Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 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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Page 108 of 144

eliminate posterior opacification (secondary cataracts). He says lasers make his surgeries more predictable. "The lasers are very precise and much more accurate," he says. "If you want [a cut] to be a certain size or depth, you can control that much better than if you used blades or other instrumentation." Bruce Saran, MD, focuses on posterior segment procedures at Chester County Eye Care, and uses lasers for nearly all of them — retinal tears, panretinal photocoagulation to prevent retinal detach- ments, poor blood flow and treating leaking blood vessels. "In terms of a profit center, having an intraoperative laser for retinal surgery is a very positive thing," he says. "It's better for the patient, it's better for the surgery center. It's good medicine, and it's good business." At Zion Eye Institute in St. George, Utah, surgeons use the same YAG laser for posterior capsular opacities, vitreolysis for breaking up floaters, selective laser trabeculoplasty (SLT) and peripheral irido- tomies, says administrator Zachary Cox, COE. Mr. Cox says Zion's most profitable laser procedure is the YAG laser capsulotomy: "It's so quick, the post-op [recovery] is very easy, and it's a lot safer." Useful for cataracts? One surgery for which Zion doesn't use a laser, though, is cataracts. "We found there's no benefit to the patient," says Mr. Cox. "All it does is make the surgery a little bit easier for the surgeon." Other centers, however, fully embrace laser-assisted cataract surgery. Dr. Ondrias cites its clinical benefits — a "little less" corneal edema, a "perfect" capsulorhexis and a "little quicker" visual recovery, less phaco energy used in the eye, and less fluid needed to irrigate and aspirate the lens. Paul Mann, MD, of the Mann Eye Institute in Houston, Texas, says lasers make capsulotomies much less tricky, adding that they place S E P T E M B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 1 0 9

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