Preoperative Keypoints Catalogue 1 Preoperative Recommendation 2 Product
- Slides: 16
Preoperative Keypoints
Catalogue 1 Preoperative Recommendation 2 Product Preparation List 3 How to Choose Appropriate Product Model 4 Leakage Tests 5 “Fold”Key Points
Preoperative Recommendation 1 Screen for suitable patients and it is recommend doctors to choose NLP as the first case 2 Choose the appropriate product model and pushing implanter. The appropriate FCVB Size may be determined by completing the Model Suggestion List 3 All surgical team members should complete FCVB training prior to surgery The ability to recognize the lens surface, die line and the front and back of the drain valve are required 4 Read the manual carefully prior to the operation 5 Topical anti-inflammatory or anti-bleeding drugs may be prescribed by doctors as the patient’s condition demands 6 Prepare Surgical Instruments according to Product Preparation List
Product Preparation LIST 1 30 -m. L Balanced Salt Solution 2 Matched Injector 3 Adequate and Washed FCVB 4 IOL Platform Forceps 5 5 -m. L injector combined with the disposable sterile needle (0. 36 X 13 RWLB) 6 Medical sodium hyaluronate gel 7 Medical Gauze
Product Preparation LIST 8 Silicone Oil Needle (19 G) 9 More Than 5, 000 cts of Silicone Oil
Wash Gloves for Three Times A washed and cleaned FCVB A pair of sterile medical rubber glove 1. The unwashed glove touches the FCVB dust dispersion, unclear appearance) 2. The glove which is washed for once touches the FCVB. ( The clarity improves obviously, but there are still black spots. ) 3. The glove which is washed for two times touches the FCVB. ( Powder reduces, black spots still exist slightly) 4. The glove which is washed for three times touches the FCVB ( Rare powder, black spots is within the allowed range and the transmittance rate passed the eligibility requirement (90%). Therefore, cleaning for three times has the best effect.
How to choose FCVB size? 1 Product Model FCVB Model Antero-posterior Diameter(mm) Patients Vertical Ocular Axial Diameter Length (mm) Recommended silicone oil Volume(m. L): AV-10 p 10 13 16~19. 9 0. 7~0. 9 AV-12 p 12 15 20~21. 4~1. 7 AV-13. 5 p 13. 5 15. 5 21. 5~22. 9 1. 8~2. 2 AV-15 p 15 19. 9 23~24. 9 3. 5~4. 0 AV-17 p 17 22 25~28 4. 0~5. 0
How to choose FCVB size? 2 Individualized Factor Short Period Choose a larger size Long Period The shape of eyeball is fixed basically. History of Trauma Measurement of Silicone Oil Dependent Eyes A Ultrasound; IOL Master; CT/ MRI History of Refractive Error Controlled Eye as reference
Leakage Test 1 Inject proper sterile air along with a 5 -ml injector combined with the disposable sterile needle(0. 36× 13 RWLB). 2 Immerse the whole product into the cup filled with balanced salt solution. 3 The product without bubbles is safe to use; otherwise, it is forbidden to use.
“Fold”Key Points – Step One: Ready! 1 Place the product lens Surface upward. 2 Needle should be injected into drain valve“ alcohol cup ”, don’t touch drain tube. 3 Pay attention to gesture.
Key Points – Step Two: Vacuum! 1 Vacuum as much as possible 2 Keep vacuumed capsule smooth without wrinkles and form a semicircle.
Key Points – Step Three: Turn Over! 1 Turn it over and place the lens surface downward
Key Points – Step Four: Fold! 1 Fold Inward 2 Fold second time 3 Fold into a long three-layer spindle structure
Key Points – Step Five: Turn Over! 1 Turn the FCVB over and keep the optical surface upward
Key Points – Step Six: Lubricate! 1 Fully Lubricate the Foldable Capsular Vitreous Body (FCVB), injector cavity and push the rod with medical sodium hyaluronate gel.
Key Points – Step Seven: Put! 1 Distinguish the front and back side of rod; Keep the lens surface and drain valve facing upward and thumb could offer necessary assistances to avoid out of product. 2 Don’t touch drain tube during the placement. Put it in place at once and retreat forceps after that. 3 Push the Capsule until show off its head and hand the injector to the surgeon.
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