Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Amedco and Postgraduate Health Education (PHE).Amedco is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation Statement: Amedco designates these enduring material videos for a maximum of .25 AMA PRA Category 1 CreditsTM each. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Financial Disclosure Information: Financial disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content of CME disclosed to PHE. All of these relationships were treated as a conflict of interest, and have been resolved. (C7 SCS 6.1--6.2, 6.5) All planners disclosed they had no financial relationship. Richard J Mackool, MD has the following financial relationships: Consultant to Alcon and Diopsys. Proprietary interest in MST and Impex.
Target Audience: Ophthalmologists with an interest in cataract surgery.
Learning Objectives: Discuss strategies that can improve visualization in order to create a capsulorhexis. Describe the steps in the impale and chop technique. Outline techniques aimed at reducing ultrasound.
Method of Physician Participation: Each physician will listen and follow along with the surgery video. Upon completion, must pass a posttest and answer evaluation questions to get their CME certificate.
Policy on Privacy and Confidentiality: PHE does not share your personal information provided to this site with any third party, except where required by CME governing bodies for verification of CME activities.
Contact Information: If you have questions regarding any of the surgical videos, please contact us at kmccarthy@postgradhealthed.com
All rights reserved. Video used with permission.
Episode 2: The Impale and Chop Technique
Using a 2.4mm incision, I remove a fairly dense, 3+ brunescent nuclear cataract from a patient whose other eye has only peripheral vision. I demonstrate using trypan blue to aid visualization of the capsulorhexis, and show how an OVD can be used to actually reposition an anterior subcapsular opacity prior to creating the capsulorhexis. A detailed presentation of the impale and chop technique follows with additional pearls including how to keep the phaco tip cool, and the advantage of using a slightly oversized surgical glove.
Richard J. Mackool, MD Financial disclosure: Consultant to Alcon, Diopsys. Proprietary interest in MST, Impex.
