Resident's 50th phaco case скачать в хорошем качестве

Resident's 50th phaco case

This unedited cataract surgery was performed under topical anesthesia and the patient couldn't fixate on the light well. So, I stabilized the eye with Kelman forceps and had to perform the rhexis with one hand, which took me longer. Second, paracentesis for a phaco-tilt technique should be 3 clock hours away from main incision, and I erroneously made it only 2 hours away. This prevented me from properly orienting Grayson nucleus manipulator. The manipulator's elbow and the tip of the "hockey blade" should both be pointing nasally and not into the eye as is the case here. Third, by phacoing the deeper substance of endonucleus at the onset in my attempt to limit the energy exposure to the cornea, rather than starting at the equatorial surface, I created multiple nucleus shards. These should have been removed with a phaco tip in a sweeping motion prior to cortex removal with an I-A tip.