MR250 Unit 4 Ophthalmology

MT Client Any questions about MT Client this unit? Some things to keep an ‘eye’ and ear on assess and access sights and sites heel and heal legions and lesions Listen for doctor speaking to you. Unremarkable Do not put “next number” – if numbering

Chapter 8 Ophthalmology Questions about the reading? Transcription Tips Medical Transcription Fundamentals: page 185 page 186 page 187 page 188 page 194 page 195

Chapter 8 Ophthalmology: Multiple Choice 1.Visual acuity is tested by using a 1.Snellen chart 2.Amsler grid 3.gonioscopy mirror 4.Corneal topographer 2.Another name for the tear duct is the 1.corneal gland 2.tarsal gland 3.lacrimal gland 4.orbital gland

Chapter 8 Ophthalmology: Multiple Choice 3.The process of bending light to produce a focused image on the retina is called 1.reflection 2.reorganization 3.refraction 4.remission 4. PERRLA is an acronym that stands for 1.pupils emergent, round, and reactive to light and accommodation. 2.pupils equal, round and reactive to light. 3.pupils equal, raised and reactive. 4.pupils equal, round, and reactive to light and accommodation.

Chapter 8 Ophthalmology: Multiple Choice 5. The correct name for pink eye is 1.scleritis 2.conjunctivitis 3.blepharitis 4.retinal detachment 6.The condition that causes irregularities in the central field of vision is called 1.keratitis 2.macular degeneration 3.chalazion 4.myopia

Chapter 8 Ophthalmology: Multiple Choice 7. The part of the eye that is often called the “white of the eye” is called the 1.pupil 2.cornea 3.iris 4.sclera 8.The lens is enclosed in a capsule of muscular tissue called the 1.ciliary body 2.retina 3.cilious tissue 4.cicatricial body

Chapter 8 Ophthalmology: Multiple Choice 9. Hyperopia refers to 1.farsightedness 2.nearsightedness 3.double vision 4.crossed eyes 10. During cataract surgery, the clouded lens is removed and replaced with a plastic lens called a (an) 1.irrigation device 2.intravisual lens 3.intraocular lens 4.laser lens

MACULAR HOLE, RIGHT EYE DATE OF OPERATION 02/02/09 DATE OF DICTATION 02/02/09 PREOPERATIVE DIAGNOSIS Macular hole, right eye. POSTOPERATIVE DIAGNOSES 1. Macular hole, stage II, right eye. 2. Retinal thinning, right eye. PROCEDURES 1. Trans pars plana vitrectomy 2. ICG-assisted membrane peeling. 3. Endolaser. 4. Air/fluid exchange 5. 16% C3F8 gas, right eye.

MACULAR HOLE, RIGHT EYE SURGEON [name] ANESTHESIA MAC COMPLICATIONS None. SPECIMENS None. INDICATIONS FOR PROCEDURE This is a 65-year-old female with a history of decreased vision in the right eye secondary to a macular hole. The finding was discussed with the patient and surgical intervention to close the macular hole and to improve the vision potential was discussed. The risks include such things as infection, bleeding, cataract formation, persistent macular hole opening, and retinal detachment. A consent was obtained.

MACULAR HOLE, RIGHT EYE PROCEDURE The patient was taken to the operating room where she was given retrobulbar anesthesia by the anesthesiologist without complication. The patient was then prepped and draped in a sterile fashion. A lid speculum was inserted for exposure. A conjunctival peritomy was performed in the temporal quadrant and superonasal quadrant. Hemostasis was achieved with wet field cautery. A standard 3-port vitrectomy setup was established with the infusion cannula in the inferotemporal quadrant 4 mm away from the limbus. The infusion was turned in after visualization of the cannula in the proper space. A contact lens system was sutured to the sclera. Additional sclerotomy sites were chosen in the superonasal and superotemporal quadrant 4 mm away from the limbus. Vitrectomy was performed with removal of the vitreous out toward the ora serrata. The cortical vitreous was also removed from the surface of the retina starting at the optic nerve and carried out toward the ora serrata. The vitreous in the anterior base was carefully removed with scleral depression 360 degrees.

MACULAR HOLE, RIGHT EYE PROCEDURE Attention was then turned to the macula where the patient was noted to have a macular hole less than 500 microns. The ICG dye was layered over the macula to stain the ILM for 4 minutes. The ICG dye was reconstituted by adding 10 mL aqueous solvent to the 25-mg powder. 0.2 mL of the ICG dye was then mixed with 0.6 mL of Provisc. After staining of the ILM, the ICG dye was aspirated from the surface of the retina. Utilizing the Tano membrane diamond duster and intraocular forceps, the ILM was carefully removed in a circumferential manner around the macular hole without incident. The peripheral retina was examined and there was an area of retinal thinning and retinal whitening at the supranasal quadrant. Therefore, endolaser was applied around that area to reinforce the retina. Air/fluid exchange was performed with removal of the balanced salt solution from the vitreous cavity and also from the macular hole. The air in the vitreous cavity was replaced with 16% C3F8 gas. The sclerotomy sites were closed with 6-0 Vicryl sutures. The conjunctiva was reapposed utilizing 8-0 Vicryl sutures. The patient received subconjunctival injections of Ancef and dexamethasone. The lid speculum was removed and the patient was undraped. The periorbital area was cleaned with wet and dry gauze. The patient's right eye was patched after instilling atropine, Iopidine, Betimol eye drop and Maxitrol ointment. The patient tolerated the procedure without complication and was transferred to the recovery room in stable condition. The patient was reminded of the need for face-down positioning. The patient will be seen in the office tomorrow morning.

Ophthalmology Links lmology-medical-transcription-operative-sample-reports

More Websites More samples Pronunciation Website esources/pronunciations/index/a.htmlhttp:// esources/pronunciations/index/a.html

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