CME Accredited Surgical Training Available Online

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

CME Video of the Month

Episode 11

November, 2016

Full Thickness (Penetrating) LRIs to Correct Astigmatism During Multifocal IOL Insertion

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Surgery Description

During this case I demonstrate the differences between phaco aspiration vs phacoemulsification of the nucleus, as well as the use of Penetrating Limbal Relaxing Incisions to control astigmatism in a multifocal IOL patient. The PLRI nomograms may be downloaded by clicking on the “PLRI Nomogram” button on this page.


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

Learning Objective

After reviewing the educational video, learners should be able to Demonstrate the use of full-thickness (penetrating) limbal relaxing incisions (PLRIs) to correct astigmatism; Discuss methods to safely divide the nucleus with the horizontal chopping technique; Demonstrate a technique that minimizes the use of ultrasonic energy during nucleus removal; Demonstrate a technique to protect the integrity of the posterior capsule during removal of lens cortex;Demonstrate the technique and discuss the benefits of epithelium removal from the undersurface of the anterior capsule.

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

All rights reserved. Video used with permission.

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