Eyeworld CME Supplements

EW AUG 2015 - Supported by unrestricted educational grants from Abbott Medical Optics, Alcon Laboratories, and Bausch + Lomb

This is a supplement to EyeWorld Magazine that doctors can take a test after reading and receive CME credits for.

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Supplement to EyeWorld August 2015 Accreditation Statement This activity has been planned and imple- mented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American Society of Cataract & Refractive Surgery (ASCRS) and EyeWorld. ASCRS is accredited by the ACCME to provide con- tinuing medical education for physicians. Educational Objectives Ophthalmologists who participate in this activity will: • Modify and customize platform- specific phaco settings to maximize outcomes for routine cataract surgery cases and identify the process for refining the learner's own settings over time; • Identify specific details of how phacoemulsification technologies function; and • Define the platform-specific technol- ogy settings and clinical procedure pearls for successfully navigating common phaco complications and surgical issues. Designation Statement The American Society of Cataract & Re- fractive Surgery designates this enduring materials activity for a maximum of 1.0 AMA PRA Category 1 Credits. ™ Physicians should claim only credit commensurate with the extent of their participation in the activity. Claiming Credit To claim credit, participants must visit bit.ly/1G7nZ1q to review content and download the post-activity test and credit claim. All participants must pass the post-activity test with a score of 75% or higher to earn credit. Alterna- tively, the post-test form included in this supplement may be faxed to the number indicated for credit to be awarded, and a certificate will be mailed within 2 weeks. When viewing online or downloading the material, standard Internet access is required. Adobe Acrobat Reader is needed to view the materials. CME credit is valid through February 29, 2016. CME credit will not be awarded after that date. Notice of Off-Label Use Presentations This activity may include presentations on drugs or devices or uses of drugs or devices that may not have been approved by the Food and Drug Administration (FDA) or have been approved by the FDA for specific uses only. ADA/Special Accommodations ASCRS and EyeWorld fully comply with the legal requirements of the Americans with Disabilities Act (ADA) and the rules and regulations thereof. Any participant in this educational program who requires special accommodations or services should contact Laura Johnson at ljohnson@ascrs.org or 703-591-2220. Financial Interest Disclosures Berdine M. Burger, MD, has a received a retainer, ad hoc fees, or other consulting income and is a member of the speakers bureau of Alcon Laboratories Inc. Kenneth L. Cohen, MD, has no ophthal- mic-related financial interests to disclose. Bonnie An Henderson, MD, has received a retainer, ad hoc fees, or other consulting income from Alcon Laboratories Inc. and Bausch + Lomb Inc. She is a member of the speakers bureaus of Abbott Medical Optics Inc. and Genzyme. Lisa Park, MD, has no ophthalmic-related financial interests to disclose. Keith A. Walter, MD, has received a retainer, ad hoc fees, or other consulting income and is a member of the speakers bureaus of Abbott Medical Optics Inc. and Bausch + Lomb Inc. He earns a royalty or derives other financial gain and has received a retainer, ad hoc fees, or other consulting income from Ocular Systems Inc. Elizabeth Yeu, MD, has received a retainer, ad hoc fees, or other consulting income from: Abbott Medical Optics Inc., Alcon Laboratories Inc., Allergan, Bausch + Lomb Inc., TearLab, and TearScience. She is a member of the speakers bureaus of Alcon Laboratories Inc., Allergan, and Bio-Tissue. Dr. Yeu has an investment interest in RPS. Staff members Laura Johnson and Erin Schallhorn have no ophthalmic-related financial interests. Optimizing machine settings for routine, complex, and femto phaco cases Supported by unrestricted educational grants from Abbott Medical Optics, Alcon Laboratories, and Bausch + Lomb can individualize pre-packaged settings of power modulation and fluidics for each stage of nuclear removal. However, the surgeon must understand the principles for how to optimize the power and fluidic settings for different objectives." Phaco vocabulary Berdine M. Burger, MD, Carolina Eyecare Physicians, Charleston, S.C., reviewed key terms related to phacodynamics and fluidics. Phacoemulsification technol- ogy combines the power to break up the cataract and fluidics to maintain the chamber and safely remove the cataract. "The emulsi- fication power is the stroke length times the ultrasound frequency," she said. The frequency—burst, pulse, or hyperpulse—is a set As part of its ongoing com- mitment to education, ASCRS presented "Phaco Fundamentals: How Well Do you Know Your Ma- chine?" at the 2015 ASCRS•ASOA Symposium & Congress in April. The program was moderated by David F. Chang, MD, clinical professor of ophthalmology, University of California, San Francisco, and Elizabeth Yeu, MD, assistant professor, Eastern Virginia Medical School, and in private practice, Virginia Eye Consultants, Norfolk, Va. Phaco experts covered key principles for optimizing fluidics and power modulation for dif- ferent stages of nuclear removal in standard, complex, and femto phaco cataract cases. "Optimizing machine settings is an important factor in successful cataract surgery, but it is often overlooked or underem- phasized in phaco education," Dr. Chang said. "Nowadays, surgeons F or successful cataract sur- gery, it's important to op- timize your phacoemulsi- fication settings based on a thorough understand- ing of the process. As phacoemulsification technology continues to evolve, experts review fundamental principles Mastering your phacoemulsification machine: Optimized settings for optimized procedures Fluidics Irrigation Flow (attraction to phaco tip) Outflow Aspiration (amount of flow through tubing) Vacuum (attachment to phaco tip) type of pump : peristaltic / venturi Figure 1. Fluidics components Source: Berdine M. Burger, MD continued on page 3 Click to read and claim CME credit

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