Pengambilan Benda Asing Konjungtiva - dr. Zaldy, Sp.M

Summary

This video script provides a detailed, step-by-step guide on how to remove foreign objects from the conjunctiva, specifically focusing on the process for the right eye. The procedure includes obtaining patient consent, applying local anesthesia, and using a cotton swab to carefully remove the object from the bulbar conjunctiva. After removal, antibiotic ointment or drops are applied, and protective eyewear is advised for the patient. The script emphasizes the importance of clear communication with the patient throughout, from explaining sensations to ensuring post-procedure comfort.

Takeaways

• 😀 The procedure involves removing foreign objects from the conjunctiva of the patient's eye, starting with patient consent and approval from family.
• 😀 Hand washing is an essential step before any medical action, followed by the use of a handcone.
• 😀 Local anesthesia is administered with pantukain or lidocaine drops to numb the patient's eye before proceeding.
• 😀 The foreign object is typically located in the bulbar conjunctiva of the right eye, specifically in the lateral part.
• 😀 The foreign object should be removed using a cotton swab, starting from the medial area (near the cornea) to the lateral part of the eye.
• 😀 The procedure requires careful handling of the foreign object, which is removed with a cotton swab after local anesthesia takes effect.
• 😀 After removal, antibiotic ointment or drops are applied in the conjunctiva fornix to prevent infection.
• 😀 The patient is advised to wear protective eyewear after the procedure to ensure eye safety and prevent discomfort.
• 😀 A gauze cover might cause discomfort, so protective glasses are the preferred method for post-procedure protection.
• 😀 It is important to educate the patient about the temporary sting from anesthesia and to ensure they are comfortable during the procedure.

Q & A

What is the first step in removing foreign objects from the conjunctiva?

The first step is to inform the patient and their family about the procedure and obtain their consent or approval.

What tool is used initially to perform the procedure?

The procedure begins with the use of a loop, which is directed toward the patient's eye.

What should be done after washing your hands before starting the procedure?

After washing your hands, you should use the handcone to begin the procedure.

How do you apply local anesthesia for the procedure?

Local anesthesia is applied using pantukain or lidocaine eye drops in the conjunctival fornix, informing the patient that it will sting a little.

What should the patient expect after the local anesthesia is applied?

The patient will feel a slight sting initially, but after 1-2 minutes, the sensation should subside.

What is the proper technique for removing the foreign object from the conjunctiva?

The foreign object should be removed from the medial (center or cornea) to the lateral (edge) part of the conjunctiva using a cotton swab.

What should be done after the foreign object is successfully removed?

After removal, antibiotic ointment or antibiotic eye drops should be applied to the conjunctiva, either in the form of eye drops or ointment.

How is the antibiotic treatment applied after the foreign object removal?

The antibiotic treatment is applied by dropping it into the conjunctival fornix after the foreign object is removed.

What is the recommended post-procedure care for the patient?

The patient should wear protective eyewear to prevent discomfort. If gauze is used, it may cause discomfort, so protective glasses are recommended.

What type of materials are required for the procedure?

The materials required include pantukain eye drops for local anesthesia, a cotton swab to remove the foreign object, and either antibiotic eye ointment or drops for post-procedure care.