dilation and numbing drops in your pocket
- Retrobulbar, peribulbar, +/- modified Obrien facial nerve block
- You will need to collect a posterior chamber and 3 anterior chamber lens prior to surgery
- The PC lens power that you selected preop
- You need 3 AC lenses as these come in 3 diameters: 12.5, 13.0, and 13.5 mm.
- AC lens is sized at surgery by adding 1mm to the "white to white" horiz limbal diameter
- Chart buffing: operative note, post operative orders
| Fill out Rx or call in post op drops eg: |
Tobradex i gtt qid (many other choices - no one is right)
Add cyclogyl 1% i gtt bid with ECCE
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- tape your mask or coat your spectacles so they don't fog
- Adjust the operating microscope
- Are you operating from a superior or temporal approach (ECCE/ICCE always superior)
- put assistant's eyepiece on proper side of microscope
- adjust prior to prepping patient so you don't inadvertently touch the field
- set interpupillary distance of scope
- align focus into neutral position with foot pedal and adjust height manually before locking
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| Your position is important |
1) adjust bed height to allow your feet under bed on pedals
2) adjust micorscope into focus
3) adjust chair height to get eyes comfortably into oculars
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