There is a saying that always runs through my mind that I learned from watching a documentary on BUDS Class 234 about Navy SEAL training….You WILL LEARN ATTENTION TO DETAIL….I PROMISE YOU….you WILL learn it.

In this case, we can see that there is a tiny filament that is visible in the secondary incision….we could ignore it….maybe it won’t cause a problem….but then again, maybe it will. It is a foreign body – sterile but foreign.

We are not going to ignore this tiny filament. We pay attention to detail. So we flush the filament with the BSS canula to try to remove it when we notice that it disappeared into the eye.

We then flush the anterior chamber to try to find this filament. Boom, there it is inside the tunnel of our primary incision. We use 0.12 forceps with teeth to remove the filament. Now the risk of the filament causing any issue is zero. Attention to detail is key. Never get complacent.