Ophthalmology Quicksand Chronicles podcast recap

Ophthalmology Quicksand Chronicles,” an ASCRS podcast hosted by Nicole Fram, MD, and Elizabeth Yeu, MD, features an expert guest on each episode who shares their “quicksand moments” in the OR, lessons learned from those moments, and how these vulnerable situations ultimately helped them evolve as surgeons.

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Read more about the article A return to normal
Rosa Braga-Mele, MD Cataract Editor

A return to normal

Rosa Braga-Mele, MD, Cataract editor, introduces some of the articles in the issue and shares what she is most excited about at the upcoming ASCRS Annual Meeting.

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Handling a dropped nucleus

Dropped nuclei are one of the more unpleasant complications that can happen during cataract surgery. While uncommon, the consequences of a dropped nucleus are significant. Three experts shared their experiences and management strategy.

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Read more about the article Review of the pupil snap sign
Hydrorupture of posterior capsule; the nucleus does not usually drop immediately, only when the phaco tip is inserted, pressurizing the anterior chamber Source (all): Ronald Yeoh, MD

Review of the pupil snap sign

Ronald Yeoh, MD, first coined the term “pupil snap sign” in 1996. Since then, he has been calling attention to the somewhat subtle sign to help surgeons recognize when there has been a posterior capsule rupture that puts the nucleus at risk of dropping into the vitreous.

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Using presbyopia-correcting IOLs in imperfect eyes

When a patient comes in prior to cataract surgery, it’s important to do a careful evaluation to see what conditions they might have and how this could impact IOL selection. Two physicians discussed conditions to be aware of when considering presbyopia-correcting IOLs and how to talk to patients prior to surgery.

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Recognizing zonulopathy and what to do

There are many potential complications cataract surgeons need to prepare for in the OR. One of them is zonulopathy. “Recognizing zonulopathy and adopting strategies to mitigate zonular damage is critically important not only for short-term success but perhaps more importantly, long-term success to reduce the risk of late IOL dislocation,” said D. Brian Kim, MD.

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