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 method of deepening a shallow anterior chamber prior to phacoemulsification by performing a pars plana vitrectomy. Learners should also be able to demonstrate techniques that protect the corneal endothelium during phacoemulsification.
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 5: Shallow Anterior Chamber and Severe Corneal Endothelial Dystrophy
This patient exhibits severe corneal gutatta with an endothelial cell count of 368 cells/sq mm, and an extremely shallow anterior chamber. I first perform a pars plana vitrectomy to deepen the anterior chamber followed by cataract surgery using techniques intended to protect the already compromised endothelium. Because of the patient's anatomy, I again choose to use the Trendelenburg position to obtain better access to the eye. I think you will really enjoy this case!
Richard J. Mackool, MD Financial disclosure: Consultant to Alcon, Diopsys. Proprietary interest in MST, Impex.
