Corneal surgery opnote

With working progressing on the doodles it is time to refine the operation note. Mani has made a great start. We now need to add detail in terms of layout so our web designer can generate the mockups for the IDG site which can be used to cost. I find the best tool for this is powerpoint or similar.

Currently for PKP.


i.e. text only

@manibhogal @jeffkwartz @dhaider We need to populate the dropdowns for the opnote. I attach annotation using phaco opnote as a base. I think we will need to add a sideview in the opnote- but this is for the corneal experts to decide.

Ideally we should have a base opnote -e.g. PKP will cover DALK. DSAEK/MEK will be derivative of DALK. The more bespoke- the great the cost of production.

Hi James

As Mani has outlined in email plus additions

All (PK, EK, DALK)
Graft diameter.
Ability to overlay grafts e.g. EK under PK, DALK over EK
Continuous and radial suture options with ability to remove sutures and loose sutures
Paracentesis site
Surgical iridotomy, iris defects
Endothelial Cell count/Date
Vascularisation of bed by depth, clock hours, encroachment
Thickness, oedema,
Khodadoust line
Mucous,
Step

DALK Ability to see posterior lamellar on the picture and be able to note the cct, anterior lamellar and posterior lamellar thickness.
Denotion of any rip (degrees, location)
Interface scarring
Size, thickness, oedema,
Double AC,
posterior lamella scar, residual thicness

Graft-host interface changes

EK
Detachment/Attatchment by location en face/profile
Interface scarring
Descemetorhexis, DMEK, DSAEK – Size, thickness, location, dislocation, orientation, side port sutures, mattress suture, picture upload – lightning viewer, air or gas bubble- %, pupil block yes or no

Others:

Iris sutures

Iris clipped IOL

Piggy back lens

Pterygium

Amnion – Prokera, free glued/suture

Autograft site square

Contact Lens – big and small

Corneal ring

FB

ACIOL

@gpwilliams @manibhogal @dhaider
Several of these have been done- please check V3-develop instance
All (PK, EK, DALK)
Graft diameter.
Ability to overlay grafts e.g. EK under PK, DALK over EK
Continuous and radial suture options with ability to remove sutures and loose sutures
Paracentesis site//done
Surgical iridotomy, iris defects//iris transillumination and surgical PI
Endothelial Cell count/Date
Vascularisation of bed by depth, clock hours, encroachment
Thickness, oedema,//done but not in side view
Khodadoust line
Mucous,
Step

DALK Ability to see posterior lamellar on the picture and be able to note the cct, anterior lamellar and posterior lamellar thickness.
Denotion of any rip (degrees, location)
Interface scarring
Size, thickness, oedema,
Double AC,
posterior lamella scar, residual thicness

Graft-host interface changes

EK
Detachment/Attatchment by location en face/profile
Interface scarring
Descemetorhexis, DMEK, DSAEK – Size, thickness, location, dislocation, orientation, side port sutures, mattress suture, picture upload – lightning viewer, air or gas bubble- %, pupil block yes or no

Others:

Iris sutures

Iris clipped IOL

Piggy back lens

Pterygium//done

Amnion – Prokera, free glued/suture

Autograft site square

Contact Lens – big and small

Corneal ring//done

FB//done

ACIOL //done