A young doctor in training asked me to put together a list of key videos prior to her first day…
1239: dense brunescent cataract
This patient has a very dense, brunscent, fibrous cataract in the left eye. Fortunately, the right eye has a moderate…
1238: pterygium excision with graft
This patient desires cataract surgery with an extended depth of focus IOL in order to improve his vision. However, at…
1237: leave your signature on every case
Taking pride in your work is critical for success. You need to put the effort to do a beautiful job…
1236: IOL exchange & Yamane technique
The Yamane technique for IOL fixation to the sclera is an innovative way to secure a three-piece IOL in the…
1235: convert to manual ECCE surgery
This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced…
1234: posterior polar cataract surgery
Posterior polar cataracts have a developmental defect at the center of the posterior capsule. This means that at the site…
1233: microspherophakia surgery
Microspherophakia is a rare condition where the human crystalline lens takes on an unusual form: it is more spherical than…
1232: traumatic loss of zonular support
This patient sustained severe ocular trauma that resulted in loss of more than 180 degrees of zonular support. He has…
1231: the many uses of viscoelastic
Viscoelastics (also called OVDs: ophthalmic visco-surgical devices) are critically important to successful cataract surgery. We can use them in many…
1230: surgeon & patient communication
Cataract surgery is a beautiful and fascinating procedure for us as ophthalmologists. But for patients it can be a nerve-wracking…
1229: IOL exchange & Soemmering Ring
This patient had cataract surgery years prior with significant intra-operative complications. The posterior capsule was ruptured and a sulcus IOL…
1228: Quiz: what are these white opacities?
This is a quiz, so look closely at the above picture. This patient sustained a corneal laceration during a gardening…
1227: secrets for radial keratotomy patients
While radial keratotomy (RK) is rarely used as a refractive surgery today, a few decades ago it was very popular.…
1226: primary posterior capsulorhexis
There are some cases where it is preferable to make a primary posterior capsulorhexis at the time of cataract surgery…
1225: a bad incision leads to iris damage
The incision is a very important part of the cataract surgery. It determines the access to the anterior segment and…
1224: listen to your phaco machine
Our phaco machines have built in speakers and they make sounds that provide the surgeon with important real-time feedback while…
1223: how to set up your phaco machine
The surgeon is the captain of the operating room and must know everything about the case and instrumentation. While we…
1222: traumatic cataract capsule fibrosis
Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and…
1221: traumatic cataract lens penetration
This patient sustained a penetrating ocular injury about one year ago. He was working on a construction project and a…
1220: white cataract phaco puncture
This is a resident case of an intumescent white cataract. We have covered this topic many times and the theme…