[안과/EY] IVT ahmed valve

IVT ahmed valve

1.수술준비
-일반 pkg, 가운(3), MT, basic set, F/J, S/L, D)4*4G, D)2*2G
-marking pen, 10cc syringe(2), 2cc syringe(3), 1cc syringe(1), needle collector
-IR needle(3), 2.0cresent(blade), 면봉, micro handle&Lasik speculum, micro basic set, bipolar, ahmed valve(SF7)
-suture : mersilk 6/0, prolene 9/0, vicryl 8/0
-BSS, dental lidocaine, biscoat
-PRN : 4% lidocaine, avastin(1cc+30G needle)


2. Setting & 상차림
-basic set : crile, mosquito, metzem, cut sci, T/C
-Micro basic set : castro 0.12 fcp, macpherson fcp(2), smooth fcp, needle holder(3), tenatomy, vanna sci, caliper
-bss : 10cc syr(2), 2cc syr(1)
-4% lidocaine : 5cc syr(1)
-PP(pin point) : 2cc syr(2) + IR needle 연결해두기
-marking pen caliper에 찍어두기


3. Procedure
-metzem -> lasik speculum + 면봉 -> betadine -> BSS irrigation
-PP(pin point) injection : dental lidocaine 2cc syringe에 재서 IR needle 꽂아 준비 (23G needle ->2cc + IR needle inject)
-mersilk 6/0 tagging + mosquito
-castro fcp, cresent incision
-tenatomy dissection
-implant : ahmed SF7 풀어줌(손으로 만지지 말 것)
-valve tube bss 2cc syringe로 통과시켜줌 (고장, 파손 여부 확인)
-prolene 9/0 suture해서 valve line 고정
-2cc syringe needle로 puncture하고 valve tube insert
-vicryl 8/0 suture


*PPV랑 같이하는 경우
valve넣어서 prolene 9/0 suture해놓은 후 trocar넣고 PPV함
PPV 끝나면 trocar빼기전 2cc puncture해서 valve 완전히 넣어서 마무리함
trocar빼고 vicryl 8/0 suture(trocar site, valve 넣은 곳)