PREOPERATIVE DIAGNOSIS:Glaucoma, *** eye
PROCEDURE PERFORMED:MP3 cyclophotocoagulation, *** eye
ANESTHESIA:MAC and topical
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. Lidocaine jelly was used as a coupling agent. The MP3 probe was applied circumferentially 1 mm posterior to the limbus for a total of 90 seconds superiorly and 90 seconds inferiorly. 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.