Search
Search
Marcos Gomez MD
Show Description +
Dr. Marcos Gomez presents an unedited video demonstrating his Microphaco technique of a very hard cataract. Seventeen microchops are made inside the iris plane through 1.8 mm incisions.
Posted: 11/30/2009
Marcos Gomez MD
Dr. Marcos Gomez presents an unedited video demonstrating his Microphaco technique of a very hard cataract. Seventeen microchops are made inside the iris plane through 1.8 mm incisions.
Posted: 11/30/2009
.00_00_09_18.Still002_1755543568.png?auto=compress,format&w=504)
Please log in to leave a comment.
Comments
Just Now
Prasert Chiaprasert
11 years ago
long time in phaco, what technique to minimize the phacotime and what viscoelastic to use
hacini nacer
11 years ago
perfect no using more US good for the endothelium
marcos gomez
15 years ago
It´s long in a stone like this, but ultrashort in US effective phaco time, 20 sec only!, it´s a bit longer than other techniques, but more controlled in my hands. Thanks for your interest
marcos gomez
15 years ago
Hi Dr. Mostafa, It´s the same cystotome used for the rexis, disposable and low cost. Sometimes I use a disposable Sinskey hook with same results. Micro amplitude movements reduces the chance of damaging the rexis. I like your idea, stopµ, I will try it!
Bessem GRISSA
15 years ago
very interesting technique,Dr Marcos Gomez, with good result (reliabiliyty??),and wich should be tried, but very long preocedure (11min), much more longer than phacochop or devide and conquire...
mostafa A aziz
15 years ago
nice demonestrative technique but I have two comments,why you used acystotome with sharp sides for the microchop, it looks very risky near the rhexis edge!!I think devision into two halves followed by microchop would be much safer,thanks
khalid Hashim
15 years ago
this is a very good technique and i think i need to try it
marcos gomez
15 years ago
There are probably other US settings more apropiate for this case, for simplicity I always use the same parameters, then with dual linear pedal control I adjust to the case.
Sanjit Saha
15 years ago
Congrats Dr Marcos, for a Sure Slow Steady Fully EndoCap Phaco!But quite confused on certain issues. Why this 'Retrograde' step of leaving the posterior plate, just removal of that from the Capsular Bag itself is danger prone! With a Stellaris machine, why NOT More Power with adequate off time.Want to be educated please.
marcos gomez
15 years ago
I agree with you, this is Phacoextreme..... unedited. Impatience included !
Vicente Perez
15 years ago
good job
Gustavo Castro
15 years ago
trying to test the resistence of the capsular bag
ari weitzner
15 years ago
as noted in other videos here, and in my experience, even using a lot of energy in the bag causes no damage to the endothelium. my corneas are very clear day 1, even though i used a lot of energy. if you use a lot of energy at the iris plane or ac, then yes, the cornea will suffer.
marcos gomez
15 years ago
I liked Dr Vasavada step by step fracture but now I feel more comfortable with microchop. Four cuadrant utilises to much energy, vertical or horizontal chop to much anterior chamber maneuvers. Stop and chop is a good compromise.
mallikarjun mahadev
15 years ago
which technique is better in very hard cataracts , 4 quadrant divide and quancar or stop and chop or direct chop
marcos gomez
15 years ago
Thanks for your interest, and thanks for inspiring all of us in this wonderfull eduactional tool. I agree with you, four cuadrant divide and conquer is the gold standard, but for 1,8 mm incision very hight power may be a problem. This case was performed with 17% mean US power and 20 seconds of effective phaco time.
ari weitzner
15 years ago
i think divide and conquer, using very high power, in the bag, making wide grooves, is faster and better in a rock like this
View More