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Consultant –Advanced Medical Optics, Inc. –Advanced Vision Science, Inc. –Bausch & Lomb, Inc. Candeo Clinical/Science Communications, LLC Carl Zeiss Meditec, Inc. –Carl Zeiss Surgical GmbH –Celgene Corporation –General Electric Company –Gerson Lehman Group, Inc. - PowerPoint PPT Presentation
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Mark Packer, MD
Financial Disclosure
Consultant
– Advanced Medical Optics, Inc.
– Advanced Vision Science, Inc.
– Bausch & Lomb, Inc. – Candeo Clinical/Science Communications, LLC– Carl Zeiss Meditec, Inc.
– Carl Zeiss Surgical GmbH
– Celgene Corporation
– General Electric Company
– Gerson Lehman Group, Inc.– Ista Pharmaceuticals, Inc.
– i-Therapeutix, Inc.
– Johnson & Johnson Vision Care, Inc.
– Leerink Swann & Company– LifeGuard Health, LLC─ Sirion Therapeutics, Inc.
– Transcend Medical, Inc.
– TrueVision Systems, Inc.
– Visiogen, Inc.
– VisionCare, Inc.
– WaveTec Vision Systems
Travel & Honoraria– Endo Optiks, Inc.
September 1, 2008
Re-opening bag, Repositioning the IOL,
and IOL exchange
Mark Packer, MD, FACS
Clinical Associate Professor
Department of Ophthalmology
Oregon Health & Science University
Drs. Fine, Hoffman & Packer, LLC
Eugene, Oregon
Opening the Bag
• Viscodissection– Dispersive OVD– Small, blunt cannula– Don’t fill AC– Haptic/optic junction– Expand bag
Repositioning the IOL
• Rotation
• Strip fibrotic membranes
• I/A
IOL Exchange
• Dysphotopsia– To YAG or not to YAG
• Power– Piggyback, Cornea
• No support– Suture
Thank You