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 46

October, 2019

Stabilizing the Nucleus

Surgery Description

While performing phacoemulsification on a dense nuclear cataract in a 91 yo, one-eyed, Flomax patient, the nucleus is observed to shift somewhat posteriorly. During the remainder of this complex procedure I demonstrate techniques that can be used to increase safety as the remaining nuclear and cortical material are successfully removed prior to implantation of a capsular tension ring and toric IOL.

CME Credit

Click below if you would like continuing education credits for this video

Click Here for Credit

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

Learning Objective

To demonstrate techniques that can be employed to preserve capsular integrity in eyes with complex issues such as zonular weakness, dense cataract, and floppy iris.

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 Credits^TM. 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 kmccarthy@postgradhealthed.com

All rights reserved. Video used with permission.

Recent Episodes

2022 Videos

Episode 84: Pseudoexfoliation, Miotic Pupil and Moderate Zonular Laxity

An eye with pseudoexfoliation exhibits moderate zonular laxity and a small pupil that requires enlargement. The options (capsule tension ring, capsule retractors, or a manual

December 15, 2022

2022 Videos

Episode 83: Late Posterior Chamber IOL Dislocation: Scleral Suture Fixation vs IOL Exchange

Intravitreal dislocation of a posterior chamber IOL has occurred in the only sighted eye of a 92 year old patient with advanced corneal endothelial cell

November 14, 2022

2022 Videos

Episode 82: Efficient Use of Ultrasonic Energy

Phacoemulsification of a moderately dense (3+) nuclear cataract is performed. Methods to limit the Cumulative Dissipated Energy (CDE), which indicates the relative amount and magnitude of

October 14, 2022

2022 Videos

Episode 81: A Case of Pseudoexfoliation with Multiple Issues

Pseudoexfoliation, zonular laxity, poor dilation, a shallow anterior chamber and a convex anterior capsule are all present in this 85 year old patient.

September 15, 2022

2022 Videos

Episode 80: Postoperative Negative Dysphotopsia (ND) and Glare/Halo After First-Eye Diffractive Multifocal IOL Implantation

The patient had cataract-implant surgery in her non-dominant eye 6 months earlier, and developed severe dysphotopsia. The decision has been made to proceed with cataract-implant surgery

August 29, 2022

2022 Videos

Episode 79: Intraoperative “Chemosis”

During the early stages of nucleus removal, a large amount of BSS accumulates beneath the conjunctiva and begins to interfere with visualization of the procedure.

July 14, 2022

SUPPORTED BY AN UNRESTRICTED INDEPENDENT MEDICAL EDUCATIONAL GRANT FROM

Alcon

COMMERCIALLY SUPPORTED BY

Glaukos
MST
Crestpoint Management

SUPPORTED BY AN UNRESTRICTED INDEPENDENT MEDICAL EDUCATIONAL GRANT FROM

Amedco

SUPPORTED BY AN UNRESTRICTED INDEPENDENT MEDICAL EDUCATIONAL GRANT FROM

Sony Healthcare Solutions

FOR MORE CME SURGICAL VIDEOS, VISIT

MackoolOnlineFundamentalsCME.com

Subscribe to our mailing list

©2022 Mackool Online CME

Disclaimer: The surgical settings shown in these videos are those of Richard Mackool, MD and RJ Mackool, MD. Viewers should choose settings appropriate to their skill level and the particular case requirements.

Video editing by: J R Snowdon, Inc

Website Design & Production by: stateofthedesign.com