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Archive November 2008 IX, No. 11

A Challenging Cataract Surgery Case

How we dealt with a patient who was unable to tolerate the supine position for routine cataract surgery.

Maria Tietjen, RN

BIO

As challenging cataract cases go, this one had it all. Mrs. V, a 5-foot-1, 341-pound, 67-year-old female with multiple co-morbid conditions, including hypertension, diabetes, obesity and sleep apnea, presented for surgery on her right eye. She uses nasal oxygen at 2 liters and ambulates with the aid of a walker, but with some difficulty. At bedtime, she needs at least two pillows and can't lie flat.

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