Professional Documents
Culture Documents
Tube ligation 7-0 vicryl place 1st knot (3 wraps), and then flip over to bottom, about
tier/needle ~5mm from plate, then tighten REALLY tight.
driver check for water-tightness with 30g canula with BSS, grabbing end
of tube
switch to needle driver/needle driver or hand.
place 2 more knots (ultimately will be 3-1-1).
Tube Scleral 0.12/cautery Power settings?
insertion cauterization probe/BSS Cautery with BSS flow
bottle to
assistant
Trimming tube 0.12/Stevens Trim tube to about 2mm from the limbus, beveled up/anteriorly
scissors
Fenestrations 8-0 vicryl Go thru both sides of tube Note, per PTC
needle Place both fenestrations between the two mattress sutures about 20 IOP= x2
0.12/needle fene, 30 IOP = x3
driver
Closing up Halo patch graft Tissue Place some BSS on halo graft to hydrate it Try and have knots
forceps/tissue Place graft on , with the curved edge facing the limbus lying adjacent/on
forceps Switch to needle driver with the 8-0 vicryl edge of graft
Pass vicryl posteriorly thru limbus, then thru patch graft, then 2-1-
1 (very similar to passing suture to secure implant to sclera)
Do the same with other side of graft