 Hi, I'm Dee Stevenson. I'd like to share an entire case with you. This is a Fempto case. This is a fairly soft nucleus. And I use a, in this particular case, I use a pattern, a particular Fempto pattern. I make a side port incision with an MVR blade. One thing I've learned, and I learned this from residents, is I mark my dime, I mark the metal blade that I use with a purple marker. So you can see on the video, you can see on the video actually that I have marked my side port incision. I don't know about any of you, but when we're learning, and even when we've had great experience, a lot of times I can't find my side port incision. So this is very helpful. I make an incision 1.8 to 2.2 incision, because now I'm gonna go in and take the free-floating capsuleotomy off. So I kinda do a dimpled-down technique where I make sure that there's no adherence anywhere on the capsule, so I don't have any tags. Usually, there's free-floating and they're easy to do, but I'm kind of a creature of habit and I'm kind of a safety person. So then I hydro-desect and hydro-delineate with a very little bit of power or pressure because you wanna release all the gas bubbles because you don't wanna have a posterior capsule rupture due to this. Now I use the Stolaris and it is, again, a small tip, 1.8. It goes through. So what I'm doing is I put viscoelastic in first. So now I have, the pattern has cross hairs, if you will, or a Maltese cross, cross hairs with little cubes. So what I do is I actually go in with a second instrument and I do a little bit of a divide and conquer here where I go make a groove and then I'm gonna crack it and then I'm gonna rotate it and I'm gonna do the same thing again. So I make four quadrants out of this. And I kind of like to be a little safe with these little cubes and you can determine what kind of pattern you use. I don't use this cube pattern as much anymore, but this was the beginning of my Fempto career when I first started using this. So it was an easy one to do. However, you wanna make sure that those small little cubes don't bounce around on the endothelium and bother the endothelium. So you just kind of follow through. So what I've done now is I've gotten half of it out. So now I'm rotating it with my second instrument and I'm cracking it again and I'm allowing the the cortical material, I mean the nuclear material to come to my port. So I've cracked it now and I'm rotating it for the last crack and now I'm going to do, I put it in a foot position too. So I'm gonna aspirate all those quadrants and some of the epinuclear rim comes along with that. So this is a very controlled setting with a small incision like I said, a 1.8 incision for my FACO incision and then the side port incision is made with an MVR blade. So you have, the Stalars is very nice machine because it keeps a nice stable chamber. I don't have a lot of egress of fluid coming out so it's very stable. Now this is taking the epimembrane or epi nuclear shell out with a FACO tip. You don't have to do it with that. You can do it with your IA, which is a little safer. Now this is a silicone tipped IA and I kind of strip it and start and kind of pull things tangentially towards the center to pull it out. Sometimes I start superiorly sub-incisional because that's kind of the hardest to get out but with FACO, with Femto, it's a little, the cortex is a little different. So I do it in a circumferential fashion and I can actually lay this silicone tip on the capsule itself and it really, really causes little damage or anything, it has a silicone tip before the metal is in the IA so that it's very safe if it does suck up some posterior capsule, it will not tear it. So again, now I'm going for the sub-incisional cortex which comes out quite nicely. And again, I polish all capsules because I think that it's important to have, I don't like doing capsulatomies once you have a, you know, the yag capsules, once you have a retinal detachment from one, you're very, I'd like to not have to do it. So I polish very nicely so the lens does, the bag doesn't contract or doesn't have fibrosis. Now I'm opening the wound to 2.2 with a metal blade and I'm gonna use the Invista lens. Now the Invista lens is a hydrophobic acrylic lens. It opens fairly slowly so you have time to be able to insert it into the eye then make sure both the trailing haptic is in the bag and then I warm my viscoelastic to allow it to open and I rotate it into the bag and make sure it's very well centered. Now I'm a Aura user, Aura with Verify Plus and the lens opens slowly so if you're a person that does or if you end up using Aura, if you're a person that does or you have to wait for the lens to open and the visco, warm viscoelastic helps it open better. This is a beautiful lens. Again, aspheric, centers just beautifully, has vaulted haptics so very little capsular fibrosis occurs. I'm Dee Stevenson, thank you for watching. I hope you learned something.