An anonymous resident emailed me with a thank you because a pearl that was learned here on CataractCoach prevented a phaco wound burn in his patient. Here is the email:
Near miss: how Cataract Coach saved me from a phaco wound burn
Hi Dr. Devgan, I hope this message reaches you well. Attached is my surgical video (Case #53 for me), which is a CEIOL (toric) with iStent inject. I’m a big fan and really appreciate all of your videos. This is an example of where there was blockage of flow while performing phaco. On initial sculpting, I heard the dinging sound from phaco and noticed an abnormal white cloud over lens. Then, I immediately recalled the phaco wound burn video on your website and stopped. It was tempting to continue sculpting thinking that it was just cortex but I was glad to watch the video on your website a couple of weeks prior to this case. I then instructed the tech to check the phaco tip and found that it was not tested appropriately. A new sleeve was brought, phaco tip flushed and tightened again, then proceeded safely with remainder of the case.
click to learn this important lesson of preventing a phaco wound burn:
