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Supported by an unrestricted independent medical educational grant from Alcon

Commercially supported by, Glaukos, MST, and Crestpoint Management

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CME Video of the Month

Episode 14

February, 2017

Restoring Vision to a Special Young Man

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Surgery Description

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.


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

Learning Objective

To demonstrate techniques that can be employed during cataract surgery to improve the comfort and safety of patients with respiratory and/or claustrophobic problems.

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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