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*The videos in this channel are intended for eye surgeons only with the sole purpose of education. It is not for patients, nor is it for monetization. I am very grateful to youtube for unlimited uploads, ease of upload, and ease of global sharing/access. *I have no financial interest in any technologies or companies in ophthalmology. These videos are financially unbiased and depict the devices and technologies that I know benefit my patients the most. Thank you for viewing and please message me if you have any questions. Please visit these wonderful surgeon's channels: Dr. Devgan: / udaydevgan Dr. Rosatelli: / @netorosatelli Dr. Kim: / @docbriankimmd Dr. Mohanta: / @pradipmohanta9321 Dr. Mackool http://mackoolonlinecme.com/ http://mackoolonlinefundamentalscme.com/ Dr. Ahmed; / journey104 My style and philosophy: We do topical anesthesia only, unless pt insists on sedation in which case we give oral or IV anxiolytic. I verbally coach the patient through the surgery (Dr. Devgan and Dr. Mackool). My technique is dual incisions (Dr. Rosatelli), direct chop or tilt+chop (from Dr. Devgan). I rarely use trypan as the Alcon Luxor scope is phenomenal in its detail to visualize the capsularhexis edge. I do not use rings or hooks unless the iris is very small or very floppy. Tilt and chop is very efficient for small pupil cases (Dr. Devgan). My capsulorhexis is often times larger than 5.5mm purposefully as it facilitates nuclear disassembly, but I also do not believe that the rhexis size affects the effective lens position in a one piece lens as evident in my refractive outcomes (95+% within -0.5D, rarely hyperopic outcome). I believe a larger rhexis is less likely to develop anterior phimosis. The 5.5mm standard rhexis being superior to larger rhexes had been challenged in this JCRS article: https://pubmed-ncbi-nlm-nih-gov.offca.... Recent studies show that the devices that separate the anterior and posterior capsule (such as the Juvene Lens) results in less PCO; in a way, having less anterior capsule (larger rhexis) would therefore have similar results. I believe that efficient surgeries (less than 5 min) lead to clearer corneas POD1 and surgeries longer than 5 min run into more likelihood of discomfort for the patients intraop and less cooperation. Prolonged surgeries are also a risk factor in suprachoroidal hemorrhage. #CataractSurgery #Envista #IntraOcularLens #Cataract #Luxor #revalia #centurion