Medical Specialty:
Ophthalmology

Sample Name: YAG Laser Capsulotomy - 1


Description: This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.
(Medical Transcription Sample Report)


PREOPERATIVE DIAGNOSIS: Secondary capsular membrane, right eye.

POSTOPERATIVE DIAGNOSIS: Secondary capsular membrane, right eye.

PROCEDURE PERFORMED: YAG laser capsulotomy, right eye.

INDICATIONS: This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.

PROCEDURE: The patient was seated at the YAG laser, the pupil having been dilated with 1% Mydriacyl, and Iopidine was instilled. The Abraham capsulotomy lens was then positioned and applications of laser energy in the pattern indicated on the outpatient note were applied. A total of millijoules was used in applications.

The patient tolerated the procedure well and will be followed up in the office.


Keywords: ophthalmology, abraham capsulotomy, yag, yag laser capsulotomy, capsulotomy, laser, membrane, eye, capsular,