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

EPISODE 14 February, 2017

Restoring Vision to a Special Young Man

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: To demonstrate techniques that can be employed during cataract surgery to improve the comfort and safety of patients with respiratory and/or claustrophobic problems.
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 14: Restoring Vision to a Special Young Man

Tom is a courageous and engaging young man with advanced Duchenne's Muscular Dystrophy. Years of steroid treatment have caused him to develop extremely dense cataracts and he is now legally blind. Severe muscular atrophy has left him quadriplegic with very significant respiratory problems that do not permit him to lie flat. Furthermore, even mild sedation could result in life-threatening oxygenation problems.

In this video our team performs cataract surgery without any sedation. Significant assistance is rendered by his mother, an RN who has essentially dedicated her life to caring for her severely disabled son. During the procedure, reverse Trendelenburg positioning, a positive pressure breathing apparatus and special draping to prevent claustrophobia enabled us to optimize his comfort and safety.

Tom now has 20/20 distance and near vision in both eyes without glasses, His remarkable bravery in dealing with this dreaded disease and the dedication of his mother are more than inspirational, and their joy at the recovery of his sight was wonderful to behold. From the vantage point of this surgeon, I can only attest to what my dedicated colleagues already know; this is why we became physicians.

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