Operative Note |
PROCEDURE: Kelman phacoemulsification with posterior chamber intraocular lens implant. |
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SUMMARY: History,
physical, and consent were obtained and identified on the chart. The patient was taken to the operating room where he was sedated
by Anesthesia and a retrobulbar block was given with a mixture of 2% lidocaine and Wydase. The eye was prepped and draped in
the usual sterile manner. A lid speculum was put into place. A paracentesis was made at the 11 o'clock limbus and Viscoat
was used to deepen the anterior chamber. A 2.75 mm steel keratome was used to create a wound at the 9 o'clock limbus. A continuous curvilinear capsulorrhexis was performed with a cystotome and Utrata forceps. Hydrodissection and hydrodelineation
were performed with balanced salt solution on a 27-gauge cannula. The nucleus was emulsified and aspirated using a modified
stop and chop technique. Cortical cleanup was performed with the irrigation and aspiration handpiece. Healon was placed
into the capsular bag. The wound was slightly enlarged with a crescent blade. A lens was loaded into the Monarch injection
system and delivered to the capsular bag without difficulty. The remaining Viscoat and Healon were removed with the irrigation
and aspiration handpiece. The wound was checked for water tightness and no leakage was found. The eye was patched with
Maxitrol ointment. The patient tolerated the procedure well. There were no complications.
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