Cataract surgery in panuveitis, mechanical fracturing/chopping, dexamethasone implant (#3) скачать в хорошем качестве

Cataract surgery in panuveitis, mechanical fracturing/chopping, dexamethasone implant (#3)

This case involves a 71-year-old man with a history of suspected sarcoidosis-related panuveitis. He presented with a dense cataract, visual acuity of finger counting and a previous history of recurrent macular edema. To minimize the risk of post-operative inflammation and macular edema, we worked closely with our Uveitis department and implemented an intensive peri-operative regimen of oral steroids and topical steroids/NSAIDs. Additionally, we decided to administer a dexamethasone intravitreal implant (Ozurdex) concurrently with the cataract surgery. The surgery was done under topic anesthesia with intracameral lidocaine. The cataract was approached using mechanical chopping/fracturing, a very efficient method for nucleus disassembly. This technique, popularized by Dr. Brian Kim (you can find his YouTube channel at    / docbriankimmd  , involves minimal phacoemulsification before quadrant emulsification. Before injecting the intravitreal dexamethasone implant, we administered subconjunctival lidocaine. The implant was injected just before aspirating the viscoelastic substance to prevent the anterior chamber from collapsing. Bookmarks: 00:00 Start 00:12 Capsulorhexis, hydrodissection 01:01 Phacoemulsification (mechanical fracturing/chopping), cortex removal 02:03 Cortex removal with coaxial I/A 02:33 IOL insertion, first round of wound hydration 03:08 Subconjunctival lidocaine, intravitreal dexamethasone implant 03:26 Viscoelastic removal, final wound hydration Surgeon: Miguel Raimundo (Centro Hospitalar e Universitário de Coimbra) Background Music: Final Fantasy X ~ lofi hip hop mix by Rifti Beats    • Final Fantasy X ~ lofi hip hop mix