Franz Marie Cruz’s Diary

i did my first evisceration today.  i’ve all my fingers crossed hoping there will be no complications during follow-ups.  it was bloody.  the tissue edges were ragged. i could have done a lot better - next time anyway.  but there’s this feeling of, i dunno, excitement (?), enjoyment (?) basta happy i picked this specialization and i get to do things i am doing now. 

kanina ko lang naintindihan why they would describe evisceration as "parang nagkakayod ng buko" because ganun nga, you scrape out the uveal tissue from the inside of the eye with a spoon very much like nagkakayod ng buko.  though my procedue was blooody heller kanina.  i was blindly scraping the uveal tissue and blood clots out. parang currettage in OB i imagine.   plus i was feeling a bit nervous about my 66/F patient who’s in some amount of pain during the procedure in spite of the pre-op Tramadol and retrobulbar anesthesia.  I’m the RIC and the surgeon, i am responsible not only for her eye but for her life.  i’m sending the patient home tomorrow if she’s without any complication.  hers pala was a case of spontaneous globe rupture secondary to uncontrolled intraocular pressure.  imagine that. pwede pala manyari yun.  the other eye is blind, glaucoma din. so i would akay this patient sometimes in the morning if her relative is not around.  two weeks din sya confined before i finally got to the surgery. 

i also have one patient na sympathetic ophthalmia. ang cool ng case though bad for the patient but he improved after the IV steroids. we sent him on oral prednisone, (yikes!) and all its systemic side effects.

ang ugly pa rin ng pterygium excisions ko! =(

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