Surgical Technique

Cataract Surgery After Ocular Trauma Cataract-implant surgery after penetrating ocular trauma; zonular defect with vitrectomy done for localized vitreous prolapse.

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The Coughing Patient Dr Mackool utilizes special techniques to successfully deal with the patient who experiences coughing during the procedure.

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Proper Use of Viscoat® During Cataract Surgery Dr. Mackool discusses IFIS and the advantages of Viscoat® Viscoelastic Solution to enlarge a small pupil, perform viscodissection, and safely perform phacoemulsification

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Converting to Small Incision Surgery Dr. Mackool discusses transitioning to smaller incisions. Topics include wound size, creating the rhexis, infusion sleeves, assuring proper inflow

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A Routine Phaco Case with Tons of Tips A routine phaco case with tons of tips, and an example of mild Floppy Iris and Infusion Misdirection Syndromes.

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

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Miotic Pupil and IFIS in a Female Patient Dr. Mackool explains and demonstrates the use of a Beehler Pupil Dilator. The case continues with a detailed explanation of Dr Mackool's chop technique with a brief discussion about foot position settings.

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Lens Chop and Toric Implantation Dr Mackool demonstrates lens chop using an impale vs a non-impale techinique. The use of a Mackool Toric Axis Marker is used to aid in the implantation of a toric IOL.

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Typical Cataract Case Using Chop This case may best be described as Dr Mackool’s typical cataract procedure using his chop technique. All aspects of the case are discussed with particular attention to fluidics and infusion.

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Placing a Toric IOL Dr Makool demonstrates marking the axis for placing a Toric IOL, discusses how properly positioning the phaco infusion sleeve prior to entering the eye helps protect the endothelium during phaco and provides a step-by-step approach to his chop technique. Proper positioning of the Toric IOL is also shown.

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©2014 Dr. Richard J. Mackool, MD

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

ABOUT DR. MACKOOL

 

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.