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In this live surgical demonstration, Dr. Hemlata Gupta performs a phacoemulsification cataract surgery with the implantation of a Z Trifocal Intraocular Lens (IOL) for a 65-year-old female patient. The session is conducted under the guidance of Padma Shri Prof. Dr. Mahipal S. Sachdev and includes an engaging discussion among expert ophthalmologists. Dr Profile: https://www.centreforsight.net/doctor... Dr Profile: https://www.centreforsight.net/doctor... Wikipedia Page: https://en.wikipedia.org/wiki/Mahipal... Patient Overview • Age & Gender: 65-year-old female • Occupation: Housewife • Lifestyle Needs: The patient requires clear vision at near, intermediate, and distance ranges for her daily activities. Surgical Highlights 1. Anesthesia: The procedure was performed under topical anesthesia. 2. Initial Steps: o A side-port incision was created. o A precise and well-centered capsulorhexis of 5–5.5 mm was performed, ideal for premium lenses. 3. Phacoemulsification Settings: o Vacuum: 450 mmHg o Aspiration Flow Rate: 40 cc/min o IOP: 60 mmHg (adjustable for patient comfort) 4. Lens Implantation: o The Z Trifocal Lens, a plate-haptic, preloaded IOL, was implanted seamlessly using the Bluemix Injector System. o The incision size was 2.8 mm, though the IOL is compatible with 1.8 mm incisions. Lens Features and Benefits 1. Visual Range: o Provides excellent near (40 cm), intermediate (1.66 D), and distance vision, ensuring spectacle independence. 2. Technology: o LIA (Light Intensity Adaptation) technology smooths out steps in the lens design, minimizing dysphotopsia (visual disturbances). 3. Material: o Composed of a hydrophilic-hydrophobic material for stability and reduced posterior capsular opacification (PCO). 4. Design: o Plate-haptic structure ensures rotational stability, especially in toric lenses, making it suitable for astigmatism correction. 5. Low-Light Performance: o Pupil-independent design enhances vision in dim lighting, offering consistent performance in scotopic conditions. Key Discussion Points 1. Lens Comparison: o The Z Trifocal IOL offers superior intermediate and near vision compared to bifocals. o Stability of the plate-haptic design was highlighted, especially for toric lenses. 2. Post-Operative Benefits: o Reduced PCO rates and minimal dysphotopsia ensure long-term patient satisfaction. o Multicentric studies, including results from 15 countries, have demonstrated excellent patient outcomes at one year. 3. Expert Comments: o Dr. Nam and Dr. Mahipal discussed the differences between trifocal lenses (like Z Trifocal) and other premium IOLs, emphasizing improved visual outcomes and patient satisfaction. o Plate-haptic lenses were praised for their rotational stability and ease of implantation. Conclusion Dr. Hemlata successfully performed the procedure, achieving a well-centered IOL placement with minimal surgical time and no complications. The surgery demonstrated the benefits of Z Trifocal lenses, particularly for patients requiring visual clarity at multiple distances. The session concluded with a transition to the next surgical demonstration (SMILE surgery), showcasing the diversity of advanced ophthalmic procedures being conducted. 0:00 - Introduction to Phacoemulsification with Aziz Trifocal Intraocular Lens 1:21 - Surgical Incision and Capsulorhexis 1:58 - Direct Chop Technique for Nucleus Removal 2:49 - Cortex Removal and Capsule Polishing 3:29 - Loading ZEISS Trifocal Lens with BlueMix Injector 4:06 - Implantation of the Trifocal Lens and Plate Haptic Foreign 4:46 - Discussion on Synergy and Light Adaptation Technology 6:00 - Q&A Session and Lens Stability 6:45 - Conclusion of the Surgery 🔗 Connect with Us: 🌐 Website: https://www.centreforsight.net/ Facebook: / centreforsight.net Instagram: / centreforsight1 💼 LinkedIn : https://www.linkedin.com/company/cent... Disclaimer: This content from Centre For Sight is for general information only and not medical advice. Always consult a licensed eye doctor for any eye health concerns after a proper check-up. While they strive to provide best possible information, it may not always be complete or timely and can be changed anytime without notice. Centre For Sight is not responsible for any harm caused by using the information. Links to other websites are provided for convenience and do not imply endorsement; always review the terms and privacy policies of external sites you visit. #microincisioncataractsurgery #mics #microincisioncataractsurgery #cataractremoval #micsprocedure #cataracttreatment #advancedeyesurgery #visionrestoration #cataractfree #ophthalmictechnology #micsexpertise #precisioneyesurgery #micsadvancements #microincisionvslaser #microincisioncataractsurgerycost #microincisioncataractsurgerywithmonofocallens #smallincisioncataractsurgery #cataractsurgeryincisionsize