Cataract procedure Date 23/05/2019

Step one the patient requires anesthesia. Anesthesia Sub-tenon Step one the patient requires anesthesia. The majority of cataract procedures use sub-tenon anesthesia in the UK. STP01 or LE01 sets are sold in the UK for this procedure. You already have the training video for this procedure. Graph showing sales figures. 2

Clean the eye with betadine or similar product. Step 2 Clean the eye with betadine or similar product. RMPL or RMPS can be offered with swabs to apply and remove the cleaning agent. Drape the patients eye, Surgitrac sell ophthalmic drapes. Insert the speculum, SC11,SC05,SC11P and SR11 are a few options you can offer. Explanation of sales figures. 3

Incisions main incision and 2nd incision. Step 3 Incisions main incision and 2nd incision. Main incision site most likely clear corneal and at 6 o'clock. 2nd incision or stab incision is sited where the surgeon feels comfortable but usually 3 o'clock if left handed 9 o'clock if right handed. Aims and Aspirations. 4

Step 3 The main incision blade size is from 2.8mm to 1.8mm depending on the surgeons technique, the suggested Surgitrac blades are uni-bevel, double bevel or slit knives, the sizes are self explanatory. The 2nd incision suggested blades are Surgitrac stab blades from 15°to 45° Aims and Aspirations. 4

SC29,SC30,SC31,SC32,SC33 for 1.8mm or 1.6mm incisions. Step 4 Fill the Anterior chamber with Viscoelastic (Eyevisc) or HPMC which ever the surgeon prefers. Use capsulorhexis forceps or Cystotome to remove a 6mm window of the anterior capsule. SC29,SC30,SC31,SC32,SC33 for 1.8mm or 1.6mm incisions. SC29M and SC33M, SC133M or SC134M for MICS incisions. The Anodyne range have a comprehensive range of Cystotomes. 6

Step 5 Phacoemulsification The surgeon then introduces the Phaco handpiece and his 2nd instrument, they will fixate the globe using SC55 or SC54 in order to introduce the handpiece safely. The 2nd instrument is used to hold back the edge of the iris or capsule bag and then chop, manipulate or cleave. SC39,SC41,SC42,SC43,SC44,SC45,SC47 can all be used to accomplish this. The surgeon will use the same second instrument to hold, move or chop the fragments of nucleus. 6

Step 6 Irrigation aspiration Irrigation aspiration using a medicel I/A is used to remove the cortex from the capsular bag. Once the cortex is removed from the capsule bag it will be filled with viscoelastic or HPMC, the surgeon may polish the capsule using SC85 Depending on the incision size and the IOL cartridge size the incision may need enlarging, for this you need an implant blade. Automated Washer Dryer system. 7

Step 6 Irrigation Aspiration. The IOL is now inserted through the incision, once again a fixation instrument SC54,SC55 is used to hold the globe still. The IOL may need dialing into place you would use a SC46 to accomplish this, this is critical in cases using Toric IOLs. The Viscoelastic is now removed with your medicel I/A. Issues. 9

Incision sealing or suturing. Most incisions self seal so do not need sutures, however if they do use SC19 and SC61. The Surgeon then removes the drape and speculum and the process starts again. Summary 9