Ophthalmology Web Editor Dr. Neil Friedman selects his favorite videos from the past year.
OphthalmologyWeb has built an extensive video collection. The collection is searchable and can be accessed according to subspecialty and lists content chronologically. Each year new videos are added to the site. Here is my top 10 list for the past year:
1. Selective Laser Trabeculoplasty: Current Role in Glaucoma Management
Dr. Andrew Iwach speaks about Selective Laser Trabeculoplasty and how he uses this procedure in his glaucoma patients. He explains the demographics of glaucoma and ocular hypertension, the treatment options—medications, surgery and laser procedures—and their potential side effects and complications. He then focuses on SLT, providing a detailed discussion of this technique and its results. SLT is an effective therapy that is easy to perform. It is an excellent option to consider for patients with ocular hypertension and glaucoma.
2. Corneal Power and IOL Power Calculations with OCT
Dr. David Huang discusses how OCT can be used to measure corneal power and improve IOL power calculations. He begins by presenting the problems with measuring corneal power after laser vision correction and then shows how OCT can obtain net corneal power by combining anterior and posterior curvature measurements from multiple meridional scans. He then discusses an OCT-based IOL power formula, how it performed in a group of post-refractive surgery eyes, and how it compares to the Haigis-L formula and other methods of calculating IOL power in post-refractive surgery eyes. OCT is the most reliable method for determining the true net corneal power and should become more widely utilized in the future.
3. Maximizing IOL Outcomes with UBM Technology
Dr. David Hardten talks about UBM technology to improve outcomes with phakic IOLs. He reviews anterior segment imaging modalities, the problems with traditional measurement methods, and the use of UBM for phakic IOL planning and other applications. UBM provides the most reliable sizing for phakic IOLs, specifically the Visian ICL, because it directly measures the diameter of the sulcus.
4.Ultrathin DSAEK with the Sharpoint EndoGlide(tm) Inserter
Dr. Michael Taravella presents his experience with the Sharpoint EndoGlide inserter for ultrathin tissue during closed chamber DSAEK surgery. The advantages of this device are that it is extremely easy to load, slides through a small incision, and tissue retrieval and deployment is simple. This device is a great addition to the instrumentation for DSAEK surgery.
5. Exploring the New RPE Elevation Maps
Dr. Philip Rosenfeld talks about the new RPE elevation maps with the Cirrus HD-OCT. He begins by reviewing dry and wet AMD, geographic atrophy, and imaging drusen in AMD. He then discusses how the OCT RPE elevation maps are generated, how to obtain volume and area measurements, and their applications for following patients with dry AMD. He also presents cases to illustrate his points. This is an exciting new application of OCT that may help us to better manage our dry AMD patients.
6. Successes with Dehydrated Amniotic Membrane for PEDs and Pterygium
Dr. C. Stephen Foster describes his technique and results with the use of AmbioDisk, a dehydrated amniotic membrane corneal overlay graft. He discusses the history of amniotic membrane in ophthalmology, its indications, and the healing and growth factors of the tissue. He then demonstrates his surgical technique in a patient with a neurotrophic corneal ulcer. Amniotic membrane has a long and successful history in the treatment of ocular disorders and AmbioDisk makes the process easier.
7. A Superior Way to Practice Cataract Surgery
This video describes the new Kitaro Wet and Dry Lab Kits, which offer the most realistic hands-on experience for practicing cataract surgical techniques. The contents of the kits are shown, and Dr. Junsuke Akura, the inventor of the Kitaro kits, beautifully demonstrates various surgical maneuvers. Finally, Dr. Akura answers questions about his kits in an interview with Dr. David Goldman. These innovative kits are excellent teaching devices because they accurately simulate human cataract surgery.
8. Glaucoma Tube Shunt Technology
Dr. Mark Latina reviews glaucoma implants, their indications, and the results of the TVT (tube vs. trab) study, which showed a higher failure rate for the trabeculectomy group vs. the tube shunt group. He then describes the new enhanced Molteno-3 implant, presents several patient cases, and demonstrates his surgical technique. Tube shunt surgery is becoming more popular and the Molteno-3 implant is an excellent choice for this type of glaucoma procedure.
9. Benefits of OPD-III Scan
Drs. Kerry Solomon, Mitchell Jackson, Cynthia Matossian, and Arun Gulani discuss why they purchased this device, how they use it, and how patients and staff have reacted. This wavefront aberrometer and corneal analyzer also measures pupil size and angle kappa. It has helped these doctors improve their efficient, patient care, and cataract surgery outcomes by enabling them to plan and customize the surgery for each patient. The OPD-III Scan is a valuable tool that is particularly helpful in patients who have had previous corneal refractive surgery.
10. tarSys to Treat Lid Retraction
Dr. Adam Cohen shares his experience with tarSys, a bioengineered lid spacer to reinforce and aid lid reconstruction. He reviews the use of autogenous material in lid surgery, the technology of tarSys, and its advantages. He then presents his strategy, technique, and outcomes with this material. tarSys is a welcome addition to the oculoplastic surgeon’s armamentarium.