This video was submitted to us as performed by a PGY-2. Dr. Devgan is flabbergasted. Watch this video to hear his entertaining commentary.
1. A large rhexis is not necessarily problematic in patients who have vision as bad as counting fingers pre-operatively. If the nucleus is extremely dense, it may actually be beneficial to have a larger rhexis to facilitate nucleus removal.
2. Following nucleus removal, the red reflex is clearly visible throughout the rest of the surgery with the reflection of the 3 microscope lights centered within the eye. These are great things to keep an eye on to ensure there is not too much lateral tension being placed on the eye.
3. The resident does a great job pivoting intraocular instruments to reduce stress on the incisions.
4. Cohesive viscoelastic should be used to ensure the anterior chamber is not too soft before the lens is injected.
5. Way too much incision hydration is done at the end.