Supported by an unrestricted independent medical educational grant from Alcon
Commercially supported by Carl Zeiss Meditec, Inc., Crestpoint Management, Glaukos, and MST

EPISODE 11 November, 2016

Full Thickness (Penetrating) LRIs to Correct Astigmatism During Multifocal IOL Insertion

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: After reviewing the educational video, learners should be able to Demonstrate the use of full-thickness (penetrating) limbal relaxing incisions (PLRIs) to correct astigmatism; Discuss methods to safely divide the nucleus with the horizontal chopping technique; Demonstrate a technique that minimizes the use of ultrasonic energy during nucleus removal; Demonstrate a technique to protect the integrity of the posterior capsule during removal of lens cortex;Demonstrate the technique and discuss the benefits of epithelium removal from the undersurface of the anterior capsule.
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.
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Episode 11: Full Thickness (Penetrating) LRIs to Correct Astigmatism During Multifocal IOL Insertion

During this case I demonstrate the differences between phaco aspiration vs phacoemulsification of the nucleus, as well as the use of Penetrating Limbal Relaxing Incisions to control astigmatism in a multifocal IOL patient. The PLRI nomograms may be downloaded by clicking on the "PLRI Nomogram" button below or by clicking here.

Richard J. Mackool, MD Financial disclosure: Consultant to Alcon, Diopsys. Proprietary interest in MST, Impex.