Appendix D - Ophthalmic Surgical Assisting (OSA)
Content Areas
Case Requirements for Ophthalmic Surgical Assisting Recertification
1. Pre-Operative Preparation of the
Patient – 5%
a. Consent
b. Intraoperative monitoring
The case requirement is divided into two groups: Categories A and B. Certificants may
choose to earn 100 percent of their case requirement from Category A or may choose to
earn at least 90 percent of the case log from Category A and the remaining cases from
Category B.
2. Instruments – 25%
a. Identification
b. Selection/setup
c. Maintenance
d. Sterilization
e. Sutures/supplies
f. Function
Category A
(at least 90%
or 27 cases)
Retina
♦
Lens
a. Scrubbing/gowning/gloving/prepping
b. Circulating
c. General Knowledge
d. Assisting
Strabismus
♦
Cornea
♦
a. General anesthesia
b. Local anesthesia
c. Topical anesthesia
Oculo-Plastics
a. Cataract surgery
b. Corneal surgery
c. Glaucoma surgery
d. Strabismus surgery
e. Oculo-plastics surgery
f. Orbital surgery
g. Lacrimal surgery
h. Refractive surgery
i. Retinal surgery
j. Laser surgery
k. Other
Dacryocystorhinostomy (DCR)
Levator procedures
♦ Ptosis repair
♦ Orbital decompression
♦ Ectropion & Entropion repair
♦ Lid laceration
♦F
ull thickness or partial thickness
lid tumor
♦ Endoscopic brow lift
♦ Blepharoplasty
♦ Conjunctivoplasty
♦
♦
Glaucoma
Category B
(no more than
10% or 3 cases)
Conjunctival tumors
♦
Trabeculectomy
Seton procedures
Other
♦
Scleral patch
Lens
♦
Resposition IOL
Strabismus
♦
Botulinum toxin injection
Cornea
♦
♦
Radial Keratotomy (RK)
Automated lamellar keratoplasty (ALK)
♦ Lasik
♦ AK
♦ Excimer laser surgeries (e.g., PRK, PTK)
♦ Conductive Keratoplasty
♦
Oculo-Plastics
Tarsorrhaphy
Canthal plication
♦ Chalazion
♦ Trichiasis
♦ Temporal artery biopsy
♦ Nasolacrimal duct (NLD) probing
♦
♦
8. Minor Surgery – 5%
a. Assisting the surgeon
b. Instructing the patient
P
enetrating Keratoplasty (PKP)
Lamellar/patch graft
♦ Pterygium with or without conjunctival
transplant
♦ Conjunctival autograft
♦D
SAEK (Endothelial Keratoplasty)
♦
5. Surgical Procedures – 27%
a. Miotics
b. Viscoelastics
c. Enzymes
d. Mydriatics
e. Osmotic 9
f. Narcotics
g. Other
Muscle procedure
♦
4. Ophthalmic Anesthesia – 5%
7. Ophthalmic Surgical
Pharmacology – 10%
Cataract extraction +/- IOL
Secondary IOL
♦ IOL exchange
♦ I mplantable Contact Lens (ICL)
♦
♦
3. Aseptic Technique – 20%
6. Surgical Complications – 3%
Scleral Buckle
Vitrectomy
♦ Membrane removal
♦ Endo laser
♦
Retina
♦
Intravitreal injections
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