Conquering Intumescent White Cataract in a Young Patient with Advanced Monofocal IOL (Unedited HD) скачать в хорошем качестве

Conquering Intumescent White Cataract in a Young Patient with Advanced Monofocal IOL (Unedited HD)

#SudhirSingh #Phaco #cataract WARNING: The Teaching Surgical procedures video that some viewers may find disturbing and inappropriate. The content is intended for medical professionals, students, and ophthalmic surgeons, not the general audience. **Introduction: ** In this surgical demonstration, we tackle the challenge of an intumescent white cataract in a young patient, utilizing a meticulous approach to ensure optimal outcomes. This case exemplifies the complexities of handling a pressurized lens and highlights essential techniques to manage potential complications. **Side Ports Creation: ** The procedure begins with the creation of side ports, ensuring precise entry points for surgical instruments while maintaining chamber stability. **Capsulorhexis with 26G Needle Cystotome Under Sodium Hyaluronate: ** A 26G needle cystotome is used to initiate the capsulorhexis, aided by sodium hyaluronate for controlled maneuvering. A *mini rhexis* is first created, allowing gradual decompression of the lens. **Expansion and Management of Ran-Out Rhexis: ** The initial small rhexis is carefully enlarged in a **spiral fashion**, ensuring controlled extension. However, as we near completion, the rhexis unexpectedly runs out. In this segment, observe how strategic modifications allow seamless recovery and completion of the capsulorhexis. **Nucleus Emulsification Using Reverse Chop Technique: ** With the rhexis secured, attention shifts to nucleus management. The *reverse chop technique* is employed, ensuring effective nucleus fragmentation while minimizing stress on the zonules. Efficient phaco parameters facilitate smooth emulsification. **Bimanual IA and IOL Implantation: ** Following nucleus removal, *bimanual irrigation and aspiration* are performed, ensuring thorough cortical cleanup. A *hydrophobic advanced monofocal IOL* is then implanted, achieving precise positioning within the capsular bag. **Conclusion: ** This unedited HD surgical footage provides valuable insights into phacoemulsification of an intumescent white cataract, emphasizing critical steps to mitigate complications. By mastering these techniques, surgeons can navigate challenging cases with confidence and precision. Disclaimer "The author has no financial interest in any product mentioned in this video Dr Sudhir Singh M.S(Ophthalmology) Fellow American Academy of Ophthalmology Rotary Club Host Program International Ophthalmic Heroes of India 2020 Awardee Ambassador, Eye Foundation of America Formerly Editor Journal, Rajasthan Ophthalmological Society Sr Consultant & Head (Ophthalmology) Global Hospital & Research Centre Mount Abu ,India 307501 Websites Editor in Chief www.SquintMaster.Com YouTube Channels Jaipur2020 SquintMasterIndia Twitter   / resp2020   http://www.squintmaster.com/ http://sudhir.info/ Visit Us for more on strabismus software at www.SquintMaster.Com Books by Dr Sudhir Singh White Intumescent Cataract Management: My Approach ISBN: 9798201376215 https://books2read.com/u/md6yWy Posterior Polar Cataract Management: My Approach ISBN: 9798201084349 https://books2read.com/u/3n5rno Cataract And Small Pupil Management Manual Techniques ISBN: 9798201201784 https://books2read.com/u/m2ezxk