1. Ophthalmology Procedures
Consortium or Nurse Training
Paige Klem
2018

2. Ophthalmic Procedures: Pertaining to the Eye
Cataract
Enucleation
Pterygium Excision
Retinal Procedures
Scleral Buckle
Vitrectomy
Argon Laser Retinal Repair
Trabeculectomy
Note- For ophthalmic procedures, most patients are expected to follow up the next day

3. Cataract Phacoemulsification: Removal of cloudy lens and insertion of intraocular lens (IOL)
Indications:
Cloudy lens
PreOp Care:
Eye drops
Complications:
Infection
Retinal detachment
Clouding of the capsule (YAG is indicated)
Expectations:
Slight discomfort
Post Op Care:
Wear a shield for 1 week during sleep
Avoid strenuous activity
Avoid bending down

4. Enucleation: Surgical removal of the entire eye
Indications:
Severe eye injury
Eye cancer
Unmanageable pain in blind eye
Complications:
Hemorrhage
Infection
Post Op Care:
Pressure bandage in place
Pain management
Prosthetic eye placement after 5 days

5. Pterygium Excision Pterygium: growth on eye’s conjunctiva:
Pterygium Excision Pterygium: growth on eye’s conjunctiva: -correlated to exposure to wind, dust, and UV light from the sun
Indications:
Affected vision by Pterygium
Complications:
Recurrence of Pterygium
Expectations:
Quick recovery
Post Op Care:
Eye drops

6. Retinal Repair: Repair retinal tear or reattach detached retina- may be done with lasers, gas bubble, oil, or scleral buckle
Indications:
Hole or separation of the retina from the tissue
May be due to trauma
Complications:
Infection
Bleeding
High pressure in the eye
Post Op Care:
Wear a shield for 1 week during sleep
Eye drops
Focused positioning
Face down or on side
Pain Management
Retrobulbar block
Oil has to be removed

7. Trabeculectomy: Making a small hole in sclera to drain fluid in order to lower the intraocular pressure (IOP) for patients with glaucoma
Indications:
Glaucoma; High IOP
Complications: (Rare 1:250)
Infection
Low eye pressure
Expectations:
Blurry vision up to 2 weeks
Severe blurry vision or loss of vision should be reported
Post Op Care:
Wear a shield for 1 week during sleep
Eye drops
Avoid strenuous activity
Avoid bending down

8. Retrobulbar Blocks Block of the Retrobulbar space
The area behind the globe of the eye
Injected through the lower eyelid
Can last up to 6-8 hours
Dependent upon anesthetic used

9. References.
A.D.A.M. Resource Center. (2016). Healthstream Authoring Center. Retrieved from:
International Glaucoma Association. (2016). About Glaucoma. Retrieved from:
Moshfeghi, D.M., Moshfeghi, A.A., & Finger, P.T. (2000). Enucleation. doi: /j.ophtha