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I
n the skilled hands of experienced physicians, cataract removal is
often a short and efficient process. But even simple cases can
become unexpectedly complex during or after the surgery, slowing
progress and imperiling outcomes. How can such complications as
capsular rupture, IOL mishaps and endophthalmitis be prevented?
We asked 3 experts for solutions.
Foundations for success
For starters, they say, chances are a highly efficient surgeon will be
less likely to encounter cataract complications, and more able to handle those that happen. This kind of efficiency and ability, of course,
takes both planning and practice.
So be prepared with the necessary equipment and supplies. "The
best way to avoid complications is like the best way to avoid rain,"
says Sandra Yeh, MD, president and chief executive officer of the
Prairie Surgery Center in Springfield, Ill. "Bring an umbrella! You may
not be able to prevent the rain, but if and when it happens, you can
minimize the occurrence. The key is to be prepared with what you
need."
Then put those supplies into skilled hands. "There's no substitute for
skill, which comes with repetition and experience," says Les
Cunningham, MD, a senior partner at Campbell, Cunningham, Taylor
& Haun and co-founder of the Eye Surgery Center of East Tennessee
in Knoxville. "Do as many cases as possible. The surest way to prevent cataract complications is to be the best surgeon you can be."
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