Day of Cataract Surgery - SHADOW ME - Patient Experience Before, During, After
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- Опубликовано: 3 окт 2024
- Many patients wonder what to expect on the day of Cataract Surgery. There's normally some anxiety and uncertainty. Perhaps your doctor didn't go over the details and you have many questions. In this video, please join me as I help a wonderful patient with their Cataract. We will implant the Light Adjustable Lens (LAL) as he wanted the best quality far vision. I hope this video helps you on your journey to better vision!
What is a Cataract?
Within a healthy eye is a clear lens. As we become older, that lens becomes cloudy. The cloudy lens is called a Cataract. In cataract surgery, the cloudy lens is removed and replaced with a clear artificial lens implant.
If you have any questions, feel free to leave them in the comment section below!
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Going in for my cataract surgery next week and this video was a nice confidence booster!
Amazing skills ! Nice to have an idea what I have to expect in two months. Thx Doc !
Excellent. And what a nice patient
Yes he's a great guy!
Wow, what a journey, wonderful to watch, learn so much, thank you from Australia.👍🏼🙏🏻
Phenomenon, may I ask which camera you used to shoot the video?
The surgery was recorded with a Sony Alpha 7C camera. The third-person view shots were recorded with the DJI Pocket 3 with auto-tracking.
I am having cataract surgery in 11 days. You made me feel right at ease. Your bedside manner is exceptional. I wish you the best life offers. Looking forward to viewing mire of your videos, this was the first.
Using a laser to break up lens seems less archaic.
What were the marks in the eye. I expected completely uniform color after removing cataract. Looks like some remnants left is ok? Can you remove floaters while cleaning?
Sir u r not just a gud surgeon but a gud human being too.. really learning lot from ur videos ..thanks for the video..
That's so kind of you! ❤️
Excellent video! I was wondering what kind of setting do you have to record your surgeries? Is it a dslr camera? What kind is it? And what settings do you use to record cataract surgery? Thank you! Great video once again!
At what point did you sedate him?
ماشاء الله عليكم دكتور
What are the two black dots and the two black lines after implanting the lens?
Air bubbles. They go away / absorb within an hour or two
Doctor, a couple questions from a fellow doctor who had corneal edema (now resolved) after the first cataract surgery and is losing sleep over going through the whole thing again in the near future:
- do you routinely do a pre-op corneal evaluation (AS-OCT and stuff, not just a slit lamp exam) for every patient?
- at what point during the procedure does a vigilant surgeon look out for a PC rent and what are the cardinal warning signs? Can he be 100% certain that he hasn't missed one before he implants the IOL?
BTW, this is another terrific video!
Hey Doc! There are many factors that increase the risk of corneal edema, including increased cataract density, shallow anterior chamber (less space to work in), weak corneal endothelium (Fuch's Dystrophy), imperfect surgical technique (cataract pieces hitting the cornea or performing phacoemulsification too far anteriorly), a tear in descemet's membrane near the incision, high eye pressure, retained lens fragment in anterior chamber angle, insufficient viscoelastic use, excessive use of ultrasound energy, etc. Excellent surgical technique can minimize corneal edema, but it can still happen. A good slit lamp examination can expose factors that increase the risk, and anterior segment/corneal OCT is not performed routinely prior to Cataract Surgery. Corneal OCT could be performed if a corneal abnormality was noted on slit lamp exam, and the etiology or view was questionable. Corneal topography & Retinal OCT are more commonly done prior to cataract surgery than Corneal OCT, but also not necessary for everyone. As for a posterior capsule tears during surgery, a vigilant surgeon would be monitoring the capsule the entire time during surgery and detect it almost immediately. Direct visualization and paying attention to how cataract fragments float around the anterior chamber (they get trapped in vitreous) are of utmost importance. There is a lot going on during the surgery and occasionally diagnosing a capsule tear is delayed for a few seconds or even a minute, which can be problematic. The surgeon should be certain the capsule is intact prior to implanting a lens, and this is USUALLY the case. One is typically 100% sure, but surgeons are human and can make mistakes. I hope that helps!
@@DoctorKrad I can't put into words how grateful I am for your wonderfully explained lesson (this is nothing short of a classroom lecture). Since I am old enough to be your uncle, God bless you son!
There are so many videos on cataract and you are one of my top 3, thank you so much ❤
who are the other two, so I can watch them too 😊