I need some extra eye's on this one... I am not sure if I should use 66984? should I use mod 52?? 66982?? Any help is much appreciated Thank you 
DESCRIPTION OF PROCEDURE: The patient was brought into the operating
room, securely fastened onto the operating room table. The patient
was prepped and draped in usual sterile fashion, including
povidone-iodine solution to irrigate the fornices, exposing the left
globe only. The lid speculum was carefully inserted within the
fornices. Three drops of tetracaine solution were placed onto the
cornea. A peripheral stab incision was placed through clear cornea at
the 2 o'clock hour position. Lidocaine was injected to deepen the
anterior chamber. Viscoat was instilled to deepen the anterior
chamber. A phaco blade, 2.75 mm, was used to make a clear corneal
incision at 12 o'clock.
As I attempted to perform the capsulorrhexis, it was very apparent
that the lens was freely mobile, and it was almost impossible to do a
proper capsulorrhexis. I was able to open the anterior capsule
approximately 3 mm, and I attempted to remove as much lens material
as possible. Due to the fact that the lens was totally unstable and,
at that point, I had no vitreous present, I decided to just insert an
anterior chamber intraocular lens in the eye. I will refer to the
patient to a vitreoretinal surgeon to safely remove the lens through
a pars plana procedure within the next day or two.
A corneal white to white measurement of 12 mm was taken. Viscoat was
used to coat the surface of the iris. A peripheral iridotomy was
placed at 12 o'clock using Vannas scissors.
The intraocular lens was taken from a sterile container. It is an
Alcon model MTA3U0, 18.0 diopters, serial number 12010917. A sheath
glide was used to insert the anterior chamber intraocular lens safely
with a 6 to 12 o'clock hour haptic orientation. The sheath glide was
then removed. Examination revealed the implant to be well-centered,
and the peripheral iridectomy was found to be patent. Balanced salt
solution was gently inserted through the paracentesis tract to gently
irrigate the viscoelastic out of the anterior chamber. The clear
corneal incision was closed using 3 interrupted 10-0 nylon sutures.
The wound was checked and found to be watertight.
DESCRIPTION OF PROCEDURE: The patient was brought into the operating
room, securely fastened onto the operating room table. The patient
was prepped and draped in usual sterile fashion, including
povidone-iodine solution to irrigate the fornices, exposing the left
globe only. The lid speculum was carefully inserted within the
fornices. Three drops of tetracaine solution were placed onto the
cornea. A peripheral stab incision was placed through clear cornea at
the 2 o'clock hour position. Lidocaine was injected to deepen the
anterior chamber. Viscoat was instilled to deepen the anterior
chamber. A phaco blade, 2.75 mm, was used to make a clear corneal
incision at 12 o'clock.
As I attempted to perform the capsulorrhexis, it was very apparent
that the lens was freely mobile, and it was almost impossible to do a
proper capsulorrhexis. I was able to open the anterior capsule
approximately 3 mm, and I attempted to remove as much lens material
as possible. Due to the fact that the lens was totally unstable and,
at that point, I had no vitreous present, I decided to just insert an
anterior chamber intraocular lens in the eye. I will refer to the
patient to a vitreoretinal surgeon to safely remove the lens through
a pars plana procedure within the next day or two.
A corneal white to white measurement of 12 mm was taken. Viscoat was
used to coat the surface of the iris. A peripheral iridotomy was
placed at 12 o'clock using Vannas scissors.
The intraocular lens was taken from a sterile container. It is an
Alcon model MTA3U0, 18.0 diopters, serial number 12010917. A sheath
glide was used to insert the anterior chamber intraocular lens safely
with a 6 to 12 o'clock hour haptic orientation. The sheath glide was
then removed. Examination revealed the implant to be well-centered,
and the peripheral iridectomy was found to be patent. Balanced salt
solution was gently inserted through the paracentesis tract to gently
irrigate the viscoelastic out of the anterior chamber. The clear
corneal incision was closed using 3 interrupted 10-0 nylon sutures.
The wound was checked and found to be watertight.