Question

SURGICAL TECHNOLOGY PREFRENCE CARD Procedure: Sclera Buckling 1. Indication: 2. Expected Outcome: 3. Possible complications: 4. Position: 5. Devices: 6. Non-Sterile Equipment: 7. Sterile Supplies Instrument : 8. Suture and Usage: 9. Dressing: 10: Skin Prep: 11. Draping: 12: Medication: 13. Incision location including name of incision if applicable: 14.What implants are utilized and why (if applicable): 15. What are the specific patient considerations for this procedure? 16. What type of anesthesia will this patient have? What does this mean for you? 17. What medications would you have on your back table and why? 18. What hemostatic agents would you have on your back table and why? 19. What is the wound classification for this procedure: 20. List each layer of the structure the surgeon is working on in order from inside to outside and the appropriate type and size of suture needed as well as needle type: 21. List each tissue layer for closure and the appropriate type and size of suture needed as well as needle type: 22. List any drains required for this procedure 23. List dressings in order from wound to top layer: 24. List any special considerations that are needed immediately after the procedure is complete: 25. What soft countable items will you have on your back table and how many of each come in a pack?

Answer 1

Ans:

Procedure for Sclera Buckling:

1. The main indication of sclera buckling is retinal detachment.

2. The primary expected outcome is the repair and prevention of retinal detachment.

3. Possible complications mainly includes infection, double vision, cataracts, glaucoma, bleeding, repeated detachment, new retinal tears etc.

4. A detached retina shifts from its normal position. If left untreated, retinal detachment can cause permanent loss of vision.

5. Device used in scleral buckling is surgical microscope or binocular ophthalmoscope.

6. No non-sterile equiments used during this procedure.

7. Sterile supplies instruments includes: Intraocular gas injection, sutures, sharp incision blade or needle or knife and other instruments used during surgery

8. Suture are used to stitch silicone buckle or sponge around the outer layer of eye and surgically sewn in place so that it doesn't move.

9. Routine sterile dressing is required to heal the site of surgical areas.

10. Skin preparation involves an incision to the sclera and stitch buckle around this outer layer. Then, buckling supports retina by pushing the scleral towards the middle of the eye, which can reattach retina and close retinal tear.

11. Draping is required after surgery to protect eye from open surrounding infections. It can be done by wearing an eye patch for few days.

12. Medicaton: Antibiotic eye drops, analgesics for post surgery pain

13. Incision is made to the outer layer of eye i.e. sclera and called scleral incision.

14. Silicone Buckle or Sponge is used as implants so as to attch them with sclera and allow retinal tear to close and heal.

15. Specific patient considerations for this procedure involve patient ocular examination including any history or present illness or any other ilness related to eye.

16. Anaethesia is applied either as eye drop or injection to numb the eye.

17. Eye drops to dilate pupil to see the back of eyes and antibiotic eye drop just near completion of surgery.