Eyeworld

OCT 2019

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

Issue link: https://digital.eyeworld.org/i/1171786

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O NSITE Jennifer Li, MD, Sacramento, California, discussed DSAEK surgery and complications, noting that "hypotony is your worst enemy." To combat this, she stressed the importance of meticulous wound construction, suturing paracentesis sites and wounds, and watching for overfiltering blebs or tubes. Christopher Sales, MD, New York, present- ed on DMEK, noting that when first starting with the procedure, case selection is important. Choose a normal anatomy, and use donor tissue from a donor 60 years or older. Mike Straiko, MD, Portland, Oregon, spoke about safe vs. unsafe tissue injection in DMEK surgery. Safe injection aspects include water- tight occlusion of the main wound, short, stac- cato depressions on the plunger, intermittent decompression, and patience. Sonal Tuli, MD, Gainesville, Florida, during her presentation on corneal suturing, said, Highlights from the 2019 Cornea Fellows Educational Summit "Typically, when you're putting sutures in, you want to put them perpendicular to the wound." Gregory Ogawa, MD, Albuquerque, New Mexico, finds the two most common causes for total IOL/bag complex dislocation are pseudo- exfoliation and post-pars plana vitrectomy with gas. Anat Galor, MD, Miami, offered several take- home points on dry eye: (1) it's an umbrella term; (2) you need to find your own standard- ized approach; (3) subtype and individualize treatment based on what you find. W. Barry Lee, MD, Atlanta, highlighted advan- tages of laser-created flaps in LASIK: the ability to customize; tight control over flap thickness; and loss of suction is not catastrophic. Gregory Ogawa, MD Sonal Tuli, MD Mike Straiko, MD 32 | EYEWORLD | OCTOBER 2019

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