Outpatient Surgery Magazine

Compounding Disaster - July 2016 - 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.

Issue link: http://outpatientsurgery.uberflip.com/i/703764

Contents of this Issue

Navigation

Page 90 of 168

Arcscan | Insight 100 Surgeons use this pre-op ultra- sound scan to view a cross-sec- tion of the cornea. During the scan, patients sit upright, lean forward into a soft membrane seal and focus on a fixation tar- get, so the results are based on a close-to-natural-eyesight condition of the capsule and surrounding anatomy. Optical coherence tomography (OCT) exams aren't quite as clear and pre- dictable. Unlike OCT exams, this scan provides views to the capsule bottom, meaning surgeons can measure the volume of the total cap- sular bag and focus on the zonules to see how both might impact placement of the intraocular lens implant. Although this scan was originally developed for keratoconus screen- ing, I'm intrigued by its potential application for cataract surgery. Surgeons don't know for sure where a lens implant will ultimately sit in the capsular bag, which is unique in every patient. They make incredibly accurate guesses, but zonules and muscles can alter the final position of the lens, and any slight change can impact the post- op accuracy of refraction. Consider that 83% of my patients are within a half diopter of where the lens is supposed to sit. But am I ever going to get to 90% accuracy? Surgeons could theoretically use this scan to predetermine the final position of the implant and adjust the power of the lens to optimize refractive outcomes. The scanning platform costs about $79,000 and you'll pay $50 per scan for the single-use mem- brane seal. J U L Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 9 1

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Compounding Disaster - July 2016 - Subscribe to Outpatient Surgery Magazine