Do you know what brand/size lid speculum that is? You always have really good exposure/lid retraction on your videos. Thanks in advance
@JJChopsticks26 күн бұрын
You bet, it is epsilon special order E1-206, or when backordered Ambler: amblersurgical.com/7976e-kershner-reversible-lid-speculum-2-7-8-adult-size-thin-14-0mm-solid-blades-nasal-or-temporal-approach-adjustable-thumb-screw-tension
@barrettpaulk505326 күн бұрын
@@JJChopsticks thanks!
@ahmedkamel3574Ай бұрын
Did this patient underwent radial keratotomy before
@JJChopsticksАй бұрын
Yes, you can see the radial scars on the cornea. The refractive targeting suggested by biometry is hard to rely on, so I personally would only suggest LAL for these patients.
@ahmedkamel3574Ай бұрын
@@JJChopsticks thank you also for the perfect site of corneal incisions I.e. between radial scars
@sontrinhthe84472 ай бұрын
Hello doctor. Why do you always have soft cataract patients? Can you show me a hard black cataract? Thank you
@JJChopsticksАй бұрын
Great question :) I mostly do RLE on the West Coast of USA which means my patients are predominantly 50-65 years old and have "soft cataract" or as we call it, "clear lens". I have never seen a black cataract, unfortunately, I don't believe there are many currently in the USA.
@GuadalupeVillarrealJr2 ай бұрын
Thank you for sharing your videos. I was wondering if you were using the MicroRec system to record your videos, or what system you were using? Thank you!
@JJChopsticks2 ай бұрын
Hi, I use the Alcon Luxor Revalia microscope which has a built in panasonic video camera. I bring a USB drive which connects to the microscope and I record the videos with the microscope foot pedal controls.
@audreyjordan60742 ай бұрын
😮
@audreyjordan60742 ай бұрын
Where did his pupil go did his eye dilated in middle of surgery??
@JJChopsticks2 ай бұрын
The pupil is darker in this patient, during nucleus disassembly, the cataract becomes opaque and the red reflex is dulled. The video camera then adjusts the white balance and further makes it harder to distinguish the pupil/iris from the cataract.
@CC-uh8gl2 ай бұрын
Hi Dr Tian, both my eyes are high myopic and both with moderate astigmatism however only the right eye has cataract. I plan to have the right eye done with monofocal toric. My ophthalmologist recommended me to do iol on the left good eye as well. He said I won’t be able to adjust if I have only one iol lens. What are your thoughts? Thank you
@JJChopsticks2 ай бұрын
I completely agree with your ophthalmologist. When you have two highly myopic eyes and you only correct one with surgery, then you will end up with anisometropia (difference in prescription between the eyes) and aniseikonia (difference in size of images between the eyes). This is hard to adjust to beyond 2 diopters of difference. I would trust your ophthalmologist's recommendations.
@CC-uh8gl2 ай бұрын
@@JJChopsticks Thank you so much Dr Tian
@CC-uh8glАй бұрын
Hi Dr Tian, after cataract surgery on one eye would I be able to return to work while I wait for surgery on the other eye? Or should I wait until both eyes are done before going back to work?
@yehmingyen75492 ай бұрын
Hi, its fantastic technique I' m ophthalmology either from Taiwan, below was my video.
@JJChopsticksАй бұрын
Welcome to my KZbin channel :)
@anamariabatistapinheiro1373 ай бұрын
O que é isso no olho?
@sontrinhthe84475 ай бұрын
Hello sir. why did you do iol exchange? Does the patient have issues with panoptix iol such as disphotopsia?
@JJChopsticksАй бұрын
Great question, yes, it is usually due to maladaptation with the technology (particularly Ringed lenses). Such patients may complain of rings around headlights while driving, which may cause anxiety and difficulty judging distance of nearby cars with nighttime driving. It is still a small percentage of patients who have this issue, most patients absolutely love this technology. You will see more IOL exchanges on my channel because I do them for other surgeons.
@alsaghirabdallahmansour45787 ай бұрын
Nice Demo, l guess 25% of cases of perimum IOLs ended for lOL exchange ?!
@JJChopsticksАй бұрын
I would say less than that, I do IOL exchanges for other surgeons so you see them more on this channel. If the reason for lens exchange is due to dysphotopsias/maladaptations due to multifocal lenses, then I would say 2-5% (estimation) result in an IOL exchange to a non-ringed lens and improves patient satisfaction.
@jn3750 Жыл бұрын
Is the optiblue fda approved yet?
@JJChopsticksАй бұрын
Yes, the J&J Symfony Optiblue has been out for 2 years now. Good lens!
@andrewkopstein2061 Жыл бұрын
I am rarely impressed watching other cataract surgeons. This is ridiculously impressive, Jack. Nice job, and thank you on behalf of all of us cataract surgeons struggling with back issues after years of surgery!
@hatmatrix4376 Жыл бұрын
sir, is it better than Vivity or PanOptix?
@JJChopsticksАй бұрын
They are used differently. One has rings and the other doesn't. The rings boost range but can be associated with negative side effects; the rings also limit the patient selection to very healthy eyes. The Vivity is shorter on range so a small offset can be introduced to boost the near potential. I would say patients favor and request the panoptix more often than the Vivity from my own experience, perhaps due to it being widely used in the USA. Both great lenses!
@JJChopsticks Жыл бұрын
test
@georgestevens30002 жыл бұрын
Heh just wondering what route number is this road?
@kathleenmcnally95832 жыл бұрын
Being we are going to be taking this road mid September it would be nice to see it normal speed!