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Cataract Surgery in Small Pupil No Rings No Hooks – HD Unedited: A Real-Time Surgical Precision скачать в хорошем качестве

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Cataract Surgery in Small Pupil No Rings No Hooks – HD Unedited: A Real-Time Surgical Precision

#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. ✨ Cataract Surgery in Small Pupil No Rings No Hooks – HD Unedited: A Real-Time Glimpse into Surgical Precision *Presented by Dr. Sudhir Singh* This high-definition, unedited footage offers an authentic look at **cataract surgery performed in a small pupil**, highlighting the meticulous technique required to navigate limited visibility and maneuverability—without relying on mechanical pupil expansion. 🌟 Introduction: Challenges of Phacoemulsification in Small Pupils Phacoemulsification in small pupils presents a unique surgical challenge—visibility is diminished, instrument access is compromised, and the risk of iris trauma increases significantly. While traditional approaches often incorporate iris hooks or expansion rings, **I personally do not prefer these tools**. In my experience, they add **extra steps, cost, and surgical time**, which can be avoided through refined technique and focused intraoperative control. This video demonstrates how careful planning and surgical precision can replace hardware with skill, offering valuable lessons to ophthalmologists at all levels. 🔍 Case Overview **Patient Condition**: Cortico-nuclear cataract with a poorly dilated pupil **Challenge**: Small pupillary size presenting restricted access and visualization 🛠 Surgical Strategy In this case, I adapted with ingenuity and restraint: **Pharmacologic Agents**: Intracameral mydriatics were attempted, but proved ineffective **Mechanical Expansion**: No use of iris hooks or pupil rings **Capsulorhexis Management**: Created precisely within the pupillary margin despite limited space **Hydrodissection & Nuclear Fragmentation**: Executed with gentle finesse to avoid iris trauma **Phacoemulsification Technique**: Fine-tuned settings ensured safety in tight quarters **Cortical Cleanup & IOL Implantation**: Completed with careful attention to tissue preservation 📽 What You'll Witness Responsive problem solving in a dynamic surgical field Mastery of technique in the absence of ideal conditions Harmonious interaction between surgeon, instruments, and ocular anatomy 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

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