Added: 5 years ago
From: jeffbrant
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  • @AllenWalkerFangurl42 Please read some of my other replies to similar questions ehre. Make sure your ophthalmologist answers all your specific questions. Pain during or after the procedure is quite rare.

  • I had my left eye done 12-13-11 and my right eye is doing to be done 12-14-11. After only one day I can tell the vision in my left eye is going to be much brighter and clearer than its ever been in my 68 years on the planet. Modern medicine is absolutely wonderful.

  • anaesthesia is amazing...I can't believe the patient didn't feel anything...

  • Eye of a tiger should be a better sundtrack.

  • @BENKATOK Can't use any copyrighted music.

  • wow, if the person is awake while this is going down then they would see everything! if it was me then I would be flinching all the way through the precedure

  • @DrNooraALsilawi The patient really doesn't see much. Just some shadows and lights.

  • wow, if the person is awake while this is going down then they would see everything! if it was me then I would be flinching all the way through the precedure

  • HOW THE HECK IS THE PATIENT ASLEEP

  • @martinaromero1 The patient is really awake. No problems!

  • AAAAH!!!! my eye!!! 

  • @jeffbrant Hi again, thank you for the reply. I`m having my cataract surgery next month and they decided to put me on Regional Anesthesia (peribulbar). Is there any pain going through this process? Sorry, one more question. For a cataract exam do they always dilate your pupil? (they didn`t in my exam) I think my surgeon said something like "the pupils are too small...." "I can`t see the back part I won`t dilate the eyes...." Are there cases like this?
  • @Raxiss Usually a peribulbar block is safe and effective. Rarely a dilated pupil exam isn't performed pre-op for reasons like a very narrow anterior chamber (for fear of triggering an attack of acute angle closure glaucoma). Please ask your ophthalmologist to clarify anything you aren't sure about and make sure all your questions are answered by him/her. Best wishes!

  • 5:13 the music picks up.

  • My son was born with cataracts, and had them removed at 4 months of age. Please, go to my channel and view the video on his story! Tell me what you think.

  • @amandao2gould I will take a look when I get a chance!

  • Nice job!

  • @licenciadorsito Thanks! Sorry the video is so grainy. It was made long ago. I need to make a new one.

  • is some kind of pupil dilator given to keep the pupils that large, thanks

  • @darrylportelli Yes. Standard dilating drops (like tropicamide, phenylephrine, and yclopentolate) are administered about 30 minutes before the procedure to maintain pupil dilation throughout the case and for several hours afterward.

  • @darrylportelli Not in this case. Pre-operative eye drops are all that are usually needed. We do sometimes run into a small pupil that won't dilate with eye drops. We use a special temporary "ring" to keep the pupil open while operate in those cases. Really helps.

  • I am 35 years old.Cataracts run in my family.I have cataracts in both my eye's.My mom had her cataracts removed before she was 40.Do people who inherite cataracts usually get thrm in both eyes?????

  • @gaiuskaiser Frequently, they do, but not necessarily at the same rate of progression.

  • @jeffbrant Thanks for the response.The cataract is more advanced in my let eye,My left eye is also a little bit lazy.Do people like me who inherited cataract's get a certain type of cataract's?Or can they be any type of cataract?Such as cortical,nuclear,or subcapsular.

  • @gaiuskaiser2 That depends. Could be any type.

  • @gaiuskaiser Hey. I got both eyes fixed (cataract removal and lens implantation) at age 21, same deal here. Congenital on my father's side (me, my dad, his dad, his dad's mom, and then before that you're getting into the 1800s when they just said you had bad eyesight and didnt know what cataracts were), but I can tell you in my case they were definitely in both eyes and during the 10 day span where I only had one eye done, it was really weird trying to read things.

  • x.x omg

  • @nraveles Very little, if any, discomfort in almost all cases, once proper local and/or topical anesthesia is administered.

  • had both eyes done about 3 years apart (well before I was 50) due to the "injudicious use of corticosteroids" for RA. Also had the posterior chambers done. It was the difference between night and day...I was amazed at the incredile improvement in 24 hours....

  • Wow,I thought I was going to see my lunch again. I also am having this surgery soon. Looking through a foogy fish bowl is not much fun.

  • Is this painful? It sure looks it

  • @lovingMaria1 See my numerous responses about this question in the other comments.

  • @lovingMaria1 You will feel pressure on your eye as if you knucling your eye when sleepy, it's not sore.

  • i stop watching at 2:30 it hurt my eyes

  • I really dont know why in heck that im watching this O_O

  • @jeffbrant

    I`ve looked at many surgery films but I thought yours was the best.

    ....if this was done on me, I don`t think I could keep my

    eyes still. What will happen if the patient suddenly

    moves its eye?

  • @Raxiss We can stabilize the eye to prevent unwanted movement when necessary. Most of the time, simply reminding the patient verbally to be as still as possible works. The instruments in the eye also help keep things steady. Sometimes we use peribulbar (local) anesthetic injections (not in the eye itself) to not only make everything around the eye very numb, but to prevent movement.

  • Never had anything go right--what are the complications that can occur? do pieces of lense ever get left behind to mess up vision?

  • @FlatulousMaximus You should ask your ophthalmologist these questions, as there are many possible risks and complications, although they are quite rare.  Pieces of the cataractous lens should not be left behind unless there is some type of complication (capsule tear, etc.). These may have to be removed in a later operation or through a different approach (via the pars plana) by a vitreoretinal specialist. Again, be sure to ask your eye care professional these questions.

  • owwwwwwwwwwww

  • I"m 37yr old female. My cataracts started gowing when I was 4yrs old. By the time I was in elementry school I couldn't see very well. Everyone thought I needed glasses, but then the doctors relized I had catarcs. I have one interocular lens on my left eye and the right eye I don't have anything. I wear a contact lens. My left eye has not changed vision wise since I was 16yrs old. My right eye well, I'm having issues because some of the newer contact lenses just don't fit right.

  • My eye is HURTING!!! But yes, it's really informative! :D

  • I would love to make such a surgery in the future... Hope my father will not get soft in head and will showme how to do it... Great surgery

    ps. sory for mistakes, english isn't me nativ language

  • This is very disturbing..but this is what they do...D:

  • D: omgg my dad's gonna have cataract surgery too

  • very fitting music.

  • @killerbassdrum Thank you!

  • Ok is this music supposed to attract me to cataract sugery or something? lol

  • jaw drop, huh, dunno what to say T.T

  • Im having thus surgery done tomorrow and im only 16. Im really nervous

  • i liked the music:D

  • I got this done a couple days ago

  • Big respect to the surgeons who have the balls to actually do these tricky procedures knowing one tiny slip could blinds somebody .. i couldnt do it i cant even hold my hand out without it shaking

  • Ow...ow...ow... D:

  • I have to make a choice between a monocular and an intra-ocular lens implant...Is it worth it for me to go intra-ocular? What are the downsides and cost differences?

  • @porchmonkeyusa You should discuss this with your eye surgeon.

  • @porchmonkeyusa It will be better to consult your surgeon. If not, write again, i shall give you the phone no of Dr. who operated me.

  • This video has good music, I can relate to this more

  • Such nice music for a shocking surgery...

  • @MrTwinkieZinger Thanks. Had to pick royalty-free music. I didn't spend much time trying to decide what music sounded the best. I plan on producing or new, more high-resolution up-to-date video of another case in the near future, once I find the time to do make it. Maybe I'll find some better music then.

  • her line of sight, we saw the dr today and we have this surgery, cataract removal with lens implant scheduled for the 23rd of this month. I feel a lil better watching this, knowing exactly what is going to happen to my 8 year old. Again, thanks for posting.....A worried Mama

  • @brestretch Sorry to hear about your daughter's eye injury. Best wishes to her for her recovery following her surgery.

  • Thank you for posting this. My daughter suffered an injury to her eye back in january and which formed a blood clot. They watched her for 2 weeks, finally got the clot to break up and be reasorbed, then it started to rebleed and her pressures that were going down, shot right back up. We went in for a pressure check and were admitted to the hospital for emergency surgery. Because her pressures were so high for so long, she has developed a cataract that has started to move and grow and is now in

  • The music Keeps me From Imagining how Painful This actually Feels!!

  • My uncle just got this done today and i was there next to him as he got this done cus i needed to interpret wat the doc said to my uncle as this took place. It was gross but cool and only lasted bout 14 min! Bout 20 later i drove him home and he said he could see thru that eye much better!!! :D

  • my mom went through this 3 years ago, she said it was painless.. she got the soft lens and she was soooo happy to be able to see properly again!

  • mi sento male

  • I was shouting the video while watching it O_O

  • OK, I go in for mine in 10 days and part of me wishes that I didn't watch this first. I didn't expect the tugging and pulling. What will I see out of that eye during the procedure?

  • @FishKepr You probably won't see much that will be disturbing to you during your surgery. Hope it went well. Best wishes.

  • @jeffbrant Yes, I never felt a thing during the whole procedure and all I saw was the bright light from the microscope/camera. I didn't even feel the anesthesia injection as some have reported. However, I haven't drummed enough courage to watch the DVD they gave me though.

  • @FishKepr lol me either

  • @jeffbrant nice surgery. My mom needs that surgery. Maybe she will go to your hospital. And one question. Do you give them a sedative or anesthesia?

  • @bluepool100 Yes, the patients receive some IV sedation. Each patient is unique, so we customize the amount of sedation for each patient. They also get very effective numbing eye drops and sometimes a local "block" consisting of a peribulbar injection of lidocaine/bupivacaine. The patient is usually "asleep" during the injection.

  • Ow that looks painful I saw this in embarrassing bodies 8(

  • I can't look

  • Do you still insert them into the anterior chamber or are you starting to use iris supported lenses?

  • @spudrickable No. These are implanted in the POSTERIOR CHAMBER, within the "capsular bag." The only time we use anterior chamber or iris-fixated implants is if there is a sever problem with the posterior lens capsule and/or zonules making it nearly impossible to successfully implant a lens in the posterior chamber.

  • Doctors--- i do not have any word in your appreciation. I too recently got my both eyes operated by Dr. J S Bhalla in Deen Dayal Upaadhyay Hospital West Delhi within a gap of 15 days.

    I used spectacles for the last 50 years and got rid of it. Now world looks more beautiful, the clear vision and convenience i never got in life. It's really a wonder to see world without spectacles. Thanks to you and your services to humanity.

  • @ajmersinghrandhawa Thank you so much for your nice comment. Glad your surgeries turned out so well and you are pleased with your vision.

  • @jeffbrant Thanks Sir.

  • magnificent!!! wel done!!!! really good work!!! all so gentle and elegant. so much like my own work. kind regards,

    hanzelaar..

  • If I ever have to have this done I'll kill myself.

  • Cool

  • mmm yes doctor, please poke wierd implements around in my eyes while from 5:20 I relax with this rockin' jazz :D

  • i was holding my eyes for the whole vid

  • My mom has to get this done in a few weeks...how long does it normally take to do?

  • @lilnena4 That depends on a lot of factors. Ask her ophthalmologist to answer your question. Hope she did well with her surgery!

  • Is there any chance cataract will be cured by other means in the foreseeable future? ie. via blocking the biochemical pathways that leave proteins on the lens or dispersing the proteins causing the catarct already on the lens via laser or gene therapy. I'm 37 and don't want to have this operation. Having my own lens removed and replaced by something artificial does not appeal to me apart from all the risks of an operation.

  • @bulldozzer25 A lot of research is being done on cataract prevention. So far, we don't know of anything that can medically reverse the clouding process of the lens.

  • I had this performed on me when I was in kindergarten and first grade. Once for each eye. I'm 14 now and my eye doctor tells my mom every visit that my case was such a success that, "they should write a book on me". I don't remember much of it but my friends say they remember a kid with an eyepatch and are surprised to find that it was me. My mom claims that when light hits my eyes at just the right angle the new lenses glisten. I had laser eye surgery on one of them in 2006. That's the last th

  • Ahh! Why the fuck did I click on this

  • Whats inside the eye

  • I wonder if you'd consider uploading a "higher-res" version of this video?

  • @axella Yes, I plan on making a new, high-res video. This one is quite old and I'm not sure I even have the original footage. Just need to find the time...

  • AWWWWWWWWWWWWWWWWWWWWWW

  • in reality, the right song genre for this is screamo

  • how could you hold your eye open?

    

  • I've had cataract surgery and even though the process looks horrific, I really do recommend a cataract sufferer gets it done.

  • Can that person see everything that's going on?

  • Thx for posting this, my wife is due to have it done and is rather nervous, this clip has eased her nerves a little. Thanks.

  • thumbs up if u couldnt watch this without putting your hands on your face and cringing.

  • My eyes kepting getting wider as i watched this! *shivers*

  • i puked

  • What happens if the surgeon sneezes in the middle of the surgery and his arm twitches and rips the instrument out of the eye and the whole surface of the eye is hanging off?

  • @DAROMSninja LOL! Actually, everything is quite controlled. The cataract surgeon is sitting down. There is a "wrist rest" around the patient's head that the surgeon supports his arms on.  In addition, his hands are supported on the patient's forehead, which is usually secured so it won't accidentally move. Everything is very highly controlled and stable. If the surgeon feels a sneeze coming on, he/she simply stops operating momentarily. Has never been a problem for me.

  • Just had this done! The surgery looks worse than it is. This was the easiest procedure I've ever had, the recovery is painless. Just lots of eyedrops for a few weeks.

  • I recently had this surgery done on my left eye. So so glad I watched this after the surgery:) Thank you for posting this.

  • i love the thing that squirts into their eye

  • I had this done yesterday and it was not bad at all! So glad that I did it!!

  • Oh my gosh! I am having this surgery tomorrow and I am a little freaked out. At least by watching this, I know what to expect.

  • lol he got a needle in his eye lol lol lol

  • i had cataracts wen i was  three but luckily the opperation was a success

  • is this "hard" or soft lens?? I'm only 30 and I just had this surgery on both left and right eye....I'm glad I never thought of watching this video before, now I feel like poking tools into my doctors eyes!! lol

  • @ugkistheclick It is a "foldable" lens implant. That way, we don't have to enlarge the incision to place it in the appropriate part of the eye after the cataract is removed.

  • @jeffbrant so after they get this done, can they see? or do they have temporary blurred vision or something.

  • @TurtleShellCrazy Yes, they can usually see quite well. Even the next day, the patients can usually tell there is a nice improvement to their vision. It takes about four weeks for maximum improvement and healing, in most cases.

  • hell i did this with an insulin syringe in my own home!

    no but really, nice video. 

  • I watched this in theatre today for the first time...very interesting!!

  • err how the intra-ocular lens attach to the suspensory ligament?or is the lens just placed in front of the original lens?

  • @tazifi89 It is placed within the original lens' "capsular bag." Perfect place to implant the lens, as it is naturally suspended in the eye by "zonules" and contains no blood vessels or nerves.

  • Does it hurt?

  • @imarichtowngirl4321 No, not usually.

  • @imarichtowngirl4321 No. Very unusual to have any significant discomfort with appropriate local or topical anesthetic.

  • and my i please know the meening of this sergery?

  • @zenlives2sk8 To restore better vision by cataract removal and intra-ocular lens implantation.

  • i mainly danced about watching this ^.^

  • your a good surgen

  • I'm so happy that my eyes work

  • that would be so fun to poke with a needle

  • I had this operation yesterday whilst fully awake.The proceedure is painless and I felt nothing except the pressure now and then and the water that they were using as it rolled down my cheek,Wonderful.

    Tomahern

  • remember:don't try this at home!

  • @timurtimu Especially on yourself in the mirror! LOL!

  • @timurtimu Too funny! (I am going in next week...maybe I shouldn't have watched this video?)

  • @timurtimu I love, love, love you post here. You have a wonderfully witty sense of humor. I totally love it! Do some more of these zingers. Really. This is marvelous. :D

  • My mom had cataract surgery and she was awake during it! She said she could see everything the doc was doing. The procedure takes less than 30 min and after the surgery it just felt irritated for one day. The next day she was fine.

  • RNpedia.com to know more about this..

  • i am getting one of those "what the hell am i watching!?!" moments right now

  • I Just had a Cataract removed last week and it was the most incredibly easy and painless surgery i have ever had, In and out of the OR in about 15 minutes... The pain was negligible afterwords... a couple of Tylenol and I felt great. Recovery is NOTHING. I'm able to see the next day. God bless this Surgery!

    Don't let fear of this surgery keep you from seeing. It is INCREDIBLE!

  • @xstreamers Thanks for posting your message here! I think it will help others who are contemplating cataract surgery.

  • it's this or blind huh. hard ass choice

  • @coreykinard Not necessarily "blind," but poor quality of vision. We always wait on recommending cataract surgery until our patients feel like their vision, with the best possible spectacles, is significantly interfering with their lifestyle (like hampering driving, reading, sewing, etc.), as it does carry substantial, albeit it infrequent, risks.

  • greatest soundtrack ever

  • wow, if the person is awake while this is going down then they would see everything! if it was me then I would be flinching all the way through the precedure

  • @laramiet011 We hear the same reaction from most people! No, the patient really doesn't see much while we are doing the surgery; just some lights and shadows. I know this is hard to believe, but I think you would find it true if you asked most patients who have undergone cataract surgery. They are usually amazed at how fast the surgery is and how "pleasant" the experience is, compared to what they imagined. After the first eye is operated on, the patients usually "can't wait" for #2!

  • OH HELL NO! I have to have this exact procedure done next month and I really shouldn't have watched this.

  • @shenelkevinbros Thanks!! I need to make a new video in high def. Just haven't had the time.

  • damn iam glad, that i have healthy eyes:D

  • Dr. Brant how can this not hurt? It's like you're sticking a knife in someones eyeball! Is there like no nerves in the eye or something? Please reply!

  • @MrTyui987 Thanks to the wonderful "topical" (eye drops) and/or "local" injections round the eye through the eyelid skin), we can easily achieve exquisite anesthesia for eye surgery like this. Yes, there are pain nerves in and on the eye (lots of them). Keep in mind that our instruments are tiny, as are the incisions being used in this video. All this is highly magnified through the surgical microscope we operate under. Be thankful you aren't living in the ancient days of no anesthesia!

  • Do we have to sleep during this surgery?

  • @snowymech No. Usually it is done with topical/local anesthesia with some sedation.

  • i feel physically sick when i see things like this but,,, dont get me wrong i admire the people who can do this kind of work helping people keep the gift of sight is a great thing.

  • @KrimHyu Thank you!

  • we must love our eyes and cathc them very healthly!!!!!

  • i would rather be dead before anyone can mess with my eye like that lol

  • I love my IOLs. It'll be three years in February and March. The only thing I don't like is I have some broken capillaries in my face (the left side of my face had more swelling for some reason) and my eyes getting bloodshot more easily but those are small prices to pay to be able to see to drive. My vision's better than it was when I was a teenager (I'm less nearsighted).

  • My grandfather just had this surgery. He said it was uncomfortable but doable. The healing process almost made him not want to get the other eye done. His cataract was dense and maybe this is why but he said it felt like a log in his eye for 2 days and his eye watered profusely. Day 3 he was able to start seeing more clearly. So, he is going to get #2 done on Tue.

  • i was operated from cataract, so i didnt feel any pain, because i was injected by extreme pain releaver, and putted me to deep sleep. and this happened when i was 12.

  • my mistake about last comment...my cataract is small im hoping it doesn't grow...please answers my previous question

  • @coo446 See my response below. Good chance your cataract won't develop quickly, perhaps not for many years. Keep your follow-up visits with your eye care provider.

  • I puked through this hoping i wouldn't have to do this with my cataract! im 15!!!

    and i have a small cataract now big! but do the patients sleep?

  • @coo446 It is an individualized decision. I would most likely have someone your age asleep for this surgery.

  • chchchchchchchchchchch, the wonderful sound of a phaco tower.

  • Hi Dr. Brant, my name is Jennifer. Im a 11 yr experienced ophthalmic tech that received my training w/the renowned Dr. Herbert J. Nevyas. Physician whom performed the first pig to human corneal transplant in '74 & also patented the keratome & technique for RK. Now you know a bit about me. I watched your sx & was extremely interested as I have assisted in many myself. My question is which type IOL do u have greater success

  • @JerSeaGirl1974 You worked for a famous ophthalmologist. Currently, we are implanting mostly foldable Acrylic or silicone lens implants that can be injected through a 3-mm or small incision. I really like the AMO Tecnis lenses. For most patients, the aspheric optics provides exquisitely good quality of vision and I really never have any issues with them.

  • Eye surgery makes brain surgery like a walk in the park (in "accuracy required" terms...)

  • Had this done in April. It took longer for prep and recovery than operation itself.

    It was same day out patient. Some numbing drops, a relaxer, and off to op room. I didn't really feel anything except bit of pressure when inserting the new artificial lens.

    Back next day for follow up. Pressure pain in eye, "burped" it and fine

    Wore plastic patch over eye while sleeping for about 10 days, restricted work for 2 weeks and that was it.

    Vision improved so much that I don't need any correction.

  • This What I Had Done When I Was I Baby

  • I think i've said "OW" about 1000 times during this video!! What if the guy wakes up??!!

  • @chez117 He is awake! The surgery is typically over with fairly quickly. I speak to my patients throughout the case, reassuring them. They are usually quite relaxed (thanks to a little sedation by the anesthesia department) and find the experience to really be quite pleasant. A lot of this is fear of the unknown, a normal human reaction.

  • i have a feeling this really hurts D:

  • @Emilylovesrainbows2 Looks like it, but when done right, does not usually hurt at all. Not during the surgery nor after it. We are able to bring about exquisite topical/local anesthesia for eye surgery like this. Hard to believe, I know. Most patients have great fear of this surgery until they have their first cataract surgery. Then they usually can't wait to have the other eye done when needed.

  • is it true that cataract operation is not advisable on old diabetic patients? what are the side effects if ever?

  • @tjvistan85waver No, that is not true! We do many cataract operations on "old diabetic patients" every month and they usually do very well. In fact, this helps us follow and treat their other diabetic eye problems (like retinopathy) more effectively once the cataract is out of the way. Best to ask your ophthalmologist questions specific to your situation.

  • Whats up with the music?

  • My good Lord.... I cry if I get soap in my eye, I can't even imagine this... I know they are on meds but the healing process must suckkk

  • @17juicycouture Actually, the healing process is usually a piece of cake. Not many restrictions these days in terms of activities. Most patients can see better the very next day after the procedure than they were seeing prior to it. We just ask for common sense from our patients after the surgery: no eye rubbing or getting anything in it; correct use of post-op eye drops; sleep with protective shield over the eye for a couple of weeks; no swimming for a few weeks (at least under water), etc.