EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/111385
February 2013 struck him hard that day. He made his grandfather a promise. ���I told him, ���I���ll be an eye surgeon,������ said Dr. Jain. That was 1956. In 1972, Dr. Jain became qualified as an ophthalmologist, and he went on to an illustrious career as a retina specialist and past president of the Delhi Ophthalmological Society and the All India Ophthalmological Society. Dr. Jain said he has never forgotten that day when he pledged his future career to his grandfather. ���I felt very sad,��� he said. ���I thought, why should he be blind? Why should anyone be blind? Why should an educated person be blind?��� He discussed his 40-year career, and the innovations and experiences that he has seen as an ophthalmologist in India in an award lecture at the Prevalence of Visual Impairment, Training and Education in the Asia-Pacific Area symposium. ���It is fascinating to look back at some of the radical changes during my career of 40 years,��� he said. nucleus, create the first chop, rotate and chop, rotate and chop, etc. Once the nucleus has been ���multichopped��� into manageably sized pieces, the pieces can be emulsified and removed one at a time. This decreases the phaco power significantly and reduces the risk of heat damage to the incision, as well as the potential for damage to the corneal endothelium. Dr. Tchah shared his pearl with attendees at a symposium titled ���My number one pearl in cataract surgery.��� Also on hand to share their pearls were session chairs Shamik Bafna, M.D., Cleveland, who described ways to improve refractive outcomes in cataract surgery, including using the ORA system (WaveTec Vision, Aliso Viejo, Calif.); Tetsuro Oshika, M.D., Tsukuba, Japan, who described his technique for transconjunctival single-plane sclerocorneal cataract surgery; and Boris Malyugin, M.D., Moscow, who de- EW MEETING REPORTER scribed his approach to small pupils, highlighting a stepwise approach including but not exclusive to the use of the Malyugin ring (MicroSurgical Technology, Redmond, Wash.). Dr. Malyugin also described his technique for performing 1.8-mm CMICS in a vitrectomized eye. Editors��� note: Dr. Malyugin is the co-inventor of the Malyugin ring, which he described in one of his pearls. Dr. Bafna and Oshika have no financial interests related to their pearls. EW FLOW ASSESSMENTS + ONSITE EFFICIENCY STUDIES SPACE ASSESSMENTS + IDENTIFY THE PROPER AMOUNT OF SPACE OFFICE DESIGN + MAXIMIZE YOUR WORKFLOW #1 pearls Cataract surgery, said Hungwon Tchah, M.D., Seoul, is essentially nucleus removal���the rate limiting step, the phase of the surgery that takes the most time and effort. The hardness of cataract is thus the main factor to determine the technique to be used during cataract surgery. Soft cataracts, said Dr. Tchah, can be managed by simple debulking and prechopping. For harder cataracts, there���s the divide and conquer technique, and the phaco chop. The hardest cataracts, grade 5+, pose a challenge for even experienced surgeons, but grooving and chopping work for these cataracts. However, for such hard cataracts, even using these techniques, the increased phaco energies necessary to emulsify the nucleus pose a risk to the endothelium. For these cases, Dr. Tchah prefers his own ���multichop��� technique. The principle, he said, is similar to eating a pizza���it���s difficult to eat a whole pizza until you cut it into radial slices. The steps are simple: engage the OFFICE SEEM CONGESTED? TIME WITHOUT A PATIENT TO SEE? PLANNING NEW PRACTICE SPACE? BOOTH 2726 ASCRS 2013 HAS THE SOLUTIONS TO YOUR PROBLEMS. ���Practice Flow Solutions was the best investment I made in building our new of���ce.��� Dr. Susan Everhart - Everhart Eye Associates Practice Flow Solutions is a niche design ���rm uniquely focusing on helping medical practice ef���ciencies by identifying and solving problems in patient, staff and doctor ���ow. Larry Brooks, AIA and Tim Grif���n, AIA, the founders of Practice Flow Solutions, have over 40+ years of experience designing and advising medical practices. www.PracticeFlowSolutions.com 93