Outpatient Surgery Magazine

Her Loss, Their Gain - October 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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advantages they pro- vide. "The devices save surgeons time, and lower the risk of vitre- ous loss and iris pro- lapse," says Jon-Marc Weston, MD, a sur- geon at NVision Eye Center in Aliso Viejo, Calif. "Surgeons must put a device in as soon as they think they need it in order to maintain pupil retention during the case." Dr. Weston can insert and remove his ring of choice in 1 to 2 min- utes, a fraction of the 5 minutes he'd spend struggling to operate through a floppy iris. Saving close to 4 minutes of operative time is no small benefit in a volume-driven specialty. He says reusable iris hooks are an inexpensive option, but surgeon preference may prevent their use. Plus, he adds, hooks can be harder to place than rings, a factor that extends OR time, which actually increases case costs. "Expansion rings can be less time-consuming to use and, if avail- able, a reusable device can be cost effective if surgeons and repro- cessing techs can manage it gently," says Dr. Weston. Dilating drugs Patients with established miosis require the use of a pupil expanding device. Patients with possible miosis, whose pupils dilate to 5 mm to 6 mm, are candidates for Omidria, an intraocular irrigating solution con- 1 0 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 1 9 • HARD COSTS Pupil expansion devices give surgeons the access they need during difficult cases. Pamela Bevelhymer, RN, BSN, CNOR

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