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Eyetube Picks | Nov/Dec '14

Innovative Approaches: From Surgical Techniques to Video Capture

With regularly updated video contributions from thousands of surgeons worldwide, Eyetube serves as a visual hub for ophthalmic innovations. Here, ophthalmologists can view new surgical procedures, learn about the latest devices and their applications, and pick up creative tips for surgical video recording and editing. This edition of Eyetube Picks highlights a range of innovative approaches—from surgical techniques to video capture—that hopefully encourage us all to continue to push the envelope in our pursuit of superior outcomes.

Jones Tube for DMEK: GoPro Wide View of Injector Prep and Graft Loading

This is a great video showing the use of a GoPro wide-angle camera to demonstrate preparation and loading of a DMEK graft in a Jones tube. Not only is the technique efficient and effective, the GoPro camera successfully captures the whole surgical field to fully demonstrate how the technique is carried out. I hope this video capture inspires other surgeons to use the GoPro for their surgical videos.

New Technique for iStent Injection

I am a big fan of the iStent (Glaukos), but I have noticed that there are occasions when the stent seems to be positioned either too deep or too shallow. As demonstrated in this video, it appears that through the use of a small goniotomy that is then expanded with viscoelastic, one can achieve more stable and consistent iStent placement. I look forward to trying this technique.

Surface Ablation With Mitomycin C and Placement of the Nexis Ocular Shield

I recently saw a presentation on the Nexis Ocular Shield (Nexis Vision) that got me thinking: Would a patient pay more to have faster visual recovery? When placed after LASIK, this ocular shield could give nearly immediate 20/20 range vision, allowing patients to drive themselves home from their procedure. When placed after PRK, patients may be able to work within days rather than weeks. I look forward to using this ocular shield and to seeing whether, if given the option, patients will choose to pay more for faster visual recovery.

William F. Wiley, MD

William F. Wiley, MD, is the Medical Director of the Cleveland Eye Clinic/Clear Choice LASIK Center in Cleveland. Dr.Wiley may be reached at drwiley@clevelandeyeclinic.com.