Eyeworld

DEC 2016

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

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CME questions (circle the correct answer) Copyright 2016 ASCRS Ophthalmic Corporation. All rights reserved. The views expressed here do not necessarily reflect those of the editor, editorial board, or the publisher, and in no way imply endorsement by EyeWorld or ASCRS. 8 Methods for making laser-assisted cataract surgery fit in your practice To take this test online and claim credit, go to bit.ly/2ffsgw8 or complete the test below and fax, mail, or email it in. 1. Which factor is LEAST important when deciding to buy a femtosecond laser? A. Total number of cases performed per year B. Current infrastructure: What will you have to pay to build out to place it? C. Percentage of premium cases where you will use the femtosecond laser, and then total number of those cases D. Costs of the laser (including service, extra time spent, click fees, and upgrade costs) Questions 2 & 3: A 55-year-old teacher presents for a cataract surgery evaluation, with well-controlled diabetes mellitus (DM) type 2 without retinopathy, and she desires greater spectacle independence. 2. What is the best approach for the staff to take before you meet the patient? A. Dissuade the patient from any option apart from manual cataract surgery because she has known DM type 2 B. Provide a standardized approach with appropriate diagnostics, including a macula OCT, basic education regarding cataract surgery, and potential options for cataract surgery C. Have the staff make a firm recommendation on what approach (manual vs. LACS) and IOL technology to proceed with D. I look forward to the day that I can have enough organization with my clinic staff to have a standardized approach for cataract surgery evaluations 3. As the surgeon, what is your best recommendation for this patient? A. The recommendation depends on the patient's refractive goals, hobbies, profession, and ocular and systemic comorbidities. This also has to be balanced with the available technologies and the patient's financial considerations B. Monofocal IOL and manual cataract surgery—she has DM type 2 C. Easy decision—the patient says she wants spectacle freedom; thus, she should only consider a presbyopia-correcting IOL D. Not LACS if it does not benefit the majority of my patients in my practice 4. Surgeon and facility efficiency are best achieved with laser-assisted cataract surgery when: A. Patient education is consistent throughout the clinic B. Patient flow model matches the surgical facility's C. Pricing appropriately compensates the surgeon and facility for time invested D. All of the above 5. For an ophthalmology practice that is considering LACS but does not have its own ambulatory surgery center, which femtosecond laser acquisition strategy likely offers the fewest financial risks? A. Purchase of a new laser by the practice B. Purchase of a used laser by the practice C. Purchase of the laser by surgeons who practice in the same area D. Contracting with a mobile access company To claim credit, please fax the test and fully completed form by May 31, 2017 to 703-547-8842, email to GPearson@ascrs.org, or mail to: EyeWorld, 4000 Legato Road, Suite 700, Fairfax, VA 22033, Attn: December 2016 LACS Monograph ASCRS Member ID (optional): First/Last Name/Degree: Practice: Address: City, State, Zip, Country: Phone: Email: Please print email address legibly, as CME certificate will be emailed to the address provided.

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