When you encounter a Morgagnian cataract, the cortex has completely liquefied, allowing the dense nucleus to sink to the bottom…
New issue of Osher’s Video Journal
New issue of Dr Bob Osher’s Video Journal of Cataract, Refractive, & Glaucoma Surgery is available now featuring four great…
2918: Podcast 162: Joaquin Fernandez MD
Our podcast guest, Dr Joaquín Fernández, led the global team that came up with an evidence-based classification of simultaneous vision…
2917: resident dense nucleus phaco chop
In this surgical case, a resident surgeon takes on the challenge of a dense nuclear sclerotic cataract using a phaco…
2916: Off-center Pinhole Pupilloplasty
In this surgical case, Dr Amar Agarwal shares his brilliant, off-center, offset pinhole pupilloplasty technique for managing eyes with complex…
2915: simplifying pterygium surgery
Pterygium surgery has evolved significantly, moving away from high-recurrence bare sclera techniques toward the gold standard of conjunctival autograft. In…
2914: Quiz: Why are the haptics stuck?
In this CataractQuiz™ we are presented with a common dilemma encountered during intraocular lens (IOL) insertion. As the surgeon attempts…
2913: surgery with granular corneal dystrophy
This surgical case highlights the management of a patient with cataract and significant granular corneal dystrophy. Surgeons often worry that…
2912: Quiz: Why is there pupil capture?
This surgical case serves as a critical CataractQuiz™ regarding a common yet preventable postoperative complication: pupil capture. The title picture…
2911: Podcast 161: Pedram Hamrah MD
Our guest ophthalmologist is a world-renowned expert in translational research that is revolutionizing cornea care. Professor Pedram Hamrah specializes in…
2910: this resident’s first MSICS case
The first manual small incision cataract surgery (MSICS) case is a true rite of passage for any resident. Unlike phacoemulsification,…
2909: phaco IOL after a corneal alkali burn
Performing phacoemulsification in an eye with corneal scarring from a prior alkali burn presents a significant visualization challenge. The opacified…
2908: total anterior segment reconstruction
Anterior segment reconstruction in an eye with an opaque cornea and dense cataract is one of the most complex procedures…
2907: failed trab & clearpath seton tube
You just finished your surgical training a couple of year ago and now a patient with a failed trabeculectomy is…
2906: what about these retained lens particles?
The surgery seems perfect, the IOL is centered, and the cortex is clear but as you hydrate the incisions, you…
2905: dissecting a lens fibrotic membrane
When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the…
2904: Podcast 160: Jodi Luchs MD
What if you are mid-career and you decide that you want to move to another state? Well, you can do…
2903: MSICS in pseudo-exfoliation
Manual Shelved-Incision Cataract Surgery (MSICS) is an excellent technique for eyes with pseudoexfoliation (PXF), particularly in global health settings where…
2902: innovative “X-ray” filter gives details
Our guest surgeon in this video is Dr Durval Carvalho Jr from Brasilia, Brazil and he has a brilliant way…
2901: Quiz: When did the capsular bag break?
95% of surgeons will miss this very subtle sign – will you be able to spot it? In this CataractQuiz™…
2900: missing CTR in nanophthalmic eye
Operating on a nanophthalmic eye with a 14 mm axial length is one of the most challenging scenarios in ophthalmic…
2899: keep the capsulorhexis & IOL centered
In patients taking selective alpha-1a adrenergic antagonists for benign prostatic hyperplasia (BPH), the iris becomes increasingly unstable, a condition known…
2898: Mastering CAIRS for keratoconus
The Corneal Allogenic Intrastromal Ring Segments (CAIRS) technique represents a significant leap forward in the surgical management of keratoconus. Unlike…
2897: Podcast 159: David Gunn MD
Our podcast guest is Dr David Gunn who is a corneal, cataract, and refractive surgeon in Brisbane, Australia and I…
2896: resident tries pupil stretching
Mastering Manual Pupil Stretching For a resident surgeon, manual pupil stretching is a reliable, cost-effective technique to manage miosis and…
2895: sculpting grooves in a dense nucleus
The Escaf Punta Hibrida phaco tip is specifically designed to handle the challenges of ultra-dense, rock-hard nuclei. Its unique hybrid…
2894: How do you save the capsule now?
Recovering from the Argentinian Flag Sign The Argentinian Flag Sign is a classic surgical challenge where high intra-lenticular pressure causes…
2893: MSICS with Severe Zonulopathy
MSICS: Managing Total Bag Loss and ACIOL Placement When performing Manual Small-Incision Cataract Surgery (MSICS) on a dense white cataract,…
2892: The dense “Coca-Cola” Cataract
The Challenge of the Dense, Brunescent “Coca-Cola” Cataract When a cataract is described as a “Coca-Cola” type, it often refers…
2891: why temporary hyperopia happens in RK
Temporary post-op hyperopia after cataract surgery in Radial Keratotomy eyes Performing cataract surgery on a patient with a history of…
2890: Podcast 158: Rebecca Metzinger MD
Our guest surgeon, Dr Rebecca Metzinger joins to share her extensive experience teaching residents (both Tulane and LSU) at major…
2889: Case 1000 for this young surgeon
Reaching the milestone of 1,000 cataract surgeries represents a transformative shift from technical proficiency to surgical fluency. By this stage,…
2888: Quiz: Why is there a blue reflex?
This is a very easy CataractQuiz™ (click to see the whole series): Once the cataract is removed you see this…
2887: The “5F” intra-scleral haptic fixation
Our guest surgeon is performing Dr Soosan Jacob’s 5F Technique which is a refined approach to sutureless intrascleral haptic fixation…
2886: extensive zonulopathy from trauma
This is a very challenging case where the patient sustained severe trauma. In this title picture you can see at…
2885: rescue this floppy iris prolapse case
Imagine you are a professor / attending / consultant who is supervising a resident who is performing a seemingly routine…
2884: complex glaucoma tube revision
Our guest surgeon on the CataractCoach Podcast yesterday (the top podcast in all of ophthalmology – IFYKY!) was Cleveland Clinic…
2883: Podcast 157: Mary Qiu MD
Our guest is Dr Mary Qiu, a brilliant glaucoma specialist at the Cleveland Clinic Cole Eye Institute. We explore Dr.…
2882: resident stop and chop technique
For a resident surgeon, the stop-and-chop technique serves as the essential bridge between basic sculpting and advanced nuclear disassembly. It…
2881: Parkinson’s disease & cataract surgery
Managing a cataract patient with Parkinson’s disease and active tremors requires a strategic approach to physical and ocular stability. Rather…
2880: small anterior segment angle closure
Operating in an eye with a history of angle closure and a shallow anterior chamber presents a significant crowded environment.…
2879: intra-capsular MSICS & scleral fixated IOL
In cases of severe phacodonesis, where zonular support is nearly non-existent, a standard extracapsular approach often risks complete lens dislocation.…
2878: Eiffel tower phaco technique (no hydro)
The “Eiffel tower technique” is a synonym for the well-known Y-groove method of sculpting a nucleus i when avoiding hydrodissection,…
2877: “Zombie” Double Tap to set IOP
On yesterday’s Cataract Coach Podcast (the top podcast in all of ophthalmology!) we learned some great surgical pearls from our…
2876: Podcast 156: John Jarstad MD
Our podcast guest, Dr John Jarstad is a pioneering ophthalmologist, innovator, and humanitarian at USF Tampa in Florida, USA. Throughout…
2875: please stop using scissors for ECCE
Back when I was a resident (all old surgeons say those words…) my professors taught me to perform ECCE with…
2874: Morgagnian cataract with zonulopathy
A Morgagnian cataract (named after Giovanni Morgagni the Italian father of anatomic pathology from the 1700s!) represents a very late…
2873: Quiz: Why is the IOL decentered?
98% of ophthalmologists will get this wrong and will miss the very subtle point in the video that shows the…
2872: KPro retro-prosthetic membrane
A retro-prosthetic membrane is a common complication following Boston Keratoprosthesis (KPro) implantation, where a fibrous tissue layer forms behind the…
2871: cataract surgery with Kamra corneal inlay
Performing cataract surgery in an eye with a Kamra corneal inlay requires managing a physical obstruction in the surgeon’s line…