Phaco vs SIMCE For The Developing World

Phaco vs SIMCE For The Developing World
In the developing world, depending on the location, most ophthalmic surgeons are still doing standard extracapsular lens extraction with sutures and pc IOL insertion. This is a fine operation that works well and many good surgeons are quite comfortable with this procedure with few complications. Read more:

30 Gauge Needle To The Rescue

30 Gauge Needle To The Rescue
If you are in the O.R. and having difficulty cutting a fibrotic, rubbery, tenacious anterior capsule, pupillary membrane, or cocoon [ capsule ] wrapped around an implant, then help may be closer than you think.

A straight 30 G 1/2 inch needle will often cut a fibrotic capsule / membrane when no Read more:

Absolute Alcohol Injection For The Blind Painful Eye

Absolute Alcohol Injection For The Blind Painful Eye
Use one needle and two syringes. I prefer a 27gauge 1 1/4 inch needle which is usually readily available and much cheaper than the retrobulbar needles.

The first syringe should contain 4 ml Xylocaine [ lidocaine ] 2% with or without epinephrine and 2 ml [ 8 mg ] of dexamethasone. Be sure this Read more:

Corneal Perforation Repair

Corneal Perforation Repair
Ophthalmic Pearls for on the field Corneal ulcers with a perforation and a positive Seidel test often represent an ocular emergency if the eye is to be saved. In developing countries, corneal tissue for a therapeutic keratoplasty is often not available. Cyanoacrylate (Krazy Glue, Gorila Super Read more:

Mitomycin Frozen

Mitomycin Frozen
In the developing world, mitomycin can be frozen and stored for up to one year. Mitomycin comes as a 5 mg powder. Add 20 ml sterile water and this will make a 0.25 mg/ ml concentration. You can then put 1 ml in each of 20 tuberculin syringes and freeze for later Read more:

Cautery tips

Cautery tips
If you are ever operating and find yourself without a working cautery, there are some options. You can simply use a muscle hook and heat it up with a candle. The candle gives off carbon which is a little messy on the muscle hook so you can purchase a heat [ flame ] canister which cooks use to Read more:

Tips for a safer manual sutureless surgery

Tips for a safer manual sutureless surgery
I was taught and have find that SIMCE is a viscoelastic operation. I use a lot of viscoelastic material to protect the endothelium. The incidence of Fuch's / guttata / bullous keratopathy is higher in Hispanics / Native Americans than black folks. Using the Kansas or Alfonso instruments [ Read more:

Clinical Pearls, Pre-Operative Evaluation of the Mature Cataract

Clinical Pearls, Pre-Operative Evaluation of the Mature Cataract
Although rare, patients will present with mature cataracts, white or brunescent, in the United States. Mature cataracts, where the ophthalmic surgeon can not visualize the posterior pole, is a common initial presentation in the developing world. The incidence of operative complications appears Read more:

Endophthalmitis Prevention Tips

Endophthalmitis Prevention Tips
Perhaps the most dreaded post op cataract complication is endophthalmitis, which fortunately is rare. Here are some tips for endophthalmitis avoidance in developing countriesIt's rarity [ approximately 1:1000 ] make it difficult to evaluate / research what might be of benefit to reduce the Read more:

Search by continent

GlobalSight Newsletters

Signup to receive our newsletters.
captcha