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Is the premium surgeon still the captain of the ship?
With the mounting pressures of state and federal guidelines and the added burdens of local hospital and ambulatory surgery center bureaucracy, the question remains: Are premium surgeons still in charge in the OR setting?The decisions on whether to use trypan blue to stain the anterior capsule, to use capsular tension rings/hooks in pseudoexfoliation cases or to open the extra viscoelastic tube to avoid endothelial trauma are all examples in play when trying to achieve the best outcome for our patients, but administrative pressures to keep costs down and be compliant (Read more...)