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G-Probe Cyclophotocoagulation (CPC)

Surgeon: Aakriti Garg Shukla, MD | Narrator: Lindsay Machen, MD | Year: 2020

Dr. Shukla performs a G-probe cyclophotocoagulation (CPC) for a patient with uncontrolled glaucoma and poor visual potential.

Sample Operative Report

PREOPERATIVE DIAGNOSIS:

Glaucoma, *** eye

POSTOPERATIVE DIAGNOSIS:

Same

PROCEDURE PERFORMED:

G-probe cyclophotocoagulation, *** eye

ATTENDING SURGEON:

***

ASSISTANT SURGEON:

***

ANESTHESIA:

MAC and topical

COMPLICATIONS:

None

Description of Procedure:

Prior to the date of surgery, the risks, benefits, and alternatives of the planned procedure were discussed with the patient, and informed consent was obtained. The patient was identified in the preoperative area by the attending physician, and the operative eye was marked. The patient was taken to the operative suite and given IV sedation and topical ocular anesthesia. The operative eye was prepped and draped in the usual sterile ophthalmic fashion. A lid speculum was inserted.

The CPC laser was set to 2,000 milliwatts and 2,000 milliseconds. Lidocaine jelly was used as a coupling agent. The G-probe was applied circumferentially 1 mm posterior to the limbus for a total of *** shots. The power was titrated based on tissue response. Care was taken to avoid the ciliary nerves at the 3:00 and 9:00 positions. The speculum and drapes were removed, and antibiotic-steroid drops were placed into the eye. The patient was then transported to the postoperative care unit in good condition.