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
In this case I demonstrate techniques used to remove a dense nucleus in an eye with pseudoexfoliation. Signs of Infusion Misdirection Syndrome and methods to protect the posterior capsule when this problem exists are also presented.
Financial Disclosure: Richard J. Mackool, MD & RJ Mackool, MD: Consultant: Alcon; Patent Holder: Crestpoint Management
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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.
Pseudoexfoliation, zonular laxity, poor dilation, a shallow anterior chamber and a convex anterior capsule are all present in this 85 year old patient.
The patient had cataract-implant surgery in her non-dominant eye 6 months earlier, and developed severe dysphotopsia. The decision has been made to proceed with cataract-implant surgery
During the early stages of nucleus removal, a large amount of BSS accumulates beneath the conjunctiva and begins to interfere with visualization of the procedure.
A patient with congenital aniridia undergoes phacoemulsification, IOL insertion, and insertion of an artificial iris device.
An extremely frail, elderly patient undergoes phacoemulsification performed on her only sighted eye.
An eye with a decentered and tilted posterior chamber IOL that is fixated to the sclera by the Yamane method undergoes IOL exchange to a
Alcon
Glaukos
MST
Crestpoint Management
Amedco
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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