CataractCoach™ 2291: Quiz: Will there be lens milk? p2

Time for the second part of our CataractQuiz™: For today's video and for yesterday's, the question is, "Will there be lens milk?" -- meaning will there be egress of liquefied lens cortex from this white cataract? Is it intumescent (fluid-filled) or not? What is the risk of Argentinian flag sign? Can you determine this before surgery via a detailed slit-lamp microscope examination?

[@bernardoreichert]

Perfect and smooth way of talking about the drapes.

[@soccer24six]

enjoying these quizzes!

[@elliottkanner7214]

In addition to not draping (which we will overlook), the lids are not retracted far enough for the wounds, and the instruments keep touching the lids which stimulates the patient. Unless this is general anesthesia or a block, there is a guarantee that the patient will move. Part of topical is not touching the lids, and especially the lashes.

[@bblv2]

I prefer not to retract the lids too far with the speculum because it can cause posterior pressure, eyelid pain, and postop ptosis. The amount of exposure in this video seems perfect to me.

[@MrWatshisface]

Great restraint regarding the drapes Dr Devgan 😂👌🏾

[@Dr.AdnanAlHassani]

Presence of clefts indicate the risk.

[@mukulsharma7474]

Excellent Sir.

[@yitzchakmordechai]

I had a case today where it def did NOT look like a lens milk cataract and lo and behold nearly had an Agentinian flag sign.

[@UdayDevgan]

Send me a video so we can learn together

[@firstaid6140]

too much tear film debris, higher risk of endophthalmitis. Not good to forgo the drape.

[@ramanichandrasekharaiyer9914]

nice

[@iPulzzzzz]

We don't talk about drapes ~~

[@Alzaandres]