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official STAAR ICL-TICL Video

This is the Video that you MUST watch before attempting inserting IOL for the first time (and you probably need to review it every once in a while if you dont use the lens so often, After reviewing the video youshould know, 1/ which drops to use for dilation 2/ when to use NSAID’s 3/ How to create paracenthesis incisions/ main incision 4/ which viscoelastic to use 5/ how to deliver the IOL slowly in the AC 5/ why you do not  place viscoelasticunder the lens…https://www.youtube.com/watch?v=ofUUe66So14

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posterior Continuous Curvilinear Capsulorhexis (PCCC)and Posterior optic capture (POC)

.;l;o;yo;o;

creating a posterior capsulorhexis is a dawnted task since all you learn while performing cataract surgery is preserving the posterior capsule. Nevertheless controlled posterior capsulorhexis is required in pediatric patients but is easier taught in adult patients.

  1. Do not over inflate the bag. 2 Use cohesive viscoelastic through the 30G needle opening and over the capsulorhexis
  2. start Small and aim for ~4.5mm.
  3. know the importance of Burger;s Space

Hyaloid Sparing Double Capture technique: Optic through both anterior/posterior Capsulorhexis in Burger Space, Haptics in the Sulcus (L B Arbisser)

 

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Tri-Soft shell Technique Arsinoff

Soft Shell Technique introduced by S Arshinoff (Toronto Canada) is taking advantage of the different properties of Viscoelastics.

1/ First you introduce the Dispersive Viscoelastic (eg Viscoat) centrally over the crystalline lens

2/ then you introduce the Cohesive Viscoelastic (eg Healon GV) below the first thus i) creating/ maintaining space ii) pushing the dispersive where you need it the most: over the endothelium.

The tri-soft Shell addentum is using 1/ Dispersive 2/ Superviscoadaptive eg Healon 5 3/ BSS- Trypan blue behind…just over capsule…..the dye should never touch the endothelium…….

https://eyetube.net/series/eyetube-tv-show-daily-vienna-2011/optimizing-viscoelastic-softshell-technique/

the Sideways Arsinoff Shell: you have a zonular dehiscense: place Dispersive on the weak side and cohesive to push the dispersive to plug the hole……

 

Video+ Instruments Akahoshi Full Set of instruments Asico (2014)

brilliant surgery tactics with right instrumentation

Diamond main Incision instrument AE 8190

Diamond 45 second incision AE 813

Capsulorhexis Forceps  for <2.2 …. AE-4347 (AE 4345-cross Action)

Hydrodissection Cannula AE 7636  NB: Chang’s is better AE 7638 (also 27G)

Prechopper -Hard AE-4190

Nucleus Stabilizer AE 2530

Prechopper -Soft AE 4192

Harmonyx -torsion all- phaco tip (Akahoshi 12degrees) Centurion

IOL Loader (Acrysof) AE 4253

Tutorial Video

https://www.youtube.com/watch?v=ux5rCIsa1oI