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When should the consent form for surgery be completed? ✔Correct Answer-Prior to the
procedure, before any medications are administered
In what position is the patient placed during surgery? ✔Correct Answer-Supine
What are 3 types of operative admissions for surgery? ✔Correct Answer-Emergency, urgent,
and elective
Name 3 types of ocular emergencies that may require surgical intervention ✔Correct Answer-
Lacerated globes and eyelids; intraocular foreign bodies; acute glaucoma; and, intraocular
hemorrhage
What should pre-operative patients bring to their surgical appointment? ✔Correct Answer-A
list of medications and allergies
When scheduling a patient for surgery, what information is needed for scheduling purposes?
✔Correct Answer-Patient name, date of birth, type of insurance, contact information,
procedure, anesthesia, operative eye, and length of time needed for the procedure
When preparing a patient for surgery, when are vital signs taken, as well as when are dilating
drops and sedatives administered? ✔Correct Answer-Prior to surgery
Who should a patient speak to if they are uncomfortable under the surgical drape? ✔Correct
Answer-The surgeon, anesthetist, or the nurse
What test is performed pre-operatively to determine axial length? ✔Correct Answer-A-scan
If a patient is scheduled for extraocular muscle surgery, what diagnostic tests are generally
performed? ✔Correct Answer-External photography and muscle balance measurements
What are vital signs? ✔Correct Answer-Measurement of blood pressure, pulse, and
respirations
What is the most common cause of corrosion of instruments? ✔Correct Answer-Inadequate
cleaning and drying. Particles or materials that remain on the surface following sterilization
,What is the recommended pH level for ophthalmic instrument cleaning solutions? ✔Correct
Answer-Neutral pH level (7.0-8.5)
How often should instruments be lubricated? ✔Correct Answer-Every 5 procedures and after
every cleaning process
The most common cause of corrosion and pitting of instruments are _ and _ ✔Correct
Answer-Blood and saline
What kind of disposable instrument wipes are recommended for cleaning microsurgical
instruments? ✔Correct Answer-Lint-free wipes
Ultrasonic cleaners remove foreign matter and all lubrication from instruments. What step
should follow the ultrasonic cleaning process? ✔Correct Answer-Instruments should be
bathed in instrument milk
Why are microsurgical instruments separated during ultrasonic cleaning? ✔Correct Answer-To
avoid vibrations that may cause premature precision tip wear
Instrument "rust" may actually be a _ ✔Correct Answer-Stain
The first steps in a maintenance program of instruments are _ and _ ✔Correct Answer-
Inspection and evaluation
Immediately after use, a diamond blade should be rinsed with what type of solution?
✔Correct Answer-Sterile water
A diamond blade with baked-on protein may be cleaned by inserting the retracted diamond
blade into a wet _ _ and working it through incisions in the direction it is designed to cut
✔Correct Answer-Styrofoam peanut
Rust can be transferred to an instrument from another source. To detect if the actual
instrument itself is rusting, a pencil eraser is used to remove the rust and check for _
✔Correct Answer-Pitting
There are several types of absorbable sutures that are used in ocular sutures. Name one
✔Correct Answer-Plain or chronic surgical gut
Vicryl or Dexon
PDS (polydioxanone) suture
What is the main advantage of using an absorbable suture? ✔Correct Answer-The suture
dissolves
, What is the disadvantage of using an absorbable suture? ✔Correct Answer-Tissue reaction or
inflammation and less tensile strength in the suture as it breaks down
What type of suture will not degrade or break apart over time? ✔Correct Answer-
Polypropylene (Prolene)
Mersilene polyester fiber suture
What is an advantage of using a suture that will not degrade or break apart over time?
✔Correct Answer-More tensile strength/stronger suture. Less tissue inflammatory suture
reactions as compared to absorbable sutures
What is the function of ultraviolet filter on the operating room microscope? ✔Correct
Answer-To prevent prolonged and potentially damaging ultraviolet exposure to the macula
What type of surgery requires probes and dilators to open obstructed canals? ✔Correct
Answer-Lacrimal
What instrument is used to cut tissue and sutures? ✔Correct Answer-Scissors
What instrument is used to hold suture needles? ✔Correct Answer-Needle holders
What instrument is used to hold the eyelids open? ✔Correct Answer-Eyelid speculum
What type of cautery is commonly used in ophthalmic surgery? ✔Correct Answer-Bipolar
What type of instruments are the Lancaster and Barraquer? ✔Correct Answer-Eyelid
speculums
What are the 3 basic types of cautery instruments? ✔Correct Answer-Single tip cautery,
bipolar, and grounded bovie
What is the purpose of forceps? ✔Correct Answer-Grasp tissue, suture, and tying
What gas can be used for the sterilization of delicate ophthalmic instruments? ✔Correct
Answer-Ethylene oxide gas
What is the advantage of cellulose sponges versus cotton swabs? ✔Correct Answer-Cellulose
sponges do not shed cotton fibers and are more absorbent
What device is commonly used in strabismus and retinal surgery for the measurement and
marking? ✔Correct Answer-Calipers
Surgical stainless steel and/or titanium are used in the creation of what instruments?
✔Correct Answer-Ophthalmic surgical instruments