#dr_iftekher_iqbal #APAOYORisingStar2024 Dr. Md Iftekher Iqbal is an internationally recognized certified glaucoma specialist at the Ispahani Islamia Eye Institute and Hospital & Bangladesh Eye Hospital Uttara Ltd., Dhaka, Bangladesh.
He is an expert in complex glaucoma & cataract-related surgical cases, minimally invasive glaucoma surgeries (MIGS), glaucoma drainage devices (GDD), pediatric glaucoma surgeries, various laser procedures (SLT, LPI, DLCP, etc.), and lens-based refractive surgeries.
Additionally, he actively mentors local and global trainees for cataract and glaucoma and holds promising positions in leading glaucoma societies, including the Asia-Pacific Glaucoma Society (APGS) and European Glaucoma Society (EGS), representing Bangladesh internationally.
Disclosure: "This channel is exclusively dedicated to providing educational content for ophthalmologists, residents, and eyecare providers, aiming to enhance their knowledge and expertise in eye care."
Dear Doctor , Very nice video. You are obviously very skilled and have managed the situation very well. May I point out some areas where I feel some improvement can be done? 1) You had made an intial "Punch" in the endonucleus before going for a chop , which is a good technique. However , the reason the chops are not complete in the initial attempts is because you are not embedding the phaco tip deep enough into the nucleus substance to get a good hold of the nucleus. Your tip burial is too shallow , which is why when you attempt to chop you are losing occlusion and the chop does not propogate to the posterior plate. Try to bury the tip entirely into the nucleus substance and then do the chop. You will get a nice crack on the first attempt which will make the rest of the sx very efficient 2) I think the PCR occured at the last piece because you were doing phaco bevel down. Nothing wrong with bevel down phaco and I do the same as well as this keeps the nucleus chatter within the capsular bag which leads to clear corneas. But at the last piece you have to change from pointing the bevel down to a bevel up position to prevent post occlusion surge. The chamber was fairly stable so I do not think there was any need to reduce the fluidic parameters but I think going bevel up at the last piece would have prevented the PCR Otherwise the management of the complication was excellent, keep up the good work!
Few points that cud further improve your surgical outcome: 1. Once u note aPCR, take dispersive OVD in left hand and inject thru side port before pulling out phaco probe 2. Consider doing vitrectomy prior to cortex IA. Currently u r just pulling on vitreous while doing IA. Keep flow rate/ bottle height very low during IA 3. Use 3 piece PMMA IOL with silicon haptics for sulcus implantation 4. Use pilocarpine intracamerally prior to doing PI. That way the size of PI is reasonably small. PI done in a dilated pupil is actually much bigger which u appreciate when pupil returns to normal size.
Yes, we have both MSICS and Phaco training courses along with all subspecialties. You can go through the official website of Ispahani Islamia Eye Institute and Hospital for details about the programs. Thank you 🙏
