ANESTHESIOLOGIST: Mohammad Qadeer, MD
ANESTHESIA: Monitored anesthesia care.
PREOPERATIVE DIAGNOSIS: Cataract, right eye.
POSTOPERATIVE DIAGNOSIS: Cataract, right eye.
PROCEDURE: Cataract extraction, right eye, with intraocular lens implant.
DESCRIPTION OF PROCEDURE: After the risks and benefits of the procedure were
explained to the patient, an informed consent for the surgery and the anesthesia was obtained.
The patient was brought to the operating suite, where intravenous sedation was administered by
the anesthesiologist. Topical anesthesia with tetracaine eye drops was used for corneal
anesthesia. The right eye was draped and prepped in the usual sterile technique. A Lieberman
eye speculum was placed in the right eye. A superior paracentesis incision was made using a 15degree blade. A dilute local anesthetic consisting of preservative-free lidocaine, 2%, was injected
into the anterior chamber for additional anesthesia. Approximately 0.5 mL was used.
Viscoelastic agent was injected into the anterior chamber. A 3-mm keratome was used to make a
temporal limbal incision into the anterior chamber. A cystitome was used to make a tear in the
anterior capsule. A continuous curvilinear capsulorrhexis was completed with Utrata forceps.
BSS solution on an irrigating cannula was used for hydrodissection and hydrodelineation.
Phacoemulsification was carried out to remove the nucleus of the cataract. A modified-chop
technique was used. Irrigation and aspiration was carried out to remove any residual cortical
material. Viscoelastic agent was injected into the anterior chamber.
A Monarch lens injector was used to insert an Alcon SN60WF 24-diopter lens into the lens bag.
The lens was positioned into place with a Kuglen hook. Irrigation and aspiration was carried out
to remove any residual viscoelastic material. The wound was checked for leaks and no leaks
were found. The anterior chamber was formed at the end of the procedure. The right eye was
patched with TobraDex ophthalmic ointment. The patient was brought to the recovery suite in a
stable condition.
There were no complications.