For Physicians


Dr. Pandit engages in teaching at a local, national, and international level. Here are some resources for ophthalmologists to refer to from his medical and surgical teaching.

Twist and Out IOL Exchange
Dr. Rahul Pandit demonstrates the “Twist and Out” technique for intraocular lens (IOL) removal that he and his colleagues first described in a 2020 published paper in the Journal of Cataract and Refractive Surgery. The technique involves the surgeon using 360 degrees of rotation to retract the posterior chamber IOL through a 2.2-mm incision after it is removed from the capsular bag or sulcus space. This advanced technique is described thoroughly, along with an accompanying external video of the hand rotational movement and proper grasping technique, with the original article. This video was accepted for publication as a ONE Minute Video by the American Academy of Ophthalmolgy.

Paracentral Corneal Venting Incisions During DSEK Grafting
Dr. Rahul Pandit demonstrates a technique for performing paracentral corneal venting incisions following graft insertion during a refloating and gas injection procedure for a dislodged Descemet stripping endothelial keratoplasty (DSEK) corneal transplant graft. This technique is useful in cases when close graft approximation is needed such as in cases of curvature mismatch or repeated graft dehiscence. This video was accepted for publication on the American Academy of Ophthalmology’s ONE network as a ONE-Minute Video.

Terry Adjustable Slide Knot Technique
In this Editor’s Choice Video as selected by the American Academy of Ophthalmology, Dr. Rahul Pandit demonstrates how to perform an adjustable slide knot that was first demonstrated by Dr. Clifford Terry in the late 1970s at the Welsh Cataract Congress. His technique was subsequently published in 1977. The morphology of the Terry slide knot differs significantly from a traditional slip knot, and provides much greater control of suture tension even after the first and second throw. The Terry slide knot has a very small profile, making it quite easy to bury in the cornea or scleral wound.

Five Minute Phaco
Cataract surgery performed in 5 minutes by Dr. Pandit using his highly efficient technique for phacoemulsification with posterior chamber intraocular lens implantation.

Combo-Chop Nuclear Disassembly
This surgical video by Dr. Pandit demonstrates a highly efficient and successful technique to perform cataract surgery, as published in the Journal of Cataract and Refractive Surgery. Ref: J Cat Refract Surg 2007; 33(12):2155.

Simplified Technique for Removing a Malyugin Ring
In this American Academy of Ophthalmology (AAO) 1-Minute video (https://www.aao.org/1-minute-video/simplified-technique-removing-malyugin-ring), Dr. Rahul Pandit demonstrates a simplified technique for removing a Malyugin ring.

“I&D” Removal of Intumescent White Cataract – ONE Minute Video
In Here I demonstrate a technique I like to call “I&D”, or “Incision and Drainage”, of a white cataract to help prevent a common complication from occurring in such cases. As published at the American Academy of Ophthalmology Ophthalmic News and Education (ONE) Network 1-Minute Video series, available here: https://www.aao.org/1-minute-video/tips-managing-intumescent-white-cataracts

Scleral-Flanged IOL Exchange
In this video, Dr. Pandit performs an introacular lens (IOL) exchange for a dislocated IOL, with secondary fixation of a 3-piece PCIOL using the scleral-flanged technique.

Implantable Miniature Telescope
Dr. Pandit performs cataract surgery with implantation of the highly specialized device, Implantable Miniature Telescope (IMT), in a patient with end-stage macular degeneration (AMD). This device can help restore some vision in some patients blinded by AMD and is a complex surgery only performed by a handful of surgeons in the country.

Complex “White Cataract” Surgery
Dr. Pandit demonstrates his technique for successfully performing a challenging cataract surgery in an eye that has a hypermature, white cataract.

Pacman IOL Exchange
This surgical demonstration is an American Academy of Ophthalmology editor’s choice video (https://www.aao.org/clinical-video/pa…). Dr. Pandit performs an intraocular lens (IOL) exchange in a patient who complained of persistent photopsias. Once the IOL is free, he uses scissors to make two perpendicular radial cuts in the optic, and then removes the resulting quarter slice of the optic. This “Pacman” configuration allows the IOL to be easily rotated through the main corneal incision and removed.

Intraoperative OCT During DALK (Deep Anterior Lamellar Keratoplasty)
This surgery demonstration is an American Academy of Ophthalmology editor’s choice video (https://www.aao.org/clinical-video/in…) Dr. Pandit demonstrates the use of intraoperative OCT technology to assist with deep anterior lamellar keratoplasty (DALK). OCT can help to delineate corneal thickness at different times during lamellar dissection, and can also be used to confirm the position of the air cannula in the deep stroma prior to air injection.

Intraoperative OCT in IOL Exchange Surgery
As published on the ONE Network of the American Academy of Ophthalmology (https://www.aao.org/clinical-video/in…)  Dr. Pandit shows how he uses intraoperative OCT to assist in IOL exchange surgery. He also demonstrates 2 tips for the scleral glued IOL technique: 1. Piercing of the iris hook tire with a 26 G needle, which makes it easier to secure the haptic of the scleral glued IOL; 2. Live OCT scanning can help guide correct placement/tension of the haptics when performing the scleral glued IOL technique.

Modified 25G Forcep For Pull Through DSEK Technique
Dr. Pandit demonstrates the modification of a disposable forcep to help assist with the pull-through technique while inserting the corneal graft during DSEK (Descemet stripping endothelial keratoplasty) surgery.

“New Glaucoma Triple” Procedure
This surgical demonstration is an American Academy of Ophthalmology editor’s choice video (https://www.aao.org/clinical-video/gl…). In this video, typical cataract surgery is combined with Trabectome surgery and endocyclophotocoagulation (ECP) to achieve lower intraocular pressure (IOP) than possible with any one surgery alone.