Outpatient Surgery Magazine

The Power to Prevent SSIs - June 2017 - 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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aided by pharmacologic pupil dilation, but as many as 3% of patients complain of chronic long-term ND. So how do we correct the problem? We currently have a few surgi- cal options at our disposal: exchange the IOL; place a secondary "pig- gyback" IOL; and perform a reverse optic capture, with the optic placed on top of the anterior capsule and the haptics still in the capsu- lar bag. Based on some of the developments we've been seeing over- seas, we may soon have some other alternatives available. Practicing vigilance Even under the best-case scenarios, research shows that "only" slightly more than 90% of patients are satisfied with their IOL after cataract sur- gery. In other words, as many as 7% to 10% of patients are dissatisfied with their lenses even when all other risk factors have been eliminated. ND or some other post-op complaint could be the source of this dissat- isfaction. This tells us that there are still some phenomena we don't fully understand. That's why, as clinicians, it's our responsibility to be vigi- lant and responsive to the needs of our patients. Such awareness will not only help us as surgeons to give patients the outcomes they seek, but also to rule out any retinal pathology that may lead to long-term vision loss. OSM J U N E 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 9 3 Dr. Masket (avcmasket@aol.com) is an ophthalmologist with Advanced Vision Care in Los Angeles, Calif., and a clinical professor of ophthalmology at Jules Stein Eye Institute, also in Los Angeles.

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