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 recognize signs of potentially severe zonular laxity during cataract extraction.Understand the rationale behind the design of a recently introduced capsule retractor that stabilizes the capsule/lens complex in such eyes. Understand surgical options should postoperative IOL dislocation occur.
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 12: Advanced Capsule Retractors for Zonular Laxity
This patient has pseudoexfoliation, shallow anterior chamber, dense nucleus, lax zonule and poor pupillary dilation. I have previously demonstrated the use of capsular retractors for zonular laxity, but here we will see the latest version of these devices as modified by Dr David Chang. I also discuss the causes of chopping difficulties, demonstrate “verticalizing” the chopper, use of a CTR, and discuss IOL selection based on intraoperative findings.
Richard J. Mackool, MD Financial disclosure: Consultant to Alcon, Diopsys. Proprietary interest in MST, Impex.