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 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.
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 3: The Deep Set Eye
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.
Richard J. Mackool, MD Financial disclosure: Consultant to Alcon, Diopsys. Proprietary interest in MST, Impex.
