Phaco in a myopic eye of a VIP (very important person) : Lift the iris and manage the LIDRS

रोजी प्रकाशित केले 22 ऑक्टोबर, 2020
वेळा पाहिला 2 508
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LIDRS is abbreviation of Lens Iris Diaphragm Retropulsion Syndrome. As soon as we enter into anterior chamber, the Iris gets into firm apposition with the lens capsule; and the lens iris combination moves posteriorly. This can be managed very simply, just by lifting the iris with any blunt instrument.
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Dear Colleagues,
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(Dr. Pradip Kumar Mohanta) ,
Founder Director: Netrajyoti Eye Hospital, Ranaghat, WB, India
MBBS (Cal), Ex-JR D.O. (JIPMER, Pondicherry)
MS (Ophthalmology, at PGIMER, Chandigarh)
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Pradip Mohanta
टिप्पण्या  
  • Anitha Manohar

    Anitha Manohar

    महिन्यापूर्वी

    Excellent as always!

  • Mohammad Wali

    Mohammad Wali

    महिन्यापूर्वी

    At the end corneal topography has also been done

  • suvidha mahar

    suvidha mahar

    महिन्यापूर्वी

    Sir how do u sterilize buds

    • Pradip Mohanta

      Pradip Mohanta

      महिन्यापूर्वी

      Autoclave..

  • atul bhirud

    atul bhirud

    महिन्यापूर्वी

    Hello sir
    I am following ur videos since last 4yrs
    You operate so simply most of surgeries. It gives me confidence to operate even the difficult ones
    Earlier I used to operate on infinity n stellaris then due to circumstances in gov job posted to area where there is only Oertli cararhex easy machine. I was frustrated with this machine. I had few sleepless nights because of it. watching ur videos on Oertli , I was really impressed and started using it acc to ur guidance. It is working so smoothly now and I’m am really happy Oertli machines performance.
    I had a query regarding difference btw old Oertli catarhex easy and new Catarhex 3 machine
    I face difficulties in operating harder cataracts like NS 3 + on catarhex easy machine and want some guidance in it.
    Do I really have to upgrade machine or I can change technique of my Phaco to adapt to do such hard cataracts
    Thank you for your beautiful guidance and inspirational videos

    • atul bhirud

      atul bhirud

      महिन्यापूर्वी

      @Pradip Mohanta good morning sir Thank you so much for your prompt reply n guidance. I’ll change my parameters accordingly is it value for money if vendor is giving oertli cat easy machine date of installation June 2016 in 6 L Warranty getting expired in June 2021 I’m unaware of exact cost of refurbished instruments , sir

    • Pradip Mohanta

      Pradip Mohanta

      महिन्यापूर्वी

      Dear Atul, there is no difference in the Phaco part between the performances of Oertlli Easy and Oertli CR3, only difference is in the vitrectomy part, You just need to increase the ultrasonic power, to about 80% in hard cataracts, flow rate can be between 35 and 45, vacuum between 350 to 450 . use ultrasonic energy in continuous mode, at Iris plane, go to foot position three only when u need to emulsify a nuclear piece. hope this helps..

  • Alimabbas Ali

    Alimabbas Ali

    महिन्यापूर्वी

    Perfect 👌 job 👏

  • اكثر من 6 مليار مشترك في الحياة الدنيا بومشترك

    اكثر من 6 مليار مشترك في الحياة الدنيا بومشترك

    महिन्यापूर्वी

    most important video
    https://youtu.be/_rJYs2Wot2U

  • Takadom Ahmed

    Takadom Ahmed

    महिन्यापूर्वी

    As he is VIP why u didn't use multifical Iol ?

    • Edmar Uribe

      Edmar Uribe

      महिन्यापूर्वी

      do you think any difference with sensar iol?

    • Pradip Mohanta

      Pradip Mohanta

      महिन्यापूर्वी

      he is an ophthalmologist, he didn't want multifocal IOL, he wanted Tecnis 1.

  • Zakaullah Khan

    Zakaullah Khan

    महिन्यापूर्वी

    Excellent

  • thomasanoop76

    thomasanoop76

    महिन्यापूर्वी

    Your nucleus management is impeccable as always:)

  • thomasanoop76

    thomasanoop76

    महिन्यापूर्वी

    When doing topical in high myopes I have found it useful to squirt intracameral lignocaine under the iris... This is because patient can have pain in foot position 1 even before the iris is lifted to negate lidrs. Comments?

    • Pradip Mohanta

      Pradip Mohanta

      महिन्यापूर्वी

      makes sense..