On October 5, 2021, Retina Consultants of Texas presented a virtual CE webinar that featured several videos of various retinal surgeries. Hosted by Dr. James Major, the webinar was split into three sections presented by Dr. Tien Wong, Dr. Gary Lane, and Dr. David Brown.
Presentation #1 – Dr. Tien Wong
Dr. Wong’s presentation consisted of two cases which were accompanied by videos of the actual surgeries that were performed. The first case was of a 31-year-old myopic female with a subretinal legion. Dr. Wong gave a detailed overview of the treatment process that was done using anti-VEGF injections. Eventually, Dr. Wong recommended surgery. He discussed the various challenges he faced while performing the procedure and also a little bit about how nerves can come into play for surgeons.
His second case was a 59-year-old man with high myopia whose main complaint was that he was seeing floaters in his field of vision. Other than the floaters, his visual acuity was good, but his retinal layers were starting to split. Over the next year, the patient’s vision began to steadily get worse. Dr. Wong performed surgery to correct the issues but felt that the patient would still need injections after. After undergoing surgery and several rounds of injections, the patient’s vision improved.
Presentation #2: Dr. Gary Lane
Dr. Lane’s presentation entitled “A Different Point of View” focused on common retinal surgeries presented in an uncommon way. The first was a case of an endoscopic vitrectomy, in which a small camera was inserted into the eye to get a birds-eye view of visual function from the inside. Dr. Lane showed the surgery video and narrated each step of the process.
The second case was a video of a scleral buckle surgery. Normally there aren’t videos of scleral buckles being performed, but Dr. Lane used a microscope to record it. In this case, the patient had a retinal detachment but was asymptomatic. The retinal detachment had been found incidentally during a routine eye exam. Dr. Lane explained every aspect of the procedure, including how cryotherapy was used to form an adhesive seal to close the break, as well as how scleral belt loops were used to secure the scleral buckle to the eyewall smoothly.
Presentation #3: Dr. David Brown
Dr. Brown presented on epiretinal membranes (ERM) and lamellar hole-associated epiretinal proliferation (LHEP). He first walked through an overview of ERMs and showed a video of a standard surgery performed to correct it. He moved on to discuss a case of LHEP and how they consist of Müller cells. He then narrated a video of a vitrectomy he had performed for LHEP, describing every step of the procedure in great detail. To make things a little more fun, he added some up-beat country music to the background. Dr. Brown ended his presentation by talking about how retinal surgery cases are often the most rewarding and interesting activities for retinal specialists.
We invite you to watch the full video of our “Surgery CE” presentation on our YouTube channel.
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