Page 52 - The Book Pi in eye
P. 52

Rajesh Khanna, MD

                                  7.  Preservative  free  lidocaine  inside  the  eye  but  prevents
                                      pain. It  may  sting  but  it numbs  the  inside  of the  eye. It
                                      also helps keep the pupil dilated.
                                  8.  Jelly  to keep eye  from  collapsing.  These  are cohesive  or
                                      dispersive type.
                                  9.  Open the capsule in a continuous curvilinear pattern so as
                                      to reach the lens fibers
                                  10. Separate the lens from the capsule using water
                                  11. Remove lens pieces and fibers
                                  12. Polish the bag, insert more jelly
                                  13. Insert new artificial lens implant. The folded lens gradually
                                      unfolds like a flower inside the eye























                                      Figure 6.4 Inserting a folded lens through an opening less
                                      tan a tenth of an inch.

                                  14. Remove any remaining jelly
                                  15. Water edges of wound
                                  16. Check patency of wound. Safety stitch if necessary

                                      After the surgery:

                                  1.  Do not rub the eye.
                                  2.  Avoid lifting heavy weights. Do not do strenuous exercise.
                                  3.  Avoid visiting hospitals or urgent care centers.
                                  4.  Instill drops as instructed.


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