Refractive Planning Suite · Clinical Documentation

Cataract Surgery – Operative Report

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1General Data
Right (OD)
Left (OS)
2Anaesthesia
Topical
Para-/retrobulbar
General anaesthesia
3Surgical Technique
Small incision ECCE
Phacoemulsification
Femto-Phaco
Arcuate incisions
Main incision & paracenteses
4Surgical Course – Parameters
Clear cornea
Sclerocorneal
Temporal
Superior
At axis (°)
Intracameral local anaesthetic
Round & central
Eccentric
Oval
Torn out
Corneal suture
5Intraocular Lens
In the bag
Sulcus
No IOL
Monofocal
Multifocal
EDOF
Other
Non-toric
Toric
6Findings & Adjuncts
Smooth course
Restless patient
Capsular tension ring (CTR)
Trypan blue (Vision Blue) staining
None
Iris hooks
Malyugin ring
Other ring
7Complications

Select all that apply. If nothing is selected, the report states "no intraoperative complications".

Zonulolysis
PC tear
Phaco bite
Ballooning of conjunctiva
Other
Anterior vitrectomy performed
8Surgeon's Signature

Sign with finger or stylus. The signature is embedded in the printed report.

Name below the signature line = surgeon's name from section 1.