Reference no: EM133870911

Question

The patient is an 88 year old woman who was remarkable alert and cogent for her age. She was living with her grandson, an Army captain, until he was deployed overseas. She now lives alone in her own home and has no relatives in the area. Type of procedure planned for the patient could usually be performed on an outpatient basis but because of her lack of support, the patient's procedure is scheduled as an inpatient procedure. The patient was diagnosed with retinal detachment, single break in the right eye. The patient has vision of 20/400 in the right eye. She is status post cataract extraction in the left eye. The procedure performed was a pars plana vitrectomy, gas/fluid exchange with autologous serum injection, C#3/F#8 gas injection, which are components of the procedure of coveretinorexy of the right eye. The procedure was performed percutaneously to repair the detached retina using intravenous moderate sedation. At the conclusion of the procedure, injections of dexamethasone and gentamicin were given subconiunstivally. The patient was kept in the hospital 2 days until Friday when a neighbor was able to pick up the patient and care for her over the weekend.