As a resident you want to start out with doing mostly routine cases of moderate nuclear density, with good dilation, and no confounding factors. But as you gain more skill, you want to start pushing the limits to include more challenges such as this case of prior angle closure glaucoma which resulted in posterior synechiae. What would be your approach? Would you use iris hooks or a pupil expansion device? Watch the video and please give your input for this young surgeon to learn.
The same 26 g lasik cannula I use for IOL exchange works wonderfully in these cases as well. Put the Lasik Cannula on a viscoelastic syringe and then can sneak under the iris and inject viscoelastic and sweep the iris off the anterior capsule and then you do not need hooks in most cases. (Steve Safran)