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Prof.Venkatesh - Dr Suvira
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Добавлен 13 дек 2020
Phaco.Point is a vibrant and informative channel for basic and advanced techniques in phacoemusification, being run by two experienced phaco-teachers from India. It also features a learn while you think outline, in the various quizzes and challenges that are posted on the channel. The information in this channel is fresh, up to date and helpful to both the novice and the experienced phaco surgeons from all over the globe
Uncontrolled Rhexis Run-Off in an Intumescent Cataract and Further management with an EDOF IOL
Uncontrolled Rhexis Run-Off in an Intumescent Cataract and Further management with an EDOF IOL
Просмотров: 1 074
Видео
Taking Control Of the Extending Capsulorrhexis - a valuable tip
Просмотров 54911 часов назад
Taking Control Of the Extending Capsulorrhexis - a valuable tip
A step by step guide to simultaneous Phaco with Pterygium excision surgery for Beginners
Просмотров 72816 часов назад
A step by step guide to simultaneous Phaco with Pterygium excision surgery for Beginners
The" Modified Direct Phaco Chop Technique" - makes chopping - 'a piece of cake'.
Просмотров 1,4 тыс.21 час назад
The" Modified Direct Phaco Chop Technique" - makes chopping - 'a piece of cake'.
SAVED BY THE DIRECT PHACO CHOP - IN SMALL PUPIL PHACOEMULSIFICATION
Просмотров 1,1 тыс.День назад
SAVED BY THE DIRECT PHACO CHOP - IN SMALL PUPIL PHACOEMULSIFICATION
Plan C for Intra-Op. Iris Prolapse.. One handed fragment removal using the Dynamic bevel concept.
Просмотров 1 тыс.День назад
Plan C for Intra-Op. Iris Prolapse.. One handed fragment removal using the Dynamic bevel concept.
SUCCESS IN SOFT CATARACTS - Hydrodilineation Assisted Phacoemulsification - It Really Works ..
Просмотров 1,2 тыс.День назад
SUCCESS IN SOFT CATARACTS - Hydrodilineation Assisted Phacoemulsification - It Really Works ..
The clear Corneal Incision Creation - THE RULE OF '30'.
Просмотров 3,2 тыс.14 дней назад
The clear Corneal Incision Creation - THE RULE OF '30'.
Principles of Performing Automated Bimanual Anterior Vitrectomy - Basics to Advanced .
Просмотров 80614 дней назад
Principles of Performing Automated Bimanual Anterior Vitrectomy - Basics to Advanced .
Top Tips to get clear corneas in the first Post. Op day in Hard Cataract Phacoemulsification
Просмотров 1,3 тыс.14 дней назад
Top Tips to get clear corneas in the first Post. Op day in Hard Cataract Phacoemulsification
Mastering Topical Phacoemulsification - Tips to get You Started
Просмотров 1 тыс.21 день назад
Mastering Topical Phacoemulsification - Tips to get You Started
The Vacuum Vs. The AFR in Phacoemulsification. - Which does What - A Bit of Basics .
Просмотров 93221 день назад
The Vacuum Vs. The AFR in Phacoemulsification. - Which does What - A Bit of Basics .
A Double Challenge !! - Intumescent Complicated Cataract with Posterior Synechiae.
Просмотров 1,2 тыс.21 день назад
A Double Challenge !! - Intumescent Complicated Cataract with Posterior Synechiae.
A Tale Of Two surgeons - PC Rent / CTR in Vitreous / Hard cataract/ Phaco converted to SICS..
Просмотров 2,2 тыс.28 дней назад
A Tale Of Two surgeons - PC Rent / CTR in Vitreous / Hard cataract/ Phaco converted to SICS..
Phacoemulsification with Optical iridectomy to enhance vision is a case of central corneal opacity
Просмотров 655Месяц назад
Phacoemulsification with Optical iridectomy to enhance vision is a case of central corneal opacity
Solving dilemmas in small pupil phaco - Stain the outer Ant. Capsule & Safe bimanual Ring insertion
Просмотров 717Месяц назад
Solving dilemmas in small pupil phaco - Stain the outer Ant. Capsule & Safe bimanual Ring insertion
MID PHACO CRISIS - PC rent with residual nucleus fragment and cortex - HOW I managed
Просмотров 1,4 тыс.Месяц назад
MID PHACO CRISIS - PC rent with residual nucleus fragment and cortex - HOW I managed
Floppy Iris - Small Pupil - No Iris Hooks or Rings - Phacoemulsification
Просмотров 1,1 тыс.Месяц назад
Floppy Iris - Small Pupil - No Iris Hooks or Rings - Phacoemulsification
Play it Safe : Grade 5 Cataract with gross Phacodonesis - Best way forward
Просмотров 1,9 тыс.Месяц назад
Play it Safe : Grade 5 Cataract with gross Phacodonesis - Best way forward
It's a Posterior Polar Cataract -!!! Simple and Straight Forward..
Просмотров 1,4 тыс.Месяц назад
It's a Posterior Polar Cataract -!!! Simple and Straight Forward..
Ripped Rhexis - Intumescent Cataract - Averted Argentinian flag and how to proceed with safe Phaco
Просмотров 2,4 тыс.Месяц назад
Ripped Rhexis - Intumescent Cataract - Averted Argentinian flag and how to proceed with safe Phaco
Break The Ice - White Hard cataract, Advanced Pxs, Sphincter Sclerosis and small pupil.
Просмотров 1,5 тыс.Месяц назад
Break The Ice - White Hard cataract, Advanced Pxs, Sphincter Sclerosis and small pupil.
"A Twist In the Tale" while managing a Traumatic cataract with anterior capsular fibrosis and ZD.
Просмотров 485Месяц назад
"A Twist In the Tale" while managing a Traumatic cataract with anterior capsular fibrosis and ZD.
" Pushed to the Limit" - 2mm Pupil, Senile Dementia, Positive Pressure, Shallow AC, Hard cataract
Просмотров 3 тыс.Месяц назад
" Pushed to the Limit" - 2mm Pupil, Senile Dementia, Positive Pressure, Shallow AC, Hard cataract
Handle with Care - Phacoemulsification in Lens and Iris Coloboma
Просмотров 538Месяц назад
Handle with Care - Phacoemulsification in Lens and Iris Coloboma
STACKED UP!! Polar cataract ,Grade 3 NS, Floppy Iris, Poorly dilating Pupil and Trifocal IOL.
Просмотров 1,5 тыс.Месяц назад
STACKED UP!! Polar cataract ,Grade 3 NS, Floppy Iris, Poorly dilating Pupil and Trifocal IOL.
Understanding the Importance of a Dispersive OVD in preventing Vitreous loss in a case of a PCR
Просмотров 5742 месяца назад
Understanding the Importance of a Dispersive OVD in preventing Vitreous loss in a case of a PCR
A Bit of a Bother - the ideal way to remove a small Fragment at the end of Phacoemulsification
Просмотров 9412 месяца назад
A Bit of a Bother - the ideal way to remove a small Fragment at the end of Phacoemulsification
Hydrodilineation in a Soft and in a Hard Polar Cataract - Made Easy
Просмотров 6242 месяца назад
Hydrodilineation in a Soft and in a Hard Polar Cataract - Made Easy
A matter or 'too little' Phaco Power - A point of view.
Просмотров 1 тыс.2 месяца назад
A matter or 'too little' Phaco Power - A point of view.
Sir in case of rhexis run out is it okay to perform stop and chop by doing trench is someone is not confident in direct chop or if the cataractbis very hard in grade..
hello dr Abishek.. it is perfectly fine to do stop and chop . but take care to use enough power so that you dont push the lens down during trenching
@@PhacoPoint thank you sir 💛
Is it useful to inject kenacort before injecting the iol? Just to be sûre there is no vitreous
In this case -NO, because using clinical judgement it is clear that there is no vitreous. But certainly in cases of doubt. signs like peaked pupil or de centring IOL or irregular AC. So many unnecessary steps can be prevented by paying attention to clinical details
Sir is it safer for patient and Surgeon to always convert to SICS in cases of rhexis run off or should we proceed with phaco thinking it will be our lucky day?
Please do not continue with phaco thinking it will be your lucky day , because successful people make their own luck.. The same confidence you have with SICS will eventually come with phaco also and then you will not think of conversion but simply continue knowing that it is possible. This change in mindset will come with time and as you perform more and more phaco. It cannot be rushed. I have had many run off rhexis and I have not converted to SICS in a single case for the last 15 years.
Mam.. after this combined surgery…treatment post-op steroid tapered or not?
Excellent way of combined sx
Thankyou sir Why did you do the iridectomy at the end sir
vitreous blob can push IOL up and/or post op inflammation can cause posterior synechiae and lead to pupillary block . hence in all cases of vitreous disturbance I perform a iridectomy. Maybe strictly not necessary
Cómo hace con ese ángulo que se formó al final en la hora 6:30...fuente potencial de desgarro de la rexis??
@@oscargranda5385 si claro. Precaución durante todo el resto de la cirugía con ese cuadrante. Su corteza de última y mantener la cápsula inflada
That was v cute 😊..
Great please explain again the technique of autologus blood graft?
I wouldn't Why not just buy one Its easily available
Where is the accent from?
Brilliant
Thank you
Very professional megiculus work, what I couldn't understand why excessive stromal hydration leads to ugly whitening of the cornea ?! Thanks
Stromal htdration doesn't last for more than six hours I needed a water tight wound while doing the graft Thus the excessive hydration Thank you
I appreciate your detailed explanations, which are easy to understand. Valuable knowledge that I have never heard before or have not yet understood in depth. Thank you very much for that!!
thank you for the encouragement
What a neat pterygium excision... beaaaaaautiful
Thank you
Mam did you extract the lens after this or left it for later due to poor visualisation?
Hi What phaco machine are you using? Stellaris? Oertli?
hello .. this is a Compaq machine from AMO
Nice demonstration 👏which phaco parameters are you using ?! Thxx
phaco power 40% mode multi burst mode BD 20ms / DC 75% vac 350mmHg. since stellaris is a Venturi machine AFR is not set
Sir, nice demonstration… I had a question here, as we are taking the sharp chopper from periphery to centre, is there risk of the sharp tip of chopper causing pcr in periphery when there is no epinucleus or cortex cushion ?
this will happen only if you push it down forcibly . if done in a controlled manner keeping in ming that the aim is only to penetrate the nucleus and then go deeper as you travel towards the central portion. If you feel that you do not have that control then you try the chop from the central portion. Also slight flexion of the hand ( wrist) after initiating the chop will make the chopper parallel to the pc and hence will not damage it
Great tip..really appreciate the detailing..👍
Glad it was helpful!
Will definitely try sir .... thank you
All the best
again an excellent tutorial video! thank you very much. i only have two questions; 1. after passing the chopper under the anterior capsule, how far do we take it and process it? not all the way to the equator? 2. so that the sharp chopper does not disrupt the anterior capsule, we immerse the chopper into the epinucleus and take it towards the lens periphery, more precisely under the anterior capsule, I guess he did not misunderstand. The trick in this technique is to go to the periphery and break the much softer nucleus and break the nucleus in half towards the phaco probe with the chopper, since we cannot stab the chopper into the nucleus because it is hard in the centre. thank you very much. i will experience it as soon as possible and share my experiences with you.
yes you have got the concept.. regarding how for to take the chopper to the periphery .. its your call.. the further you go the easier it is to initiate the chop . maybe for your initial cases start in the midpeiphery . Dont lift the chopper to take it to the periphery . just slide it along the surface . The anterior capsule will not get damaged
Nice video of modifieddirect chopping sir
So nice of you
Sir, nice video as always..may I know the sharp chopper details and from which company can I buy it...
thank you Amit . this is the Mohan Rajan chopper . In Appasamy catalogue it is 1989 B . it comes in three sizes B is 1.5mm
Is it possible to make a vertical chopper out of a 27g needle, ma'am? Seems my chopper's a bit too dull to vertically chop, I've tried a few times
Perfectly done. Excellent use of fluid dynamics
Thank you very much!
Amazingly explained ma'am, I have secured a rank to get me a ms from tier 2 city college, being a first gen middle class, and looking at the current saturation and investment, is it wise to choose ophthalmology? Is it necessary to be from an apex institution to do well in this field mam Ready to write the pg exam again Ps:- I love ophthalmology and the procedures Thank you ma'am
Which company keratome are we using in the case
Appasamy associates
Great Teqnic for small pupil ma’am 👏🏻👏🏻👏🏻👏🏻
Thank you. glad u liked ti
Nice surgery Doctor 🎉🎉 Can you share the phaco parameters please!
Excellent surgery ma'am, I do it in a way you taught us i.e. one single deep trench- divide it in 2 hemi nucleus - then chop each hemi nucleus into 3 pieces and then emulsify at pupillry plane
That also works perfectly
"Great video sir! You emphasized about keeping the phaco probe steady. In cases with shallow AC, severe positive pressure, and to add to the list of problems-the OT's low ceiling (construction flaw) limits the phaco machine's bottle height to a max of 72 cm which further limits the AFR. In such a situation is it okay to swivel the probe while maintaining its position in the center to improve the followability of nucleus fragments? Would appreciate your insights!" and I tried tweaking the settings of the machine (Whitestar)
THE bottle height will dictate the IOP at which the surgery is taking place . so with low bottle ht the other parameters like the AFR ( around 25 cc/mn) and the max preset vac should also be low about 250mmHg to prevent surge. you can try using an air pump ( fish pump) to increase the inflow pressure if you are working with low bottle ht. Swivel can be done if the settings are appropriate as outline above
great video sir can you explain how you made the corneal incision opp. to the main port for globe fixation and which instrument you used for fixation ?
that is the corneal pocket fixation incision which I take for fixation. Kindly watch the video in our channel by the same name to get it fully
Great teaching video 👍🏾
Thanks for watching
Well done 🎉
thank you dr Sundar Thangavel
I hope one day I will be this good... 😶
thank you
Sir, looks sooo easy..... But In masterful hands like urs. Excellent video.. regards from Pakistan
better stick to plan A ...? I think best for all
@@PhacoPoint yes sir .
Nice surgery, I think the second capsulorhexis should have been started with micro scissors instead of a needle to avoid causing pressure.
Combo chop
Ma’am Phaco probe bevel position in chop Is it bevel down as in quadrant mode
as a novice phaco surgeon.. you need to keep the bevel always facing up during ALL steps of Phacoemulsification . Only during entry into the anterior chamber is the probe held bevel down and once entered it is turned so that the bevel faces up and it is so held through all the steps of phaco
Ma’am thank you so much so such a nice video Just one query position of bevel in chopping the nucleus It’s bevel down and same continued in quadrant mode I’m a novice surgeon please guide me
I have problem with residual pterygium head what is your suggestion
Excellent Tips .Which microscope are we using in the case Sir .Kindly guide
Im using the Zeiss Lumiera 300 and the retro glow device to enhance the red glow
Wonderful video thanks to Dr venkatesh. Pls give some tips for planning inscion in a case with proposed prominent eye.getting premature entry when the dome of cornea is high
thank you . Since the feel while doing the surgery is not the same a s watching a video. I request you to angle the keratome slightly up and tilt the eye ball away . It is easy to see the path of the blade through the corneal storm. use this as a guide
🙏
One of the best pterygium SX I have seen. Thank you for posting sir
Awesome Sir. Thank you for such a detailed scientific explanation 🙏
Thanks for liking
Great teaching video sir. Love n respect from Pakistan
thank you
A very practical and useful video..
My goodness you are so cool after seeing that after a mammoth 🦣 job that the haptic is torn..so much to learn from you sir 💛
Always sort out all problems before closing up.. this is what my mentor taught me... a second sitting is bothersome to both surgeon and patient. Thanks
Amazing
Thank you! Cheers!