Deep sculpting key to dividing rock-hard nucleus

KIAWAH ISLAND, S.C. — Deep sculpting is key to weaken a mature, rock-hard nucleus before using a division technique, according to a physician here. “Weaken that central nucleus such that the very first division plan that we’re going to create, divide, conquer or chop is done on a very weakened core nucleus, and I mean go deep,” Louis D. “Skip” Nichamin, MD, OSN Cataract Surgery Board Member, said at Kiawah Eye 2013.

Smaller cataract incisions offer several advantages

KIAWAH ISLAND, S.C. — Modern equipment allows for smaller incisions that can offer numerous benefits during cataract surgery, according to a presenter here.“I am surprised at the number of surgeons that are still using what I would call larger incisions,” Bradley C. Black, MD, said at Kiawah Eye 2013. “A lot of people have just avoided [reducing incision size] when really it is the simplest transaction you can ever make just to go to a little 2.2-mm incision.”

BLOG: Are you spending too much or too little on marketing? Part 3

The surgical density of healthy practices varies widely. This is a dimension of efficiency where ratio analysis is often best applied as an internal standard, rather than trying to match external benchmarks.However, in a typical general ophthalmology practice, it’s normal to transit 15 to 30 total patient visits for every cataract surgery case performed.