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Professional side - Payer is Medicare Part B - MAC - WPS
POSTOPERATIVE DIAGNOSIS: Epithelial basement membrane dystrophy, right eye.
OPERATION PERFORMED: Keratectomy, right eye.
ANESTHESIA: Topical Proparacaine.
COMPLICATIONS: None.
ESTIMATED BLOOD LOSS: 0 ml.
DESCRIPTION OF THE CASE IN DETAIL: After discussing the risks, benefits and alternatives of
keratectomy, consent was signed, and the patient was escorted into the minor procedure room. A drop of
proparacaine followed by 2 drops of Betadine separated by 5 minutes were placed in the surgical eye.
An eyelid speculum was placed in the surgical eye.
The patient was positioned at the slit lamp. A Kimura spatula was used to remove the corneal epithelium.
A #69 Beaver blade was used to excise the adherent areas of irregular thickened basement membrane
and a diamond burr was used to polish Bowman membrane. The eyelid speculum was removed.
A drop of Polytrim, prednisolone and ketorolac were placed in the surgical eye. A 8.4 BC bandage
contact lens was placed in the surgical eye. A second drop of Polytrim, prednisolone and ketorolac were
placed in the surgical eye. The patient tolerated the procedure well and left the minor procedure room in stable condition.
POSTOPERATIVE DIAGNOSIS: Epithelial basement membrane dystrophy, right eye.
OPERATION PERFORMED: Keratectomy, right eye.
ANESTHESIA: Topical Proparacaine.
COMPLICATIONS: None.
ESTIMATED BLOOD LOSS: 0 ml.
DESCRIPTION OF THE CASE IN DETAIL: After discussing the risks, benefits and alternatives of
keratectomy, consent was signed, and the patient was escorted into the minor procedure room. A drop of
proparacaine followed by 2 drops of Betadine separated by 5 minutes were placed in the surgical eye.
An eyelid speculum was placed in the surgical eye.
The patient was positioned at the slit lamp. A Kimura spatula was used to remove the corneal epithelium.
A #69 Beaver blade was used to excise the adherent areas of irregular thickened basement membrane
and a diamond burr was used to polish Bowman membrane. The eyelid speculum was removed.
A drop of Polytrim, prednisolone and ketorolac were placed in the surgical eye. A 8.4 BC bandage
contact lens was placed in the surgical eye. A second drop of Polytrim, prednisolone and ketorolac were
placed in the surgical eye. The patient tolerated the procedure well and left the minor procedure room in stable condition.
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