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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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1782: resident week: cystotome rhexis

The simple bent needle, also called a cystotome (or cystitome for the alternate spelling) can be used to create the…

capsulorhexis, resident cataract surgery

1781: resident week: posterior sub-capsular

For this resident case there is an extensive posterior sub-capsular cataract which is causing poor vision, decreased acuity, and tremendous…

posterior subcapsular, resident cataract surgery

1780: resident week: pseudo-exfoliation

Continuing with resident week, we present a case of pseudo-exfoliation (PXF). There is a spectrum of disease when it comes…

pseudo-exfoliation, resident cataract surgery

1779: resident week: nice chop but…

The next case in our resident week series is a routine case where this US senior resident is learning phaco…

resident cataract surgery

1778: resident week: needle decompression

This week we will feature resident cases submitted anonymously from surgeons in training from around the world. Today’s case is…

resident cataract surgery, white cataract

1777: Curriculum Lesson 19: complications part 1

The next lesson in our CataractCoach Curriculum series is lesson 19: complications, part 1. Every surgeon encounters surgical complications and the key…

complications, curriculum

1776: refractive lens exchange for hyperopia

For patients over age 60 with significant degrees of hyperopia, a refractive lens exchange (RLE) tends to be the preferred…

hyperopia, multi-focal IOL, refractive lens exchange

1775: the IOL is sitting on the macula

This patient suffered late dislocation of the IOL+capsular bag complex and it fell into the vitreous cavity and it now…

pars plana, sutured IOL, vitrectomy

1774: When did the posterior capsule rupture?

I have watched this video a few times and I am still not sure when the capsule ruptured. Look at…

anterior vitrectomy, posterior capsule rupture, sulcus IOL

1773: capsule ruptured by intra-vitreal injection

With millions of intra-vitreal injections being performed every year, an iatrogenic rupture of the posterior capsule by the needle is…

intra-vitreal injection, posterior capsule rupture

1772: phaco + GATT to treat glaucoma

GATT is gonioscopy-assisted transluminal trabeculotomy and it was described almost 10 years ago where the trabecular meshwork can be torn…

glaucoma, gonio

1771: further progression of surgical skills

When I saw case 25 from this resident (link here) I was amazed at his skill level and just how…

learning curve, resident cataract surgery

1770: PodCast 5: surgical learning & coaching

About six weeks ago I posted a video discussing the question, “Should you give up operating?” because it is asked…

learning curve, podcast, teaching

1769: cataract in a post-trabeculectomy eye

When performing cataract surgery in an eye with a prior trabeculectomy there are some important differences. There is going to…

cataract surgery, trabeculectomy

1768: brunescent dense rock cataract

This is a tough case and when you see the microscope lights turned up but still no red reflex, you…

brunescent, dense cataract

1767: an amazing rescue of a tough case

Our guest surgeon, Dr Steve Safran has become an expert in complex re-operations and anterior segment reconstruction, with countless cases…

complications, pars plana, vitrectomy, yamane

1766: when did the posterior capsule break?

Our guest surgeon, Dr Lukan Mishev, is a highly talented ophthalmologist who is an expert is anterior and posterior segment…

posterior capsule rupture

1765: keep the capsulorhexis centered

In this complete cataract case the pupil has dilated in an asymmetric manner. There is no history of trauma and…

capsulorhexis, complete cataract case

1764: larger capsulorhexis for larger pupil

This patient has a large anterior segment where the white-to-white diameter is almost 13 mm. He also has a large…

complete cataract case, pupil size

1763: Curriculum Lesson 18: finish the case

This lesson focuses on finishing the case. Sounds easy, but it can be tricky. We need to remove the viscoelastic…

curriculum

1762: Focus on Efficiency: putting it all together

This week we have a Focus on Efficiency. Today, putting it all together – a complete case. Over the past…

complete cataract case, efficiency

1761: Focus of Efficiency: optimal flow

This week we have a Focus on Efficiency. Today, achieving the optimal state of flow. The psychological state of Flow is described…

efficiency, state of flow

1760: Focus on Efficiency: cycle time analysis

This week we have a Focus on Efficiency. Today, tracking and improving your cycle time. After working with 200 ophthalmology…

block time, efficiency

1759: Focus on Efficiency: your scrub tech

This week we have a Focus on Efficiency. Today, the importance of your scrub tech. As surgeons, we do not…

efficiency, scrub tech

1758: Focus on Efficiency: how I think

This week we have a Focus on Efficiency. Today, here is how I think to improve efficiency. This is a…

complete cataract case, efficiency

1757: Focus on Efficiency: please help me

This week we have a Focus on Efficiency. Today, a look at an experienced surgeon’s case. An anonymous ophthalmologist with…

efficiency

1756: PodCast 4: Tom Oetting MD

Dr Tom Oetting is a celebrated cataract surgery teacher and he has really pioneered much of the online learning in…

podcast, surgical discussion, teaching

1755: intumescent cataract double rhexis

Our guest surgeon does a beautiful job with this intumescent white cataract. Because the cortex has liquefied, the capsular bag…

double rhexis, intumescent, white cataract

1754: dual site phaco trabeculectomy

This patient has both glaucoma and cataracts and the clinical decision has been made to perform both cataract surgery and…

glaucoma, trabeculectomy

1753: single site phaco trabeculectomy

Our guest surgeon is using a single site to perform the cataract surgery and the trabeculectomy because this patient already…

glaucoma, trabeculectomy

1752: resident’s 3rd horizontal chop

Last week in video 1747, we showed you this same resident surgeon’s first case of horizontal chop and it went…

horizontal chop, phaco chop, resident cataract surgery

1751: for capsule wrinkling, I do this…

This is a complete cataract case, shown start to finish, where the anterior lens capsule wrinkles upon attempted puncture for…

capsule wrinkle, complete cataract case, weak zonular support

1750: paired incisions for astigmatism

Doing refractive cataract surgery is becoming the norm with patients desiring correction of refractive errors at the same time as…

astigmatism, paired phaco incisions

1749: Curriculum Lesson 17: IOL delivery

In this next part of our curriculum series, we have lesson 17: IOL delivery. It may sound simple, but injecting…

curriculum, IOL

1748: tiny hyperopic eye & small pupil

Just watching this case is stressful. It is a very small eye with a 20 mm axial length, shallow anterior…

nanophthalmos, shallow AC

1747: A resident’s first phaco chop case

The advantage of residency training is that a seasoned attending ophthalmologist is sitting right next to you, giving advice, teaching…

phaco chop, resident cataract surgery

1746: resident case 100 analysis

Time for some group learning and this young surgeon (and other beginning surgeons) need your input and advice. This is…

resident cataract surgery

1745: Ahmed capsular segment placement

This is a tough case where the surgeons learns intra-operatively that there is a quadrant of poor zonular support. An…

capsular tension ring, capsular tension segment

1744: keratoglobus cataract surgery

Keratoglobus is a rare condition, so rare that I have never seen a patient with this condition in my career,…

keratoglobus

1743: measure precisely for Yamane IOLs

Precisely measuring your scleral entry points is critical to center the IOL optic when you are performing Yamane intra-scleral haptic…

dislocated IOL, yamane

1742: PodCast #3: Resident Eye Surgeons

This is an amazing podcast with three senior ophthalmology residents from the UCLA Jules Stein Eye Institute (Gio Campagna MD,…

ophthalmology residency, podcast, surgical discussion

1741: defining and measuring success

Defining success is not easy because it means different things to everyone and it tends to evolve or change throughout…

success, surgical discussion

1740: dead capsular bag syndrome

In rare cases, years after a cataract surgery, we can have complete loss of zonular support with dislocation of the…

dislocated IOL, weak zonular support

1739: peeling a posterior polar plaque

We all know that posterior polar cataracts are challenging because at the site of the polar opacity the capsule can…

posterior polar cataract

1738: sudden choroidal hemorrhage

This is another great example of how even an experienced, expert surgeon can encounter a complication during cataract surgery. This…

choroidal, complications, pseudo-exfoliation

1737: IOL breaks the posterior capsule

We should never devalue cataract surgery or claim that it is such an easy procedure because even in expert hands,…

capsule rupture, complications

1736:capsule break from OVD bubbles

I was watching cataract surgery videos on YouTube and I saw this video from Dr Shannon Wong from Austin, Texas…

capsule rupture, complications, viscoelastic

1735: Curriculum Lesson 16: IOL loading

Continuing with lesson 16 in our Curriculum series, focusing on IOL loading. Every surgeon must know how to load the…

curriculum, IOL

1734: the 7L rule saves the day

The 7L rule has been passed down from one generation of ophthalmologists to the next for many decades. It is…

upside down IOL

1733: Can you do MSICS without a peritomy?

Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical…

MSICS

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