1911: iStent Infinite MIGS & Phaco Chop

In the first month of fellowship, your preceptor may ask you to perform a cataract surgery to see where you stand in terms of surgical skill. How much did you learn from residency and where are your surgical skills at this point? This starting point is important to establish so that your preceptors can help you to continue the journey of learning ocular surgery. This case is a glaucoma fellow in the first month of fellowship and the case is MIGS and phaco. The fellow performs trabecular bypass using the iStent Infinite which has three devices placed at different sites, about 30 to 45 degrees apart. The young surgeon then performs a very clean horizontal chop and finishes the case very nicely. There is, however, one additional step that I think is helpful but it was left out of this case. Can you guess what it is?

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