pterygium OD OS

Preoperative Diagnosis:pterygium, grading
, type
, side
,
right side of cornea involved about
mm,
left side of cornea involved about
mm,
Operation: pterygium excision with bare sclera method
Postoperative Diagnosis:ditto
Operation Procedure:

1. Preoperative disinfection:Proparacaine 0.5% lgtt instilled into eye.Eye lids, adenexa and surrounding face were scrubbed with Betadyne sol'n. and 75% Alcohol.
2. Anesthesia:Topical and subconjunctival injection 0.5cc 2%e xylocaine
3. Lid speculum:Barraquer, with solidblades.
4. pterygium head excised with scissor and scraping of cornea with No.15 blade.
5. excision of the hypertrophic subconjunctival fibrovascular tissue and slight cauterize with electric coagulator.
6. topical application of mitomycin, 0.25 mg/mL,for 1:30 minute followed by copious irrigation with balanced salt solution.
7. sutured with
   stitches by 7-0 mersilk.
8. Patch:codemycin oint,monocular patch.

remarks: bleeding conjunctival laceration
Operator:
Circulating Nurse:
Time op. started: ended: surgeon:______________
使用組合醫令