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Innovations | May 2011

Knowledge Without Delay

This month's featured videos present advanced surgical techniques and ASCRS meeting highlights.

One of the major benefits of Eyetube.net is that doctors need not wait for meetings to review new videos on advanced surgical techniques or learn of developments in patient care. Additionally, Eyetube.net now has a channel that focuses on major meetings, such as the 2010 AAO meeting in Chicago and the 2011 ASCRS meeting in San Diego. This month’s column reviews new videos on advanced techniques for challenging cases and Eyetube TV’s daily ASCRS coverage.


The world’s hardest cataract. Barry Schechter, MD, presents the case of a 39-year-old man with a dense white cataract that developed after a bicycle accident more than 20 years prior to surgery. This challenging case required use of trypan blue dye and nuclear disassembly outside the bag. The rock-hard nuclear chips resisted phacoemulsification and required manual removal. This video is very instructive on the steps that can be taken for similarly difficult cases (http://eyetube.net/?v=mopon; Figure 1).

Total reconstruction of the anterior segment. Almost unbelievable is the case of a patient who developed a 6-mm corneal perforation, with iris and intumescent cataract plugging the wound. Allon Barsam, MD, and Eric Donnenfeld, MD, present this case, which required extensive reconstruction of the anterior chamber and a vitrectomy at the outset to prevent posterior pressure and lower the intraocular pressure. One needs to see this video to truly appreciate the steps that were required to achieve a successful postoperative result (http://eyetube.net/?v=gisun; Figure 2).

Surgical pearls for success with one-piece multifocal IOLs. In the world of refractive cataract surgery, D. Rex Hamilton, MD, shares his surgical pearls for success with one-piece multifocal IOLs. His technique ensures centration of the capsulorrhexis on the visual axis, and the video shows the steps he takes to reach his target of a 5.5-mm capsulorrhexis. In this case, Dr. Hamilton focuses on the Tecnis Multifocal IOL (Abbott Medical Optics Inc., Santa Ana, California), although his approach is applicable to all one-piece IOLs (http://eyetube.net/?v=dujef).


For those who attended, and especially those who did not, a new feature on Eyetube.net, called Eyetube TV Show Daily, provides a wonderful overview of some of the top educational activities and scientific papers that were available at the ASCRS annual meeting. Twenty-one 1- to 3- minute videos are a part of this series, and viewers can quickly get a sense of some of the hot topics that made the 2011 meeting extremely educational. A. John Kanellopoulos, MD, is the Director of the Laservision Eye Institute in Athens, Greece, and a Clinical Professor of Ophthalmology at New York University Medical School. He provided an excellent summary of the new findings with corneal collagen crosslinking (CXL) and shares his thoughts on the benefits of combining topography-guided PRK with CXL (http://eyetube.net/?v=tifen). Another noteworthy interview is with Steven Dell, MD, Medical Director at Dell Vision in Austin, Texas, and Chief Medical Editor of CRST Europe’s sister publication Advanced Ocular Care. Dr. Dell discussed the latest developments in laser cataract surgery and described how it will change the way ophthalmologists perform several crucial elements of the cataract procedure (http://eyetube.net/?v=mazer). Steven Vold, MD, discussed how the latest imaging technology and other innovations in the glaucoma arena will affect how physicians care for patients (http://eyetube.net/?v=kimoj). Dr. Vold is a cataract and glaucoma surgeon at Boozman-Hof Eye Clinic in Rogers, Arkansas, and Chief Medical Editor of CRST Europe’s sister publication Glaucoma Today


Although ASCRS 2011 is over, the opportunity remains to review surgical procedures and techniques to enhance one’s practice. Eyetube TV brings breaking news from major ophthalmic meetings directly to viewers courtesy of leading experts in the field. Eyetube TV appears to be an excellent resource for surgeons interested in expanding their repertoire of procedures.

Section Editor Elena Albé, MD, is a consultant in the Department of Ophthalmology, Cornea Service, Istituto Clinico Humanitas Ophthalmology Clinic, Milan, Italy. Dr. Albé states that she has no financial interest in the products or companies mentioned. She may be reached at tel: +39 0331 441721; e-mail: elena.albe@gmail.com.

Section Editor Richard M. Awdeh, MD, is the Director of Technology Transfer and Innovation and an Assistant Professor of Ophthalmology at the Bascom Palmer Eye Institute, Miami. Dr. Awdeh states that he has no financial interest in the products or companies mentioned. He may be reached at tel: +1 305 326 6000; e-mail: rawdeh@med.miami.edu.

Section Editor William B. Trattler, MD, is the Director of Cornea at the Center for Excellence in Eye Care, Miami, and the Chief Medical Editor of Eyetube.net. He states that he is a consultant to Abbott Medical Optics Inc. Dr. Trattler may be reached at tel: +1 305 598 2020; e-mail: wtrattler@earthlink.net.