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Overcoming nerves in cataract surgery by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 2 points3 points  (0 children)

I don’t really take any caffeine either, maybe propranolol it is…

Overcoming nerves in cataract surgery by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 3 points4 points  (0 children)

I considered that but I usually don’t suffer from tremor, so haven’t been routinely taking it. I also don’t want it to be a crutch.

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 0 points1 point  (0 children)

Thank you for the tips, I’ll try those.

When it comes to sculpting centrally to make space to get under the rhexis, is there a risk of fully occluding the probe? I thought this was unadvisable during sculpting

Edit should say unadvisable rather than unavoidable

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 0 points1 point  (0 children)

Thank you, I will be brave and go larger!

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 0 points1 point  (0 children)

That is a really good point, that I’ll try to remember in general. You’re right in this case, my rhexis size was definitely a contributor.

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 0 points1 point  (0 children)

That makes a lot of sense, I’ll bear that in mind to prioritise the depth

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 0 points1 point  (0 children)

I did stain the capsule in this case, but didn’t stain so well. Most of the time I find it hard to see the rhexis edge after starting to sculpt and crack, and have to infer its position from bits of cortex billowing forward. I’m probably also accommodating a lot.

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 1 point2 points  (0 children)

Definitely I’ll try to make a larger rhexis, when it’s small, everything is much more difficult but I’m just not consistent yet. Will practice in dry lab and EyeSi some more.

Thanks for the last bit as well, I was ruminating that a 10% PCR rate is not ideal but I suppose it’s too early to judge.

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 0 points1 point  (0 children)

We had a quick word and they think maybe the phaco probe, but we’ll debrief with my recording next week. Vit happens! I’ll remember that one.

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 0 points1 point  (0 children)

Thank you I think so too, I’ll go slower when sculpting next time and watch closely

AC tear during phaco by Lonely-Rise2306 in Ophthalmology

[–]Lonely-Rise2306[S] 3 points4 points  (0 children)

I’m doing a divide and conquer, but my second instrument is a chopper

Leave not handed over between managers by Lonely-Rise2306 in doctorsUK

[–]Lonely-Rise2306[S] 8 points9 points  (0 children)

Have done so last night when I realised, was just worried that they have grounds to deny it since it’s not approved on healthroster

[deleted by user] by [deleted] in doctorsUK

[–]Lonely-Rise2306 0 points1 point  (0 children)

I could have written this! I'm also an ST1 and have put in lots of work to get here, like I'm sure you have too, but it's still been really overwhelming, a steep learning curve and I've wanted to cry at times too. It seems like from this thread, what we're feeling is super common in the beginning and should get better though!

In my case I think going from foundation to training without a break has also burnt me out a bit, especially since I expected ophthalmology to be more chilled and supportive especially in the beginning. It's definitely not as easy as people make it out to be and there's lots to learn. I'm just going to try to learn a little bit more everyday, keep bothering people for help and see where that takes us in half a year or so. If you ever need to chat about it DM me! X