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 • F E B R U A R U Y 2 0 1 8
W
orking through small
pupils during cataract sur-
gery must be as frustrat-
ing as trying to squeeze a
profit out of what
You Can't Put a Price on Pupil Dilation
Don't hesitate to invest in the drugs and
devices that make cataract surgery safer and
more efficient.
• EYE OPENING Jeffrey Whitman, MD, injects a compounded mixture of phenyle-
phrine and lidocaine into the anterior chamber to maintain mydriasis.
Medicare pays your
facility to host the
case.
Reimbursements cer-
tainly aren't going to
increase anytime soon
and inadequate intra-
operative mydriasis is
becoming an increas-
ingly common prob-
lem, so team up with
your surgeons to find
a cost-effective way to
dilate pupils and dial
up revenues.
A growing number
of cataract patients
are showing up with
small pupils in part
because more male
patients are using
prostate medications,
which affect the iris
dilator muscle.
Intraoperative floppy
iris syndrome (IFIS)
occurs in at least 75%
of men on those med-
Jeffrey
Whitman,
MD
Daniel Cook | Executive Editor