Outpatient Surgery Magazine

Anesthesia Plus - February 2013 - Outpatient Surgery Magazine - Subscribe

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 64 of 159

OSE_1303_part2_Layout 1 2/7/13 4:26 PM Page 65 O P H T H A L M O L O G Y T he first question that eye surgeons and facility administrators must ask themselves with respect to laser cataract surgery is: What are the practical applications and clinical advantages of this technology? In short, what's in it for you and your patients? • A precise process. Done by hand, cataract surgery involves a num- ber of manual steps, including capsulotomy, the making of an incision in the capsular bag to gain access to a cataract-clouded lens. Such delicate maneuvers are invariably variable in their size, shape and orientation, which may influence outcomes from one case to another. To a large extent, laser-assisted surgery removes those variables, providing controlled, consistent and nearly perfect cuts every time. • A streamlined process. "It wasn't too long ago that ultrasound phaco was the big new thing," remarks Robert P. Rivera, MD, director of clinical research at Hoopes Vision in Draper, Utah. Now that the femtosecond laser's ultra-short pulses can be used to quickly and effectively soften and fragment the nucleus of a cataract, many physicians are finding their need for phacoemulsification energy during a case reduced or even eliminated. "It allows you to get away from phacoemulsification altogether," says Dr. Rivera, who describes a slate of cases in which he used "zero phaco" for 8 consecutive cataracts. "Without any is just remarkable, a huge step forward." • The best possible outcomes. Ideally, the ability to replicate the technique will let physicians fine-tune other factors and replicate results. "A precision capsulotomy, the same every time, takes that variability F E B R U A R Y 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 6 5

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