Appendix C - Ophthalmic Surgical Assisting Content Areas Case Requirements for Ophthalmic Surgical Assisting Recertification 1. Pre-Operative Preparation of the The case requirement is divided into two groups: Categories A and B. Certificants may Patient – 5% choose to earn 100 percent of their case requirement from Category A or may choose to a. Consent earn at least 90 percent of the case log from Category A and the remaining cases from b. Intraoperative monitoring Category B. 2. Instruments – 25% Category A Retina ♦ Scleral Buckle a. Identification (at least 90% ♦ Vitrectomy b. Selection/setup or 27 cases) ♦ Membrane removal c. Maintenance ♦ Endo laser d. Sterilization Lens ♦ Cataract extraction +/- IOL e. Sutures/supplies ♦ Secondary IOL f. Function ♦ IOL exchange ♦ Implantable Contact Lens (ICL) 3. Aseptic Technique – 20% Strabismus ♦ Muscle procedure a. Scrubbing/gowning/gloving/prepping b. Circulating Cornea ♦ Penetrating Keratoplasty (PKP) c. General Knowledge ♦ Lamellar/patch graft d. Assisting ♦ Pterygium with or without conjunctival transplant 4. Ophthalmic Anesthesia – 5% ♦ Conjunctival autograft a. General anesthesia ♦ DSAEK (Endothelial Keratoplasty) b. Local anesthesia Oculo-Plastics ♦ Dacryocystorhinostomy (DCR) c. Topical anesthesia ♦ Levator procedures ♦ Ptosis repair 5. Surgical Procedures – 27% ♦ Orbital decompression a. Cataract surgery ♦ Ectropion & Entropion repair b. Corneal surgery ♦ Lid laceration c. Glaucoma surgery ♦ Full thickness or partial thickness d. Strabismus surgery lid tumor e. Oculo-plastics surgery ♦ Endoscopic brow lift f. Orbital surgery ♦ Blepharoplasty g. Lacrimal surgery ♦ Conjunctivoplasty h. Refractive surgery ♦ Conjunctival tumors i. Retinal surgery Glaucoma ♦ Trabeculectomy j. Laser surgery ♦ Seton procedures k. Other Other ♦ Scleral patch 6. Surgical Complications – 3% Category B Lens ♦ Resposition IOL (no more than Strabismus ♦ Botulinum toxin injection 7. Ophthalmic Surgical 10% or 3 cases) Cornea ♦ Radial Keratotomy (RK) Pharmacology – 10% ♦ Automated lamellar keratoplasty (ALK) a. Miotics ♦ Lasik b. Viscoelastics ♦ AK c. Enzymes ♦ Excimer laser surgeries (e.g., PRK, PTK) d. Mydriatics ♦ Conductive Keratoplasty e. Osmotic 9 Oculo-Plastics ♦ Tarsorrhaphy f. Narcotics ♦ Canthal plication g. Other ♦ Chalazion ♦ Trichiasis 8. Minor Surgery – 5% ♦ Temporal artery biopsy a. Assisting the surgeon ♦ Nasolacrimal duct (NLD) probing b. Instructing the patient Retina ♦ Intravitreal injections 32.