DATE OF OPERATION:
MM/DD/YYYY
PREOPERATIVE DIAGNOSIS:
Open angle glaucoma, right eye.
POSTOPERATIVE DIAGNOSIS:
Open angle glaucoma, right eye.
OPERATION PERFORMED:
Trabeculectomy, right eye.
SURGEON:
John Doe, MD
ASSISTANT:
None.
ANESTHESIA:
General.
ANESTHESIOLOGIST:
Jane Doe, MD
INDICATIONS FOR OPERATION:
Uncontrolled glaucoma.
DESCRIPTION OF OPERATION: The patient was taken to the operating suite where general anesthetic was induced. The patient was prepped and draped in standard fashion for ocular surgery. The eyelids were parted with a Maumenee-Park lid speculum. A 4-0 silk superior rectus bridle suture was placed and the eye was then retracted.
A peritomy was performed 8 mm from the limbus directly superiorly. Conjunctiva was dissected anteriorly. Tenon's capsule was removed. Hemostasis was obtained with mild electrocautery. A 3.5 mm rectangular scleral flap of half scleral thicknesses was dissected out into clear cornea. A paracentesis was performed inferotemporally. The anterior chamber was deepened with an air bubble. A pledget was soaked with mitomycin-C. The pledget was placed over the scleral flap, beneath conjunctiva, and left in place for 2 minutes, after which time the pledget was removed and the area was irrigated with copious balanced salt solution. A 1 x 3 mm resection of trabecular meshwork was excised.
A peripheral iridectomy was performed. The scleral flap was then closed with five 10-0 nylon sutures. The knots were buried. Tenon's capsule was closed with two 8-0 Vicryl sutures and conjunctiva was closed with a running horizontal mattress 10-0 nylon suture. The anterior chamber was deepened with balanced salt solution. A nice, diffuse bleb resulted and tested watertight.
Decadron 2 mg was injected subconjunctivally in the inferotemporal quadrant. The eye was then dressed with atropine 1% solution, Maxitrol ointment, a torpedo dressing, mild pressure patch and shield. The patient tolerated the procedure well, was awakened by Anesthesia and taken to the recovery room in stable condition.
Rectus Recession Operative Sample Report Entropion Repair Operative Sample Report
Ophthalmology Operative Samples # 1 Ophthalmology Operative Sample Reports #2
MM/DD/YYYY
PREOPERATIVE DIAGNOSIS:
Open angle glaucoma, right eye.
POSTOPERATIVE DIAGNOSIS:
Open angle glaucoma, right eye.
OPERATION PERFORMED:
Trabeculectomy, right eye.
SURGEON:
John Doe, MD
ASSISTANT:
None.
ANESTHESIA:
General.
ANESTHESIOLOGIST:
Jane Doe, MD
INDICATIONS FOR OPERATION:
Uncontrolled glaucoma.
DESCRIPTION OF OPERATION: The patient was taken to the operating suite where general anesthetic was induced. The patient was prepped and draped in standard fashion for ocular surgery. The eyelids were parted with a Maumenee-Park lid speculum. A 4-0 silk superior rectus bridle suture was placed and the eye was then retracted.
A peritomy was performed 8 mm from the limbus directly superiorly. Conjunctiva was dissected anteriorly. Tenon's capsule was removed. Hemostasis was obtained with mild electrocautery. A 3.5 mm rectangular scleral flap of half scleral thicknesses was dissected out into clear cornea. A paracentesis was performed inferotemporally. The anterior chamber was deepened with an air bubble. A pledget was soaked with mitomycin-C. The pledget was placed over the scleral flap, beneath conjunctiva, and left in place for 2 minutes, after which time the pledget was removed and the area was irrigated with copious balanced salt solution. A 1 x 3 mm resection of trabecular meshwork was excised.
A peripheral iridectomy was performed. The scleral flap was then closed with five 10-0 nylon sutures. The knots were buried. Tenon's capsule was closed with two 8-0 Vicryl sutures and conjunctiva was closed with a running horizontal mattress 10-0 nylon suture. The anterior chamber was deepened with balanced salt solution. A nice, diffuse bleb resulted and tested watertight.
Decadron 2 mg was injected subconjunctivally in the inferotemporal quadrant. The eye was then dressed with atropine 1% solution, Maxitrol ointment, a torpedo dressing, mild pressure patch and shield. The patient tolerated the procedure well, was awakened by Anesthesia and taken to the recovery room in stable condition.
Rectus Recession Operative Sample Report Entropion Repair Operative Sample Report
Ophthalmology Operative Samples # 1 Ophthalmology Operative Sample Reports #2
