It is July and for most countries in the northern hemisphere, this is the beginning of the academic year which runs from July 1 to June 30. This means that the residents are particularly green and still learning the basics. This is cataract case number 11 for a junior resident and the technique is pretty good for a beginner. However there are some serious issues that need to be resolved in order to progress with surgical skills. The capsule breakage rate is about 6% for resident surgeons and if risky maneuvers are performed that number can go much higher. In this video I give some great pearls to improve the technique. Let’s all contribute helpful comments below so that this surgeon (and fellow young surgeons) can learn together.
It is easy to flip the bowl adding dispersive OVD and pushing the periphery of the bowl doing a complete flip, and aspirating from the backside of cataract bowl. I have done it dozens of times. Aspirating with the phako tip from the thin peiphery of the bowl is ever so risky of making a PC rent. The phako tip I beleive should almost never leave the center of the eye. I have followed and learned from your teaching videos, Dr. Devgan. Love it. Enrique J Corral MD Ensenada, BC México. ASCRS platinum member since 1997. I have subscribed to Cataract Coach for many years. Hope to meet you personally one day.
thank you for the great comments.