2952: you’ve learned D&C, now time to chop Once you have mastered the divide-and-conquer technique, it is time to take…
2951: oblique chop technique
2951: Oblique chop technique Mastering phaco chop is all about understanding the mechanical forces used to split a dense nucleus.…
2950: Quiz: Why sudden miosis and AC shallowing?
2950: Quiz: Why sudden miosis and AC shallowing? It’s time for another CataractQuiz™, and this one features a critical teaching…
2949 opaque cornea with a surprise inside
2949: Opaque cornea with a surprise inside Operating on an eye with an opaque cornea is challenging enough, but sometimes…
2948: four point IOL suture fixation
2948: four point IOL suture fixation When capsular support is completely missing, securing a stable intraocular lens requires a strategy…
2947: DMEK made easy (with practice)
2947: DMEK made easy (with practice) Learning to perform DMEK (Descemet’s Membrane Endothelial Keratoplasty) is actually easier than learning cataract…
2946: Podcast 166: Tim Steinemann MD
Sometimes you are fortunate to have that one clinical professor in your training who teaches you so much outside of…
2945: resident conquers Morgagnian cataract
2945: resident conquers Morgagnian cataract In this milestone case, a resident surgeon successfully navigates the complexities of a morgagnian cataract.…
2944: traumatic cataract with tough surprise
This complex traumatic cataract case begins with the challenge of posterior synechiae, which must be lysed to visualize the underlying…
2943: Quiz: Which way to pull the rhexis?
To perform the Little rescue technique for a run-out capsulorhexis, the surgeon must first flatten the anterior chamber by removing…
2942: Quiz: What just happened here?
In this challenging scenario, the surgeon inserts infusion to attempt a hydro-implantation of the IOL but then a distinct line…
2941: succeeding with challenging K-Pro cases
The Boston K-Pro provides a revolutionary solution for patients suffering from repeated corneal graft failures or severe ocular surface disease.…
2940: Zonulopathy with subluxed cataract
This video features a challenging case of global zonulopathy where the lens stability is severely compromised. When zonular weakness is…
2939: Podcast 165: Jonathan Woolfson MD
Imagine starting from the bottom and then building a large eye institute with 13 locations in multiple states. That is…
2938: resident conquers this white cataract
For a resident surgeon, being confronted with a dense white cataract, the stakes are high. The lack of a red…
2937: peeling a posterior capsule plaque
Peeling a posterior capsule plaque is a high-stakes maneuver that requires a delicate touch and steady nerves. These plaques are…
2936: uveitic cataract with collapsed AC
Performing cataract surgery in a uveitic eye with a collapsed anterior chamber is one of the most demanding scenarios in…
2935: Quiz: What is wrong with this IOL?
Look carefully at this title picture and ask yourself: What is wrong with this IOL? Clearly, it is dislocated and…
2934: ectopia lentis et pupillae
Ectopia Lentis et Pupillae is a rare, autosomal recessive condition primarily linked to mutations in the ADAMTSL4 gene located on…
2933: anterior segment reconstruction
This is a very difficult case of a patient with complete opacification of the cornea, a prior failed corneal transplant,…
2932: Podcast 164: Dan Reinstein MD
Our podcast guest is Dr Dan Reinstein, a London-based refractive surgeon, physicist, and professional jazz saxophonist who pioneered high-frequency digital…
2931: young registrar meets Argentinan flag
In this classic teaching moment, a registrar fails to decompress the capsular bag of an intumescent white cataract. Upon the…
2930: Yamane SFIOL in Marfan Syndrome
In a patient with Marfan syndrome who is completely aphakic and lacks any capsular support, the Yamane intrascleral haptic fixation…
2929: problem with femto laser white cataract
In the management of an intumescent white cataract, some surgeons like to use the femtosecond laser to create a the…
2928: flip nucleus to break fibrous plate
Managing a dense brunescent cataract requires a strategic shift in orientation when traditional chopping fails to penetrate the leathery posterior…
2927: four great pearls for PXF cases
Four surgical pearls to assist in cataract surgery in pseudo-exfoliation eyes Managing cataract surgery in patients with pseudo exfoliation syndrome,…
2926: PDEK graft preparation technique
From our podcast yesterday, we explore the surgical pearls for preparing a Pre-Descemet’s Endothelial Keratoplasty (PDEK) graft using the refined…
2925: Podcast 163: Dinh Thi Hoang Anh MD and Yury Kalinnikov MD
Ophthalmologists are realizing that for lamellar corneal transplantation, PDEK (Pre-Descemet’s Endothelial Keratoplasty) is better than DMEK, which is better than…
2924: surprise posterior capsule plaque
In this challenging case involving a dense brunescent nucleus, we are met with an unexpected hurdle after the lens material…
2923: careful with dimple down incisions
Creating a clear corneal incision requires a precise approach to ensure the wound is self sealing and stable throughout the…
2922: post-occlusion surge breaks the bag
When you are down to that final nuclear fragment, the risk of a posterior capsule rupture is at its peak…
2921: aspirate and the cataract disappears
Performing surgery on a 21 year old with a mature white cataract requires a different mindset than your typical elderly…
2920: small pupil case with a surprise
99% of ophthalmologists (including me!) will not be able to figure out the surprise from this picture. If you want…
2919: Quiz: What is going on with this eye?
When you encounter a Morgagnian cataract, the cortex has completely liquefied, allowing the dense nucleus to sink to the bottom…
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…