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Video Program<br />

Video Program<br />

Video #37<br />

Combined Glaucoma, Vitreoretinal, and Keratoprosthesis<br />

Surgery: Pearls for a Successful Patient Outcome<br />

Sr. Producer: Ahmad A Aref MD<br />

Co-Producer(s): Maria S Cortina MD, Felix Y Chau MD, Thasarat S Vajaranant MD*,<br />

Jose J de la Cruz Napoli MD<br />

Glaucoma drainage implant surgery is often combined with vitreoretinal<br />

and keratoprosthesis surgeries for control of elevated IOP. This approach<br />

may be fraught with long-term complications, including tube/implant<br />

exposure, tube obstruction, and retinal tear / detachment. This video<br />

highlights surgical pearls for decreasing the risk of such complications.<br />

Surgical pearls include proper patient selection, posterior placement of<br />

the glaucoma implant, placement of a temporary keratoprosthesis, posterior<br />

tube entry site, needle entry parallel to the iris plane, utilization of<br />

a clear corneal patch graft, and placement of a postoperative bandage<br />

contact lens.<br />

Video #38<br />

Management of the Leaking Filtering Bleb<br />

This video illustrates cases of leaking filtering bleb, showing different<br />

surgical techniques for management, including autologous blood injection,<br />

cryo, and surgical excision and repair.<br />

Sr. Producer: Ibrahim A Aljadaan MD<br />

Video #39<br />

Neuroradiologic Aspects in Neuro-Ophthalmology<br />

Sr. Producer: Jose N Vargas Galveia MD<br />

Co-Producer(s): Ana Laura O Almeida MD, Tania Lampreia, Ana Luisa Mendonca<br />

Imaging of the central nervous system has undergone tremendous development<br />

in the last few decades, and today it is a fundamental tool in the<br />

evaluation of the optic pathways. With this video we try to illustrate the<br />

aspects of neuroradiology that are relevant for the ophthalmologist. We<br />

start by presenting the normal anatomy of the optic pathways via computed<br />

tomography and MRI. Following this brief review we will present<br />

some cases of lesions with functional repercussions on the optic pathway.<br />

These include thyroid ophthalmopathy, meningioma, pituitary adenoma,<br />

craniopharyngioma, and glioma.<br />

Video #40<br />

The Surgical Technique of Partial Lamellar<br />

Scleroiridocyclectomy<br />

Sr. Producer: Swathi Kaliki MD<br />

Co-Producer(s): Sandor Ferenczy Jr CRA, Sarah A Harmon CRA, Carol L Shields MD,<br />

Jerry A Shields MD<br />

Partial lamellar scleroiridocyclectomy is the removal of an intraocular<br />

tumor involving iris and/or ciliary body with an attempt to leave the outer<br />

sclera and retina/vitreous intact. Iridociliary tumors occupying 3 clock<br />

hours or less of pars plicata can be excised by partial lamellar scleroiridocyclectomy.<br />

This technique is useful for the management of iridociliary<br />

malignant melanoma, melanocytoma, leiomyoma, adenoma / adenocarcinoma<br />

of the ciliary epithelium, and ciliary body medulloepithelioma. In<br />

this video, we demonstrate the steps and the challenges of partial lamellar<br />

scleroiridocyclectomy.<br />

Video #41<br />

Ocular Surface Squamous Neoplasia: Cut ... Freeze ... and<br />

Paste!<br />

Sr. Producer: Samir Mohapatra MS<br />

Co-Producer(s): Suryasnata Rath MS FRCS, Sujata Das MBBS, Deepti Chauhan<br />

MBBS**<br />

Ocular surface squamous neoplasia (OSSN) is a slow-growing tumor<br />

with varied clinical spectrum. Complete surgical excision is the primary<br />

treatment of choice. Alcohol keratoepitheliectomy of corneal lesions and<br />

excision edge cryotherapy in addition are essential to prevent recurrences.<br />

This video is an overview of the clinical and treatment aspects of OSSN.<br />

Its goal is to familiarize the general ophthalmologist and the residentin-training<br />

about the importance of meticulous tissue dissection, with<br />

tumor-free margins, and proper orientation of tissues for histopathological<br />

evaluation, and the pearls of ocular surface reconstruction.<br />

h Video #42<br />

Surgical Correction of High Lid Crease After Asian<br />

Blepharoplasty<br />

Sr. Producer: Junghoon Kim MD<br />

Co-Producer(s): Kyung In Woo MD, Yoon-Duck Kim MD<br />

Asian blepharoplasty, the so-called double eyelid operation, has been the<br />

most popular cosmetic procedure performed in East Asia. Postoperative<br />

asymmetry and high lid crease are among the most frequent complications<br />

that require surgical correction after Asian blepharoplasty. Lowering<br />

the eyelid crease is challenging and sometimes unsuccessful because<br />

of the presence of extensive scarring, adhesions, and distortion of the<br />

anatomy from previous surgery. In this video, we introduce the simple<br />

surgical technique to lower the eyelid crease. The surgical procedure is<br />

composed of careful release of all scar adhesions and preaponeurotic fat<br />

advancement to prevent readhesion. In most cases, a successful outcome<br />

was achieved with this simple technique.<br />

Video #43<br />

Making the Transition From External to Endoscopic<br />

Dacryocystorhinostomy<br />

Sr. Producer: Katherine M Whipple MD<br />

Co-Producer(s): Bobby S Korn MD PhD FACS*, Don Kikkawa MD<br />

External dacryocystorhinostomy (DCR) has historically been the gold standard<br />

for treatment of nasolacrimal duct obstruction. However, endoscopic<br />

DCR is gaining popularity for many reasons, including rapid recovery,<br />

absence of a skin incision, and faster operative times. In this video, we<br />

describe a simplified approach to make the conversion from external to<br />

endonasal DCR.<br />

252<br />

* The presenter has a financial interest. ** The presenter has not submitted financial interest disclosure information as of press date.<br />

No asterisk indicates that the presenter has no financial interest.<br />

Up-to-date information is available in the Program Search on the Academy’s website: www.aao.org/2012.

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