1 / 19

Pre – Operative Evaluation & Preparation

Pre – Operative Evaluation & Preparation. Sr. Vimala Aravind Eye Hospital, Coimbatore. Why it is IMPORTANT ?. Eye surgeries are done under very strict aseptic precaution. Any compromise may cause sight threatening disaster.

maitland
Download Presentation

Pre – Operative Evaluation & Preparation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pre – Operative Evaluation & Preparation Sr. Vimala Aravind Eye Hospital, Coimbatore

  2. Why it is IMPORTANT ? • Eye surgeries are done under very strict aseptic precaution. • Any compromise may cause sight threatening disaster. • Hence Pre-operative evaluation & preparation is very important in eye surgeries.

  3. Pre – Operative Evaluation • Visual acuity – distant and near [ in all mature cataract – PL & PR ] • Retinoscopy • Slit lamp Examination • Dilated fundus Examination

  4. Intraocular Pressure • Duct Not Free - Culture Partially free, Free – No culture

  5. Any pustules, Chalazion, Conjunctival congestion, discharge, lid hygiene • If present, appropriate treatment, culture and sensitivity

  6. Pre operative medications • Antibiotic eye drops 1 hourly • Mydriatic eye drop • Tab Diazepam/Tab Alprax

  7. If one eyed – all precautions to be taken including culture and sensitivity • Other eye status – any active infections to be ruled out

  8. General examination Cardio Vascular System Respiratory System DM Diabetic foot ulcer Skin infection, dental caries, ear discharge

  9. SLIT LAMP EXAMINATION • Conjunctiva • Cornea : opacity,degeneration,dystrophy,guttae • AC : depth / reaction • Iris : synechiae,coloboma,PXF • Pupil : Reaction -if irregular, suspect posterior synechiae,poor dilatation - PXF

  10. Lens : type of cataract,subluxation • Fundus : after full dilatation to R/o Diabetic / HTN Retinopathy / ARMD etc to explain • the visual prognosis.

  11. Urine Investigation • Urine sugars • Blood investigation • Blood sugars – RBS • If diabetic • Fasting • Post Prandial

  12. Blood pressure • Povidone iodine cleaning of the periorbital area. • A – Scan biometry

  13. SPECIAL TESTS • B scan : Complicated / Traumatic / MC Miopia,MC with RD in other eye PR inaccurate IOFB TO EXPLAIN ABOUT VISUAL PROGNOSIS

  14. Pre-op Preparation

  15. Thank You

More Related