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This week we have a Focus on Efficiency. Today, putting it all together - a complete case. Over the past week, we have had five consecutive days where we focused on efficiency in the operating room. We studied so many important lessons: first a breakdown of an experienced surgeon's case, then a video showing how I think for efficiency, the importance of your scrub tech, analyzing cycle times, achieving the state of flow, and now today, putting it all together. This is a routine case with good dilation and only moderate nuclear density. The patient is a +3 hyperope and the other eye is +6 with a significant degree of anisometropic amblyopia. We are implanting a monofocal IOL with a goal of plano in this eye. This case represents my goals for efficiency: no wasted movements, a pretty ballet dance of surgery, precision with every step, and a fantastic visual outcome for the patient. I have certainly done faster cases in my youth (see this embarrassing video https://cataractcoach.com/2020/08/12/..., but now my goal is not speed but rather making the surgery as beautiful, safe, precise, and predictable as possible. I truly give the same high level of care and surgery that I would want to receive. When I need a cataract surgery, I would be so grateful to have this exact surgery performed on my own eyes. If there is something I can improve in this video, please leave a comment below -- I am committed to lifelong learning.