Supported by an unrestricted academic independent medical education grant from Alcon.

Fundamentals Episode 20

August 2020

Severe Bell’s Phenomenon/Impale Phaco Chop, Controlling Sideport Leakage, Stromal Hydration and Infusion Misdirection Syndrome

Surgery Details

Surgery Desciption

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 contained, the impale chop technique is utilized, and stromal hydration and infusion misdirection syndrome are discussed.

Learning Objective

After completion of this educational activity, participants should be able to use this information to aid visualization in eyes with Bell’s phenomenon. Reduce sideport incision leakage during phacoemulsification. Demonstrate the steps involved in impaling and then chopping a relatively dense nucleus. Discuss the history of stromal hydration and recognition of infusion misdirection syndrome.

CME CREDIT

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Richard J Mackool, MD Financial Disclosure: Richard J. Mackool, MD and RJ Mackool, MD are consultants with Alcon.

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.

Policy on Privacy and Confidentiality: REG (Review Education Group) does not share your personal information provided to this site with any third party, except where required by CME governing bodies for verification of CME activities.

Contact Information: If you have questions regarding any of the surgical videos, please contact us at kmccarthy@postgradhealthed.com

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.