Sir what is the number of that telescope reply thanks❤

A great technique in experienced hands. I personally prefer I/A, but I have seen many Brazilian surgeons using this technique and overall I felt that their complication rate is extremely low despite this technique and a high percentage of advanced cataracts. The cortex and I/A free style has come about to save time and cost as some of the high volume surgeons perform over 100 procedures a day, making them so experienced and routined with over 15k procedures a year that their colleagues in other parts of the world just can't believe it until they see it with their own eyes. Using I/A in every surgery would make it hard for them to meet the demand for cataract surgery in their regions. Of course, economic reasons also play a role, as not using I/A reduces costs significantly, especially in these high volume settings. Definitely great and interesting but I still wouldn't advise to try it. 😉✌🏼

Phaco surgery is art , is medical practice not something to show off in it or even compete in it , just try to do as much as uncomplicated cases you can

What is the difference really between this and MSICS?

Thank you very much for sharing this video. May I ask you for two questions? 1) When you intend to “optic capture”, optic is in front of CCC and haptics are in the bag <- is it right? 2) So where are the optic and haptics located finally in this video?

Is DIB00 with laser surgery worth an extra $4500 above what Medicare pays? My dr is not as forthcoming about explaining the pros and cons of the lenses. My doctor says no distance improvement with the ZCB00.

There is no justification Would get burned if things went south and got sued No medico-legal board , M&M committee and anything similar would let this slip if PC occurred It would be considered reckless. We don’t skip the standard practice because we are too good for it Good surgeons improvise at necessity , not at will .

Why not using the same sclerocorneal tunnel for phaco? Any ideas?

Is it much different than the Scharioth IOL piggiback IOL for macular problems? I mean, despite the obvious technical differences such as foldable versus not foldable, that one being a piggiback IOL and this one the main IOL. The Scharioth IOL is the equivalent of a +6 for reading very big letters in 15cm distance (I don't remember exactly)

It’s my standard secondary IOL with a very similar technique and has been for about 15 years. Inserting in front of the pupil is much harder and I would not recommend. In vitrectomised eyes an infusion makes things safer. Now I understand why sutured lenses are so popular in the US - it’s because you don’t have these!

Doctor Januschoski, what is the ideal patient with AMD for this decive? And what to expect in vision improve? Some tip tp share?

Super!

That chop technique was noice 👌🏾

Regardless of how experienced a surgeon is, the tissue should be respected, especially the posterior capsule.

Updates if any? I like the look of the Jellisee lens any information on that?

Sir thank you very much but writing Infront of video distrubing

For what this..just to show that not need to change probes..this is too risk, this is not a race

Using IA probe is much more safer and effective.

Had the left eye done last week.Doing well next week to right eye.😊

hello sir.i am from pakistan.i had cataract surgery 3 months ago with monofocal lens.i am very depressed with the results.i want exchange this lens by you.

i want to exchange my iol exchange by you.what will be total charges.i am from pakistan

Very usefull!! may you do something similar with signature pro? appreciate that.

For whom are Against this technique, why not? sometimes during phaco surgery, the pupil gets very narrow, and removing cortex with I/A probe would be risky, so why not getting rid of it at the beginning of the surgery

Everything was done with safety and the keypoint is “knowing when to stop “, let’s keep learning!

Got this Yesterday. Already seeing pretty well. Cant wait to see how good my vision will be

Just use IA probes. There is no reason not to.

I am brazilian and i dont respect this. This is not the safest way to remove the córtex. Then this should not be done.

It's not dangerous for those who know how to do it, backflip. Awesome skills 👏🚀

You are gonna get burned if you play with fire

Your voice sounds a little bit different than usual..sir.. are you alright?

Humility is always just one case away!

The fact that he chose a patient with a trifocal IOL (eye 100% healthy) to do this.... It's ALMOST bad practice. Because, at least with a patient with previous patology (glaucoma, macular problems) the patient has "less to loose" in worst case scenario.

I like it, and I bet he does it with the same margin of safety as anyone else’s technique.

Removing cortex with phaco. Advantages: - "I made this beautiful surgery video, look how skilled I am, I'm a pro 😎 " -I saved about 2 minutes of my lifetime Disadvantages: -Much higher chances of PCR which may result in more chances of retinal tear, retinal detachment, cystoid macular edema, endophtalmitis.

It’s dangerous even with high dexterity. I can call this « excès de zèle " Would never do it. Dr Neto , mohanta… all had capsular tear with this technique.

Health is not a sim-racing ...

If this is this surgeon’s eye , how would he/she like to use phaco tip or ia for cortex removing . Too dangerous

Too risky!! 🤯🤯

Man these Brazilian surgeons are something special.

I'd like to ask this surgeon a question If this is your eye.. How would you like your cortex to be removed

This video will change my practice forever

I use this lens alot....really simple technique

I don't fully understand the IOL calculation :(

It is pain ful

Thanks for sharing experience ❤

That was amazing sir and you are such a great surgeon i ever seen and im lucky to observe your surgeries live and also do some cases under ur assistance … Thank u so much for this this wonderful vedio sir🙏😊

Soft cataract never crack......

👏 Very nice technique. Pop up lens partially and put a spoon behind it so it doesn't fall back. Sometimes tough to get the whole lens up and out of the bag if the rhexxis isnt big enough so I can see when it could be helpful !