EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/1097941
APRIL 2019 | EYEWORLD | 79 C References Text goes here turbulence, the less flow of the irrigating fluid into the eye while you're operating," Dr. Campbell said. "The slower that is happening, the less likely it is to push the iris out of the eye." Dr. Campbell hopes that practitioners come away from the study with two takeaways. "One is that the complication rates are low for people on tamsulosin as well as those who are not, and they're getting better over time," he said. "I think the second message is that by the end of the study, we're still at 30% or 40% higher risk of having complications [with tamsulosin]." There's still room for improvement here, he concluded. To mitigate the risks posed by it, the first thing Dr. Campbell advises practitioners to do is to take a good history and be cognizant of the fact that the patient is on this. "Half the battle is in know- ing that they might have intraoperative floppy iris syndrome and knowing that if you did nothing other than to go slowly and carefully, this would reduce the risks," he said. Beyond that, there are a number of tech- niques and devices that can help. "There are ways of retracting the iris or holding the iris in the eye, and there are a number of different devices in- cluding iris hooks and the Malyugin ring that can hold the iris in place," Dr. Campbell said, adding that using heavier kinds of OVDs can help keep the iris from prolapsing. In addition, adjusting the phacoemulsification settings so that the flow through the eye is lower can be helpful. "The less The BOOST (Business of Ophthalmology Standards) track is a selection of ASOA Practice Management Courses that provide physicians with essential business education to maximize the effi ciency of their practice. Topics Include: • Business Management and Strategies • Human Resources and Teamwork • Electronic Health Records and Information Technology • Coding and Reimbursement • Risk Management and Compliance There are no additional fees to attend the BOOST track courses. CME credit is provided for ASOA Practice Management Courses. BOOST TRACK AnnualMeeting.ascrs.org