In this patient with severe claustrophobia and a moderately shallow AC, I discuss several maneuvers/techniques that can reduce patient anxiety and increase the safety of nucleus removal.
A patient with dysphotopsia requiring IOL exchange has had a prior Yag laser posterior capsulotomy. After performing a pars plana vitrectomy, a secondary capsulorhexis is demonstrated followed by IOL exchange with optic capture.
In this case, I demonstrate how varying the vacuum setting from 400 to 600 mmHg affects the rate of quadrant removal during phacoemulsification.
Phacoaspiration (no ultrasound) of a nuclear cataract with IOL insertion is performed in a 64 year old patient, followed by trabecular meshwork bypass stent injection. A second example of stent injection in another patient is also shown.
While performing phacoemulsification on a dense nuclear cataract in a 91 yo, one-eyed, Flomax patient, the nucleus is observed to shift somewhat posteriorly. During the remainder of this complex procedure I demonstrate techniques that can be used to increase safety as the remaining nuclear and cortical material are successfully removed prior to implantation of a capsular tension ring and toric IOL.
In this case I perform sutured iridoplasty to reduce the size of an enlarged pupil using the Siepser technique to alleviate debilitating glare in a pseudophakic eye with recurrent iritis.
This 38 year old patient has, for his age, an incredibly dense posterior subcapsular opacification. In this case I discuss several pearls for performing cataract surgery on a rather young, semi-conscious patient.
In one of our most requested videos, I use a modified Yamane technique for scleral fixation of a posterior chamber IOL.
This patient developed a dense posterior subcapsular cataract following retinal detachment surgery. Here I demonstrate how to remove a thick epithelial layer from the posterior capsule and discuss anterior chamber depth in post-vitrectomized eyes.
An 80 yo Flomax patient with severe zonular laxity can present a number of challenges during cataract surgery. Here I demonstrate how the proper use of capsule retractors makes the case safer for the patient and easier for the surgeon.