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Supported by an unrestricted independent medical educational grant from Alcon

Commercially supported by, Glaukos, MST, and Crestpoint Management

In kind support by Sony Healthcare Solutions

CME Video of the Month

Episode 3

March, 2016

The Deep Set Eye

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Surgery Description

This month I demonstrate the use of the Trendelenburg position in order to gain adequate access to a “deep set” eye during cataract-implant surgery with toric IOL implantation . The pupil dilates only moderately, and possible pharmacological causes of poor dilation are discussed: several techniques that increase and/or maintain pupil size are demonstrated, as are methods to chop the nucleus and protect the posterior capsule during subincisional cortex removal.

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Financial Disclosure: Richard J. Mackool, MD & RJ Mackool, MD: Consultant: Alcon; Patent Holder: Crestpoint Management

Learning Objective

Discuss the benefits of using the Trendelenburg position in patients with deep-set eyes. List categories of pharmacological agents that can affect pupil dilation. Describe techniques that can be used to increase or maintain pupil size during cataract surgery. Protect the posterior capsule during cortex removal.

Satisfactory completion: Learners must pass a post-test and complete an evaluation form to receive a certificate of completion. Your chosen sessions must be attended in their entirety. Partial credit of individual sessions is not available. If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.

Accreditation Statement – In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Review Education Group. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians (ACCME) Credit Designation – Amedco LLC designates this enduring material activity for a maximum of .25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Target Audience: Ophthalmologists with an interest in cataract surgery.

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.

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SUPPORTED BY AN UNRESTRICTED INDEPENDENT MEDICAL EDUCATIONAL GRANT FROM

Alcon

COMMERCIALLY SUPPORTED BY

Glaukos
MST
Crestpoint Management

SUPPORTED BY AN UNRESTRICTED INDEPENDENT MEDICAL EDUCATIONAL GRANT FROM

Amedco

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SUPPORTED BY AN UNRESTRICTED INDEPENDENT MEDICAL EDUCATIONAL GRANT FROM

Sony Healthcare Solutions

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Disclaimer: The surgical settings shown in these videos are those of Richard Mackool, MD and RJ Mackool, MD. Viewers should choose settings appropriate to their skill level and the particular case requirements. 

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