Outpatient Surgery Magazine

OR Excellence Awards 2016 - September 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.

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Page 99 of 146

op inflammation and fewer complications. "It decreases overall phaco time and the ultrasonic energy dissipated into the eye," says Mark Rosanova, MD, a surgeon at Hoffman Estates. "Plus, it makes a perfect capsulorhexis, which prevents peripheral capsular tear- ing." However, T. Hunter Newsom, MD, founder of the Newsom Eye & Laser Center in Tampa, Fla., warns that the evidence thus far that the laser's increased precision translates to improved outcomes is anec- dotal. "It's definitely more precise than a surgeon's hand," he says, "but there's not any significant peer-reviewed data showing that using a laser for cataract surgery improves safety." Eye marking For patients receiving specialty toric or multifocal lenses, it's imper- ative that the surgeon insert the lens at the correct angle. Otherwise, the patient may have poor outcomes and require future corrective proce- dures. To make accurate marks indicating where surgeons must place the lens, Ms. Carpenter's center recently started using a self-leveling corneal marker that's pre-inked and comes with sterile disposable tips. "The marker really helps get an accurate placement of the lens," says Ms. Carpenter. "It saves time and is more accurate. Some sur- geons mark the eye with it, but it's easy enough that most trust our nurses to do it for them." Another option is digital marking systems, says Ms. York. In these sys- tems, the surgeon takes a digital photo of the patient's eye pre-opera- tively, which is then used to create a map overlay. This map shows the surgeon information on the patient's astigmatism, axial length, lens choice and toric correction during the surgery, boosting the doctor's overall accuracy when making cuts and inserting the lens. 3 1 0 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 6

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