This holiday season, reward yourself with the giftof Eyetube.net. Ophthalmic surgeons across theglobe have uploaded videos to present their surgicalpearls to you. Here are some great newadditions to this growing video resource.
LASER-ASSISTED DESCEMET’S STRIPPINGENDOTHELIAL KERATOPLASTY ANDGLUED IOLS
This month, Dr. Awdeh had the pleasure of spendingtime in the clinic with Adil Agarwal, FRCS; AshvinAgarwal, FRCS; and Anosh Agarwal, FRCS, fromDr. Agarwal’s Eye Hospital in India. These three brilliantbrothers embrace the future of our field. In their videooffering, they demonstrate the use of the IntraLase FSLaser (Abbott Medical Optics Inc., Santa Ana, CA) forthe preparation of a donor corneal graft for Descemet’sstripping endothelial keratoplasty. They also combinethe procedure with a vitrectomy, pupilloplasty, andglued IOLs, which are inserted through a scleral tunnel.A challenging case, made to look simple, and three giftsfor one are offered in this exciting video (Figure 1)(eyetube.net/?v=fafel).
A separate video by Amar Agarwal, FRCS, demonstratesthe fibrin glue technique for the insertion of amultifocal IOL. This video begins with a smart animationdemonstrating each stage of the procedure(eyetube.net/?v=hejem). Dr. Agarwal also presents acase of a lens coloboma in which he implants a gluedIOL and performs a closed-globe refixation of a dislocatedIOL with glue (eyetube.net/?v=sifos).
REPOSITIONING AN IOL’S HAPTIC1 YEAR AFTER SURGERY
Som Prasad, MS, FRCSEd, offers a nice case of apatient who had uneventful cataract surgery and wasfound to have recurrent uveitis with an area of inferotemporaliris thinning, suggestive of a haptic placed inthe sulcus rather than the capsular bag. He places a Malyugin Ring (MicroSurgical Technology, Redmond,WA) in order to get good exposure, uses a forceps toreopen the bag, and performs bimanual maneuvers toplace the haptic in the capsular bag (Figure 2)(eyetube.net/?v=gubuw).
NEW PHACO TECHNIQUES
Marcos Gomez, MD, demonstrates his phaco tunneltechnique for medium-to-hard cataracts(eyetube.net/?v=jojee). Eslam Ramadan, FRCS(Glasg),reviews his pearls for the surgical management of hardcataracts (eyetube.net/?v=pihoh). Jason Jones, MD, shareshis methods for polishing the posterior capsule and creatingthe primary posterior capsulorhexis, which hedemonstrates for the removal of a posterior capsularplaque from a posterior subcapsular cataract(Figure 3) (eyetube.net/?v=tehur).
PRESSURE MANAGEMENT
Steven Vold, MD, presents his technique for implantingthe P50 model of the Ex-Press mini glaucoma shunt(Alcon Laboratories, Inc., Fort Worth, TX) followed bythe insertion of the Ologen Collagen Matrix Implant(Optous, Roseville, CA), a biodegradable scaffoldingmatrix that induces a regenerative wound healingprocess without the need for antifibrotic agents.Dr. Vold uses the collagen matrix to help maintain thesubconjunctival space of the bleb and prevent postoperativefibrosis (Figure 4) (eyetube.net/?v=hocri).
CONCLUSION
We hope that you explore these and the other giftsthat are available to you on Eyetube.net! We look forwardto directing you to interesting videos in 2011. Wewould also like to introduce you to our European colleague,Elena Albé, MD, who will be joining us as a cosectioneditor of this column. She will no doubt helpus maintain a worldview. Please join us in welcomingDr. Albé!
Elena Albé, MD, is a consultant in theDepartment of Ophthalmology, Cornea Service,Istituto Clinico Humanitas OphthalmologyClinic, Milan, Italy. She acknowledged no financialinterest in the products or companies mentionedherein. Dr. Albé may be reached at +39 0331441721; elena.albe@gmail.com.
Section Editor Richard M. Awdeh, MD, is thedirector of technology transfer and innovationand an assistant professor of ophthalmology atthe Bascom Palmer Eye Institute in Miami. Heacknowledged no financial interest in the productsor companies mentioned herein. Dr. Awdeh may bereached at (305) 326-6000; rawdeh@med.miami.edu.
Section Editor William B. Trattler, MD, is thedirector of cornea at the Center for Excellence inEye Care in Miami and the chief medical editorof Eyetube.net. He is a consultant to AbbottMedical Optics Inc. Dr. Trattler may be reachedat (305) 598-2020; wtrattler@earthlink.net.
