SEPTEMBER 2022 | EYEWORLD | 33
C
Relevant disclosures
Lubeck: Alcon, BVI
various situations of cataract densities, different
ways the eye may be compromised, and differ-
ent levels of stability. "It's about understanding
why you would want to change the fluidics and
ultrasound settings for different situations," he
said.
The primary options for surgeon educa-
tion on advanced fluidics systems are local and
national meetings, the internet, and the knowl-
edge of company representatives and techni-
cians. He thinks most of the learning happens
between the company representative and the
surgeon. Dr. Lubeck said it's important for sur-
geons to give themselves the time and mental
space to learn about fluidics and how they want
it to fit into and improve their practice.
Once a surgeon understands the capability
of the system, they can make the procedure
more efficient. They can do the procedure at a
lower intraocular pressure, he said, adding that
there is data to suggest that operating at a lower
pressure is better for the eye. They can also
make the procedure more comfortable for the
patient and use higher power settings, vacuum
and flow to accelerate the cataract removal
portion. The gravity systems require that you
operate with a pressure in the eye higher than
a normal pressure, and this can lead to mild
to extreme discomfort for patients. "But with
advanced fluidics systems, we can operate at a
lower pressure, so that the patient never experi-
ences that level of discomfort," he said.
Dr. Lubeck has seven different procedures
pre-programmed into his machine settings for
Phaco Fundamentals: Optimizing Phacodynamics
for Brunescent and Challenging Cataracts
Watch this complimentary ASCRS Satellite CME
Program on demand now.
Discusses adjusting and optimizing phaco seings
for routine and complex cases
Features surgical strategies for challenging cases
Designated for 2.0 AMA PRA Category 1 Credits
TM
Find this and other ASCRS Satellite
CME Programs at www.ascrs.org/satellite-cme.
