CataractCoach™ 2279: achieving surgical efficiency in cataract surgery
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- Опубліковано 10 вер 2024
- We have covered the topic of surgical efficiency many times and we have an entire category devoted to it. cataractcoach....
Efficiency can be with regards to total time of the case, but it could also be cost based, or even how few instruments and resources are used to achieve a great outcome. I have learned so much from our Brazilian colleagues when it comes to efficiency, even though I have no plans on performing more than 100 cataract surgeries per day like they routinely do. This video is shown in real-time and indeed, it is very efficient. What is your take on this video? And what do you do to increase your efficiency? Please comment below.
It's very interesting, but yet I think the lack of carefulness for being fast could occasionally lead to disaster, I'd be super happy just to do it well in 10 mins. Still I totally recognize the amazing skills of this surgeon.
Be aware that phaco infusion pressure should always be higher than chamber maintainer pressure in order to permit adeguate cooling of the tip during phacoemulsification. I personally think that set up two infusion tubes for both chamber maintainer and phaco infusion is not that efficient. Anyway very skilled and experienced surgeon. Thank you .
Very smart!!!🎉🎉🎉
Wonderful surgery. Wonderful job of sharing.
Amazing, thanks for sharing 👌
Beautiful case
Great as usual , did the surgeon put ovd in IOL injector or not ?
For me i think that i deprived the patient from benefit of OVD and if any thing didnt pass well , the surgeon will inject OVD .
Im with the idea of this is a perfect efficient surgeon , I m not with endangering the eyes of my patients.
Dr. Devgan you present great videos but the intro noise to your videos is very annoying. You should maybe consider changing it to something more pleasant.
I like the intro noise 😅
@@adityamehtamd4590 de gustibus. I guess it became his signature as many other youtubers have theirs. I find the volume slightly too loud, but probably it's a "marketing rule", like they do with TV commercials.
There is no cataractous lens this eye no need surgery at all 😮
Seems a 20/20 cat indeed
Perfect
That’s incredible. Would this technique work as well in a cataract that is 3 or 4+ NSC?
Noooo, you must use corneal high density viscoelastic protection
Having watched these surgeons for some time now, ive become convinced that the only real threat that phaco poses to the cornea is thermal injury. And this is really only an issue at the main wound where it’s in indirect contact with the cornea. And this is going to be the case even if u use OVD (bc there is obviously no OVD inbetween the phaco and the cornea at the main wound).
I was thinking about when excessive power is used, especially if the phaco is clogged, we've all seen the OVD heat up around the phaco tip and become a "white plume"- in this case the OVD seems like it's better than water bc the OVD looks to be restricting the expansion of this thermal layer, but I wonder if a water fill would be just as safe, if not safer, bc the thermal layer would constantly be disrupted with the turbulent fluidics. I bet the main issue in either scenario would be wound burn, and the endothelium elsewhere would be fine. I’m convinced cases of PBK are 2/2 other factors (IOP, FLuidics, super low preop ECC, etc).
But im just a young and low volume surgeon who’s thinking out loud. I’m interested to hear what everyone else thinks..
@soccer24six My modest opinion, according to what I've seen and experienced, is that corneal burns, using machines from Alcon, B&L, J&J from the last 10-15 years, are caused by prolonged surgical time (that consumes the OVD in ac), with excessive unprotected US erogation (relying just on followability and not using the left hand) and poor phaco piece handling (e.g. keeping the sleeve too "squeezed" on the corneal tunnel walls/roof). The eye presented in this video has a rather transparent and apparently soft nucleus (could be a phaco+IOL for refractive reasons?) so not using OVD is more "affordable". I guess that since before the advent of modern OVDs much more hard cataracts where removed with ECCE techniques even in "phaco era", OVD must have his relevance and it's not advisable not using it to "increase efficency".
HPMC is very cheap in India
This technique only effective in soft cataract
Nah....safety first....anything else is just show off.
If it's my eye please just use viscoelastic 😢
Rosatelli...from italy infact
BRA
Brazilian of Italian ancestry
@@MrWatshisface of course.
@@AG_396 🤝