Eye surgeon walks through cataract surgery

Eye surgeon cataract

"So typically, when patients arrive in the preoperative area, we meet and make sure that the plan is correct. And then the nurses will put a small IV in your hand through which we can administer a very, very gentle sedative. We also give you many eye drops to prevent infection and to dilate the pupil as widely as possible before we take you to the operating room.

Once in the operating room, we make sure that you're positioned comfortably on the table. There is a large microscope that goes between your face and my eyes. It's quite large and it's in between us (I take it for granted now) and so my view of your eye is quite magnified. And with the foot pedals, I'm able to focus in and out and zoom the microscope- and that's the right foot. And with the left foot, I'm able to control the irrigation, the aspiration and the fluidics of that machine that breaks up the cataract. Both feet and both hands. And my hands are hovering right above the patient's face. And then your neck has to be extended enough that you're looking through the microscope and able to see everything. The surgeon is sitting at the patient's ear. So right eye? I'm sitting by your right ear. Left eye, we switch the room around, move the pedals and sit on the other side.

We cleanse the area around the eye with antiseptics again to prevent infection. And then we put a sterile sheet over your face and open just the area for the eye that we're going to work on. We put a metal speculum, a little holder, in between the eyelids so that if you would happen to fall asleep during your surgery I'll still be able to do the work and continue on. And then we make two very small incisions into the eye. We gently open the front of the capsule of the cataract in a perfectly round fashion. And then we use a phacoemulsification hand probe which pulverizes and aspirates the debris from breaking up the cataract. So we remove the hard, nut-like aspects of the cataract. Then we use a different hand-piece to tease out the sticky bits leaving the capsule of your own tissue open, clear and intact. Then we fold the lens implant and put it into the capsule and let it unfold in place. Then it's just a matter of removing some of the gel that we had used to smooth the entry and exit of instruments in and out of the eye.

We inject a little bit of antibiotic into the eye, make sure the wound is secure, and take away the drape. And then we put a few more drops in, put a protective shield on the surface of the eye and take you to the recovery room. And within about 20 minutes you're able to get up and go.

The eye is a moving target. there is nothing at all that paralyzes or stills the human eye. So we need to just talk you through it and make sure that you are kind of playing our game to hold still and to look straight up at the light. When you're looking through the microscope, the view is so magnified that the tiniest of movements looks large which is very helpful in what we need to be doing. But also it's a problem if the patient is moving because even one millimeter is too much. There's not a lot of wiggle room within the anterior chamber of the eye. There's between two and five millimeters of depth we have to work within.

Microsurgery!"

Walking through cataract surgery video interview with an ophthamologist

Amy E. Weber, MD


Waldorf students weave jump ropes to benefit UNICEF

Waldorf students weave

Using a handloom built by former school parent and woodworking teacher, John Fiorella, Philadelphia Waldorf middle-schoolers set up yarn on three spindles for people to crank out their own soft jump ropes. Admissions Coordinator Maggie Davis says the students decided to donate all monetary proceeds on Sunday April 7, 2019 at the Clover Market in Chestnut Hill, to UNICEF after reading Alan Gratz's book, "Refugee," about the plight of refugee families from three different countries in three different time periods. Watch video of Waldorf students using a hand loom to weave jump ropes to benefit UNICEF, the United Nations Children's Fund.


Horse riding falconer hunts ducks and rabbits

Falconer with horse birds wine assistants
Jonathan Shaw hunts with hawks and falcons from horseback at his 467 acre farm in Queenstown on the eastern shore of Maryland. At the World Horse Expo 2019 at the Farm Complex in Harrisburg, he had two prey birds, his horse and two assistants. His avian hunter is Geronimo, a gyrfalcon, which will hunt ducks and pigeons. His Harris Hawk goes for rabbits, squirrels and, he adds tongue in cheek, “small children.” Historically, Shaw says, falconers would ride horses because they could catch up with the falcon which otherwise would eat the falconer's dinner! The tradition didn't die out until the invention of the gun, the first of which was named after a sparrow hawk, a "musket." Shaw goes on to tell about all the now common expressions that come from falconry like "hoodwink", "under my thumb" and "wrapped around her little finger." Shaw's ideal horse is a pasofino because of its even gait. It won't jostle the falcon up and down when it's sitting on the falconer's glove before release. Prior, he had hunted with American Paint horses but when he was trotting around the farm his "hawk would think I was shaking a cocktail." Watch video interview of falconer describing how he hunts ducks and rabbits with his hawks and falcons while riding horseback."