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