When should the consent form for surgery be completed? - ANSWERPrior to the procedure, before any medications are administered
In what position is the patient placed during surgery? - ANSWERSupine
What are 3 types of operative admissions for surgery? - ANSWEREmergency, urgent, and elective
Name ...
When should the consent form for surgery be completed? - ANSWERPrior to the procedure, before
any medications are administered
In what position is the patient placed during surgery? - ANSWERSupine
What are 3 types of operative admissions for surgery? - ANSWEREmergency, urgent, and elective
Name 3 types of ocular emergencies that may require surgical intervention - ANSWERLacerated
globes and eyelids; intraocular foreign bodies; acute glaucoma; and, intraocular hemorrhage
What should pre-operative patients bring to their surgical appointment? - ANSWERA list of
medications and allergies
When scheduling a patient for surgery, what information is needed for scheduling purposes? -
ANSWERPatient name, date of birth, type of insurance, contact information, procedure, anesthesia,
operative eye, and length of time needed for the procedure
When preparing a patient for surgery, when are vital signs taken, as well as when are dilating drops
and sedatives administered? - ANSWERPrior to surgery
Who should a patient speak to if they are uncomfortable under the surgical drape? - ANSWERThe
surgeon, anesthetist, or the nurse
What test is performed pre-operatively to determine axial length? - ANSWERA-scan
If a patient is scheduled for extraocular muscle surgery, what diagnostic tests are generally
performed? - ANSWERExternal photography and muscle balance measurements
What are vital signs? - ANSWERMeasurement of blood pressure, pulse, and respirations
What is the most common cause of corrosion of instruments? - ANSWERInadequate cleaning and
drying. Particles or materials that remain on the surface following sterilization
What is the recommended pH level for ophthalmic instrument cleaning solutions? - ANSWERNeutral
pH level (7.0-8.5)
How often should instruments be lubricated? - ANSWEREvery 5 procedures and after every cleaning
process
The most common cause of corrosion and pitting of instruments are _ and _ - ANSWERBlood and
saline
What kind of disposable instrument wipes are recommended for cleaning microsurgical instruments?
- ANSWERLint-free wipes
Ultrasonic cleaners remove foreign matter and all lubrication from instruments. What step should
follow the ultrasonic cleaning process? - ANSWERInstruments should be bathed in instrument milk
, Why are microsurgical instruments separated during ultrasonic cleaning? - ANSWERTo avoid
vibrations that may cause premature precision tip wear
Instrument "rust" may actually be a _ - ANSWERStain
The first steps in a maintenance program of instruments are _ and _ - ANSWERInspection and
evaluation
Immediately after use, a diamond blade should be rinsed with what type of solution? -
ANSWERSterile water
A diamond blade with baked-on protein may be cleaned by inserting the retracted diamond blade
into a wet _ _ and working it through incisions in the direction it is designed to cut -
ANSWERStyrofoam peanut
Rust can be transferred to an instrument from another source. To detect if the actual instrument
itself is rusting, a pencil eraser is used to remove the rust and check for _ - ANSWERPitting
There are several types of absorbable sutures that are used in ocular sutures. Name one -
ANSWERPlain or chronic surgical gut
Vicryl or Dexon
PDS (polydioxanone) suture
What is the main advantage of using an absorbable suture? - ANSWERThe suture dissolves
What is the disadvantage of using an absorbable suture? - ANSWERTissue reaction or inflammation
and less tensile strength in the suture as it breaks down
What type of suture will not degrade or break apart over time? - ANSWERPolypropylene (Prolene)
Mersilene polyester fiber suture
What is an advantage of using a suture that will not degrade or break apart over time? -
ANSWERMore tensile strength/stronger suture. Less tissue inflammatory suture reactions as
compared to absorbable sutures
What is the function of ultraviolet filter on the operating room microscope? - ANSWERTo prevent
prolonged and potentially damaging ultraviolet exposure to the macula
What type of surgery requires probes and dilators to open obstructed canals? - ANSWERLacrimal
What instrument is used to cut tissue and sutures? - ANSWERScissors
What instrument is used to hold suture needles? - ANSWERNeedle holders
What instrument is used to hold the eyelids open? - ANSWEREyelid speculum
What type of cautery is commonly used in ophthalmic surgery? - ANSWERBipolar
What type of instruments are the Lancaster and Barraquer? - ANSWEREyelid speculums
What are the 3 basic types of cautery instruments? - ANSWERSingle tip cautery, bipolar, and
grounded bovie
What is the purpose of forceps? - ANSWERGrasp tissue, suture, and tying
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