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Resident & Fellows Collection (55 videos)

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25-Gauge Vitrectomy for Retained Lens Fragments

Channels: Retina

Shlomit Schaal, MD, PhD; Omar Saleh, MD; Yoreh Barak, MD; and Lana Rifkin, MD, present the removal of retained lens fragments using a 25 gauge vitrectomy technique. A 62-year-old, Caucasian female underwent complicated cataract surgery resulting in large lens fragments in the vitreous cavity and a sulcus positioned IOL. On the following day, a 25 gauge vitrectomy and removal of lens fragments was performed. Anterior vitrectomy and releasing of lens fragments from vitreous attachments is demonstrated using 2500 cuts per minute (cpm) and 500 mmHg vacuum. Lensectomy is performed using 100 cpm, 600mmHg vacuum and a duty cycle set on "core" setting (Constellation, Alcon), which means that most of the cycle the vitrectome is preferentially open. All lens fragments are easily removed in this manner. The surgery ends with 360 degree endolaser photocoagulation and fluid air exchange.

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Operative Dictations in Ophthalmology

This book provides residents with a comprehensive review of surgical cases within the field of ophthalmology. Operative Dictations in Ophthalmology touches on important steps within each surgical case, indications for the procedure, possible complications, and a sample dictation. The review serves as both a preparation and debriefing for each surgeon, or surgeon in training, by improving comprehension time, cultivating surgical forethought, and refining post operative dictations. GET THE BOOK

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