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Eyetube Picks | Nov/Dec '18

2018 Best of Eyetube

LORENZO J. CERVANTES, MD

Removing Viscoelastic From Behind an IOL

Dr. Cervantes demonstrates how to remove OVD from behind an IOL during cataract surgery. Using a cohesive OVD and maneuvering the I/A handpiece behind the IOL, one can achieve safe removal of all intracapsular OVD.


D. BRIAN KIM, MD

Managing Posterior Capsular Rupture

Dr. Kim presents a case of posterior capsular rupture, describing the steps to minimize complications and maximize safety.


IQBAL IKE K. AHMED, MD, FRCSC

Side View of the Zepto Capsulotomy Device

Dr. Ahmed provides a detailed overview and a side view of his use of the Zepto capsulotomy system (Mynosys) for cataract surgery.


JEFFREY BENNER, MD

Scleral Fixation of an IOL With a Suture Retriever

A patient presents for an IOL exchange due to uveitis and glaucoma caused by a mobile IOL that was implanted 30 years earlier. Dr. Benner demonstrates scleral fixation using a novel suture retriever to pass the 8-0 Gore-Tex sutures as an alternative to the handshake technique.


MICHAEL PATTERSON, DO

Traumatic Aphakia, Sutured IOL, Pupilloplasty

Dr. Patterson demonstrates vitreous cleanup, IOL fixation to the sclera with Gore-Tex sutures, and pupilloplasty to reconfigure the iris to the appropriate shape and size in an aphakic patient who had received previous treatment for a traumatic injury.


LISA BROTHERS ARBISSER, MD

Preventing Iris Prolapse From Positive Pressure

Dr. Arbisser offers precautions and techniques to achieve a good outcome in a hyperopic eye with a shallow anterior chamber and posterior pressure. She describes the use of an OVD, phaco tip insertion, and chopping techniques.


BLAKE K. WILLIAMSON, MD, MPH

iStent Inject With Laser Cataract Surgery and ORA-Guided Toric IOL Implantation

Dr. Williamson combines laser cataract surgery and intraoperative aberrometry-assisted (ORA System, Alcon) toric IOL implantation with implantation of the iStent inject (Glaukos). Microinvasive glaucoma surgery pairs well with advanced refractive cataract surgery, Dr. Williamson explains, because both procedures have a positive impact on patient lifestyle.


CATHLEEN M. MCCABE, MD

Dense Cataracts in a Patient With HIV, Progressive Outer Retinal Necrosis, and Silicone Oil

Dr. McCabe presents a case of a patient with HIV and progressive outer retinal necrosis who was post multiple gancyclovir intravitreal injections, retinal detachment repair with vitrectomy, endolaser treatment, retinectomy, and silicone oil in both eyes. Dr. McCabe describes her approach to cataract surgery on the patient’s left eye, which had a white intumescent lens, 360º of posterior synechiae, iris bombé, and a pupillary membrane.


MICHAEL A. KLUFAS, MD

Secondary IOL Implantation

Dr. Klufas demonstrates a case of MX60 IOL (Bausch + Lomb) fixation in a 60-year-old patient with a traumatic cataract and lens fragments. The IOL fixation procedure is similar to that for the Akreos AO60 (Bausch + Lomb) and still offers four-point fixation, Dr. Klufas explains. However, the MX60 has no risk for posterior capsular opacification with air or gas tamponade.


SHAKEEL SHAREEF, MD

Surgical Repair of Atonic Pupil With Iris Cerclage and Knot Internalization

Dr. Shareef outlines a methodical approach to atonic pupil repair. Essential steps include making equidistant corneal incisions to access the iris, pharmacologic and mechanical constriction of the pupil to recruit iris tissue, use of a 10-0 polypropylene double-armed suture on a curved needle, suturing the pupil in a baseball-seam fashion, knot internalization, and controlled constriction to a desired 3-mm pupil size.

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