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 that instruments are floating within the incisions and not pushing the eye around.
3. The resident does a great job pivoting intraocular instruments to reduce stress on the incisions.
4. Viscoelastic should be used to ensure that the anterior chamber is firm before the lens is injected.
5. Way too much incision hydration is done at the end.