HomeNovember 2011Advanced Surgical Technique


The Severe Blepharospastic Patient

by Richard J. Mackool, M.D.

The topic is management of severe blepharospasm and Bell’s phenomenon during cataract surgery in a patient with Floppy Iris Syndrome and a mid-dilated pupil. The use of Trypan Blue and techniques to manage the sleeping patient are also demonstrated.

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Issue #3, November 2011

  • Video Introduction

    Introduction by Richard J. Mackool, M.D.

  • Surgical Technique

    Learn to Chop A step by step approach to Dr Mackool’s chopping technique using a big ball chopper. Other pearls...

  • Surgical Technique

    Converting to Small Incision Surgery Dr. Mackool discusses transitioning to smaller incisions. Topics include wound size,...

  • Advanced Surgical Technique

    The Severe Blepharospastic Patient The topic is management of severe blepharospasm and Bell’s phenomenon during...

  • Guest Surgeon

    Alan Crandall, M.D.: How to Identify Pseudoexfoliation An excellent presentation of a case of pseudoexfoliation, and how...













©2014 Dr. Richard J. Mackool, MD

The machine settings, parameters, and techniques shown in these videos have been established by the surgeon.



Dr Richard Mackool is an internationally recognized expert in the field of ocular microsurgery. He is an inventor of numerous instruments and techniques for cataract removal and IOL designs, has published hundreds of papers and several textbooks, lectured throughout the world, and surgeons from every continent have travelled to New York to attend courses conducted by him. He has performed more than 50,000 ophthalmic procedures, specializing in cataract-implant surgery, corneal refractive and transplant surgery, and vitreous microsurgery. His widely-read monthly column, PhacoTips℠, appeared in Ocular Surgery News for 20 years.