That Pointy Thing
Dougs Word For It
That Thing You Do
Factoids
True or False
The other Pointy Thing
100
Name the instrument
Nichamin Cannula
100
Name this process
capsulorhexis
capsule
rhexis - to rupture
100
Creating a wound/port to provide access to the anterior chamber at the start of a cataract surgery
Starts with a "P"
paracentesis
1.0 blade
100
Which does NOT correct astigmatism
Arcuate incision
Capsulorhexis
Toric IOL
Lasik
Capsulorhexis
100
T or F
There is one bilateral RLE on the schedule. It is OK to use the same vial of intracameral moxifloxacin for both eyes to reduce cost.
False
100
What is this double ended instrument?
Machat Relift Spatula
200
Name the instrument
Chang cannula
200
What are the pointy things called
haptics
200
The injection of fluid to separate the lens nucleus from the cortex and the capsule is called:
hydrodissection
200
The most important and most frequently used ACLS algorithm is one for this very serious event
Cardiac arrest
200
T or F
The NGENUITY aperture should be set to 50 for all intraocular surgery
True.
Daily calibration is done with aperture fully open but must be set to 50 for anterior segment surgery
200
Name it
Giannetti capsulorhexis forceps
300
Name it. 
Thornton ring
300
The name for the outermost part of the cornea which is removed during PRK
the epithelium
300
The term for the cut made that outlines the LASIK flap giving it its round shape?
side cut
300
QUICK! The nurse needs a cold compress and a barf bag. Where SPECIFICALLY do you find them?
Crash cart bottom drawer
During vasovagal and fainting episodes our nursing team will take the lead giving the patient space and limiting traffic.
300
T or F
The first thing that should be removed from the back table at the end of the procedure is the sterile water bowl
False
Its the sharps
300
Pretty common for some surgeons to use this to stabilize the eye
Colibri forceps
400
These tiny scissors might be used to trim the tag end of a nylon suture
Vannas scissor
400
The surgeon asks for a "CTR". What is he referring to?
Capsular Tension Ring
designed to maintain the circular contour of the capsular bag after lens removal during cataract surgery.
400
The target diameter for capsulorhexis
5 mm
400
Diazepam is the common name for this drug
Valium
400
T or F
A circulator can leave the room once the case has started as long as someone documents Shareables for them.
False.
Sort of. If you absolutely need a bathroom break or an emergency arises you can step out but handing off roles in the middle of a procedure is something to avoid.
400
What is dis?
trephine
500
Whats this called?
Siebel flap lifter
500
What is happening here?
Iris prolapse
floppy iris, prostate meds, more pressure posterior.
500
Dr Menke uses the ocular on the Lumera scope. Dont forget to turn on this feature though:
DoF
Maximum depth of field.
This is turned OFF when using the NGENUITY for optimum light transmission
500
Injectibles containing these are NOT allowed in the VCS for intraocular surgery
preservatives
500
T or F
a patient is scheduled for LAL cataract surgery using the LENSAR. There are no arcuate incisions and iris registration did not come through due to a poor measurement. No repeat measurement is needed
True.
Iris registration is only necessary if arcuate incisions or a toric axis is required.
500
You call it a "2.4" but the surgeon almost always calls it something else
keratome
600
A surgeon using the suture kit asks for this. What is it?
Needle driver or needle holder
600
NuVisc, Healon, and ProVisc are examples of this type of Viscoelastic
Cohesive
Cohesive - thick, capsule holds its shape, snakey, easy to remove
Dispersive- like honey, more liquidy, protects corneal endothelium from ultrasonic waves, hard to remove(OcuCoat)
Discovisc has properties of both so its a "combo"
600
An RLE patient has a CCWTT4 +8.5 implanted. What does this tell us about the backup lens?
Its returned because it is not part of our consignment. All IOLs are consigned in powers +10.0 - +30.0
600
The number of branches in the ACLS cardiac arrest algorithm
TWO
The LEFT BRANCH is used for the treatment of pulseless ventricular tachycardia and ventricular fibrillation,and the RIGHT BRANCH is used for the treatment of PEA and Asystole.
600
T or F
The AED is located in the IOL closet
False
crash cart
600
These speculums have a name. What is it?
Lieberman
700
Whats this?
Angled Connor Wand
700
The technique for dissecting the lens nucleus in to four quadrants for removal is know as
Divide and ___________
Conquer
700
After the laser is fired in a LASIK relift, this step is performed to avoid epithelial ingrowth
dry weck epi out of flap gutter
700
A patient is found to be taking tamsulosin. This alerts the circulator to use this drug
shugarcaine
tamsulosin, or Flomax by its trade name and other prostate medications can interfere with pupil dilation
700
T or F
Once an IOL is implanted into the eye it is acceptable to bring the IOL from the next case into the OR
False
Only one IOL can be in the OR at a time including the implanted one. If a complication arises during the case that requires the removal of the lens and exchange with another, having the next lens in the room could increase the chance for a mistake to happen.
700
Its not just called a 27 gauge. Its a __________
cannula
800
Whats this thing?
Laryngoscope
used for examining the larynx and for intubation which we will never need to do.
Someone during a survey may ask "where is your larygoscope"
800
Latin meaning "false lens." A patients diagnosis after cataract surgery
Pseudophakia
800
The proper time to load an IOL into it's cartridge
during handpiece use.
IOLs should not be loaded before handpiece is used. it leads to sticky haptics and lens memory. the subsequent case is the last priority during the case in progress. The surgeon and patient care come first.
800
The measurement of the eye from anterior to posterior. A key piece of biometry for planning cataract surgery
axial length
800
T or F
the 1 inch border on the outside of a sterile field is considered non sterile
True
This is not a strictly enforced thing. Just something to remember when adding items to the field.
Other things to remember are not to have non sterile team members hanging over the field and techs should not try to catch or "help" with dropped items during the case. If its going to fall, let it fall. (Do not play hackey sack)
800
We dont usually need one but.......
cystitome
900
What is this?
sinskey hook
900
The name of the angled forceps most commonly used to load IOLs
McPherson
900
A monofocal IOL is calculated with a 90degree arcuate to correct astigmatism but does not correct all of the cylinder. What would be the most likely change made to this plan?
Switch the plan to a toric lens with a high enough cylinder correction
900
The circulating nurse or the administrator should be notified if the patients pulse oxygen is below this %
92%
900
T or F
Lidocaine is a pure potassium channel blocker indicated for chronic, non-ischemic ventricular arrhythmias.
False
Lidocaine is actually a pure sodium channel blocker and is indicated for the treatment of acute ischemic ventricular arrhythmias.
900
what is this?
Koch Chopper