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Eyetube Picks | Jan/Feb '17

Surgical Memory Keeping

Most surgeons have in their possession a library of surgical memories. Complex cases, novel techniques, significant successes, and notable challenges alike are all captured on film for us to revisit, dissect, and share. For the 2016 ME Live meeting, attendees were asked to submit memorable surgical videos, the most distinguished of which would be presented and discussed in Miami. Below are three of those videos, paired with descriptions from the surgeons who captured them.

Cataract Surgery Through a Clouded View

This is a 60-year-old patient with a history of Stevens-Johnson syndrome and multiple medical comorbidities. He had significant corneal scarring, neovascularization, and limbal stem cell deficiency in both eyes and hand motion vision in the right eye. With the PROSE lens, he was 20/70 in the left eye and was very functional, until he developed a dense cataract resulting in light perception vision. Given the poor view through his cornea, I used a light pipe to aid in visualization during cataract surgery, as shown in this video. To remove the lens, I used a stop-and-chop technique and then inserted a three-piece IOL in the bag. The patient was very happy with the outcome and was 20/80 3 months postoperatively.

—Zaina Al-Mohtaseb, MD

Mastering the Glued IOL Technique

Here, Eric Donnenfeld, MD; Alanna Nattis, MD; and I demonstrate the essential steps needed to master the scleral-fixated glued IOL technique. Once learned, this procedure provides ophthalmic surgeons with a valuable alternative to those aphakic or complex patients requiring an IOL.

—Eric Rosenberg, MD

An Endoscopic View of Cataract Surgery

This endoscopic view of cataract surgery presents a unique perspective to understand the dynamics of phacoemulsification and anterior chamber stability during the entire process of lens removal. I thought it was interesting to visualize how phacoemulsification emulsifies the nucleus.

William F. Wiley, MD
William F. Wiley, MD | Section Editor