Cataract and Refractive 360—Fundamentals, Techniques, & Technology; Volume 3, Number 2

1.25 CME
$0 FEE

Provider Statement: This continuing medical education activity is provided by Vindico Medical Education.

Support Statement: This activity is supported by educational grants from Alcon Laboratories, Inc.; Bausch + Lomb; Carl Zeiss Meditec, Inc.; and J & J Vision.

Target Audience: The intended audience for this educational series is ophthalmologists and other health care professionals involved in the treatment of patients undergoing cataract and/or refractive surgery.

Learning Objectives: Upon successful completion of this educational series, participants should be better able to:

  • Review the role of phacodynamics and ultrasound in cataract surgery and how the risk of associated complications may be minimized during their use.
  • Evaluate advances in presurgical/surgical diagnostics and intraoperative guidance systems and their impact on improved refractive outcomes.
  • List the benefits and limitations of femtosecond laser in cataract surgery.
  • Investigate the surgical techniques necessary to optimize outcomes in complex cases.
  • Review the impact on refractive outcomes of cataract surgery-induced and preexisting astigmatism (including posterior corneal astigmatism).
  • Explore diagnostic and surgical techniques that can be used to correct astigmatism before, during, and after cataract removal.
  • Compare the available types of intraocular lens and determine their influence on visual outcomes.
  • Assess the importance of presurgical screening and discussion with the patient for IOL selection to ensure patient satisfaction with outcomes.
  • Summarize the need for presurgical planning prior to refractive procedures.
  • Compare advanced techniques and technology for guiding refractive surgery to reduce complications and achieve better visual outcomes.
  • Evaluate the evidence supporting the use of femtosecond laser in refractive surgery.

Chief Medical Editor:
Terry Kim, MD
Professor of Ophthalmology
Duke University School of Medicine
Chief, Cornea and External Disease Division
Director, Refractive Surgery Service
Duke University Eye Center
Durham, NC

Editorial Board:
Nicole R. Fram, MD
Partner, Advanced Vision Care
Clinical Instructor of Ophthalmology
Stein Eye Institute
Los Angeles, CA

Sumit (Sam) Garg, MD
Vice Chair of Clinical Ophthalmology
Medical Director
Associate Professor – Corneal, Cataract, and Refractive Surgery
Gavin Herbert Eye Institute
University of California
Irvine, CA

Elizabeth Yeu, MD
Assistant Professor of Ophthalmology
Eastern Virginia Medical School
Partner, Virginia Eye Consultants
Cornea, Cataract, Anterior Segment, and Refractive Surgery Specialist
Norfolk, VA

Faculty Contributors:
Kenneth A. Beckman, MD, FACS
Director, Corneal Service
Comprehensive EyeCare of Central Ohio
Clinical Assistant Professor
The Ohio State University
Westerville, OH

Larissa Gouvea, MD
Cornea Research Fellow
Storm Eye Institute
Medical University of South Carolina
Charleston, SC

Sean Ianchulev, MD, MPH
Professor of Ophthalmology
Director of Technology and Innovations
New York Eye and Ear Infirmary of Mount Sinai
New York, NY

Cynthia Matossian, MD, FACS
Founder, CEO and Chief Medical Officer
Matossian Eye Associates
Doylestown, PA; Hamilton, NJ; Hopewell, NJ
Adjunct Clinical Assistant Professor of Ophthalmology
Temple University School of Medicine
Philadelphia, PA
Clinical Instructor
University of Medicine and Dentistry of New Jersey
Robert Wood Johnson Medical School
New Brunswick, NJ

William B. Trattler, MD
Director of Cornea
Center for Excellence in Eye Care
Voluntary Faculty
Florida International University
Herbert Wertheim College of Medicine
Miami, FL

George O. Waring, IV, MD, FACS
Founder and Medical Director
Waring Vision Institute
Mount Pleasant, SC

Ronald A. Codario, MD, EMBA, FACP, FNLA, RPVI, CHCP

Medical Writer:
Valerie Zimmerman, PhD

Vindico Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:
Vindico Medical Education designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This enduring material is approved for 1 year from the date of original release, September 25, 2018 through September 25, 2019.

How to Participate in This Activity and Obtain CME Credit:
To participate in this CME activity, you must read the objectives, answer the pretest questions, read the articles, and complete the posttest and evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 7 of 10 of the posttest questions correctly. If a satisfactory score on the posttest is achieved, Vindico Medical Education will issue an AMA PRA Category 1 Credit(s)™ Certificate.

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control.

The authors disclose that they do have significant financial interests in any products or class of products discussed directly or indirectly in this activity, including research support.

Editorial Board and Faculty Contributors report the following relationship(s):
Kenneth A. Beckman, MD, FACS
Royalty: Holbar Medical Products
Consulting Fee: Alcon, Allergan, Avedro, Bausch + Lomb, Bruder, Mallinckrodt, ReFocus, Shire, Sun, TearLab
Speakers Bureau: Alcon, Allergan, Bausch + Lomb, Shire
Contracted Research: Avedro, ICare, Kala
Ownership Interest: Calhoun, Ocular Science, RPS

Nicole R. Fram, MD
Consulting Fee: Alcon, Allergan, CorneaGen, Johnson & Johnson, Notal Vision, Ocular Science, Omeros, RxSight, Zeiss
Speakers Bureau: Alcon, Bausch + Lomb, Johnson & Johnson, Shire, Sun
Contracted Research: Alcon
Ownership Interest: CorneaGen

Sumit (Sam) Garg, MD
Consulting Fee: Avedro, Johnson & Johnson, Kala, Katena, RVO, RxSight, Rysurg, Shire, SightLife, VisionCare, Zeiss
Speakers Bureau: Johnson & Johnson, Shire
Ownership Interest: Eyra, OcuTrx, RPS

Larissa Gouvea, MD
No relevant financial relationships to disclose.

Sean Ianchulev, MD, MPH
Receipt of Intellectual Property/Patent: Eyenovia, Iantech, Transcend Medical, Wavetec/Alcon
Consulting Fee: Eyenovia, Iantech
Ownership Interest: Eyenovia, Iantech

Terry Kim, MD
Consulting Fee: Acucela, Aerie, Alcon/Novartis, Allergan/Actavis, Avedro, Avellino Labs, Bausch + Lomb/Valeant, BlephEx, CoDa/Ocunexus Therapeutics, Kala, NovaBay, Ocular Therapeutix, Omeros, PowerVision, Presbyopia Therapies, Shire, SightLife Surgical, Simple Contacts, TearLab, TearScience
Ownership Interest: Kala, NovaBay, Ocular Therapeutix, Omeros, SightLife Surgical, Simple Contacts, TearScience

Cynthia Matossian, MD, FACS
Consulting Fee: Abbott Medical Optics, Alcon, Allergan, Bausch + Lomb, Bruder, EyePoint, Johnson & Johnson, Kala, Mallinckrodt, Marco, Omeros, Physician Recommended Nutriceuticals, Shire, Sun, TearLab, TearScience, Zeiss
Speakers Bureau: Abbott Medical Optics, Alcon, Allergan, Bausch + Lomb, EyePoint, Johnson & Johnson, Kala, Ocular Therapeutix, Omeros, Physician Recommended Nutriceuticals, Shire, Sun, TearLab, TearScience, Zeiss
Contracted Research: Abbott Medical Optics, Glaukos, Icon Bioscience, iOptics, Ocular Therapeutix, Physician Recommended Nutriceuticals, Shire, Softec, TearLab
Ownership Interest: CheckedUp, Imprimis, Ocular Therapeutix, Physician Recommended Nutriceuticals, RPS, Strathspey Crown (Alphaeon), TearLab

William B. Trattler, MD
Consulting Fee: Alcon, Allergan, Avedro, Bausch + Lomb, Bleph-Ex, Iantech, Johnson & Johnson, Kala, Lensar, Omeros, Ocular Therapuetix, Shire, Sun
Speakers Bureau: Abbott Medical Optics, Alcon, Allergan, Avedro, Bausch + Lomb, Iantech, Johnson & Johnson, Lensar, Novabay, Shire, Sun
Ownership Interest: Alphaeon, Avedro, CXLO, Iantech, Lensar, RPS, Visionary Fund

George O. Waring, IV, MD, FACS
Consulting Fee: Ace Vision, Alcon, Allergan, Avedro, Bausch + Lomb, Johnson & Johnson Vision, Oculus, Perfect Lens, Visiometrics

Elizabeth Yeu, MD
Consulting Fee: Beaver Visitec, Kala, Lensar, Precision Lens, Sun, Zeiss
Speakers Bureau: Alcon, Allergan, BioTissue, Johnson & Johnson, Ocular Therapeutix, Omeros, Shire, TearLab
Ownership Interest: GlassesOff, Modernizing Medicine, Ocular Science
Advisory Board: Alcon, Allergan, Bausch + Lomb/Valeant, Bio-Tissue, iOptics, Johnson & Johnson, Ocular Science, Ocular Therapeutix, OCuSoft, Shire, SightLife, TearLab, TearScience, Veracity Innovations

Reviewer reports the following relationship(s):
Ronald A. Codario, MD, EMBA, FACP, FNLA, RPVI, CHCP
No relevant financial relationships to disclose.

Medical Writer reports the following relationship(s):
Valerie Zimmerman, PhD
No relevant financial relationships to disclose.

Vindico Medical Education staff report the following relationship(s):
No relevant financial relationships to disclose.

Signed disclosures are on file at Vindico Medical Education, Office of Medical Affairs and Compliance.

Unlabeled and Investigational Usage:
The audience is advised that this continuing medical education activity may contain references to unlabeled uses of US Food and Drug Administration (FDA)-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage. All activity participants will be informed if any speakers/authors intend to discuss either non–FDA-approved or investigational use of products/devices.

Copyright Statement:
Created and published by Vindico Medical Education, 6900 Grove Road, Building 100, Thorofare, NJ 08086-9447. Telephone: 856-994-9400; Fax: 856-384-6680. Printed in the USA. Copyright © 2018 Vindico Medical Education. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. The material presented at or in any of Vindico Medical Education continuing medical education activities does not necessarily reflect the views and opinions of Vindico Medical Education. Neither Vindico Medical Education nor the faculty endorse or recommend any techniques, commercial products, or manufacturers. The faculty/authors may discuss the use of materials and/or products that have not yet been approved by the US Food and Drug Administration. All readers and continuing education participants should verify all information before treating patients or utilizing any product.

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