Tear Film Phaco

Christopher Starr MD

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Christopher Starr, MD, presents a his favorite pearl from 2010 called Tear Film Phaco. Tear Film Phacoemulsification is devised for eradicating bothersome and potentially dangerous ocular surface meibum and debris before cataract surgery.

Posted: 12/13/2010

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Name: Tear Film Phaco
Uploaded: 2010-12-13T10:19:00+00:00
Description: Christopher Starr, MD, presents a his favorite pearl from 2010 called Tear Film Phaco. Tear Film Phacoemulsification is devised for eradicating bothersome and potentially dangerous ocular surface meibum and debris before cataract surgery.

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Tear Film Phaco

Christopher Starr MD

Posted: 12/13/2010

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Comments

Vipan Chawla

14 years ago

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.

Paul N. Arnold, MD

14 years ago

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!

ari weitzner

14 years ago

thats exactly what i do.

David Bryson

14 years ago

i want my 2 minutes back

William Trattler

14 years ago

Chris - thank you for sharing! Bill T.

marcos gomez

14 years ago

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.

NIKETU SHAH

14 years ago

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...

ari weitzner

14 years ago

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

abdulmajid alshehah

14 years ago

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

ari weitzner

14 years ago

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.

Dimitrios Kotsakos

14 years ago

brocken

ari weitzner

14 years ago

doesnt play

Tear Film Phaco

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Tear Film Phaco

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