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Mike Guinn Ent
Mike Guinn Ent
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Monday 21 July 2025 15:00:42 GMT
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When vitreous shows up uninvited during anterior segment surgery… and you handle it like Chris Pratt with the raptors: no panic, controlled moves, and the right tools in hand. 🦖💉 🛠 What to do when vitreous is encountered in the anterior chamber: 1. Recognize it early — look for prolapse, shallowing of the chamber, or traction. Consider injecting triamcinolone for improved visualization. 2. Stop all manipulation immediately — avoid traction on the vitreous. 3. Stabilize the chamber with a dispersive OVD. 4. Switch to anterior vitrectomy mode on your phaco or vitrectomy system. 5. Perform a controlled anterior vitrectomy — use low I/A settings, high cut rate (>800 cpm), and anterior chamber infusion (not bottle or BSS from the side port). 6. Avoid pulling vitreous — always cut before aspirate. 7. Reassess zonules and capsule before deciding next steps for IOL placement. 8. Consider alternative IOL options — sulcus, iris fixation, scleral fixation, or aphakia depending on the case. #V#VitreousInvasionO#OphthalmologyMemesA#AnteriorSegmentSurgeryBeTheTrainerNotTheSnack”
When vitreous shows up uninvited during anterior segment surgery… and you handle it like Chris Pratt with the raptors: no panic, controlled moves, and the right tools in hand. 🦖💉 🛠 What to do when vitreous is encountered in the anterior chamber: 1. Recognize it early — look for prolapse, shallowing of the chamber, or traction. Consider injecting triamcinolone for improved visualization. 2. Stop all manipulation immediately — avoid traction on the vitreous. 3. Stabilize the chamber with a dispersive OVD. 4. Switch to anterior vitrectomy mode on your phaco or vitrectomy system. 5. Perform a controlled anterior vitrectomy — use low I/A settings, high cut rate (>800 cpm), and anterior chamber infusion (not bottle or BSS from the side port). 6. Avoid pulling vitreous — always cut before aspirate. 7. Reassess zonules and capsule before deciding next steps for IOL placement. 8. Consider alternative IOL options — sulcus, iris fixation, scleral fixation, or aphakia depending on the case. #V#VitreousInvasionO#OphthalmologyMemesA#AnteriorSegmentSurgeryBeTheTrainerNotTheSnack”
على السريععع
على السريععع
Big Ju😙👋🏽
Big Ju😙👋🏽
#الموصل #هدى_جارالله #نينوى #العراق #السادس_الاعدادي
#الموصل #هدى_جارالله #نينوى #العراق #السادس_الاعدادي
So what would you do? ALL this was covered up until I did a FOIA request and unearthed the unimaginable…my ex was CHARGED under the UCMJ—Article 128 for assault on our child in addition to my ex’s wife knocking our child down and stomping on his chest (and it’s DOCUMENTED IN REPORTS). ENOUGH is ENOUGH! #millionparentsmovement #militarycorruption #accountability #justiceforparents #enoughisenough
So what would you do? ALL this was covered up until I did a FOIA request and unearthed the unimaginable…my ex was CHARGED under the UCMJ—Article 128 for assault on our child in addition to my ex’s wife knocking our child down and stomping on his chest (and it’s DOCUMENTED IN REPORTS). ENOUGH is ENOUGH! #millionparentsmovement #militarycorruption #accountability #justiceforparents #enoughisenough
#greenscreen #election #battlerivercrowfootbyelection
#greenscreen #election #battlerivercrowfootbyelection

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