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May 25, 2022

Category: 2020 Videos

Episode #60:Combined Cataract and Trabecular Microstent Implantation

Tuesday, 15 December 2020 by Captured Light Studio

A patient with glaucoma and previous LASIK undergoes implantation of recently modified trabecular microstents after cataract extraction with IOL implantation. Stent implantation technique, post-refractive surgery IOL calculation methods, and persistent leakage from the clear corneal incision caused by the “flipped lip syndrome” are demonstrated and discussed.

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  • Published in 2020 Videos
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Episode #59: Mature White Cataract: the importance of anterior capsule morphology

Sunday, 15 November 2020 by Captured Light Studio

Phacoemulsification of a mature, white cataract is performed.  The morphology of the anterior capsule (flat vs convex) and its impact on the capsulorhexis procedure are discussed.

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Episode #58: Keratoconus, Floppy Iris and Moderately Shallow Anterior Chamber

Thursday, 15 October 2020 by Captured Light Studio

Methods to reduce endothelial trauma, deal with a floppy iris, and determine IOL power in a keratoconic eye with a shallow chamber and floppy iris are presented.

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Episode #57: Subcapsular Fibrosis: Capsulorhexis Issues

Monday, 14 September 2020 by Captured Light Studio

Phacoaspiration is performed in a 40 year-old patient.  Obtaining an intact capsulorhexis was more difficult because of pre-existing subcapsular fibrosis.

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  • Published in 2020 Videos
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Episode #56: The Blind, Painful Eye: Retrobulbar Alcohol Injection

Friday, 14 August 2020 by Captured Light Studio

Here we depart from our usual presentation of intraocular microsurgical procedures and techniques . A very elderly patient with early phthisis bulbi, and a blind and extremely painful eye receives a retrobulbar alcohol injection to immediately relieve her intractable pain. The appropriate alcohol concentration and anticipated outcome is also discussed.

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Episode #55: IOL Exchange of a Toric IOL in an Eye with Keratoconus

Tuesday, 14 July 2020 by Captured Light Studio

Two weeks after uneventful cataract – implant surgery, an IOL exchange is performed in a keratoconic eye because of a refractive surprise.

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Episode #54: Avoiding Complications During Phacoemulsification

Sunday, 14 June 2020 by Captured Light Studio

In this case of phacoemulsification and IOL insertion performed on a highly myopic eye, several steps are taken to reduce the possibility of surgical complications in a hypersensitive patient.

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Episode #53: Dense and Unusual Cataract in an Extremely Anxious Young Patient

Thursday, 14 May 2020 by John Rice

Cataract-implant surgery was performed in a very highly myopic young woman with several disabilities, retinopathy of prematurity and an extremely dense cataract with an appearance that resembles spherophakia.  Phacoemulsification, insertion of capsule retractors, a capsular tension ring and a 40 diopter IOL were done in a necessarily deliberate manner.  General anesthesia was avoided by the reassuring support of the patient's mother who accompanied the patient into the operating room and maintained constant contact with her throughout the operation. Both the appearance of the cataract and logistics of the procedure are rare.

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Episode #52: Horizontal Phaco Chop Technique with “Penetrating” Limbal Relaxing Incisions

Tuesday, 14 April 2020 by Captured Light Studio

In this myopic patient with low ocular rigidity, I demonstrate both my phaco chop technique and simultaneous astigmatic correction using a pair of full thickness i.e. Penetrating, Limbal Relaxing Incisions.

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Episode #51: Advances in IOL Technology: Implantation of a Trifocal IOL with a Toric Component

Saturday, 14 March 2020 by Captured Light Studio

In this case I discuss implantation of a trifocal IOL with astigmatic correction.  Ascertainment of proper alignment of the toric IOL at the desired corneal meridian is also demonstrated.

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  • Published in 2020 Videos
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