Pre existing Posterior capsule tear in a Traumatic cataract. Be ready for the surprise- Dr Megur

Presenting a case of a white mature cataract in a young man with a vague history of trauma some time back. Intraoperatively after nucleus division and emulsification of half of the nucleus a a large PC tear is detected . How to proceed further in this case? Please watch on to find out how were the fragments managed. Few tips for anterior vitrectomy and cortex aspiration are also demonstrated .
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[@NetoRosatelli]

Outstanding surgery video, dear Deepak! 😊 Many important lessons to learn from it: early recognition of the pre existing posterior capsule tear and prompt measures to stabilize the anterior chamber, adequate management of remaining nucleus fragments in a safe manner, wonderfully done anterior vitrectomy via an anterior approach and the very difficult cortex cleanup perfectly performed with a mixed approach - the vitrector probe in aspiration mode and also with the bimanual I/A. Lastly, the 3 piece IOL implantation in the sulcus with optic capture, providing excellent IOL long term stability and centration for an outstanding surgery outcome. Impressive skills my dear friend, in dealing with complications is how we now how good a surgeon is, and you excel at it: calmness, purpose, good judgment and perfect technique. 👏👏👏👏 Wonderful case.

[@DrDeepakMegur]

Thnk you Neto 🙏🙏 for the encouragement.

[@ayshasalam1]

What an excellent opportunity to learn a beautifully performed complication. Hats off to you.

[@ranchump]

You are a world class teacher and surgeon. God bless

[@ayeshadinaratne9284]

Excellent job and excellent explanation.. thank you sir 👏👏👏

[@dr.manbirsingh3357]

Your videos are the best teaching tool sir

[@pawaneyedoc]

a very difficult case managed extremely well!

[@AkhaliMzera]

Very interesting & professional job done!👍 Thank You Colleague! 👏

[@dr.k.pseyehospitalchandiga1782]

Great surgery ..

[@dr.athokpampoireiton9310]

Beautiful

[@acuriousnewophthalmologist8344]

Great sir!

[@Dr_Naeem_Awan]

Very well managed last two nuclear pieces. Very sensible approach. I was worried there was chance of that pieces fall down posteriorly

[@emirgorcevic2599]

awesome, thanks for sharing

[@Dr_Naeem_Awan]

It was really an excellent surgery. Just one concern that posterior capsular rupture should have been changed to posterior CCC because at the end there was like a line

[@DrDeepakMegur]

Thank you for your generous comments. I could considered PCCC for a moment, but there wasn't a chance, as the PC tear was equator to equator. 🙏 Thank you.

[@sumansaurabh3410]

Thank you sir for sharing this video, can you tell us please dilution of triamcinolone to stain vitreous?

[@v4youv4you50]

Lovely sir

[@ramdeovarma905]

Thank you, sir for sharing this excellent educational surgical clip

[@sofbosof8610]

Thx a lot

[@hamidurrehmanhamid5450]

U are legend sir 🙏

[@johnidoctor9826]

Waaaw! So great

[@b.deshmukh3018]

Very nice surgery.. You always have editing person's name in the end.. My question is. How do you hire and train someone in editing? How do you voiceover?do you give voiceover then he edits accordingly or vice versa?

[@DrDeepakMegur]

The video is edited first and then the voice over is done accordingly.Well My assistant does the rough cut, but the final adjustments will be done under my supervision. So it is time consuming..!

[@rajdipbiswas3592]

Great Surgery. Sir what are your parameters for Cut IA and IA Cut ? Excellent Teaching

[@DrDeepakMegur]

Thank you, they are disdlat in the overlay. In this case I haven't used I A cut. The cortex aspiration was done with vitrector in regular cortex aspiration mode. For cut I A cut -4000, AFr- 14, Vac- 300 to 500

[@drahmed.roshdy]

Great case sir! I am surprised by the quality of your surgical videos ! Can I get your email please ! I want to ask you about few details for setting a recording system for VR surgeries , Thanks !!

[@DrDeepakMegur]

[e-mail]

[@hazepakherin6980]

Iop rise..Low vacuum plz

[@senolsabanc2939]

Sir what is your choper name?

[@DrDeepakMegur]

It is custom made , no name, It has a sharp tip, 0.5 mm length.at 90 degree

[@kalingdarang5020]

🙏🙏👍👍

[@saramah3554]

😍😍

[@Pasalm8282]

👏👏👏👏

[@jceliasn]

👏👏