3092: Case 500 as a registrar – is this too much?

3092: Case 500 as a registrar – is this too much? Structuring ophthalmic surgical training requires balancing comprehensive skill acquisition…

3091: Case 2001 completed – great job – what’s next?

3091: Case 2001 completed – great job – what’s next? Our guest surgeon does a great job (with phaco chop)…

3090: submarine chop for a denser cataract

3090: submarine chop for a denser cataract Executing the “submarine chop” on a dense nuclear cataract begins with sculpting a…

3089: white cataract capsulorhexis x 10

3089: white cataract capsulorhexis x 10 One of these 10 cases ends up in a run-out capsulorhexis – see if…

3088: a dense nucleus requires a larger rhexis

3088: a dense nucleus requires a larger rhexis A dense nuclear cataract case demands an adequately sized anterior capsulorhexis, measuring…

3087: right eye, right hand & left eye, left hand

3087: right eye, right hand & left eye, left hand Sitting superiorly at the head of the bed while maintaining…

3086: Podcast 186: Richard Schulze Jr MD

3086: Podcast 186: Richard Schulze Jr MD Our podcast guest, Dr Richard Schulze Jr, comes from a family of physicians…

3085: resident does automated lens aspiration

3085: resident does automated lens aspiration Great job by this resident surgeon but there is BIG CRITICAL MISTAKE made during…

3084: white cataract after ruptured globe

3084: white cataract after ruptured globe Performing cataract surgery following repair of a ruptured globe with a corneal laceration requires…

3083: And then you see the lens equator!

3083: And then you see the lens equator! Directly visualizing the lens equator within the pupillary aperture during cataract surgery…

3082: Glaucoma, OCP, monocular patient – 10/10 tough

3082: Glaucoma, OCP, monocular patient – 10/10 tough Managing a high-complexity case in a monocular patient with ocular cicatricial pemphigoid…

3081: very high myopia in a younger patient

3081: very high myopia in a younger patient This is a complete cataract case performed by Uday Devgan MD. You…

3080: dislocated IOL in an eye with melanoma

3080: dislocated IOL in an eye with melanoma Our podcast guest yesterday was Dr David Crandall from the Henry Ford…

3079: Podcast 185: David Crandall MD

3079: Podcast 185: David Crandall MD At a recent meeting, I was really amazed at the complexity of anterior segment…

3078: phaco with prior vitreous hemorrhage

3078: phaco with prior vitreous hemorrhage Performing phaco in the presence of a vitreous hemorrhage significantly increases operative complexity due…

3077: divide and conquer is still good to know

3077: divide and conquer is still good to know While mechanical techniques like phaco chop and flip-and-chop offer great efficiency…

3076: Can we insert a CTR at this point?

3076: Can we insert a CTR at this point? Inserting a capsular tension ring (CTR) into a capsular bag with…

3075: Quiz: Why did trypan blue stain like this?

3075: Quiz: Why did trypan blue stain like this? Quiz time: Why did the trypan blue dye stain like this…

3074: the capsulorhexis ran out – let’s recover now

3074: the capsulorhexis ran out – let’s recover now The Argentinian flag sign is a notorious intraoperative challenge, and because…

3073: Grab-and-Go technique to explant IOLs

3073: Grab-and-Go technique to explant IOLs The “grab-and-go” technique offers an efficient method for explanting flexible acrylic intraocular lenses without…

3072: Podcast 184: Toby Tyson MD

3072: Podcast 184: Toby Tyson MD Our guest is Farrell “Toby” Tyson MD, a distinguished leader in ophthalmology whose career…

3071: Case 400 is good so here is what is next

3071: Case 400 is good so here is what is next Time to level up! Reaching case 400 represents a…

3070: Managing Phacolytic Glaucoma

3070: Managing Phacolytic Glaucoma Managing phacolytic glaucoma requires careful control of intraocular pressure and high intralenticular tension within a hypermature,…

3069: the capsule is wide open – now what?

3069: the capsule is wide open – now what? This case had a critical iatrogenic complication: during enlargement of the…

3068: CataractQuiz: Where is the crystalline lens?

3068: CataractQuiz: Where is the crystalline lens? Evaluating the presented surgical quiz and inset view confirms that severe blunt ocular…

3067: your first surgery in Fuchs’ corneal dystrophy

3067: your first surgery in Fuchs’ corneal dystrophy Operating on an eye with Fuchs endothelial dystrophy presents a distinct challenge,…

3066: horizontal chop technique – you can learn this!

3066: horizontal chop technique – you can learn this! Transitioning from divide and conquer to horizontal chop is one of…

3065: Podcast 183: Elisha Garg MD

3065: Podcast 183: Elisha Garg MD I was fortunate to have Dr Elisha Garg as a resident with me while…

3064: Cataract case 65 is making progress

3064: Cataract case 65 is making progress Reaching case 65 is a good milestone in surgical training, and seeing a…

3063: review of the capsulorhexis rescue

3063: review of the capsulorhexis rescue Mastering the Little capsulorhexis rescue maneuver is an absolute necessity for every cataract surgeon…

3062: Why would you stick this cosmetic iris implant in your eye?

3062: Why would you stick this cosmetic iris implant in your eye? Cosmetic iris implants and cosmetic keratopigmentation are laden…

3060: your first posterior capsule rupture – you are doing it WRONG!

3060: your first posterior capsule rupture – you are doing it WRONG! A posterior capsule rupture is an inevitable learning…

3059: pars plana glaucoma seton placement

3059: pars plana glaucoma seton placement In a complex eye with Fuchs’ endothelial dystrophy, placing a glaucoma seton via a…

3058: Podcast 182: Matthew Brink MD

3058: Podcast 182: Matthew Brink MD At the recent Midwest Glaucoma Symposium at the Cleveland Clinic, I learned so much…

3057: MSICS requires a larger capsulorhexis

3057: MSICS requires a larger capsulorhexis A standard 4.5 to 5.0 mm capsulorhexis is good for overlap of the IOL…

3056: four capsule hooks provide stability

3056: four capsule hooks provide stability Managing severe zonulopathy or overt phacodonesis requires temporary structural support during nuclear disassembly, and…

3055: glaucoma seton with stent suture

3055: glaucoma seton with stent suture Managing early post-operative hypotony is a primary challenge when placing non-valved glaucoma drainage devices,…

3054: Quiz: What is wrong with this sulcus IOL?

3054: Quiz: What is wrong with this sulcus IOL? Look carefully at this picture. In particular the orientation of the…

3053: traumatic cataract with iridodialysis

3053: traumatic cataract with iridodialysis Managing a traumatic cataract with fibrotic capsule changes, zonular loss, and an iridodialysis presents a…

3052: scleral fixation of a dislocated IOL

3052: scleral fixation of a dislocated IOL Rescuing a dislocated single-piece IOL requires creative maneuvers, and this clever technique offers…

3051: Podcast 181: Tushya Om Parkash MD

3051: Podcast 181: Tushya Om Parkash MD At a recent ophthalmology meeting, I found a speaker with so many insightful…

3050: Good job with your first horizontal chop

3050: Good job with your first horizontal chop Taking the initiative to learn advanced nuclear disassembly techniques early in training…

3049: tough MSICS case with complications

3049: tough MSICS case with complications In Manual Shelved Incision Cataract Surgery (MSICS), precise wound architecture is the absolute linchpin…

3048: Dense Cataract and Dense Amblyopia

3048: Dense Cataract and Dense Amblyopia Performing cataract surgery on an eye with profound anisometropic amblyopia and a predicted visual…

3047: Quiz: Why did trypan blue dye stain like this?

3047: Quiz: Why did trypan blue dye stain like this? A history of intravitreal injections complicated by an immediate post-injection…

3046: diurnal visual fluctuations in RK eyes

3046: diurnal visual fluctuations in RK eyes Addressing the diurnal refractive shift in radial keratotomy eyes Radial keratotomy was a…

3044: Podcast 180: Guillermo Rocha MD

3044: Podcast 180: Guillermo Rocha MD Leading one of the first ophthalmology residency programs in North America, Professor Guillermo Rocha…

3043: graduating from divide and conquer

3043: graduating from divide and conquer Learning the fundamentals of divide-and-conquer is a vital rite of passage for every resident,…