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I am writing from Italy, this channel helps me to hope for a better future, because my problem is solvable, but few surgeons are able to perform it. Thank You!

There is no way I am going to be a doctor in this category. Too much pressure on me.

20:42 You are so right, Dr. Wong! Some of us are listening and sharing both of your channel’s content with colleagues, techs, and even patients! Thanks so much for what you leaders do.

I tried this at AAO on model eyes and had difficulty consistently achieving suction despite pressing down on capsule with quite a bit of force. Was this model eye issue?

There is a big fan of Giants Wisdom, thank you, it's great to see two in one🤩

you have fan from algeria thank you

My favorite podcast cataract coach podcast!! I am a -1.5 myopic, and I agree myopia is a gift for an ophthalmologist!

I love both of your channels, I discovered yours (@Uday) from Dr Wong's channel, which I've discovered from Review Of Optometry. You both are brilliant, and would trust either of you to work on my eyes when the time comes, even with me being in Canada. I love how Dr Wong brought up MEI as opposed to DEI, and I 100% agree - I would much rather work with someone (especially surgeons) that have earned their position, excelled in their education and practice, and have the intelligence. I refuse to work with anyone who just had it handed to them. DEI: Didn't Earn It. I may be cancelled for that final statement, but I care not. Cheers from the True North Strong and Free! 🇨🇦🇺🇸

We are listening. 2 ears and 1 mouth, well said! Dr Devgan--I respectfully disagree with Dr Wong about your refractive target--I would leave you -2 with monofocal IOL of your choice and let you pick out some snazzy small framed new glasses for distance correction.

Ohhhhhhhhhh snap 🫰 - this is gonna be a good one, can’t wait to listen!

Your promoting excellence in ophthalmology from a technical and humanistic standpoint is admirable. I am scheduled for IOL surgery in two days and the information both of you have presented here today and in the past is invaluable to patient and practitioner alike. Thanks to both of you.

Why is tryphan blue not used in so many surgeries? 😊 Just a doubt.

Thank you Uday for always being so thoughtful and including me on your channel. Wishing you continued success and happiness. Let's enjoy the journey!

Amazing podcast. The next generation IS listening! Cheers guys and appreciate your wisdom!

If I’m not mistaken, at exactly 1:02 you can see the roof of the main incision was already split prior to the removal of the pupil expansion device. May have occurred during nuclear disassembly or insertion of the IOL

1. I would rotate the sleeve on the phaco handpiece so that the eyelets are parallel to the floor, facing superior and inferior, rather than anterior and posterior. I think it makes the currents within the eye more predictable and improves followability, plus maybe less likely to separate Descemet's as you insert the handpiece because the sleeve will be smoother against the incision. 2. When the I/A goes in the eye, you can see the AC deepen suddenly from LIDRS. When you start doing cases under topical anesthesia (assuming this case was with a block), that might be uncomfortable for the patient. An easy way to fix this is to take a second instrument or the irrigating handpiece of the bimanual I/A, and gently lift up on the iris margin, separating the iris from the anterior capsule of the lens. LIDRS can also be dangerous by making the AC hyperdeep, making you have to reach further into the eye to grab lens material or cortex, depending where you are in the case. 3. You might not need as much hydration of the sideport incisions, but I also didn't see hydration of the main would. A resident at case 40 making a perfectly watertight incision with a 2.8mm blade is commendable, though! Overall, these are nitpicks. Making the rhexis larger will definitely help when you start chopping. I think Divide and Conquer is also the safest choice when face with a lens that just won't rotate, although now I feel comfortable enough with chop that I've moved away from Divide and Conquer for the stubborn lens. You've got great hands and with a few dozen more surgeries under your belt, you'll be ready to graduate!

Hydrodissection could be more succinct- have it scripted, example: “one pulse to the right, then gentle sweep to the left, then rotate, and if it doesn’t spin just move on and can repeat hydrodissection after the crack if needed”

In my humble opinion you don’t need a ring in this case

Great job. You have a great skill, thank you for sharing it.

My advice is that this youngster is he/she should try doing his/her surgery by increasing the magnification.

Why didn’t you use a Sheets glide to help insert the lens?

Sir your video has helped me to take an informed decision on my choice as I am planning for a surgery next week

Great job by the young Jedi! But it could have some improvements: Scope centration, stereopsis control to actually focus at progressively deeper planes after rhexis, at 2:18 you can see the trench being too deep simulating a punch hole, a better rhexis, work in the fluidics to reduce the surge. Again a fantastic case by a novice surgeon. Keep it up!

I honestly wouldn't have much to say about this case if I were training -- safe surgeon, fairly efficient, all steps done well. My only advice to improve going forward would be to do lots and lots of surgery!

Thanks sir for clearing my doubt

I've actually been training suture in a simulated eye and would love recomendations for diferent types pf knots. I've been training the same 6 over and over so far

Sir merko karvana h plzz adress bataiye

I cant judge the surgeon who is operating the case. Our aim for beginners is just to finish the case. Not the complete properly. It is sad but it’s just the way it is. We do not have enough practise to fix here in our clinic😢

Bad protoplasm...i will remember this :)))

Radial 5-6 relaxing incisions at Ant capsule with Yag laser done

I would suggest to remove the device with the injector bevel down.. It's sooo much easier

Not so bad but in fragile iris i think best to put iris hooks than iris expander Fortunately in this case there was no iris dialysis with surgeon manoeuvres

More viscoelastic during the removal.

I feel the b hex ring is so much easier to remove.

This video is full of wisdom! However this ring was not removed in the proper technique!

Not a bad surgeon But badly handled the i-ring by BVI I’m not a big fan of rings .. but this one has a manufacturer described insertion and removal instructions that were not followed

Amazing surgical video sir I learnt so much from it 🙂 Thank you very much really

Excellent management. I had a recent case. It is best not to attempt rescue maneuvers, the only thing that is done is to generate more complications. Refer the patient for management, with a calm eye and no inflammation.

💯 thank you for talking truthfully and teaching the way it should be. You’ve helped me a lot!

Thanks Dr Uday for the beautiful words on "What to do when you face such situation and you don't know vitrectomy". I have basic training in VR surgery, that's why, I can manage it myself. But if you don't have that training Please don’t Fish in the vitreous cavity, refer to a VR colleague at the earliest.

Love your attitude about this bag and not caring about what people will say. kislux You are right keep your head up and no your priorities.

I tried this technique yesterday on an intumescent white cataract, but unfortunately, it didn't prevent the Argentinian flag sign. Next time, I will try a YAG laser…

Sir kindly bring Dr Pradeep mohanta sir on ur podcast.

1-piece in the sulcus?

Bahi contact nambhar plizz from Pakistan

Anyone who has not dropped nucleus has not done many cases (or as you say is not truthful).

Great job!!!!

Very informative video. A tad different opinion though.. If we manage to get PI done in a very shallow Ac it deepens the AC and makes life easier during cataract surgery.

I would insert IOL under the lens fragment before.

Great case, thank you !!!