Wanted to give a taste of my average surgical day here right now. These pictures are my surgeries from Friday morning. I'm doing about 10 surgeries every morning. Hoping to increase that number soon. If I only did straightforward white cataracts i could probably do 15 in a half day right now. But, right now I'm getting lots of experience with complex African cataracts. There are guys in India who do this surgery in 3 minutes!!! Maybe after I've been doing this for 10 years I can do that to, but I doubt it. I don't have it in me to operate that fast, I'm too cautious.
1. I try to start the day with a straight forward mature cataract. This one was over in about 10 minutes.
2. These mature whites are my favorite to take out these days. Lots of them here, and the patients are always happy the next day.
3. Another mature white cataract. I'm concerned about the capsule in all of these cases, but with a can opener rhexis I have yet to see the argentinian flag sign. Did see that when I tried a CCC on one of these
7. Same story, second verse. Young patient, 24, had trauma as a child now has this cataract. When I arrived here I refused to do these surgeries. But now, I know a little more how important image is to the Angolan people. Having this stigma of an unusual appearing eye is not good. This patient was happy the following day becase the eye looked normal, his vision was only counting fingers. The doctor was happy too because I didn't break capsule.