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Matt Hirabayashi MD (@EyeFlyMD)
Добавлен 5 дек 2021
Current Refractive Surgery Fellow at Parkhurst NuVision sharing ophthalmology as I understand it. All videos are of my own surgeries posted with consent.
ICL Loading with Lioli (Tutorial + Tips and Tricks)
Lioli makes an alternative for loading ICLs. Here is the method we use to load them with this system. It's about $4.50 per unit and definitely is faster to load. The most important thing is it doesn't require additional instruments to load ICLs this way. I don't personally feel the actual ICL insertion is better.
Просмотров: 5
Видео
ICL Loading with MST (tutorial + tips and tricks)
Просмотров 587 часов назад
Here is how we load EVO ICLs using the MST system and re-usable STAAR injector. Loading ICLs properly is CRITICAL to clean, easy insertions so taking the time to load them straight and aligned is important.
IC-8 Yag (Don't Hit The Mask!)
Просмотров 349 часов назад
Not all YAGs are the same! For special lenses like the IC-8, a common cruciate pattern is not possible and instead the circular approach is often used. It's very important not to hit the mask on the IC-8, the reaction is dramatic...
Routine YAG Capsulotomy
Просмотров 5314 часов назад
Yttrium-Aluminum-Garnet is a synthetic gemstone common as a diamond substitute in rings during the WWII era (before cubic zirconium). When doped with Neodymium, this crystal serves as the laser medium for the YAG lasers used in clinic.
Full EVO ICL Case with Detailed Narration, Annotations, and Insights (Technique Overview)
Просмотров 299День назад
This is a full, unedited EVO ICL case with detailed narration and annotations based on what I’ve learned so far to serve as a possible tutorial or something I would have liked to see when first starting. ICLs are such remarkable and safe technology and every patient should have access to them.
Guess The IOL! (Recognize the modern IOLs)
Просмотров 70День назад
Can you guess the IOL before it ulfolds? Test yourself to find out! This is a silly game but also practical as it serves as a great final check that you're implanting the correct lens especially at places like Parkhurst NuVision where we use every modern IOL option!
Choosing EVO ICL Power
Просмотров 5014 дней назад
Here is a short review of the PNV method for selecting EVO ICL power. Delivering consistently excellent outcomes relies on analyzing a lot of data but the results are incredibly rewarding.
Perfect EVO ICL Insertions (Avoid Flipping the ICL!)
Просмотров 22514 дней назад
I don't think the EVO ICL needs to flip upside down when using the leading haptics as a predictor of final orientation. If the leading haptics don't look like right, I think it's faster to stop the insertion and reload rather than risk flipping it upside down and having to explant it.
EVO+ vs EVO ICL
Просмотров 6814 дней назад
Here is a quick comparison of EVO (larger optic) and EVO ICL (slightly smaller optic) which is available in lower powers. Both have excellent outcomes. What other technology can correct -16D in 5 minutes!
IOL Exchange with Mackool Scissors
Просмотров 8714 дней назад
Here is another example of IOL exchange using Mackool scissors. These scissors make the procedure extremely easy. Very rarely, modern IOL formulae and ORA intraoperative abberopmetry still lead to refractive misses due to difficulty accounting for healing human tissue.
Do You Need a Fellowship for Refractive Surgery? (My Experience So Far)
Просмотров 36621 день назад
Here, I reflect on my experience as the PNV fellow so far and my thoughts on if a fellowship is necessary to be a modern refractive surgeon.
iStent Infinite Demo
Просмотров 9228 дней назад
Short demonstration of the iStent Infinite after routine cataract surgery.
LPI (Laser Peripheral Iridotomy)
Просмотров 104Месяц назад
Short video demonstration of Laser Peripheral Iridotomy (LPI) for narrow angles. I typically start at power of 4 and no posterior offset.
LIDRS (lens-iris diaphragm retropulsion syndrome) Explanation and Demonstration
Просмотров 90Месяц назад
Here is a video demonstrating lens-iris diaphragm retropulsion syndrome (LIDRS) with some tips on how to avoid it and the patient discomfort that goes along with it.
LAL Insertion Technique (Both Haptics in One Motion)
Просмотров 57Месяц назад
Here is a short video of the technique I use with the older, re-usable injector to ensure both haptics make it in the bag on the first go in one motion using the bevel to direct the trailing haptic.
EVO ICL: Avoid IOP Problems and Evacuate the OVD!
Просмотров 71Месяц назад
EVO ICL: Avoid IOP Problems and Evacuate the OVD!
Rachel's EVO ICL Journey! (I was my wife's Surgeon!)
Просмотров 220Месяц назад
Rachel's EVO ICL Journey! (I was my wife's Surgeon!)
IOL Unfolding Comparison of Different Platforms
Просмотров 114Месяц назад
IOL Unfolding Comparison of Different Platforms
Full Unedited EVO ICL Case with Annotations
Просмотров 762Месяц назад
Full Unedited EVO ICL Case with Annotations
LIVE Unedited Cataract Surgery (Routine FLACS/Laser Case)
Просмотров 124Месяц назад
LIVE Unedited Cataract Surgery (Routine FLACS/Laser Case)
ICL Tips and Tricks (5 Tips in 60 Seconds)
Просмотров 2353 месяца назад
ICL Tips and Tricks (5 Tips in 60 Seconds)
Suction Loss During LASIK Flap Creation (VISUMAX)
Просмотров 1403 месяца назад
Suction Loss During LASIK Flap Creation (VISUMAX)
ICL Surgery in 3D (Stereoscopic 3D/Magic Eye)
Просмотров 1363 месяца назад
ICL Surgery in 3D (Stereoscopic 3D/Magic Eye)
Sub-Chop / Horizontal Chop / Stop and Chop Phaco Technique
Просмотров 1587 месяцев назад
Sub-Chop / Horizontal Chop / Stop and Chop Phaco Technique
Two-Hand Technique for Malyugin Ring Insertion
Просмотров 1577 месяцев назад
Two-Hand Technique for Malyugin Ring Insertion
Awesome video, well done Dr. Hirabayashi!
dude stop playing video games
Awesome video, must watch for EVO surgeons. Well done Dr. Hirabayashi!
Hi matt. Where are you located?
Hello! Parkhurst NuVision in San Antonio, TX!
I love Piper more than Cessna
Hi sir. Where are you located?
I'm super proud of the great job you're doing this year Matt!
which quadrant is that?
IT is the best Q
great pearls
Hi Dr Matt. Love your videos. Im sure your did you best work on your lovely wive. Please do some more videos showing the Operating Room and the different machines/"toys" used in ophthalmology. Thank you. Really love the techy stuff.
Thanks for the kind words! I cover some of this in the recent video on fellowships but this is a great standalone topic! Thanks for the idea!
How you calculate the Evo icl number? Any formula!!
I made a video about EVO ICL power selection this morning!
Which chopper are we using in this case
Great pearls!!!! Great video!!
Thank you Dr. Trattler!
Which microscope are you using doctor. Kindly guide
now I'm hungry
Why was this done? I'm supposed to have an IC_8 inserted in Sept to replace a cataract and want all the info I can get!
I say lights, camera, action as well.
This is one of THE best videos on this topic
Very interesting. Thank you for posting this video. Question, what is OVD?
Hi We should press the optic down when in the cartirage as plunger may pass below and becomes jammed, sometimes cartrage don’t have the posterior ridge to support the haptic so look carefully while pushing the plunger to confirm you are not kinking the haptic
you're a god among men
Did this today! Except I only inserted the manipulator after docking the first three scrolls. I then needed to go through the main wound with the manipulator anyway to adjust the ring and center it, since my left hand sucks..
Ha! I have time logged in that C172 before it was sold. N91PA. Used to be part of the rental fleet at KGNV. Had some fun flights in that airplane.
Yes, keep the nose wheel off as long as possible. This will allow for the cost of many many $100 Hamburgers instead of paying thousands for a nosewheel overhaul.
Sweet!! Hope I can land like that after my training!!
2 perfect landings wow !
wow very bumpy on take off, like my discovery flight ruclips.net/video/BBQUlnV97e0/видео.html
Very good video! :)
I understand spherical abberation and how it is one of the easier for people to accomodate to (if within certain limits), but can you elaborate on Focus? Where does this come from - and how can it be manipulated if at all in a surgery? Can people with higher amounts of the have an inability to focus on a certain plane or is there a shifting that is unstable? Thanks for any input on this.
the next cataract coach
Thanks for the video! Just curious; is this the Arrow that was purchased from Wings of Hope, by a flight club?
Hey Matt, do you fly enough to get your own plane or partner in one? Or just a hobby? Just curious
Those VASI lights indicate you did a good job on final. ~Phoenix, AZ
Having landed both I can tell you the Piper with it's wider mains is much easier to land. That said, if you can, learn how to land with the Cessna first. If you can land a Cessna, you can easily land a Piper - the other way around is certainly doable, just harder.
I found the Cessna to be much easier. It wants to stay in the air much longer than the Piper, which takes a lot more back pressure to land smoothly and properly flare in my opinion
I own a tapered wing Archer and you really need to hit the numbers if you don’t want the “ floating effect “
@@arthurbrumagem3844 True. I think that is the case with low wing a/c in general.
@@archerpiperii2690 the Hershey wing Piper will drop like a rock vs the taper wing
wider main?
Refractive surgery victim here. I really liked the trefoil demonstration because of how tilting the lens made one lobe converge and the others diverge is very similar to how it looks when trying to accommodate with trefoil on your own eye. I have a question: Why do we see discrete spokes of light and not a halo when looking at point lights having post CRS aberrations? Also, I wanna mention that the halo I see around things, with high contgrast things I can tell it's actually multiple images ghost images surrounding the main image. Also the ghosts distance from the main image is directly related to the aperture of the pupil, and there is an array of fainter ghost images up until the main ghost. Is it because the brain erases them, or is it like a function with maxima and minima where the maxima are what the brain picks up as images?
Sorry for question but why in right Seat?
I'm used to it from instructing!
I don't like the way I phrased "Piston." It's expressed in wavelengths of the wavelength of light and is essentially linear phaseshift, or where in the phase the wavelength encounters the retina essentially. It is analogous to moving the muscle light closer to and farther from the wall as above but I wanted to clarify further. As you can see, this is not clinically relevant though as point in phase doesn't affect the quality of the image.
I hate theory without demonstrations. Thank you very helpful
Nice! I’m in the bank of T-Hangars behind this one….
𝕡𝕣𝕠𝕞𝕠𝕤𝕞