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Dancing IOL( Intra ocular Lens) -(Voice-Over)-DR SUDHIR SRIVASTAVA

Dancing IOl or IOl flutter in the capsular bag during Irrigation and aspiration indicates that capsular bag is empty and free from OVD . It usually happens with hydrophobic Implants since they open gradually ..

Corneal Decompensation After 4 Years of phaco-emulsification -Voice-Over-DR SUDHIR SRIVASTAVA

A Free-floating anterior capsule in the anterior chamber can lead to corneal decompensation in the long run .Do not leave any object in the anterior chamber.

Use of ToricIOL In Mature Cataract with Wrinkled & Fibrotic Capsule(Voice-Over)DR SUDHIR SRIVASTAVA

Making a capsulorhexis in mature cataract with wrinkled and fibrotic Casule is always unpredictable. This video shows how I handled it.

Phacoemulsification in a patient with Essential Tremors-(Voice-Over) -DR SUDHIR SRIVASTAVA

Phaco-Surgery needs good visualisation all the times, and visualisation becomes chellange in the patient’s with head nodding, tremors . Stress induces tremors , preoperative anxiolytics and good local anesthesia are always helpful to minimise the tremors ..

Implantation of EDOF (SYMFONY) in Intumescent Mature Cataract-(Voice-Over)-DR SUDHIR SRIVASTAVA

For Better performance of any Multifocal IOL good centration and proper exposure of IOL surface is must

Handling of Sticky Epi-nuclear Plate -(Voice-Over)-DR SUDHIR SRIVASTAVA

This video shows a small trick which I learned through my experiences, it is safe and effective. We all must have encountered a sticky plate once in a while, this is the time when our patience matters more, any hurry can lead to complications.

All Steps are important in Cataract Surgery=(Voice-Over)-DR SUDHIR SRIVASTAVA
Can We Do PCC in Vitrectomised eye through Anterior Route?(Voice-Over)-DR SUDHIR SRIVASTAVA
This video emphasises not to attempt Posterior Capsulorhexis through anterior chamber route . The fluid present in the posterior chamber suddenly shifts forward and extends the posterior capsulorhexis in an uncontrolled manner…
Can We do Two Rhexis in One Eye?-(Voice-Over)-DR SUDHIR SRIVASTAVA

First Rhexis we do on Anterior Capsule of the lens and Second Rhexis we do on Inter-Limiting Membrane at Retina. Both techniques require experience and efforts, Anterior Rhexis is done against retro-illumination or by staining with Trypton Blue dye, whereas ILM Rhexis needs complete PVD and staining with Brilliant Blue-G(BBG) and other dyes to stain it.

Sudden Collapse of Anterior Chamber During Phaco emulsification(Voice-Over)DR SUDHIR SRIVASTAVA

Check all attachments and tubings before starting Phacoemulsification, Sudden separation of Loose tubings can give sudden collapse of anterior Chamber and complications..

Trick To Handle A Morgagnian Hyper mature Cataract -( Voice-Over)DR SUDHIR SRIVSATAVA

Always try to maintain the bulk of the nucleus in the bag, divide the nucleus into smaller pieces before starting to eat the fragments . Second instrument is for the support.

Importance of Side Port Incisions in Phacoemulsification-(Voice-Over)-DR SUDHIR SRIVASTAVA

DO NOT forget the importance of non-leaking calibrated all incisions. Good and safe phacoemulsification need tight non-leaking incisions. This video shows my experiences to handle such situations.

Morgagnian Cataract extraction in Physically Challenged Patient-(Voice-Over)-DR SUDHIR SRIVASTAVA

This video shows the management of Morgagnain Hypermature Cataract in Physically Challenged patient. Performing Phaco-emulsification might be risky in such type of patients. However, your decision is crucial. Every Phaco surgeon must learn other modalities of cataract extraction

How to avoid wrong opening of Phakic IOL inside Eye-(Voice-Over)-DR SUDHIR SRIVASTAVA

Keeping a blunt manipulator in the side port would be helpful to guide the smooth opening of Phakic IOL inside Eye. However, if you get a wrong opening of IOL in the eye, do not attempt to flip it inside the eye, always remove, reload and reinject.

Large Sub-luxation during phacoemulsification managed with Ant Viterctomy & ACIOL Implantation.

Sometimes You have to take decisions on table during surgery. This video shows how I managed a large subluxation found during phacoemulsification. I Managed this case converting it and removing lens through Extracapsular cataract extraction technique. I did liberal anterior Vitrectomy and implanted Anterior Chamber IOL.

Use of Endo Capsular Tension Ring at right time saves complication-Voice -Over-DR SUDHIR SRIVASTAVA

Taking the right decision at the right time saves us from creating complications. This video shows how to use to EndoCapsular Tension ring in case of Capsular Dihescence to avoid complications.

Phaco-surgery with Corneal Guttate- (with Voice over)-DR SUDHIR SRIVASTAVA
Corneal guttata are droplet-like accumulations of non-banded collagen on the posterior surface of Descemet’s membrane. Any surgery can give stress to the endothelium. Patients having cornea guttate have more chances of developing corneal decompensation . This video shows how to protect corneal endothelium during surgery by using a variety of visco-elastics.

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Train your Non-dominant hand for Phaco-Surgery-(Voice-Over)-DR SUDHIR SRIVASTAVA
For fast, safe and quality phacoemulsification use of both hands is the must. Lots of manipulations can be done with the second instrument. This Video emphasises the use of the non-dominant hand in a difficult situation too. Try to train your both hand equally ..
Anterior Chamber Bleeding during Phaco-emulsification -(Voice-Over)DR SUDHIR SRIVASTAVA

Anterior Chamber Bleeding during cataract surgery is not common, but patients on blood thinners, Iris -neovascularization and iatrogenic during surgery might be the reasons. Use intracameral Epinephrine a known vasoconstrictor and raised anterior chamber pressure for some time would help to stop the bleeding.

Pterygium Excision with Conjunctival Grafting

A pterygium is a growth of the conjunctiva or mucous membrane that covers the white part of your eye over the cornea. The cornea is the clear front covering of the eye. This benign or noncancerous growth is often shaped like a wedge. This Video show excision of pterygium with conjunctival grafting . Normal conjunctival tissue from different area acts as a barrier and reduces the chances of recurrence.

Importance of Purkinje Images during Cataract Surgery-(Voice-over)DR SUDHIR SRIVASTAVA

This Video incites a thought for use of Purkinje Images during surgery for centration of Intraocular Lens . During cataract surgery, careful observation of the Purkinje images, or the light reflections off the surfaces of the cornea and the lens, can reveal a significant amount of information about the optical and positional characteristics of the IOL.

All Steps are important in Cataract Surgery=(Voice-Over)-DR SUDHIR SRIVASTAVA
Predict Digital Marking System registration Failure in Toric IOL with Head Nodding-DRSUDHIRSRIVASTAVA

Digital marking system has revolutionized Toric IOL cataract surgery. Use of these systems has raised the accuracy of axis alignment of Toric IOL . Sometime we may get surprises due to failure of registration immediately before surgery . This video shows that in cases of head-nodding due to parkinsonism, essential tremors or if the patient is not cooperative on table system often fails to register before surgery which might be a reason for delay since manual marking would be required. So we have to make the patient in the sitting position after removing all drapes. Early Prediction comes with time , manual marking is done before draping would be the best option.

How much Social Impact of COVID19 on our families ?-(Voice-Over)Dr Sudhir Srivastava

Can we imagine how much social Impact would be due to the unprecedented tragic event of COVID-19 on our social Family System?

Social Impact Of COVID-19 on our Families-(Voice-Over)-DR SUDHIR SRIVASTAVA

This video shows the impact of COVID-19 on our mind and families, we are going through a tough time but this unprecedented event has given a lesson to ourself and time to reset our lives ..

Shoe-Lace Suturing for Limbal Incision during Cataract Surgery-(Voice-Over)-DR SUDHIR SRIVASTAVA
Perhaps the most complicated suturing technique is the shoelace suture, Intended for use with large cataract incisions, it is a running suture in a cross-stitch pattern. This video shows how to proceed for the suturing , recommended bites should be in the radial direction in both ways and other fine tips like cleaning wound before final closure are mandatory.
Can We do Two Rhexis in One Eye?-(Voice-Over)-DR SUDHIR SRIVASTAVA

First Rhexis we do on Anterior Capsule of the lens and Second Rhexis we do on Inter-Limiting Membrane at Retina. Both techniques require experience and efforts, Anterior Rhexis is done against retro-illumination or by staining with Trypton Blue dye, whereas ILM Rhexis needs complete PVD and staining with Brilliant Blue-G(BBG) and other dyes to stain it.

Toric IOL Realignment -(Voice-Over)-DR SUDHIR SRIVASTAVA

Accurate toric IOL alignment along the desired corneal meridian is a prerequisite for achieving an optimal visual outcome. One degree of misalignment reduces the astigmatic correction by ~3.3%, with more than 30° misalignment effectively increasing the amount of preoperative astigmatism Toric Realignment Should be done with BSS filled Blunt Cannula and rotation should be done clockwise.

One Wrong Step can Give us Stress -Managing a compromised Capsulorhexis -DR SUDHIR SRIVASTAVA

Role of Viscoelastics in cataract surgery is immense, they are the best friend for cataract surgeons. The major aim for the application of viscoelastic substances in cataract surgery is prevention of corneal endothelial cell loss. This aim is fulfilled by deepening of the anterior chamber, mechanical endothelium protection against surgical trauma, absorption of ultrasound energy, and coating of intraocular lens.

Management of Moderate Floppy Iris -DR SUDHIR SRIVASTAVA
Intraoperative floppy iris syndrome (IFIS) is a well identified condition which was described by Chang and Campbell in 2005.This condition is most frequently encountered during cataract surgery (phacoemulsification) in patients who have a history of alpha1-anatgonist agents such as Tamsulosin (Flomax) and similar agents either actively or in the past. This condition may be associated with an increased rate of surgical complications (i.e. vitreous loss, posterior capsular rupture, dropped nuclear fragments or iris tissue loss/trauma). Pre-operative anticipation of IFIS by an experienced surgeon can dramatically decrease complication rates.
Femtosecond Laser Cataract Surgery -DR SUDHIR SRIVASTAVA

Femto Laser-Assisted Cataract Surgery, or FLACS, replaces many of the steps during cataract surgery that require a blade and softens the cataract, allowing for an easier and smoother removal. … A small ultrasound probe will break up and remove your cataracts, and a new lens will be placed in your eye.

Cleaning of Ophthalmic Surgery Instruments-DR SUDHIR SRIVASTAVA

Maintenance of Surgical Instruments before sterilisation is essential for good surgical outcomes .Manual cleaning includes wiping instruments clean using a sterile, water-moistened sponge. A soft toothbrush can also be used to clean instruments. Instruments with lumens should be flushed with distilled water followed by compressed air.

A Phaco-Surgeon must Know SICS -(Voice-over) DR SUDHIR SRIVASTAVA

SICS offers safety over phacoemulsification in black rockhard nuclear cataract. Every phaco-surgeon must learn Manual small incision cataract surgery .

Unedited Unseen secret Moments in Operation Theatre during Cataract Surgery-DR SUDHIR SRIVASTAVA
Operation Theatres are normally hidden and area where a normal person cannot enter and always feel scary to go in .However, as a common person one should always keen to see how we function inside ,what we talk ,how we make patient relax . This video shows a complete cataract surgery without editing .
One Wrong Step can Give us Stress -Managing a compromised Capsulorhexis -DR SUDHIR SRIVASTAVA
Role of Viscoelastics in cataract surgery is immense, they are the best friend for cataract surgeons. The major aim for the application of viscoelastic substances in cataract surgery is prevention of corneal endothelial cell loss. This aim is fulfilled by deepening of the anterior chamber, mechanical endothelium protection against surgical trauma, absorption of ultrasound energy, and coating of intraocular lens.
What to do when capsulorhexis stuck in zonular area-DR SUDHIR SRIVASTAVA

Sometimes Capsulorhexis stuck in the zonular area, by pulling capsule towards the centre most of the time we can start it again. Another way is the start the rhexis in the reverse direction.

Keratoconus Workup & Corneal Collagen Cross Linking-DR SUDHIR SRIVASTAVA

This video gives a brief overview of keratoconus workup & Collagen cross-linking procedure. Keratoconus is a progressive eye disease that causes a thinning of the clear front surface of the eye (cornea) and distorts the cornea into a cone-like shape. Most cases of keratoconus become apparent during a person’s teens or early 20s. Majority of patients remain nonprogressive on topography but topographically deteriorating patients need collagen cross-Linking to prevent further progression.

Air Handling Unit(AHU) of a modular Operation Theatre-DR SUDHIR SRIVASTAVA

This Video demonstrates the cleaning and maintenance of Air handling Unit of a Modular Operation theatre. Air handling in the OT including air Quality: Air is supplied through Terminal HEPA (High-Efficiency Particulate Air) filters in the ceiling. The HEPA can be at the AHU level if it not feasible at the terminal level inside OT. The minimum size of the filtration area should extend one foot on all sides of the OT table.

How to avoid Expulsive Hemorrhage in other eye -DR SUDHIR SRIVASTAVA

This video shows Cataract surgery in a patient who has expulsive hemorrhage in other eye during cataract surgery one week before .She was 90 years old lady with Hyperopia,small eye and with black big nigra nucleus .Challenge was to provide workable vision with out any threat .Preoperative p and per-operative safe planning were very important in such case.

ROP ( RETINOPATHY OF PREMATURITY) -parents should know about this

Retinopathy of prematurity (ROP) is an eye disease that can happen in premature babies. It causes abnormal blood vessels to grow in the retina, and can lead to blindness.

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