The first-place winner of the 2020 ONE® Network YO Surgical Video Competition is “Joey” Yen C. Hsia, MD, for his video, “In-the-Bag UGH Syndrome.”
Dr. Hsia demonstrated a combined Ahmed valve implantation with vitreous tube, pars plana vitrectomy and intraocular lens (IOL) complex removal with intrascleral fixation of the IOL using a modified Yamane technique.
He wins an iPad and the opportunity to present his video at the virtual YO Program during AAO 2020 on Sunday, Nov. 15.
In second place with his surgical video, “Rotary Chop: A New Way to Learn Phaco Chop,” was Cristos Ifantides, MD, MBA. Dr. Infantides will receive a $500 Academy voucher.
He terms this new phaco chop method “rotary chop” because the partial-thickness pilot holes created by the phaco tip around the periphery of the nucleus produce a rotary phone dial appearance on the surface of the cataract. Using these pilot holes, the surgeon can easily place the chopper deep into the body of the nucleus, avoiding the need to apply vertical piercing force to the nucleus. This also avoids unnecessary zonular stress.
YOs can also use this technique during routine cataract surgery to quickly master the movements necessary for both vertical and horizontal chop in a safe environment.
The third-place surgical video award winner was Sana Idrees, MD, with “Chronic Macular Hole Repair with Human Amniotic Membrane Graft.” Dr. Idrees will receive a $250 voucher.
In this video, a 58-year-old man presents with a chronic macular hole of at least two years duration noted initially during prior repair of macula-involving retinal detachment. The macular hole did not close after vitrectomy and tamponade without inner limiting membrane (ILM) peeling. Surgical repair with vitrectomy, ILM peeling and pre-retinal placement of the human amniotic membrane over the macular hole was planned.
Best Resident Video
Finally, the resident surgical video award went to Emily M. Witsberger, MD, for “Crystal Clear by Chandelier: Overcoming Corneal Haze During Cataract Surgery.”
This video details the case of a 49-year-old man with bilateral dense cataracts and significant corneal haze in the setting of chronic keratouveitis related to an undefined inflammatory arthritis from childhood. His systemic disease was under control. Corneal haze precluded adequate view to the anterior segment and red reflex. Combining penetrating keratoplasty with cataract surgery was not a good option given the high-risk of melting and complications from uveitis, and also because of concerns with patient compliance and follow-up.
Because corneal haze contributes to increased glare more than decreased visual acuity, Dr. Witsberger elected to proceed with cataract surgery via chandelier endoillumination. Surgery proceeded without complication, facilitated by endoillumination. The patient’s vision improved from 20/100 to 20/40, where it remained at a two-year post-operative visit.
By the end of this presentation, viewers will hopefully recall that when faced with dense cataract and corneal haze, one can keep the view “crystal clear by chandelier” when a corneal transplant is not a good option.
For her award, Dr. Witsberger will receive an iPad.
The Academy’s YO Committee and ONE Network thank all YOs who submitted videos and congratulate the winners. Be sure to join us at the virtual YO Program at AAO 2020 to recognize them.