When we break up the cataract using the phaco chop technique, we can end up with smaller nuclear pieces which … More
Category: fluidics
Phaco Fundamentals Part 10: Sample Phaco Settings
In the last of our 10 part series on Phaco Fundamentals, we present a video showing specific starting settings for … More
Higher Infusion Pressure Helps in Floppy Iris Cases
In our phaco fundamentals series, we have explained the basics of choosing fluidic parameters for the phaco machines. These settings … More
Aspiration Flow Rate should be high during final I/A
As we have learned from the phaco fundamentals videos / articles here on CataractCoach, setting the correct fluidic parameters is … More
Phaco Fundamentals Part 6: Adjusting Fluidic Paramters Intra-Op
We must learn to adjust phaco fluidic parameters during surgery. This helps to tailor the surgery to the specific eye … More
Phaco Fundamentals Part 5: Choosing Fluidic Parameters
Now that you have a good understanding of the principals of the fluidics involved in phaco surgery, let’s look at … More
Phaco Fundamentals Part 4: Poiseuille’s Equation
Modulating Fluid Flow: Poiseuille’s Equation The basic equation that governs all fluid flow during phacoemulsification surgery is Poiseuille’s Equation. You … More
Phaco Fundamentals Part 3: Peristaltic vs Venturi Pumps
Peristaltic and Venturi Fluid Pumps With modern-day techniques of phaco-assisted aspiration of cataracts, one of the most important concepts in … More
Phaco Fundamentals Part 2: Foot Pedal & Inflow/Outflow
Part 2 in our series focuses on the Foot Pedal Position and then balancing Inflow versus Outflow to achieve stable … More
Phaco Fundamentals Part 1: Choosing Steps of Surgery
Every Wednesday, we are going to start a new module to teach Phaco Fundamentals of machine parameters, including fluidics and … More
Cataract Surgery in a younger patient with prior PPV
As we demonstrated recently, cataract surgery in a younger patient (under age 50) can be different than in the typical … More
Various Approaches to removing the Epi-Nucleus
When we perform hydro-delineation, we separate the dense endo-nucleus from the relatively soft epi-nucleus. This is helpful in multiple different … More
Be Cautious with the Wrinkly Old Bag
This is one wrinkly old bag! Of course, we are referring to the capsular bag in this cataract surgery. This … More
Adjusting the sleeve of the Phaco and I/A tip
For coaxial instruments like the phaco probe and the irrigation/aspiration probe, what is the best position for the silicone sleeve … More
The Angle Sweep Technique to Remove Viscoelastic
When we fill the eye with viscoelastic, we push it with the greatest force into the opposite angle of the … More
Dealing with Conjunctival Chemosis
We have covered the topic of the rules for an ideal phaco incision and one of them is to barely … More
Cataract Surgery with Glaucoma Shunts
Los Angeles is an amazing city which is very diverse and when I am teaching the UCLA ophthalmology residents, we … More