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Welcome to OPHTHA GURUS —Where ophthalmic Surgical Mastery Begins! In this LIVE SURGICAL VIDEO , we’ll be demonstrating the implantation of a phakic intraocular lens — specifically, a customized IPCL — in a patient with keratoconus and 7 diopters of astigmatism who is post CXL surgery . This case highlights the finer nuances of IPCL surgery in keratoconus, including critical aspects of case selection, surgical planning, and patient evaluation. We'll also discuss the criteria for identifying suitable candidates for IPCL implantation, along with important contraindications that every surgeon should be aware of. The patient in this case had undergone corneal collagen cross-linking eight months prior and has since demonstrated stable refraction, making them an ideal candidate for this procedure. Watch the step-by-step surgical technique, and share practical insights that can help improve outcomes in similar cases. Are you ready to refine your skills, enhance your surgical precision, and stay ahead in ophthalmic innovation? You're in the right place. Don’t forget to like, share, and subscribe for more high-quality surgical training content music courtesy Bensound/