PREOPERATIVE DIAGNOSIS:
Choroidal melanoma, left eye.
POSTOPERATIVE DIAGNOSIS:
Choroidal melanoma, left eye.
PROCEDURES PERFORMED:
1. Removal of
radioactive iodine-125 plaque, left eye.
2. Tumor laser
treatment, left eye.
SURGEON: John Doe , MD
ANESTHESIA:
Local/MAC.
DESCRIPTION OF PROCEDURE:
The patient was brought to the operating room and was positioned on the
operating table. Cardiac and blood pressure monitoring devices were applied.
Intravenous sedatives were administered and a retrobulbar and supratrochlear
injection of Carbocaine 2% plain was administered without complications. The
patient was prepped and draped in the usual fashion for a procedure of the left
eye. A lid speculum was inserted between the lids of the left eye to expose the
eye. The conjunctival sutures from the recent prior procedure were cut and
removed. The conjunctiva was reflected into the superotemporal quadrant to
reveal the plaque fixation sutures and radioactive plaque. The three plaque
fixation sutures were cut and removed. The plaque was then slid away from its
apposition to the sclera and transferred off the table to the lead carrier. The
conjunctiva was closed with interrupted sutures of 7-0 Vicryl. The laser
treatment was then performed using the argon green indirect ophthalmoscope
laser with 20 diopter lens. The spot size on the retina was adjusted to between
0.25 and 0.5 mm on the retina during the treatment. The power setting was 300
milliwatts on continuous duration exposure. The end point of treatment was dull
white discoloration of the entire juxtapapillary portion of the choroidal
tumor. The total treatment time was approximately 12 minutes. Following
completion of the laser therapy, the lid speculum was removed. Bacitracin,
polymyxin ointment was applied to the surface of the eye. The lids were patched
with a sterile eye patch. The patient tolerated the procedure well and was
transferred to same day surgery in satisfactory condition for postoperative
care.
Transvitreal Fine Needle Aspiration Biopsy of Choroidal Tumor Sample
Trabeculectomy Sample Report
Radical Pterygium Excision with Conjunctival Graft Sample
Transvitreal Fine Needle Aspiration Biopsy of Choroidal Tumor Sample
Trabeculectomy Sample Report
Radical Pterygium Excision with Conjunctival Graft Sample
Medical Transcription Word Seeker - Google Search for MTs - Searches just Medical Websites
