to constrict. The phenyle-
phrine-lidocaine compound
provides a continuous phar-
macologic dilation that
does not need to be supple-
mented, says Dr. Whitman.
The cost of pharmacologic
options varies depending
on volume and the com-
pounding pharmacy you
order from, but Dr. Whitman says a single-dose vial of phenylephrine-
lidocaine costs his facility $17.
What's safe sur-
gery worth?
The expense of main-
taining pupil dilation
is important, especial-
ly in a specialty with
razor-thin profit mar-
gins. But it's equally
important to look
beyond supply
expenses when it
comes to managing
mydriasis. Dr.
Whitman says manag-
ing case costs is
always in the back of
his mind, but not at
1 0 6 • 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
• SEEING IS BELIEVING Ring-type devices give surgeons room to oper-
ate, which reduces risk of complications during complex cases.
Jeffrey
Whitman,
MD
