Our guest surgeon is a registrar (resident) who is in the middle of ophthalmology surgical training and this is case 110. The technique is very good for a beginning surgeon but there is one major issue that needs addressing: there is chamber instability and poor fluidic balance during the case. Watch carefully and see the iris bounce, particularly with post-occlusion surge. The registrar takes the chopper out of the eye during removal of the last quadrants to help with chamber stability. This helps as a work-around because it eliminates the fluid outflow from the leaky paracentesis. A better move would be to fix the fluidic balance of the inflow versus outflow of BSS as explained in detail in our phaco fundamentals videos.
