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To assess the use and impact of the social media platform Twitter during the 2020 American Society of Cataract and Refractive Surgery (ASCRS) Virtual Meeting.

Social media platform Twitter.com.

Retrospective review.

Retrospective analysis of Twitter use during the ASCRS Virtual Meeting in May 2020. All tweets and associated metadata pertaining to the conference were compiled starting from when the virtual meeting was announced (April 8, 2020) to 2 weeks post-conference (May 31, 2020). Two coders independently coded all tweets and excluded tweets if they were irrelevant or no longer available.

A total of 501 tweets were reviewed. 48.5% of tweets came from private accounts, 23.1% from academic institutions, 14.4% from ASCRS accounts, 12.4% from industry and 1.6% from professional organizations. 29.1% of the tweets were shared before the conference (n=146), 60.5% during (n=303), and 10.4% after the conference (n=52). 62.9% (n=315) of tweets promoted conference events, 27.3% (n=137) were about research ial media for both virtual and in-person conferences in the future.This case report describes a negative result for antigen testing for the SARS-CoV-2 virus in an aqueous sample taken during the management of suspected herpes simplex keratitis from a patient with confirmed SARS-CoV-2 based on antigen testing of high nasal swab. The implications of no viral load detectable in the aqueous sample are discussed in context of routine phacoemulsification surgery during the SARS-CoV-2 pandemic.

To present a series of cases in which the four-flanged technique was used in the management of in-the-bag intraocular lens (IOL) subluxation.

Shamir medical center, Israel.

Retrospective cohort analysis.

Included were consecutive cases with secondary IOL subluxation that underwent scleral fixation with the four-flanged technique using 6-0 polypropylene and low temperature cautery. Surgeries were performed during September 2019 to April 2020. E-64 Postoperative IOL angle tilt was evaluated using high-resolution ocular coherence tomography.

11 eyes of 11 patients were included. Mean age was 82.7±5.5 years and 60% were male. Pseudoexfoliation was noted in 82% of patients and only 1 case was related to trauma. Mean corrected distance visual acuity (CDVA) postoperatively was within 1 line of the original presubluxation CDVA (0.55±0.41 vs 0.54±0.6 LogMAR, p=0.965). Mean postoperative IOL tilt was 5.78±3.85 degrees. Surgery duration decreased from 70±14 minutes to 39±15 minutes (first to last operations). No intraoperative complications were reported. Postoperatively, transient intraocular pressure elevation, which resolved at 1 week, was recorded in 45% of cases. Cystoid macular edema, which resolved within a few months under topical treatment, was seen in 2 patients.

Among a cohort of patients with secondary in-the-bag IOL subluxation, the four-flanged technique was safe and resulted in satisfactory visual outcomes and a stable IOL position, with a short learning curve.

Among a cohort of patients with secondary in-the-bag IOL subluxation, the four-flanged technique was safe and resulted in satisfactory visual outcomes and a stable IOL position, with a short learning curve.Hypermature cataracts with liquified cortex pose a higher risk of capsular complications due to a distended capsular bag, floppy posterior capsule, and absence of any cushioning epinucleus. Disassembly of a brunescent nucleus is more difficult because of the thickened, leathery posterior plate. Relying on mechanical forces, miLOOP nucleotomy reduces ultrasound time and is assured of bisecting the posterior nuclear plate. However, using this instrument with brunescent nuclei may impart significant stress on the zonules and posterior capsule, particularly if there is no epinuclear shell. Evacuating the liquefied cortex and prolapsing one nuclear pole through the capsulorhexis with viscoelastics creates enough space to implant an intraocular lens (IOL) into the capsular bag beneath the undivided nucleus. This IOL scaffold shields the floppy posterior capsule and stabilizes the nucleus and zonules during miLOOP nucleotomy. Combining and piggybacking these 2 techniques successfully avoided capsular and corneal complications in a series of 32 cases.An application of the XpandNT iris speculum in eyes with small pupils during secondary intraocular lens (IOL) implantation in congenital cataract patients is described. The iris speculum was first positioned in the eye to expand the pupil. A 30-gauge needle was used to separate the adhesion of the iris tissue and the capsular rim. Vitrectomy was used to clean Soemmerring ring near the capsular rim. The iris expander was retracted with the Williamson XpanNT Manipulator. The IOL was then implanted. Fourteen aphakic eyes from 10 consecutive patients were studied retrospectively; pupil expansion was achieved in all 14 eyes intraoperatively without serious intraoperative or postoperative complications. The XpandNT iris speculum was a safe and excellent tool for removing Soemmerring ring and solving small pupil problems during secondary IOL implantation in pediatric cataract surgery patients.

Women often complain of symptoms of fatigue and generalized aches and pains around menopause. Even though fibromyalgia is more prevalent in midlife women, not all women presenting with aches and pain and disrupted sleep meet diagnostic criteria for fibromyalgia. This Practice Pearl addresses the distinction between chronic fatigue syndrome and fibromyalgia and the management of fibromyalgia in perimenopausal and postmenopausal women.

Women often complain of symptoms of fatigue and generalized aches and pains around menopause. Even though fibromyalgia is more prevalent in midlife women, not all women presenting with aches and pain and disrupted sleep meet diagnostic criteria for fibromyalgia. This Practice Pearl addresses the distinction between chronic fatigue syndrome and fibromyalgia and the management of fibromyalgia in perimenopausal and postmenopausal women.

In high sacrectomy, it is difficult to secure the lateral surgical margin and prevent severe postoperative complications. In this report, we present our unique surgical procedure using transanal total mesorectal excision for locally recurrent rectal cancer.

A 49-year-old woman was diagnosed with locally rerecurrent rectal cancer, which was located at the height of the S3 vertebra by preoperative imaging, and posterior pelvic exenteration concomitant with high sacrectomy below the S2 vertebra was planned. A multiaccess transperineal platform was placed to secure the lateral surgical margin using transperineal minimally invasive surgery during the perineal and sacral side procedure. Transperineal minimally invasive surgery has several clinical benefits over the conventional approach. For the perineal approach, a 2-team laparoscopic approach was performed. This surgical intervention with laparoscopic perineal assistance contributed to the completion of the dissection of the planned lateral surgical margin, such as the distal piriformis muscles and the sacrotuberous and sacrospinous ligaments, which are the most difficult areas to access in the lithotomy position.