Dr. Anujeet Paul, Eye Surgeon

Dr. Anujeet Paul, Eye Surgeon Cataract and Vitreo-retina Surgeon, B B Eye Foundation. 30+ PubMed Papers. Researcher. Peer-reviewer.

🎖️YO of the Year 🎖️Clinical and Surgical Excellence (
15/07/2026

🎖️YO of the Year 🎖️
Clinical and Surgical Excellence (

Life update: elected unopposed as Joint Secretary, YOSI (2026-2028). Heartfelt gratitude to my seniors, colleagues and j...
12/07/2026

Life update: elected unopposed as Joint Secretary, YOSI (2026-2028).

Heartfelt gratitude to my seniors, colleagues and juniors for their belief in me. YOSI, has always been a second family in the fraternity to me for the past 7 years and the support I’ve received from my peers has been incredible.

I look forward to continue to work to address the needs of the young ophthalmic fraternity! 🙏🏻

Oertli CataRhex 3, the right settings!No gatekeeping. I have using the CataRhex 3 regularly every week for three years n...
30/06/2026

Oertli CataRhex 3, the right settings!
No gatekeeping.

I have using the CataRhex 3 regularly every week for three years now, and I have operated almost every grade of cataract on this small wonder. However, I have seen a lot of surgeons struggle with the flared tip, the ultrasound power delivery and the fluidics. So here are my settings and your definitive guide to using the machine.

Here goes:

1. The machine runs with a peristaltic pump, and a single flared tip 2.2 to 2.8mm. You will have to impale the nucleus with the tip, occlude it to build vacuum (like in all peristaltic pumps) but because of the wide diameter of the tip, the effort is significantly less (especially if your switching from the Alcon Infiniti, Legion, Centurion — or J&J Signature Pro, Veritas or similar)

2. The fluidics is excellent and is aspiration heavy, so your AFR plays a huge role in the speed of surgery.

3. I usually use three prefixed settings, do not use the SPEEP or Override feature, but have recently started using the OCCM. I will explain the same. There are three Phaco modes — Phaco 1 — sculpt; Phaco 2 — Chop and Quad; Phaco 3 — Epinucleus. Alongside, two IA modes, one configured to traditional IA, and the other for capsular polishing.

4. I am a fast surgeon with a total phaco time of about 0-5 seconds for soft cataracts, and perform direct chop for all grades of cataract. Here are my settings, you may use them as a guide. Phaco (Soft) — V: 350, AFR: 34, US 25%. Phaco 1 (Moderate) — V: 460, AFR: 45, US 45%. Phaco (Hard) — V: 500, AFR: 45, US 50%. US power is delivered in continuous mode.

5. If you can toggle the AFR, with respect to your speed of surgery, that is all that the machine requires because V:350-400 and US: 40% is plenty for this machine.

Finer points:

1. SPEEP — think of this as a pseudo-venture setting for the machine, where you use the footswitch to raise the vacuum without full occlusion. Helpful for beginner surgeons would not be too confident in impaling the nucleus but want to build vacuum to bring the nuclear chunk to the center, functional during Phaco 2 (chop and quadrant)

2. Override — this is SPEEP for IA. Raise the vacuum to pull the peripheral cortex, without occluding the IA tip.

3. OCCM — deliver some extra US power on occlusion. After full occlusion configure the tip to shift to continuous US or raise the US percentage, especially usefully for those extra rock hard cataracts to help the phaco tip tunnel through the chunk.

SPEEP, Override and OCCM — are extremely interesting software modifications that assist the finer aspects of emulsification overcoming the traditional disadvantages of a peristaltic pump system.

And that’s it! All you need to know to run the Oertli CataRhex 3 like a F1 car.

I would love to take up any questions in the comments!

Delighted to implant the BVI Medical Isopure Serenity IOL.I’m told that it’s the first commercial implant in the east fo...
11/06/2026

Delighted to implant the BVI Medical Isopure Serenity IOL.
I’m told that it’s the first commercial implant in the east for BVI.

Initial impressions:

l’ve loved the post operative results of the Isopure. Many patients have a wow factor post surgery in terms of clarity.
Implantation process is controlled and smooth. The IOL itself is touted to provide excellent distance and excellent intermediate range of vision without any trade offs like glare and haloes.

Though I’ve not seen too many claims of crisp vision at 40 and 33cm, since this IOL establishes a new category between enhanced monofocal and EDOFs, I’m quite certain there would be a very strong spectacle independence for near as well.

As surgeons we are apprehensive of our patients complaining about glare and that has made us lean towards EDOFs (diffractive or refractive) or advanced monofocals — not all of which give a strong intermediate, and those which do, give it only in fixed lighting conditions. If you’ve faced this, I think Isopure Serenity will bridge the gap here.

For those reading this post and hearing about the IOL for the first time, please use the Isopure in your practice — you’ll be surprised at the results.

Have you used the Isopure Serenity?
I would love to hear your thoughts.

Auro Magnus — POD #14 6/6 N10. 🌟 Read on👇🏻3 photos — and a story on how to get a well centered IOL. Photo 1 shows a wel...
06/05/2026

Auro Magnus — POD #14 6/6 N10. 🌟 Read on👇🏻

3 photos — and a story on how to get a well centered IOL.

Photo 1 shows a well centered hydrophobic acrylic CRV IOL in the bag, extremely well centered, with a uniform 1mm 360 capsular overlap.

Photo 2 and 3 shows how I got there.

The last time I inject OVD, is before the phaco tip enters the eye. Following that the entire case is performed under BSS (no OVD before cortical cleanup or IOL delivery. This prevents even slight slippage of the IOL intra, or even in the immediate post-op period, as the capsular bag just shrinks on top of the IOL, solidifying its position. Try it!

05/05/2026

May the 4th be with you! Historical day in Bengal.

24/04/2026

Old traumatic cataract + adherent leukoma + fibrotic anterior + posterior capsule + absorbed lens matter. What a case!

Worked hard to construct a bed for an IOL with remnants of the anterior and posterior capsule (perks of fibrosis) and now 4 weeks later the IOL is stable, vision improving.

Keep scrolling to see the postoperative photos.

One of the most satisfying bits of being a surgeon.

Grateful to be the first in the east, and one of the first 5 in the country to implant the Aurolab Magnus IOL.No rings +...
16/04/2026

Grateful to be the first in the east, and one of the first 5 in the country to implant the Aurolab Magnus IOL.

No rings + refractive platform + promise of a continuous range of vision + great optics - were the reasons I decided to implant this IOL.

Aurolab will be marketing it as COPE (constructive optical phase enhancement) technology - which in layman's terms means that is a wavefront shaping technology (similar to Vivity) with refractive optics (similar to PureSee).

Here we think of light entering the eye behaving as a wave (phase + amplitude) - where constructive interference of the waves enhances sharpness, contrast and depth of focus - instead of splitting light (like other multifocal lOLs). Thus, the claim of a continuous range of vision minus the pains of a traditional multifocal IOL like glare, haloes and reduced contrast.

All this at a fraction of the cost of the Vivity and PureSee is truly great to have.

Implantation: smooth. Similar to Auro EV Gold and Auro Essence.Opens in a controlled manner in the bag, which is not something I can say for all IOLs.

Looking forward to the results!

topvoice DrAnujeetPaul

Grateful to be the first in the east, and one of the first 5 in the country to implant the Aurolab Magnus IOL.No rings +...
16/04/2026

Grateful to be the first in the east, and one of the first 5 in the country to implant the Aurolab Magnus IOL.

No rings + refractive platform + promise of a continuous range of vision + great optics - were the reasons I decided to implant this IOL.

Aurolab will be marketing it as COPE (constructive optical phase enhancement) technology - which in layman’s terms means that is a wavefront shaping technology (similar to Vivity) with refractive optics (similar to PureSee).

Here we think of light entering the eye behaving as a wave (phase + amplitude) - where constructive interference of the waves enhances sharpness, contrast and depth of focus
- instead of splitting light (like other multifocal IOLs). Thus, the claim of a continuous range of vision minus the pains of a traditional multifocal IOL like glare, haloes and reduced contrast. All this at a fraction of the cost of the Vivity and PureSee is truly great to have.

Implantation: smooth. Similar to Auro EV Gold and Auro Essence. Opens in a controlled manner in the bag, which is not something I can say for all IOLs.

Looking forward to the results!

topvoice DrAnujeetPaul

Thrilled to share the next edition of YO Times, the official publication of the Young Ophthalmologists Society of India ...
26/01/2026

Thrilled to share the next edition of YO Times, the official publication of the Young Ophthalmologists Society of India 🇮🇳 — an edition focusing on *Ophthalmology Renaissance*, the tribute and look back on and technological and skill advancements in Ophthalmology over the last few decades — as a coffee table read. Also, don’t miss out on the YO creative corner, showcasing YO talent from all over the country.

Hope it is an enjoyable read.

Link: https://drive.google.com/file/d/1NsuyIG8NuOXyx_4tQc7OYyapHkwt6f5q/view?usp=sharing

Happy Republic Day! 🇮🇳

Best regards,
Dr. Nilesh Kumar (Editor-in-chief)
Dr. Anujeet Paul (Managing Editor)
Dr. Nandita Trivedi (Assistant Editor)

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B B Eye Foundation
Kolkata
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