Medical Specialty: Ophthalmology

Ophthalmology is the branch of medicine which deals with the anatomy, physiology and diseases of the eye.

Ophthalmology
Ahmed Shunt Placement
The Ahmed shunt was primed and placed in the superior temporal quadrant and it was sutured in place with two 8-0 nylon sutures. The knots were trimmed.
BCCa Excision - Lower Lid
Excision of large basal cell carcinoma, right lower lid, and repaired with used dorsal conjunctival flap in the upper lid and a large preauricular skin graft.
Bilateral Upper Lid Blepharoplasty
Bilateral upper lid blepharoplasty to correct bilateral upper eyelid dermatochalasis.
Blepharon & Entropion Repair
Repair of entropion, left upper lid, with excision of anterior lamella and cryotherapy. Repairs of blepharon, entropion, right lower lid with mucous membrane graft.
Blepharoplasty
Blepharoplasty procedure
Blepharoplasty - Direct Brow Repair
Blepharoplasty with direct brow repair.
Blepharoplasty - Lower Lid
Lower lid blepharoplasty.
Blepharoplasty - Quad
Quad blepharoplasty for blepharochalasia and lower lid large primary and secondary bagging.
Browlift, Blepharoplasty, & Rhytidectomy
Hairline biplanar temporal browlift, quadrilateral blepharoplasty, canthopexy, cervical facial rhytidectomy with purse-string SMAS elevation with submental lipectomy.
Cataract
A sample note on Cataract
Cataract - Second Opinion
The patient seeks evaluation for a second opinion concerning cataract extraction.
Cataract Extraction
Cataract extraction with lens implantation, right eye. The lens was inspected and found to be free of defects, folded, and easily inserted into the capsular bag, and unfolded.
Cataract Extraction - 1
Extracapsular cataract extraction with posterior chamber intraocular lens placement by phacoemulsification. A peribulbar block was given to the eye using 8 cc of a mixture of 0.5% Marcaine without epinephrine mixed with Wydase plus one-half of 2% lidocaine without epinephrine.
Cataract Extraction - 2
Extracapsular cataract extraction with phacoemulsification and implantation of a posterior chamber intraocular lens, left eye.
Cataract Extraction & Vitrectomy
Cataract to right eye. Cataract extraction with intraocular lens implant of the right eye, anterior vitrectomy of the right eye.
Cataract Extraction Followup
Patient follows up for cataract extraction with lens implant 2 weeks ago. Recovering well from her cataract operation in the right eye with residual corneal swelling, which should resolve in the next 2 to 3 weeks.
Cataract Surgery
Normal cataract surgery.
Clear Corneal Temporal Incision
Clear corneal temporal incision (no stitches). A lid speculum was placed in the fissure of the right eye.
Conjunctivitis
A sample note on Conjunctivitis (Pink Eye).
Connective Tissue Disorder
She is sent for evaluation of ocular manifestations of systemic connective tissue disorders. Denies any eye problems and history includes myopia with astigmatism.
Decreased Vision Consult
One-week history of decreased vision in the left eye. Past ocular history includes cataract extraction with lens implants in both eyes.
Difficulty Distance Vision & Fine Print at Near
Difficulty with both distance vision and with fine print at near.
Diplopia
He awoke one morning and had double vision. He states when he closed each eye, the double vision dissipated. The double vision entirely dissipated within one hour. The next day he woke up and he had double vision again.
Electronystagmogram
Abnormal electronystagmogram demonstrating prominent nystagmus on position testing in the head hanging right position.
Eye Examination - H&P
Complete eye examination - Normal eye and vision exam.
Eyelid Squamous Cell Carcinoma Excision
Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid.
Intraocular Lens Implant
Secondary scleral suture fixated posterior chamber intraocular lens implant with penetrating keratoplasty. A concurrent vitrectomy and endolaser was performed by the vitreoretinal team.
Lid Laceration Repair
Repair of upper lid canalicular laceration - Sample/Template.
Midface Lift & Blepharoplasty
Endoscopic subperiosteal midface lift using the endotine midface suspension device. Transconjunctival lower lid blepharoplasty with removal of a portion of the medial and middle fat pad.
Nasolacrimal Probing
Bilateral nasolacrimal probing. Tearing, eyelash encrustation with probable tear duct obstruction bilateral. Distal nasolacrimal duct stenosis with obstruction, left and right eye
Ophthalmology - Letter - 1
The patient was referred for evaluation of cataracts bilaterally
Ophthalmology - Letter - 2
Patient being referred for evaluation of glaucoma.
Ophthalmology - Letter - 3
Patient referred for narrow angles and possible associated glaucoma.
Ophthalmology - Letter - 4
The patient is being referred for evaluation of diabetic retinopathy.
Ophthalmology Progress Note - 1
Ophthalmology followup visit note.
Ophthalmology Progress Note - 2
Ophthalmology followup visit note.
Optometry - Letter
Woman with a history of macular degeneration. PDT therapy. Some vision therapy. Complete refractive work-up.
Pars Plana Vitrectomy & Lensectomy
Pars plana vitrectomy, pars plana lensectomy, exploration of exit wound, closure of perforating corneal scleral laceration involving uveal tissue, air-fluid exchange, C3F8 gas, and scleral buckling, right eye.
Phacoemulsification
Phacoemulsification with posterior chamber intraocular lens - Sample/Template.
Phacoemulsification - Kelman
Nuclear sclerotic cataract, right eye. Kelman phacoemulsification with posterior chamber intraocular lens, right eye.
Phacoemulsification & Cataract Extraction
Phacoemulsification and extracapsular cataract extraction with intraocular lens implantation, right eye.
Phacoemulsification & Cataract Extraction - 1
Visually significant cataract, left eye. Phacoemulsification cataract extraction with intraocular lens implantation, left eye. The patient was found to have a visually-significant cataract and, after discussion of the risks, benefits and alternatives to surgery, she elected to proceed with cataract extraction and lens implantation in this eye in efforts to improve her vision.
Phacoemulsification & Cataract Extraction - 2
Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. The patient was then prepped and draped using standard procedure. An additional drop of tetracaine was instilled in the eye, and then a lid speculum was inserted.
Phacoemulsification & Cataract Extraction - 3
Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. A wire lid speculum was inserted to keep the eye open and the eye rotated downward.
Phacoemulsification & Cataract Extraction - 4
Cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation. Cataract, right eye.
Phacoemulsification & Cataract Extraction - 5
Cataract extraction via phacoemulsification with posterior chamber intraocular lens implantation. An Alcon MA30BA lens was used. A lid speculum was placed into the right eye. Paracentesis was made at the infratemporal quadrant.
Phacoemulsification & Lens Implantation
Cataract, nuclear sclerotic, right eye. Phacoemulsification with intraocular lens implantation, right eye.
Phacoemulsification & Lens Implantation - 1
Visually significant nuclear sclerotic cataract, right eye. Phacoemulsification with posterior chamber intraocular lens implantation, right eye.
Phacoemulsification & Lens Implantation - 2
Phacoemulsification with intraocular lens placement. A wire speculum was placed in the eye and then a clear corneal paracentesis site was made inferiorly with a 15-degree blade.
Phacoemulsification & Lens Implantation - 3
Cataract, right eye. Phacoemulsification with intraocular lens placement, right eye.
Phacoemulsification & Lens Implantation - 4
Phacoemulsification of cataract and posterior chamber lens implant, right eye.
Phacoemulsification & Lens Implantation - 5
Phacoemulsification with IOL, right eye. Cataract, right eye. A lid speculum was placed in the right eye after which a supersharp was used to make a stab incision at the 4 o'clock position through which 2% preservative-free Xylocaine was injected followed by Viscoat.
Phacoemulsification & Lens Implantation - 6
Phacoemulsification with posterior chamber intraocular lens insertion.
Phacoemulsification & Lens Implantation - 7
Phacoemulsification with posterior chamber intraocular lens implant in the right eye.
Phacoemulsification of Cataract
Right phacoemulsification of cataract with intraocular lens implantation - Cataract, right eye.
Phacoemulsification of Cataract - 1
Phacoemulsification of cataract, extraocular lens implant in left eye.
Phacoemulsification Of Cataract - 2
Cataract, right eye. Phacoemulsification of cataract with posterior chamber intraocular lens, right eye.
Post Dilation Instructions
Sample post dilation patient instructions.
Premature retina and vitreous
Small office note on premature retina and vitreous.
Radioactive Plaque - Insertion
Macular edema, right eye. Insertion of radioactive plaque, right eye with lateral canthotomy. The plaque was positioned on the scleral surface immediately behind the macula and secured with two sutures of 5-0 Dacron. The placement was confirmed with indirect ophthalmoscopy.
Radioactive Plaque - Removal
Radioactive plaque macular edema. Removal of radioactive plaque, right eye with lateral canthotomy. A lid speculum was applied and the conjunctiva was opened 4 mm from the limbus. A 2-0 traction suture was passed around the insertion of the lateral rectus and the temporal one-half of the globe was exposed.
Rectus Recession
Bilateral rectus recession with the microscopic control, 8 mm, both eyes.
Repair of Canthal & Lid Defect
Repair of one-half full-thickness left lower lid defect by tarsoconjunctival pedicle flap from left upper lid to left lower lid and repair of left upper and lateral canthal defect by primary approximation to lateral canthal tendon remnant.
Rhytidectomy & Blepharoplasty
Cervical facial rhytidectomy. Quadrilateral blepharoplasty. Autologous fat injection to the upper lip - donor site, abdomen.
Ruptured Globe Repair - Cornea
Ruptured globe with full-thickness corneal laceration repair - Sample/Template.
Ruptured Globe Repair - Posterior Sclera
Repair of ruptured globe involving posterior sclera - Sample/Template.
Ruptured Globe Repair - Sclera and Limbus
Repair of ruptured globe with repositing of uveal tissue - Sample/Template.
Scleral Buckle Opening
Scleral buckle opening. The 4 scleral quadrants were inspected and found to be free of scleral thinning or staphyloma.
Scleral Buckle Opening - General Anesthesia
Scleral Buckle opening under general anesthesia.
Scleral Buckle Opening - Local Anesthesia
Scleral buckle opening under local anesthesia.
Trabeculectomy
Trabeculectomy with mitomycin C - Sample/Template.
Trabeculectomy & Tenonectomy
Short flap trabeculectomy with lysis of conjunctival scarring, tenonectomy, peripheral iridectomy, paracentesis, watertight conjunctival closure, and 0.5 mg/mL mitomycin x2 minutes, left eye. Uncontrolled open angle glaucoma and conjunctival scarring, left eye.
Tube Shunt - Ahmed Valve Implant
Tube Shunt - Ahmed valve model S2 implant with pericardial reinforcement - Sample/Template.
Uveitis
The patient with recurrent nongranulomatous anterior iritis and most recently, pain in left eye associated with headache and photophobia.
Vitrectomy
Vitreous hemorrhage, right eye. Vitrectomy, right eye. A Lancaster lid speculum was applied and the conjunctiva was opened 4 mm posterior to the limbus.
Vitrectomy - 1
Combined closed vitrectomy with membrane peeling, fluid-air exchange, and endolaser, right eye.
Vitrectomy - 2
Pars plana vitrectomy, membrane peel, 23-gauge, right eye.
Vitrectomy - 3
Vitrectomy. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and, separately, the supratemporal and inferotemporal quadrants.
Vitrectomy - General Anesthesia
Vitrectomy under general anesthesia
Vitrectomy - Local Anesthesia
Vitrectomy under local anesthesia.
Vitrectomy Opening
Vitrectomy opening. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and separately the supratemporal and inferotemporal quadrants.
YAG Laser Capsulotomy
Visually significant posterior capsule opacity, right eye. YAG laser posterior capsulotomy, right eye.
YAG Laser Capsulotomy - 1
This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.