Phacofragmentation is an efficient way to remove dense lens material that has fallen to the posterior pole. In this case, second year Tufts/OCB vitreoretinal fellow David Fell, demonstrates a number of best practices when performing phacofragmentation. These include aspiration the lens material and mobilizing into the mid-vitreous cavity before engaging the ultrasound, using the light pipe as a second instrument, and creating a sclerotomy that is sufficiently large to avoid phacofrag scleral wound burning. At the end of the video we discuss some of the parameters you can modulate to improve the efficiency and safety of phacofragmentation. Future videos will provide a more detailed explanation of these various machine settings. Thank you Dr. Fell for sharing this very educational video!
Thank you very much for your amazing vidéos.
I would ask you if it is necessary to bé sure that the PVD is done before phaco fragmentation or not, because i didn’t see injection of triamcinolone in this vidéo.
Thank you very much for your excellent question. This patient already had a vitrectomy for diabetic retinopathy, hence no ppv performed during this case. We will show other videos where a vitrectomy was performed at the same time as pars plana lensectomy. Thanks again!