Operative Dictations in Ophthalmology Eric D
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Operative Dictations in Ophthalmology Eric D. Rosenberg • Alanna S. Nattis Richard J. Nattis Editors Operative Dictations in Ophthalmology Editors Eric D. Rosenberg Alanna S. Nattis Ophthalmology Resident Cornea and Refractive Surgery Fellow Department of Ophthalmology Ophthalmic Consultants of Long Island New York Medical College Rockville Centre, NY, USA Valhalla, NY, USA Richard J. Nattis Chief of Ophthalmology and Clinical Professor Department of Ophthalmology Good Samaritan Hospital West Islip, NY, USA ISBN 978-3-319-45494-8 ISBN 978-3-319-45495-5 (eBook) DOI 10.1007/978-3-319-45495-5 Library of Congress Control Number: 2017932292 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Introduction 1. All dictations will consist of a standard template specific to the state or institu- tion. In an attempt to limit repetition, we have only included the sample dicta- tion. It will pay dividends later to get a familiarity with your institution’s dictation practice, which often includes: Preoperative Diagnosis Procedure Postoperative Diagnosis Surgeon Assistant(s) Anesthesia Anesthesiologist Specimens Implants Estimated Blood Loss Complications 2. Dictations differ amongst attending surgeons, geography, institutions, etc. So long as there are cats, there will be multiple ways to skin them. Italics, ____, and (/) have been installed to help guide and prepare you for the variability that may exist. 3. Out-of-date procedures have been included. Although most may feel that these procedures would be better relegated to the history books, we strongly believe in the importance of understanding surgical evolution. 4. The timing of “time-out” procedures varies. Be mindful of when they take place in your OR. v Preface Great things are not done by impulse, but by a series of small things brought together. —Vincent van Gogh (Letter to Theo, October 1882) I began writing this book while I was a categorical general surgery resident. Encouraged to pursue what deeply riveted me by my wife, family, and friends, I made the bold leap into a truly inspiring field, Ophthalmology. After becoming friendly with the OR staff, it always made me smile when they asked something to the effect of “why are you leaving surgery, you know, real surgery?” Instead of countering with “Ophthalmology is real surgery,” I simply answered that general surgery was not for me—and that was the truth. Instead, I was entering a field reserved for the select elite. Not only are we surgeons, clinicians, medical and surgi- cal diagnosticians, and solo comprehensive practitioners, but we are enigmatic, fur- tive, perfectionists. If someone cannot figure out why this field is the quintessence of medicine, then what else can you do but smile. We would like to take this special opportunity to thank our friends, colleagues, and mentors who helped make this script a reality and dedicate it to those of you who may have taken the nontraditional route. Learn as much as you can, acquire patience, and develop precision, because it is you who will be the only real surgeon that ever maintains and reserves the privilege to operate on the eye. Valhalla, NY, USA Eric D. Rosenberg Rockville Centre, NY, USA Alanna S. Nattis West Islip, NY, USA Richard J. Nattis vii Contents Part I Anterior Segment Conjunctiva 1 Pterygium Excision with Conjunctival Autograft................................. 3 Alanna S. Nattis and Eric D. Rosenberg 2 Pterygium Excision with Conjunctival Pedicle Graft........................... 7 Alanna S. Nattis and Eric D. Rosenberg 3 Pterygium Excision with Amniotic Membrane Graft........................... 11 Alanna S. Nattis and Eric D. Rosenberg 4 Sealing the Gap with Amniotic Membrane Transplantation for Primary and Recurrent Pterygium.................................................. 15 Anny M.S. Cheng and Scheffer C.G. Tseng 5 Repair of Conjunctivochalasis................................................................ 21 Laurence Sperber 6 Restoration of Fornix Tear Reservoir by Amniotic Membrane Transplantation in Conjunctivochalasis................................................ 25 Anny M.S. Cheng and Scheffer C.G. Tseng 7 Amniotic Membrane Transplantation in Stevens–Johnson Syndrome.................................................................................................. 31 Hajirah N. Saeed, Iason S. Mantagos, and James Chodosh 8 Gundersen’s Conjunctival Flap.............................................................. 35 Marguerite McDonald Cornea 9 EDTA Chelation for Calcific Band Keratopathy.................................. 39 Alanna S. Nattis and Richard J. Nattis 10 Penetrating Keratoplasty (PKP)............................................................. 41 Alanna S. Nattis and Gerald Zaidman ix x Contents 11 Manual Deep Anterior Lamellar Keratoplasty (Manual DALK)....... 45 Alanna S. Nattis and Eric D. Rosenberg 12 IntraLase-Enabled Deep Anterior Lamellar Keratoplasty (IEDALK)................................................................................................. 49 Winston Chamberlain and Eric D. Rosenberg 13 Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK)................................................................................................... 53 Eric Donnenfeld and Alanna S. Nattis 14 Keratoprosthesis...................................................................................... 57 James V. Aquavella 15 Simple Limbal Conjunctival Autograft................................................. 65 Marwan Atallah and Guillermo Amescua 16 Removal of Salzmann’s Nodule and Amniotic Membrane Placement.................................................................................................. 71 Anny M.S. Cheng and Scheffer C.G. Tseng 17 Insertion of Intrastromal Corneal Ring Segments (ICRS), Femtosecond Laser Assisted.................................................................... 75 Jorge L. Alió and Antonio Renna Iris 18 Iris Repair (Iridoplasty) Using the Siepser Sliding Knot..................... 79 Steven B. Siepser Part II Refractive and Cataract Surgery 19 Cataract Extraction, with Intraocular Lens Implant........................... 85 Alanna S. Nattis and Richard J. Nattis 20 Cataract Extraction, Extracapsular (ECCE)........................................ 89 Marwan Atallah and Guillermo Amescua 21 Cataract Extraction, the Use of Iris Hooks for Intraoperative Floppy Iris Syndrome (IFIS)................................................................... 93 Reginald Camillo and Alanna S. Nattis 22 Cataract Extraction, Malyugin Ring...................................................... 97 Marguerite McDonald 23 Cataract Extraction Requiring Vitrectomy due to Violation of the Posterior Capsule with Lens Implantation (Optic Capture, in the Bag, Sulcus, and ACIOL)............................................................. 101 Shakeel Shareef and Lisa B. Arbisser Contents xi 24 Cataract Extraction, Femtosecond Laser Assisted............................... 111 Eric Donnenfeld and Eric D. Rosenberg 25 Cataract Extraction, Endocyclophotocoagulation, and Goniosynechialysis............................................................................ 115 Ike K. Ahmed and Matthew B. Schlenker 26 Cataract Extraction with Gold Metal Shunt (GMS) Implant............. 119 Ike K. Ahmed and Matthew B. Schlenker 27 Glued Intrascleral Haptic Fixation of an Intraocular Lens................. 123 Eric Donnenfeld and Alanna S. Nattis 28 Intraocular Lens Exchange..................................................................... 127 Eric Donnenfeld and David Alevi 29 Iris-Enclavated Intraocular Lens Implantation.................................... 131 Ike K. Ahmed and Matthew B. Schlenker 30 IOL Explantation with Iris-Enclavated Intraocular Lens Implantation.................................................................................... 135 Ike K. Ahmed and Matthew B. Schlenker 31 Repair and Centration of Dislocated IOL Using McCannel Suture Technique..................................................................................... 139 Alanna S. Nattis, Jennifer Yong, and Gerald Zaidman 32 Scleral