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From the ASOA General Sessions
"When we focus on that basic truth that we are people serving
people, it will make you happier," said Brad Montgomery, CSP,
during the ASOA Opening General Session.
"Everyone is hiring these days. Today, people are not
just job hopping, they are career hopping and industry hop-
ping," said Cara Silletto, MBA, during the ASOA Sunday
General Session.
Phaco pearls: Arnaldo Espaillat, MD, Santo Domingo, Dominican Republic, showed a
video of intumescent white cataract management. Stain the capsule with trypan blue, insert
cohesive OVD, and aspirate the milky fluid while you penetrate the capsule. Chop the nucleus
with torsional ultrasound in pulse mode.
IOL pearls: Ronald Yeoh, MD, Singapore, offered four tips for IOL injection:
1) Follow the picture of the IOL on the cartridge for proper loading with an adequate
amount of OVD.
2) Depress the optic to create a concavity for the haptics.
3) Watch the IOL as it travels down the injector.
4) Maintain adequate forward pressure for wound-assisted implantation.
Complex case pearls: Kendall Donaldson, MD, Plantation, Florida, shared several tips for
pars plana vitrectomy. These included viscoelastic used to maintain the chamber and prevent
further vitreous prolapse; stain with triamcinolone for visualization; insert the vitrector 3.5
mm posterior to the limbus; use a three-piece IOL in the sulcus or with optic capture; and
suture the wound closed and use acetylcholine chloride.
Miscellaneous pearls: Sri Ganesh, MD, Bangalore, India, described a technique for
posterior capsule rescue, which entailed creating a "vacuum rhexis." He used coaxial I/A to
create the rhexis in the posterior capsule when the PCR was less than 3 mm and did not have
vitreous loss.
TOPGUN symposia cataract pearls category winners
JUNE 2019 | EYEWORLD | 33
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ASCRS ASOA
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