2840: so many challenges for this resident

I am very proud of this resident for sending in this video of case 75, which is quite challenging, with…

2839: congenital cataract in 2 month old baby

Performing cataract surgery in a 2-month-old infant requires a specialized approach due to the high elasticity of the pediatric capsule…

2838: difficult fibrotic capsule

In cases of dense white cataracts with fibrotic, leathery capsules, the standard continuous curvilinear capsulorhexis often fails because the tissue…

2837: vertical chop in dense white cataracts

In dense white cataracts, the vertical chop technique is highly effective because it utilizes shearing forces rather than the compressive…

2836: Case 450 for a new graduate

Our guest surgeon from Japan does a great job for this routine cataract case which is number 450. Reaching case…

2835: Extensive Lens Coloboma

Performing cataract surgery in the presence of a lens coloboma with 180° of zonular absence requires a careful approach to…

2834: Podcast 150: Keith Walter MD

About 30 years ago the initial clinical trials and studies for the FDA approval of LASIK were done and our…

2833: this is what 5000 cases looks like

Subtle intraoperative details often reveal a surgeon with vast cataract experience and that is evident in this case which is…

2832: capsular bag full of rocks!

This case features a dense white cataract where intra-lenticular stone formation happens resulting in small, dense rocks in side the…

2831: opening a collapsed bag for the IOL

Opening a collapsed, fibrosed capsular bag months after cataract extraction requires meticulous viscodissection and controlled fibrosis release. A dispersive viscoelastic…

2830: Quiz: What is this line near the iris?

Time for another CataractQuiz, our series where we test your knowledge and skills by showing you a title pic and…

2829: supra-capsular phaco for high myopia

This is a complete cataract case shown start to finish with me operating. You can see all of these cases…

2828: peeling a membrane from the capsule

Our guest surgeon has sent a few videos which we have featured over the past year and the key is…

2827: Podcast 149: Sonia Yoo MD

Professor Sonia Yoo MD is a refractive and cataract surgeon at the Bascom Palmer Eye Institute at the Univeristy of…

2826: you should be here by 100 cases

Watch this video of a resident’s 100th cataract surgery case and I’m sure you will agree that the skills are…

2825: illumination for opaque corneas

When a central corneal opacity obscures the surgical field, traditional coaxial microscope illumination often creates debilitating light scatter and glare,…

2824: AC maintainer in cataract surgery

In routine cataract surgery, an anterior chamber maintainer (ACM) can be used to ensure globe stability and a deep operative…

2823: Soemmering’s Ring Removal

A Soemmering’s ring is a postoperative finding characterized by a doughnut-shaped proliferation of residual lens epithelial cells and cortical fibers…

2822: How to suture Cionni rings to sclera

To fixate a Cionni Modified Capsular Tension Ring, we must anchor the eyelet to the sclera, typically 1.5 to 2.0…

2821: severe trauma eye reconstruction

Management of high-grade traumatic iridodialysis requires meticulous surgical intervention to mitigate the functional morbidity such as debilitating photophobia. Our goal…

2820: Podcast 148: Bill Bond MD

At many ophthalmic meetings over the years, particularly at the AECOS Aspen meeting (formerly the Dulaney AIRS: Aspen Invitational Refractive…

2819: last cataract case of fellowship

A hallmark of a good horizontal chop cataract case as a fellowship capstone is the economy of motion and coolness…

2818: zonulopathy & iris clip phakic IOL

Operating on a highly myopic eye with a pre-existing iris-claw (Artisan/Verisyse) phakic IOL and zonular instability requires a sophisticated, staged…

2718: uveitis white cataract & synechiae

Performing cataract surgery in an eye with chronic uveitis presents a triple challenge: a fragile blood-aqueous barrier, dense posterior synechiae,…

2816: amazing iris coloboma repair

I was really amazed by the technique in this video because the surgeon achieved a fantastic result by first trimming…

2815: Why did the nucleus drop?

Let me first start out by telling you that I do not know exactly what happened here and we are…

2814: slit-lamp ruptured globe repair

Is it reasonable to repair a ruptured globe at the slit-lamp microscope in this case? The patient has a blind…

2813: Podcast 147: Andrew Lee MD

Our podcast guest is neuro-ophthalmologist Andrew Lee MD who is Chair & Professor at the Blanton Eye Institute at Houston…

2812: fixing iris prolapse during MSICS

In Manual Small Incision Cataract Surgery (MSICS), iris prolapse usually stems from a pressure gradient where fluid trapped behind the…

2810: DALK with the big bubble technique

Deep Anterior Lamellar Keratoplasty (DALK) using the “Big Bubble” technique is a surgical milestone for treating corneal diseases like keratoconus…

2809: cataract with persistent fetal vasculature

Cataract surgery in a child with Persistent Fetal Vasculature (PFV) is surgically demanding due to the presence of a retrolental…

2808: Why so much chemosis / bleeding?

Chemosis during cataract surgery is the ballooning of the conjunctiva caused by balanced salt solution (BSS) leaking under the tissue.…

2807: phaco probe breaks the capsule

When a posterior capsule rupture (PCR) occurs, the surgeon’s immediate priority is stability. First, do not abruptly remove the phaco…

2806: Podcast 146: David Kohn Bitran MD

I was at the Ophthalmo Cordoba conference in Argentina and I saw a great presentation about complex ocular trauma cases.…

2805: resident horizontal chop case

In a dense brunescent cataract, the horizontal chop technique serves as a powerful mechanical tool to overcome the “leathery” posterior…

2804: resident’s first vertical chop case

Yes, you can certainly learn vertical chop and this resident proves that point for cataract case 62. Vertical chop is…

2803: resident stop & chop case

Still focusing on resident cases this week and today this young surgeon does a great job with the stop &…

2802: resident divide & conquer case

This week we are featuring all resident cases. Yesterday (video 2801) and the day before (video 2800) were two CataractQuiz™…

2799: Podcast 145: Ozlem Evren Kemer MD

Professor Ozlem Evren Kemer MD is an internationally renowned expert in cataract, cornea, and anterior segment surgery and I have…

2798: this incision is really not good

In our video today a resident surgeon performs case number 88 which is actually pretty good but the incision is…

2797: Quiz: What is this after removing OVD?

Time for another CataractQuiz™ to test your skills (the full series for CataractQuiz™ can be found here). This patient undergoes…

2796: traumatic cataract with tough surprise

Happy New Year to the CataractCoach fans and family! Traumatic cataracts present a unique surgical challenge because the full extent…

2794: how to make a scleral tunnel incision

Clear corneal incisions have become the default entry point for routine phacoemulsification due to their simplicity, rapid healing and low…

2793: solar eclipse sign indicates zonulopathy

One of the most subtle yet important intraoperative clues to zonular weakness is the presence of a crescent-shaped, abnormally bright…

2792: Podcast 144: Rehan Ahmed MD

I first met Dr Rehan Ahmed more than 15 years ago when he was an ophthalmology resident at Baylor University…

2791: resident case 64 needs improvement

Let’s first say that the most important part of surgical learning is being receptive to learning. And if a young,…