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

EPISODE 9 September, 2016

The Deformed Cornea

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 1. To present refractive considerations when performing cataract-implant surgery on patients with keratoconus. 2. To present, discuss and ameliorate corneal-induced visualization problems during cataract surgery.
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 9: The Deformed Cornea

Case Description: Here is a very unusual case! This 62 year old man has a cataract and severe keratoconus with a refraction of -20.00 D, -11.00 D of cylinder, and K readings in the 80s! However, he is a very successful hard contact lens wearer and therefore does not require corneal transplantation. I demonstrate how to improve corneal-induced visualization problems during phaco-IOL surgery, and select an IOL with a power that would leave him approximately emmetropic should he eventually undergo transplantation. In the meantime he will remain a successful hard contact lens wearer with improved vision because of the cataract extraction.

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