In 1980, Dr. Richard Mackool conceived the first automated instrument capable of both phacoemulsification and vitrectomy. He also designed the first phaco tips to eliminate leakage from the incision and also flared phaco tips, which were a milestone in needle design. He helped design and implanted the first acrylic ocular lenses in the United States. The holder of more than 100 US and international patents, he is a past recipient of the ASCRS Innovators Award recipient. In this video, Dr. Mackool performs phaco using topical anesthesia on an eye with a previous pars plana vitrectomy for a macular hole.