Operative Report:
PROCEDURE: Cataract extraction with posterior chamber intraocular lens implant right eye
PRE-OP DIAGNOSIS: 1. Age-related nuclear cataract, right eye 2. Exotropia
POST-OP DIAGNOSIS: 1. Age-related nuclear cataract, right eye 2. Exotropia
COMPLICATIONS:  None.  
LENS TYPE AND POWER: DCBOO +17.0
IRRIGATION: BSS with Omidria
ESTIMATED BLOOD LOSS:  Minimal.  
PROCEDURE DESCRIPTION:  
After risks, benefits and alternatives of the above procedure were explained to the patient informed consent was obtained.
The patient was taken back to the operating room, where they were positioned appropriately.  Attention was turned to the
Right  eye.  2 drops of tetracaine 0.5% placed in the Right eye.  A tetracaine soaked NAME_1-cel sponge was then applied to
the superior limbal position and left in place for 30 seconds to further anesthetized the eye. The eye was then prepped and
draped in the usual fashion.  
Attention was turned to the Right  eye and lid speculum placed.  Next a button hole in the superior bulbar conjunctiva was
created using Westcott scissors and 0.2 ml of 1% non-preservative lidocaine injected subconjunctivally through the button
hole incision.  A superior conjunctival periotomy was then created using Westcott scissors, with hemostasis achieved using
the diathermy.  Next, a small partial thickness scleral groove was created 1 mm posterior to the limbus centered at the 12
o’clock position using a crescent blade.  This was carried anteriorly with the same blade for 0.5 mm.  Next, a paracentesis
was made at the 2 o’clock limbal position using a 15 degree blade and the eye filled with 1% nonpreserved lidocaine.  The
eye was then filled with viscoelastic material and a superior corneal incision made through the prior groove using a 2.5 mm
keratome.  A continuous tear capsulorhexis was then performed using a bent 27-gauge needle cystotome.  The lens was
hydrodissected and then removed using phacoemulsification, with the cortical remnants removed using
irrigation/aspiration.  A posterior chamber intraocular lens DCBOO +17.0  diopters was then inserted into the capsular bag
and dialed into position.  The remaining viscoelastic was removed from the eye.  The remaining viscoelastic was removed
from the eye.  The eye was repressurized using BSS on a cannula, followed by intracameral Dex-Moxi-Ketor.  Both wounds
were then checked and found to be watertight. The conjunctival wound was left to heal by secondary intention. Good
hemostasis was noted.  At the end of the procedure, the lid speculum was removed and