The eye is a sensitive organ, that requière of the extremely exacting cares before, during and after the surgical operation. The ophtalmologue that intervenes has therefore to take all its responsibilities and identify the good manners to proceed in order to take his operation without risks. A lot of university programs to the United States allow patients to indicate themselves they accept being operated by an internal one or then themselves they explicitly refuse and want really to have to deal with a qualified doctor.
The anesthésie is a necessity for any surgery of eye. The local anesthésie is in general rule the most employed one. Techniques of injection and of infiltration of product anesthetic to the level under cortical are employed to immobilize the first rate muscles eyepieces and eliminate the pain sensation. The local anesthésie employs often freezes to bases lidocaïne that is preferred for the quick operations. For the local anesthésie, the patient cooperation is the better thing for a procedure unfolding itself in softness. The general anesthésie as for her, is recommended for the children, for lesions traumatiques of the eye, for the biggest party of the orbitotomies and for the patients having apprehension. A supervision cardiovasculaire is preferable during the local anesthésie and is obligatory for the general anesthésie. Fitting precautions at the level of sterility are taken to prepare the zone that will undergo the operation, including by the usage of antiseptic ones as the bétadine. To be clothed of take for a ride, and sterile gloves is of course obligatory. A pocket in plastic with a receptacle helps to recover the fluids during the phacoémulsification. A blépharostat, sort of adapted spéculum for the eyes is inserted in the bottoms-of-conjunctival bags to maintain the open eyelids.
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