On the mission field, often you don't have the privilege of having BSS in 500 ml bottles.   We have found that a good alternative is to use Lactated Ringers with a mix of bicarb, epi and Vancomycin for cataract surgery. Here is the recipe that we have been using: 500 cc L.R. solution 10 cc

Dr. Amjad Ziadat from Jordan has shared how he leads his team in preparing for an ophthalmologic outreach. Protocol for our preparation Setting main elements of a mission: goals, team, duration, finance, transport. Select a Head or Leader of the mission, who has a big compassionate heart,

10 Golden Rules for Missions - from Dr. Jonathan Pons (or 10 rules for establishing Mission Eye Clinics) No-one goes home needlessly blind AND the hospital will always get paid. (figure the difference yourself)
10 Golden Rules for Missions - from Dr. Jonathan Pons (or 10 rules for

I will try and give a summary on what I do for a manual sutureless cataract surgery with the AC maintainer and cortical aspirator.
I place the sideport incisions at 6 and 12 (I operate temporally).  This is usually with a 1.0 or 1.2 mm blade.

If capsular stain is required, AC is filled with blue,

There are some subtle differences between AC maintainers that can affect the Blumenthal technique significantly. We have found that not all AC maintainers are the same. This tip is really from Dr. Udo Duerkson of Paraguay who taught us that the original Blumenthal AC maintainer is the best. The