Eyeworld

JUN 2012

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

Issue link: https://digital.eyeworld.org/i/78708

Contents of this Issue

Navigation

Page 38 of 79

June 2012 International techniques and technology February 2011 EW FEATURE 39 luxated nucleus, combining two ma- chines into one could more easily accommodate the situation and de- stress it, leading to fewer mistakes, he said. Dr. Oshima uses both machines himself. "Both machines have wonderful venturi pump phaco and vitrectomy systems for performing combined phaco/vitrectomy," Dr. Oshima said. "Currently, the Stellaris PC has only a single line for both anterior irriga- tion and posterior infusion. So when you are using the Stellaris PC, you first complete phaco surgery and then remove the irrigation line from the I/A handpiece to connect to an infusion tube for starting vitrectomy. If you want to go back to irrigate the anterior chamber, you have to take care to remove the posterior infu- sion line [and change to use it] for anterior segment irrigation." Optimal outcomes for select patients Certain patients can expect to bene- fit greatly from combined vitrec- tomy and cataract surgery. "For macula surgeries such as vitrectomies for macular holes and epiretinal membrane proliferation, combined phaco/vitrectomy consist- ing of a phaco surgery and IOL im- plantation through a 2.2 mm clear corneal incision and a 25-gauge transconjunctival sutureless vitrec- tomy is my preferred choice," Dr. Oshima said. This "advanced surgi- cal procedure will provide early and permanent visual recovery with less patient discomfort because the su- tureless procedures in both cataract and vitreous surgery minimize ocu- lar surface abnormalities after sur- gery, and small self-sealing wounds may induce very limited astigma- tism." Visual recovery after a com- bined procedure can be expected beginning at 1 month post-op for these pathologies, he said. "Especially for macular hole and epiretinal membrane proliferation, combined phaco/vitrectomy may not only facilitate early visual recov- ery in those complicated with pre- existing cataracts but also maintain longitudinal visual stability because of eliminating the concern about the vitrectomy-induced cataract pro- gression," Dr. Oshima said. An ASCRS Membership For every stage of your career Further, posterior capsular opacification poses no threat. "I usually perform posterior cap- sulotomy after IOL insertion into the capsular bag so I have no con- cerns about posterior capsular opaci- fication, which is sometimes seen in phaco-cataract surgery," Dr. Oshima said. "The combined procedure is also very beneficial for retinal de- tachment surgery because vitreous shaving can be performed reaching to the far periphery much more ex- tensively and thoroughly without the concern of bumping the lens. continued on page 40 Whether you're just beginning or experienced in cataract and refractive surgery, ASCRS is the professional society that's right for every stage of your career. Young Ophthalmologists & Residents When you're the newest member of the team, things can be a little overwhelming. ASCRS can help with the transition. Our monthly Journal of Cataract and Refractive Surgery, Annual Symposium, and online educational initiatives work to continuously augment your formal training. Through them you'll meet like-minded young ophthalmologists facing similar challenges and concerns, along with those who've successfully navigated the waters and can provide the guidance to answer your clinical, financial, and practice management questions. For young practitioners, ASCRS is where the anterior segment ophthalmology community comes together. ASCRS offers U.S. residents and fellows an unmatched opportunity to experience anterior segment ophthalmology beyond your training program—all at no cost! Resident and fellow membership, which includes the Annual Symposium, is free during your training. ASCRS makes it easy to gain real-world experience and education with no added cost. Join ASCRS today! The Society for Surgeons AMERICAN SOCIETY OF CATARACT AND REFRACTIVE SURGERY 4000 Legato Road, Suite 700, Fairfax, VA 22033 • 703-591-2220 • www.ASCRS.org

Articles in this issue

Links on this page

Archives of this issue

view archives of Eyeworld - JUN 2012