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Glaucoma Institute of Austin Russell A. Bathurst, M.D. F.A.C.S. Blythe Monday, M.D. (512) 4528467 Fax: (512) 4528440 PHYSICIANS ORDERS PATIENT: DATE OF SURGERY: PROCEDURE: EYE:BLEW NEEDLING/REVISION
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How to fill out needling for encapsulated trabeculectomy

How to fill out needling for encapsulated trabeculectomy
01
Step 1: Ensure that you have all the necessary equipment, including a sterile needle, a marking pen, and a sterile saline solution.
02
Step 2: Prepare the patient by instilling topical anesthesia and disinfecting the surgical area.
03
Step 3: Mark the bleb with the marking pen, making sure to avoid any major blood vessels.
04
Step 4: Stabilize the conjunctiva with forceps or a conjunctival clamp to prevent any movement during the needling procedure.
05
Step 5: Insert the sterile needle into the bleb, applying gentle pressure to puncture the encapsulation.
06
Step 6: Slowly withdraw the needle, maintaining control to avoid leakage of the aqueous humor.
07
Step 7: Irrigate the area with sterile saline solution to prevent any debris or clot formation.
08
Step 8: Apply antibiotic ointment and a sterile patch to protect the eye.
09
Step 9: Instruct the patient on post-operative care and schedule a follow-up appointment for monitoring.
10
Step 10: Document the procedure in the patient's medical records, including any complications or difficulties encountered.
Who needs needling for encapsulated trabeculectomy?
01
Patients who have undergone trabeculectomy and developed encapsulation of the bleb may require needling.
02
Needling is typically performed in cases where there is decreased intraocular pressure or failure to achieve target pressure after trabeculectomy.
03
It is also indicated for patients who experience bleb-related complications, such as bleb leaks or excessive scarring.
04
However, the decision to perform needling should be made on a case-by-case basis by the treating ophthalmologist.
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What is needling for encapsulated trabeculectomy?
Needling for encapsulated trabeculectomy is a surgical procedure aimed at increasing the flow of aqueous humor by re-establishing the drainage pathway in cases where a trabeculectomy has resulted in a fibrous capsule that impedes fluid movement.
Who is required to file needling for encapsulated trabeculectomy?
The surgeon who performs the needling procedure is typically responsible for filing the necessary documentation related to the needling for encapsulated trabeculectomy.
How to fill out needling for encapsulated trabeculectomy?
To fill out needling for encapsulated trabeculectomy, the surgeon should complete a specific form detailing the patient information, procedure performed, date, and any relevant observations during the surgery.
What is the purpose of needling for encapsulated trabeculectomy?
The purpose of needling for encapsulated trabeculectomy is to break down the fibrous tissue that has developed around the filtration site, thereby improving the drainage of intraocular fluid to lower intraocular pressure.
What information must be reported on needling for encapsulated trabeculectomy?
The report should include the patient's medical history, details of the previous trabeculectomy, findings during the needling procedure, any intraoperative complications, and post-operative care plans.
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