Fundamentals Episode 24: Management of Pupil Constriction with Floppy Iris
A method to reverse pupil constriction that develops during phacoemulsification is demonstrated.
A method to reverse pupil constriction that develops during phacoemulsification is demonstrated.
This procedure features PE, trifocal IOL implantation, and full-thickness “penetrating” limbal relaxing incisions.
Routine phacoemulsification and IOL insertion is performed, during which methods to prevent the complication of retained lens fragments are demonstrated and discussed.
Phacoemulsification is performed in an eye with previous trabeculectomy, a miotic pupil and posterior synechiae.
A patient with severe Bell’s phenomenon undergoes cataract-implant surgery. Techniques that overcome this problem are demonstrated. During the procedure, excessive sideport leakage is recognized and
A trifocal IOL is inserted following routine cataract-implant surgery.
The rationale for selection of fluidic parameters during nucleus sculpting and segment removal, retained nuclear fragments and the prevention of same, and IOP during phacoemulsification
Implantation of a toric trifocal IOL is performed in a 68-year-old patient who wishes spectacle independence.
Removal of a very opaque infantile nuclear cataract is performed in a 60-year-old patient.
This highly myopic patient is very sensitive to elevated IOP during phacoemulsification, and requires an adjustment of fluidic parameters.
Richard J Mackool, MD Financial Disclosure: Richard J. Mackool, MD and RJ Mackool, MD are consultants with Alcon.
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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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Richard Mackool MD, a world renowned anterior segment ophthalmic microsurgeon, has assembled a video collection of both routine and challenging cases, demonstrating both familiar and potentially unfamiliar surgical techniques using a variety of instrumentation and surgical console parameters. This educational activity presents a series of these videos, carefully selected to address the specific learning objectives of this effort, with the goal of providing surgical training videos online to surgeons motivated to improve or expand their surgical knowledge.
Alcon
in kind support
Mackool Eye Institute Research Foundation
&
VIDEO AND WEB PRODUCTION BY
Captured Light Studio
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