Everest Vision MD - Surgical Videos

I believe surgical precision is an art — one that requires skill, preparation, and complete focus.

Every eye presents its own anatomy, challenges, and visual goals. These selected videos show aspects of my work in cataract, corneal, and vision correction surgery from restoring clarity to managing complex cases.

Each video offers a closer look at the planning, technique, and careful decisions involved in caring for an individual patient.

Note: These videos are intended for educational purposes. Viewer discretion is advised.

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DMEK: Ultra-Thin Endothelial Keratoplasty in Action

This video demonstrates Descemet Membrane Endothelial Keratoplasty (DMEK), a selective endothelial replacement technique involving an isolated Descemet membrane and endothelium, approximately 10–15 microns thick. The graft is carefully loaded, injected, and unfolded within the anterior chamber using a no-touch technique. Key steps include intraoperative centration under air tamponade and interface clearance assessment.
DMEK offers rapid visual rehabilitation, reduced immunologic rejection risk, and superior optical quality compared to DSAEK or PKP.

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Ultrathin DSEK in a Post-Trabeculectomy Eye

This video demonstrates an ultrathin Descemet Stripping Endothelial Keratoplasty (UT-DSEK) performed in a patient with a prior trabeculectomy — a type of glaucoma surgery that alters the anatomy of the eye. Special attention is given to protecting the filtering bleb and managing a shallower anterior chamber.

A donor graft thinner than 100 microns is inserted and positioned with minimal manipulation to reduce trauma and enhance visual recovery. This technique selectively replaces the damaged endothelial layer, restoring corneal clarity while preserving the patient’s existing filtering bleb.

Ultrathin DSEK offers faster healing, less risk of rejection, and better visual outcomes compared to older transplant methods — especially valuable in eyes with complex surgical histories.

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DALK with Ocular Surface Reconstruction

This video features a Deep Anterior Lamellar Keratoplasty (DALK) performed in conjunction with ocular surface reconstruction — a challenging case involving advanced stromal scarring and limbal instability.

DALK selectively replaces the diseased corneal stroma while preserving the patient’s healthy endothelium, reducing rejection risk and promoting graft longevity. The ocular surface is rehabilitated in the same session with techniques tailored to the underlying pathology.

This combined approach offers structural clarity, visual restoration, and long-term surface stability — especially beneficial in eyes with chronic inflammation, prior trauma, or failed grafts. By preserving the host endothelium and stabilizing the surface in a single procedure, the patient receives a more integrated, lower-risk solution for visual recovery.

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Complex Cataract Surgery with Zonular Weakness: Capsular Hooks + CTS Support

This video highlights a complex cataract extraction in a patient with significant zonular instability. Intraoperatively, capsular hooks are strategically placed to stabilize the capsular bag, and insertion of a capsular tension segment (CTS) later to redistribute forces and preserve the architecture of the zonule-compromised capsular bag.

Using a careful phacoemulsification technique, the nucleus is safely removed while maintaining bag stability. The procedure is completed with posterior chamber IOL implantation within the now-reinforced capsular bag.

By combining capsular support devices with surgical precision, this case demonstrates how modern cataract surgery can safely address structural challenges and deliver excellent outcomes in compromised eyes.

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Complex Cataract Surgery with Inferior Zonular Dehiscence

This case demonstrates management of a cataract with extensive inferior zonular dehiscence (180°). Key steps include careful capsulorhexis under poor zonular support, use of MST capsular retractors for stabilization, gentle phacoemulsification with low parameters, insertion of a capsular tension ring, and implantation of a three-piece IOL in the sulcus with optic capture for long-term stability.

Note: This surgery was performed under only topical anesthesia in an office-based surgery center.

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