CataractCoach™ 2327: Cataract Quiz: How do you proceed safely? Intra-vitreal injection lens puncture

[@Dr.AdnanAlHassani]

Great idea to use the vitrectomy prob for aspiration and switch to vitrectomy whenever needed. Thanks for sharing and brilliant teaching narrative.

[@Tomato_is_a_vegetable]

I tend to skip hydrodissection and hydrodelineation and do divide and conquer without any nuclear rotation if I suspect a pre-existing capsular issue.

[@MattiaPasti]

I like a double linear pedal. One infusion, two aspiration, side is cut

[@canal.ferreira.pacheco]

Quais parâmetros você utilizou na Vitrectomia anterior? Cortes e Vácuo. Excelente cirurgia!

[@oscargranda5385]

La rompió con la punta del flaco.....y no se dio cuenta...😮😮😮😮😮😮

[@soccer24six]

do we still get special prize if we were watching in double speed? 😉

[@alejandroibarra6150]

I would definitely put in a suture in the main incision

[@ahmeddk3460]

why

[@mromito15]

@@ahmeddk3460leak leading to a vitreous wick is presumably what they’re trying to avoid

[@ot3120]

3:23 😂

[@bouletteboulette7815]

Was it possible to do it like a polar cataract? Just hydrodenileation and then viscodissection

[@UdayDevgan]

yes, that would be great. see here: cataractcoach.com/?s=vitreal

[@aannurag]

So I have a fundamental doubt sir, could be stupid, but is a Vitrector/vitrectomy probe more traumatic to the endothelium than a Phaco probe? If it isn't, why not use a vit probe after the nucleus has been emulsified/delivered? Wouldn't it be better over all to have a narrow calibre instrument doing the same job as a wide calibre instrument?

[@mglraimundo]

If you use the vitrector with the cutter OFF it’s just a bimanual IA and that’s precisely what I did in most of the video to deal with the epinucleus and cortex. I just turned the cutter ON in the tear area for short periods and before IOL insertion to make sure there was no vitreous.

[@smkaraatli]

That's why I always do IV injection under the microscope

[@ajmi10]

Ok boomer …. 😂