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Supported by an unrestricted independent medical educational grant from Alcon

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CME Video of the Month

Episode 17

May, 2017

The Photophobic and Hyperaesthetic Patient

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Surgery Description

Many patients experience severe photophobia in response to the microscope light. These patients are also often hyperesthetic, and this patient presented with both issues. Here I demonstrate the use of the “NLP” (no light perception) technique to eliminate photophobia, the soft lens/no ultrasound phaco method and the use of a low (50 mm Hg) IOP setting during phaco and I/A to eliminate the possibility of discomfort caused by a higher intraoperative IOP in this patient who also had a floppy iris.

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

Learning Objective

To demonstrate methods to reduce photophobia and hyperaesthesia during phacoemulsification.

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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