Phaco Debulk Chop for Dense Cataracts
Iqbal Ike K. Ahmed, MD, FRCSC
Dr. Ahmed shares his go-to technique for dense cataracts, where predictability of cracking can be a challenge. He uses the sculpt mode to dig a deep trench down to the posterior pole, which makes cracking more predictable through the thinned posterior plate. Then, using longitudinal phaco and high vacuum to lollipop the remaining handle, Dr. Ahmed chops and uses lateral separation to propagate the crack. Torsional phacoemulsification with increased flow rate allows for enhanced followability to remove chopped segments.
Cataract Surgery in an Eye With a History of Trauma and Floppy Eyelid Syndrome
Eric D. Donnenfeld, MD
Dr. Donnenfeld demonstrates his surgical approach for a patient with a history of trauma and floppy eyelid syndrome who presented for cataract surgery.
Gore-Tex Sutured enVista Toric IOL
Matt Ward, MD
The enVista toric (Bausch + Lomb) is the only IOL available that can be scleral-fixated in aphakic eyes without capsular support. In this video, Dr. Ward shows a technique using 7-0 Gore-Tex sutures to achieve stable, accurate fixation of the enVista toric in a case of severe corneal astigmatism after perforating trauma.
Managing a Torn and Dislocated IOL
Beeran Meghpara, MD
One week after a patient received a secondary IOL, she reported blurry vision, and the IOL was found to be dislocated and torn. Dr. Meghpara shares how he managed the case.