Instructions for one week post op cataract patient

Instructions for one week post op cataract patient
If you are operating for a limited time overseas, it may be helpful to leave written instruments [ check list ] on seeing the one week post op cataract patient. Here are some of my suggestions but I am sure you can write out [ leave behind ] your own suggestions for the eye nurse or other Read more:

Fluorescein Strips

Your supply of fluorescein strips can be extended [ prolonged ] by cutting each strip in half lengthwise. See attachment. Each " half " strip is enough to check the IOP in both eyes.This will obviously add to your supply of fluorescein strips. Read more:

Fluorescein Drops

Fluorescein Drops
Fluorescein drops can be made in the eye clinic by adding 0.4 ml of a 10% fluorescein solution [ such as what is used for IV fluorescein angiography ] to a 15 ml eye drop bottle of proparacaine or tetracaine. This will be the same concentration in the commercially prepared drops for checking IOP Read more:

Cataract Surgery Logistics for Poor Patients in the Developing World

Cataract Surgery Logistics for Poor Patients in the Developing World
My deceased good friend, John Cheatham MD, used to get upset how many times poor patients in the developing world were required to come back, over and over, prior to having a local cataract operation. In the States, no one requires lab work, EKG, chest X - ray, consultation on routine, healthy Read more:

Sutureless ECCE

I recently received a copy of Dr. William Dean's DVD " Sutureless ECCE " which is excellent. His DVD shows clearly the manual small incision cataract extraction technique. One nice thing, there is a written part [ text ] that is on the screen while the instructor is also speaking. Therefore an Read more:

Laser Pupilloplasty

Seeing patients with markedly updrawn pupils, for whatever reason, is not rare in the developing world. When living previously in east Africa, I used to operate on these patients, using a lot of viscoelastic and a long blade van ness scissors to do a pupilloplasty and reshape the pupil. I still Read more:

Hydroxypropyl methylcellulose

Hydroxypropyl methylcellulose
I am currently in Belize and last week was almost out of all goniodrops with no possible in country replacement for any hydroxypropyl methycellose. I was actually diluting the methycellose 2.5% drops with Optive artificial tears to make it last longer. I use a lot of methycellose as we have Read more:

Phaco vs SIMCE For The Developing World

Phaco vs SIMCE For The Developing World
In the developing world, depending on the location, most ophthalmic surgeons are still doing standard extracapsular lens extraction with sutures and pc IOL insertion. This is a fine operation that works well and many good surgeons are quite comfortable with this procedure with few complications. Read more:

Absolute Alcohol Injection For The Blind Painful Eye

Absolute Alcohol Injection For The Blind Painful Eye
Use one needle and two syringes. I prefer a 27gauge 1 1/4 inch needle which is usually readily available and much cheaper than the retrobulbar needles.

The first syringe should contain 4 ml Xylocaine [ lidocaine ] 2% with or without epinephrine and 2 ml [ 8 mg ] of dexamethasone. Be sure this Read more:

30 Gauge Needle To The Rescue

30 Gauge Needle To The Rescue
If you are in the O.R. and having difficulty cutting a fibrotic, rubbery, tenacious anterior capsule, pupillary membrane, or cocoon [ capsule ] wrapped around an implant, then help may be closer than you think.

A straight 30 G 1/2 inch needle will often cut a fibrotic capsule / membrane when no Read more:

Corneal Perforation Repair

Corneal Perforation Repair
Ophthalmic Pearls for on the field Corneal ulcers with a perforation and a positive Seidel test often represent an ocular emergency if the eye is to be saved. In developing countries, corneal tissue for a therapeutic keratoplasty is often not available. Cyanoacrylate (Krazy Glue, Gorila Super Read more:

Search by continent

GlobalSight Newsletters

Signup to receive our newsletters.
captcha