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Video Series

Videos

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  The Choo-Choo Chop and Flip Phaco Technique I. Howard Fine MD

  I. Howard Fine, MD, demonstrates his Choo-Choo Chop and Flip technique. A video from the Fall 2007 edition of the Video Journal of Cataract & Refractive Surgery.

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  Morcher Capsular Tension Ring Insertion: Geuder Injector vs Forceps Insertion I. Howard Fine MD

  Dr. Fine presents several cases comparing the use of forceps and injectors in CTR implantation.

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  YAG Laser Posterior Capsulotomy I. Howard Fine MD

  A YAG laser is applied at higher energy levels construct a hexagonal capsulotomy. Dr. Fine discussed the advantages of this technique and presents several YAG laser posterior capsulotomies in real time.

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  Flip and Chip Phaco Technique I. Howard Fine MD

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  Infinity Stitch I. Howard Fine MD

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  Phacoemulsification in the Presence of Very Shallow Anterior Chambers I. Howard Fine MD

  In cases of shallow anterior chambers, Dr. Fine suggests performing a 25 G transcleral pars plana vitrectomy prior to cataract removal. The smaller biaxial phaco instruments are particularly beneficial in these circumstances.

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  High Myopia I. Howard Fine MD

  Dr. Fine explains how the irrigating handpiece can be used in highly myopic eyes to maintain a stable anterior chamber.

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  Bimanual posterior polar cataract I. Howard Fine MD

  Dr. Fine discusses the importance of maintaining adequate and controlled pressure in cases of posterior polar cataract due the to questionable stability of the posterior capsule. A bimanual technique is used to remove the nuc…

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  Switching phaco hands I. Howard Fine MD

  In this case of traumatic zonular dialysis, it was necessary for the surgeon to switch phaco hands in order to prevent further zonular damage.

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  Posterior subluxed cataract I. Howard Fine MD

  Dr. Fine manages a posterior subluxed cataract by elevating the nucleus into anterior chamber via a pars plana incision where a microincisional biaxial phaco technique is used to remove the cataract.

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  Mature cataract with zonular dialysis during phaco I. Howard Fine MD

  The patient in this case had a history of macular degeneration and was also discovered to be pseudoexfoliative. The biaxial approach made it possible to hold the lens in the anterior chamber while it was removed.

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  A punctured posterior capsule I. Howard Fine MD

  After an epinucleus fragment was seen floating behind the posterior capsule, it was evident that capsule was punctured. The use of microincisional biaxial phaco allowed the surgeon to keep the irrigator far away from the post…

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  Pseudoexfoliation post glaucoma in filtration surgery I. Howard Fine MD

  In cases of pseudoexfoliation, Dr. Fine suggests using a capsular tension ring and horizontal chopping. Biaxial phaco allows the surgeon to manipulate and chop the lens with minimal stress on the capsule and zonules.

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  Rock Hard Nuclei I. Howard Fine MD

  Dr. Fine briefly demonstrates his biaxial phaco technique in a dense cataract.

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  Rock Hard Nucleus (Case 2) I. Howard Fine MD

  Dr. Fine discusses why biaxial phaco is a useful strategy in the removal of a dense nucleus.

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  Micro cornea and iris coloboma I. Howard Fine MD

  The small instrumentation of biaxial phaco are particularly useful when Dr. Fine removes a large, dense cataract in a case of a micro cornea and coloboma of the iris and choroid.

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  Phaco post malignant melanoma excision I. Howard Fine MD

  The patient in this case had previously had 100 degrees of ciliary body and iris excised due to melanoma eight years prior to developing a cataract. Following biaxial phacoemulsification, an IOL is implanted.

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  Hydroexpression of the lens in IFIS I. Howard Fine MD

  Dr. Fine presents an IFIS case in which the soft lens is hydroexpressed into the plane of the capsulorhexis. The irrigating chopper and epinucleus tamponades the iris to prevent iris flopping.

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  The use of Healon 5 with bimanual microincision phaco I. Howard Fine MD

  In this small, floppy iris case, the pupil is dilated with Healon 5 (AMO, Santa Ana, CA) during nucleus and cortex removal. He offers a pearl on how to remove cortex without aspirating all the Healon 5.

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  Every small pupil must be viewed as a potential IFIS I. Howard Fine MD

  Extrusion of the iris following hydro steps is managed by removing the viscoelastic through a third paracentesis with an aspirating handpiece. Healon 5 (AMO, Santa Ana, CA) expand the pupil and tamponade the iris. Dr. Fine pr…

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  Iris Bombe I. Howard Fine MD

  Dr. Fine demonstrates stripping of the pupillary membrane in a cataract patient with a history of chronic uveitis.

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  Bimanual microincision RLE I. Howard Fine MD

  Dr. Fine presents a bimanual technique for refractive lens exchange without the use of ultrasound energy.

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  Intraocular cautery I. Howard Fine MD

  After stretching the pupil in this one-eyed glaucoma patient with pseudoexfoliation, bleeding from the margin of the iris is visible. Dr. Fine allows the bleeding points to leak in order to precisely pinpoint the tissue in ne…

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  Late recentering of IOL and insertion of CTR I. Howard Fine MD

  Dr. Fine presents a case of a decentered 3-piece silicone IOL. Viscodissection is performed under the capsulorhexis and over the IOL optic to facilitate separation of the capsule leaves. Six paracentesis are made to rotate th…

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  Late reopening of fibrosed capsule I. Howard Fine MD

  In this case of a late decentered IOL, the capsulorhexis is carefully extended to allow the lens to be rotated into position.

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  Hydrodissection and Hydrodelineation I. Howard Fine MD

  Dr. Fine discusses how to utilize hydrodissection to weaken the capsular-cortical connections. Following hydrodissection, he performs hydrodelineation to separate the endonucleus and epinucleus. According to Dr. Fine, both o…

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  Soft IOL I. Howard Fine MD

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  Sphincterotomies I. Howard Fine MD