Outpatient Surgery Magazine

A Deep Dive Into Surface Disinfection - October 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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the implants tend to cost more. Nevertheless, inserting corrective lenses during cataract surgery is becoming a wonderful option for eliminating astigmatism. 4 Address it Once the plan is in place, it's our job as a surgical team to ensure it is properly executed. Every step, from the initial, in-office eval- uation to patching the corrected eye at the end of the procedure, is a potential error source. That's why it's essential for the surgical staff to be on the same page as the surgeon. We mark the eye to create a refer- ence point for surgery. We either use surgical cameras to intraopera- tively confirm the IOL is where it's supposed to be aligned or make alignment marks at 6 o'clock and 12 o'clock on the patient's numbed eye. When I'm performing surgery, I put a simple sticky note on the operating machine that tells me the lens power and rotation where it should end up. The scrub nurse uses a sterile marker to write the same numbers down elsewhere — with the promise not to let me out of the surgical suite until we confirm the lens is where it should be. 5 Tweak it As with all surgeries, astigmatism correction requires some post-operative management. Often patients need a minor touch- up procedure, which is often part of the package for premium patients. While most implantable lenses are quite stable, they do sometimes rotate away from their intended location post-surgery. To correct this, the surgeon can do a minor procedure to make a small adjustment of the tilt in the eye. OSM 8 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 1 7 Dr. Kelley (kelley5@columbus.rr.com) is a founding member and physician-owner at the Eye Center of Columbus (Ohio) and the director of refractive surgery of Arena Eye Surgeons.

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