Perform initial examination of the eye using indirect ophthalmoscope
5
Identify and mark the area of detachment
6
Insert a trocar and cannula into the eye
7
Remove vitreous hemorrhage if present
8
Make an incision into the sclera
9
Insert and position the scleral buckle
10
Secure and tighten the buckle to control retinal detachment
11
Seal any retinal tears using cryotherapy
12
Infuse saline solution to adjust the pressure inside the eye
13
Closing the conjunctiva and apply antibiotic eye drops
14
Monitor the patient post-operatively
15
Prescribe necessary post-operative medications
16
Schedule post-operative follow-up visit
17
Approval: Surgeon's Actions and Patient's Condition
18
Complete and submit procedure documentation to medical records
Ensure informed consent from the patient
Obtain informed consent from the patient for the scleral buckling procedure. Explain the details of the procedure, potential risks and complications, and answer any questions the patient may have. Ensure that the patient understands and agrees to proceed with the surgery.
1
Yes
2
No
Prep patient's eyes and face for procedure
Prepare the patient for the scleral buckling procedure by thoroughly cleaning the eyes and face. Provide the patient with a gown, hairnet, and eye shields. Ensure the patient's comfort and privacy during the preparation process.
1
Gown
2
Hairnet
3
Eye shields
Administer local anesthesia
Apply numbing drops to the patient's eyes to numb the area for the procedure. Explain the sensation the patient may feel and ensure their comfort during the administration of the anesthesia.
1
Yes
2
No
Perform initial examination of the eye using indirect ophthalmoscope
Conduct an initial examination of the patient's eye using an indirect ophthalmoscope. Check for any abnormalities, retinal tears, or other issues that may affect the procedure. Record any findings for future reference.
Identify and mark the area of detachment
Locate and mark the area of retinal detachment using a surgical marker. Ensure accurate marking to guide the subsequent steps of the procedure.
Insert a trocar and cannula into the eye
Insert a trocar and cannula into the patient's eye to create a pathway for accessing the retina. Guide the instruments gently to prevent any damage to the eye or surrounding tissues.
Remove vitreous hemorrhage if present
If there is any vitreous hemorrhage present in the eye, carefully remove it using a vitrectomy probe. Ensure gentle and precise maneuvers to prevent further damage to the eye.
1
Yes
2
No
Make an incision into the sclera
Create an incision into the sclera with a scalpel to gain access to the retinal area. Ensure precise and controlled incision to avoid any complications or excessive bleeding.
Insert and position the scleral buckle
Carefully insert the scleral buckle, a silicone band or sponge, into the incision and position it around the area of retinal detachment. Ensure proper placement and alignment of the buckle to provide support and reattach the retina.
1
Silicone band
2
Sponge
Secure and tighten the buckle to control retinal detachment
Secure the scleral buckle in place using non-absorbable sutures. Tighten the sutures to apply controlled pressure and control the retinal detachment. Check for proper tension and stability of the buckle.
1
Proper tension
2
Secure positioning
3
Stability
Seal any retinal tears using cryotherapy
Identify and address any retinal tears present by performing cryotherapy. Apply freezing treatment to the tear edges, creating an adhesion and sealing the tear. Monitor the freezing time to prevent excessive damage to the retina.
Infuse saline solution to adjust the pressure inside the eye
Introduce saline solution into the eye to adjust the pressure and create a stable environment for the healing process. Ensure proper infusion and monitor the pressure levels.
Closing the conjunctiva and apply antibiotic eye drops
Close and suture the conjunctiva to cover the surgical site and promote healing. Apply antibiotic eye drops to prevent any potential infections post-surgery. Educate the patient on the post-operative care and follow-up instructions.
1
Suture conjunctiva
2
Apply antibiotic eye drops
Monitor the patient post-operatively
Monitor the patient's vital signs, pain levels, and overall wellbeing post-surgery. Observe for any signs of complications or adverse reactions. Provide appropriate care and reassurance to the patient.
1
Pain
2
Nausea
3
Blurred vision
4
Redness
Prescribe necessary post-operative medications
Prescribe the required medications for the patient's post-operative care, including pain relievers, antibiotics, and anti-inflammatory drugs. Clearly explain the dosage, frequency, and potential side effects to the patient.
Schedule post-operative follow-up visit
Arrange an appointment for the patient's post-operative follow-up visit. Coordinate the date, time, and location with the patient, ensuring their availability and convenience.
Approval: Surgeon's Actions and Patient's Condition
Will be submitted for approval:
Perform initial examination of the eye using indirect ophthalmoscope
Will be submitted
Identify and mark the area of detachment
Will be submitted
Insert a trocar and cannula into the eye
Will be submitted
Remove vitreous hemorrhage if present
Will be submitted
Make an incision into the sclera
Will be submitted
Insert and position the scleral buckle
Will be submitted
Secure and tighten the buckle to control retinal detachment
Will be submitted
Seal any retinal tears using cryotherapy
Will be submitted
Infuse saline solution to adjust the pressure inside the eye
Will be submitted
Closing the conjunctiva and apply antibiotic eye drops
Will be submitted
Monitor the patient post-operatively
Will be submitted
Prescribe necessary post-operative medications
Will be submitted
Schedule post-operative follow-up visit
Will be submitted
Complete and submit procedure documentation to medical records
Record and document all the details of the scleral buckling procedure accurately. Include pre-operative assessment, intraoperative findings, surgical steps, post-operative care instructions, and any complications or concerns. Submit the documentation to the medical records department for proper filing and future reference.
