phacotrabectome in NS+4, phacodonesis, flomax floppy iris #1 скачать в хорошем качестве

phacotrabectome in NS+4, phacodonesis, flomax floppy iris #1

Trabectome comment: single handed entry with side port blade attempted - there is a lot of downward pressure, wiggling side to side is good but twisting action is not, finally assisted with second hand for safer entry. There is quick,unsafe single handed entry with the keratome. Nice engagement of the TM. Out of focus due to accommodation by the surgeon. After the pass to the left, the surgeon should displace the bubble between the cornea and gonioprism by placing the heel or distal end of the prism first. Once the TM is engaged, the pass is made smoothly to the left. The pass to the right required some re-engagement and during the pass to the right, it is difficult to see the tip of the trabetome. This looks like a rather short pass with maybe only 120 degrees of the angle treated. Perhaps more could have been treated with better manipulation and rotation of the gonioprism.