Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Surgery
Sample Name: Phacoemulsification & Cataract Extraction - 4

Description: Cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation. Cataract, right eye.
(Medical Transcription Sample Report)

PREOPERATIVE DIAGNOSIS: Cataract, right eye.

POSTOPERATIVE DIAGNOSIS: Cataract, right eye.

PROCEDURE: Cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation. ME 30, AC 25.0 diopter lens was used.

COMPLICATIONS: None.

ANESTHESIA: Local 2%, peribulbar lidocaine.

PROCEDURE NOTE: Right eye was prepped and draped in the normal sterile fashion. Lid speculum placed in his right eye. Paracentesis made supratemporally. Viscoat injected into the anterior chamber. A 2.8 mm metal keratome blade was then used to fashion a clear corneal beveled incision temporally. This was followed by circular capsulorrhexis and hydrodissection of the nucleus would be assessed. Nuclear material removed via phacoemulsification. Residual cortex removed via irrigation and aspiration. The posterior capsule was clear and intact. Capsular bag was then filled with Provisc solution. The wound was enlarged to 3.5 mm with the keratoma. The lens was folded in place into the capsular bag. Residual Provisc was irrigated from the eye. The wound was secured with one 10-0 nylon suture. The lid speculum was removed. One drop of 5% povidone-iodine prep was placed into the eye as well as a drop of Vigamox and TobraDex ointment. He had a patch placed on it. The patient was transported to the recovery room in stable condition.

Keywords: surgery, provisc, intraocular lens implantation, intraocular lens, lens implantation, lid speculum, capsular bag, cataract extraction, phacoemulsification, cataract, intraocular,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples