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

EPISODE 21 September, 2017

Floppy Iris and Miotic Pupil in a Hypertensive Female

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 discuss the possible cause and demonstrate the surgical management of a small and eccentric pupil/floppy iris in a hypertensive woman. Other techniques including capsulorhexis centration, deep sculpting, chopping instrumentation, concerns regarding mixing brands of multifocal IOLs, full thickness (penetrating) limbal relaxing incisions for astigmatism, and stromal hydration are also presented.
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Episode 21: Floppy Iris and Miotic Pupil in a Hypertensive Female

In this case I present a variety of phaco techniques and pearls as cataract extraction and multifocal IOL implantation is performed in an eye with a small pupil and moderately floppy iris. A spit screen is utilized to demonstrate surgeon hand position throughout most of the proced.

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