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 21

September, 2017

Floppy Iris and Miotic Pupil in a Hypertensive Female

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Surgery Description

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 procedure.


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

Learning Objective

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.

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.

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All rights reserved. Video used with permission.

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