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A thorough face and eyelid wash by soap and water before surgery helps a lot and then cleaning with johnsons bud and copious amounts of bss does the trick.

thats exactly what i do.

the phaco energy is unnecessary. I have used a "macro-wash" for years to clear this noisome oil from the surface. simply remove the cannula from the irrigating BSS bottle or syringe and flush the surface aggressively. works every time!

i want my 2 minutes back

Chris - thank you for sharing! Bill T.

I clean mines with methylcellulose, I begin in the center, pushing all the debris toward the fornices, it creates a continuous layer of clean, sterile and magnifying surface. You don´t need to irrigate the cornea during the surgery. I use it if dirty tear film, small pupil, irregular surface, dry surface, difficult rexis, complicated surgery, recording, and I repeat before IOL injection in any endophtalmitis risk patient.

i suspect the ultrasound does nothing- its the wide jet stream of bss.

i clean all my corneas before the incision with a johnson bud with continuous irrigation....does wonders to keep the corneal clarity and remove any debris from the surface...

thanks for the tip. but how dose US help in removing the debris

my pearl?- i remove the cannula from the bss bottle and squirt the surface of the eye vigorously from the nose temporally. this always works to clear the tear film. i do it in about 1/4 of my cases- as you can see in the video, the jet stream from the bss cannula does not remove the meibum and debris, as the jet stream is too narrow. the mouth of the bss container is nice and wide and the rush of bss clears everything.

brocken

doesnt play