Amazing technique for soft posterior polar cataract surgery
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- Опубліковано 10 вер 2024
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We have featured many videos about posterior polar cataracts and the techniques that can be used to successfully operate on these patients. The primary issue is that the posterior capsule is weak, fragile, or even absent at the site of the posterior polar opacity.
The key message is to avoid hydro-dissection since this can rupture the posterior capsule! We must perform only hydro-delineation.
If you have been learning from CataractCoach.com then you have already learned from many posterior polar cases. The techniques that we have featured before include:
visco-dissection in a softer nucleus
visco-dissection in a dense nucleus with a smaller pupil
visco-dissection by a resident surgeon still in training
nucleus bowl-out technique by a guest surgeon
hydo-delineation technique by a resident surgeon
an open central capsule with partial anterior vitrectomy
a posterior polar that was not discovered until the day of surgery
Jaw-dropping... Neto Rosatelli has two right hands and balls of steel
yes, he is incredibly talented
Best description ever @Mattia I had the same words in mind!
Great surgeon with fantastic hands. But i wonder how the PC remained intact with so much of nucleus rotation
the best 3 cataract surgeons of the world: UDAY DEVGAN, PRADIP MOHANTA and NETO ROSATELLI!
where IKE Ahmed the best one
Yes 3surgeon and dr deepak megur
Dr deepak megur
Amazing skills. We always learn something new every day. Thank you for sharing this, Coach!
Wow that rotation was scary!
Amazing surgery Sir
😮
No words really
Thank you so much for this video
Awesome dexterity of a master eye surgeon!kudos dr rosatelli!
Dr Neto. Really the best cataract surgeon!!!!!
amazingly beautiful technique
i think it is posterior subcapsular not polar , it is very dangerous , as if the cataract was adherent to the capsule it may open it .
yes, there is no difference between doing that and doing hydrodissection... this might be even worse :D
Beautiful surgery 👌
Amazing techniques
amazing technique
thanks sir
Gifted surgeon
Brilliant 👌
Beautiful technique
Great surgeon, great technique!
Perfect, just great!
Well done 👏🏼👏🏼👏🏼
Worth trying
Nice surgery.psc catract and if it is postirier polar ,better to reduce parameters and bottle height..and there is a tendency to get higher minus emmetropia than we expect in postirier polar catracts according to my experience
With due respect it is taught not to rotate the epinuclear complex as there may be fibrotic adhesions which may result in opening of the posterior capsular defect
Kindly let us know your opinion regarding this
Great
Il a fait une vitrectomie antérieure pour éviter le glaucome malin par blocage ciliaire complication fréquente chez les yeux nanophtame .bon travail pour une cataracte difficile
Amazing
really nice!
May I ask what is the recommended water bottle height for such cases?
Boa noite! Sou estudande oftalmologista, a câmara posterior foi preservada com sucesso???
Perfect 👌👌👌
Amazing👏👏👏👏👏👏👏
Wow...
That'd be dangerous in my hands 😕
Nice
Thanks for sharing. But , do you recommend that rotation ?
I don’t recommend rotation in PPC ! What about you ?
agree -- it is not a preferred technique for me. On CataractCoach we present all the different techniques and let the surgeons decide which they prefer. See here:
cataractcoach.com/category/posterior-polar/
We do not have that exact lens in the U.S., but we have one that is similar - the Akreos from B&L.
Look at the pimple of IOL carefully, it's at the right-up side - that means IOL Is upside down
Hello coach, which is the lens that is used in the video ? Many Thanks
I'm not sure -- that IOL is not available in the USA. We should ask the surgeon, Dr. Rosateli from Brazil
@@UdayDevgan Brazilian IOL form Mediphacos!!
تحفة ماشاءالله 👍
Why not a ac maintaner?
How many cases do you need to do to become that professional:)
This surgeon told me onde he has surpassed the 120.000 cataract surgeries mark
Amazing technique but i was wondering why not inject viscoelastic before implanting iol
Just to show you that it is an alternative to implant the lens without visco.Let's suppose that it is your last surgery and you do not want to open one more visco just to do this end of procedure.
Hope the last answer is a joke, because this procedure is not for fun - if it really was PPC ?!
Hydroimplantation is fine for hydrophilic IOLs if you're experienced (or so I've heard)
W❤w
Amazing