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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract, Glaucoma, Cornea & Refractive Surgery. All Content © 2018-2026 Uday Devgan Cataract Coach™

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2891: why temporary hyperopia happens in RK

Temporary post-op hyperopia after cataract surgery in Radial Keratotomy eyes Performing cataract surgery on a patient with a history of…

iol calculations, radial keratotomy, refractive planning

2890: Podcast 158: Rebecca Metzinger MD

Our guest surgeon, Dr Rebecca Metzinger joins to share her extensive experience teaching residents (both Tulane and LSU) at major…

podcast

2889: Case 1000 for this young surgeon

Reaching the milestone of 1,000 cataract surgeries represents a transformative shift from technical proficiency to surgical fluency. By this stage,…

beginner surgeon

2888: Quiz: Why is there a blue reflex?

This is a very easy CataractQuiz™ (click to see the whole series): Once the cataract is removed you see this…

cataract quiz

2887: The “5F” intra-scleral haptic fixation

Our guest surgeon is performing Dr Soosan Jacob’s 5F Technique which is a refined approach to sutureless intrascleral haptic fixation…

scleral fixated IOL, yamane

2886: extensive zonulopathy from trauma

This is a very challenging case where the patient sustained severe trauma. In this title picture you can see at…

CTR, traumatic cataract, weak zonular support

2885: rescue this floppy iris prolapse case

Imagine you are a professor / attending / consultant who is supervising a resident who is performing a seemingly routine…

iris prolapse

2884: complex glaucoma tube revision

Our guest surgeon on the CataractCoach Podcast yesterday (the top podcast in all of ophthalmology – IFYKY!) was Cleveland Clinic…

glaucoma, neo-vascular glaucoma, seton

2883: Podcast 157: Mary Qiu MD

Our guest is Dr Mary Qiu, a brilliant glaucoma specialist at the Cleveland Clinic Cole Eye Institute. We explore Dr.…

podcast

2882: resident stop and chop technique

For a resident surgeon, the stop-and-chop technique serves as the essential bridge between basic sculpting and advanced nuclear disassembly. It…

beginner surgeon, resident cataract surgery, stop and chop cataract surgery

2881: Parkinson’s disease & cataract surgery

Managing a cataract patient with Parkinson’s disease and active tremors requires a strategic approach to physical and ocular stability. Rather…

tremor

2880: small anterior segment angle closure

Operating in an eye with a history of angle closure and a shallow anterior chamber presents a significant crowded environment.…

nanophthalmos, run-out capsulorhexis, shallow AC, white cataract

2879: intra-capsular MSICS & scleral fixated IOL

In cases of severe phacodonesis, where zonular support is nearly non-existent, a standard extracapsular approach often risks complete lens dislocation.…

intra-cap, MSICS, scleral fixated IOL

2878: Eiffel tower phaco technique (no hydro)

The “Eiffel tower technique” is a synonym for the well-known Y-groove method of sculpting a nucleus i when avoiding hydrodissection,…

cataract technique, hydrodissection

2877: “Zombie” Double Tap to set IOP

On yesterday’s Cataract Coach Podcast (the top podcast in all of ophthalmology!) we learned some great surgical pearls from our…

surgical pearls

2876: Podcast 156: John Jarstad MD

Our podcast guest, Dr John Jarstad is a pioneering ophthalmologist, innovator, and humanitarian at USF Tampa in Florida, USA. Throughout…

podcast

2875: please stop using scissors for ECCE

Back when I was a resident (all old surgeons say those words…) my professors taught me to perform ECCE with…

convert to ECCE, MSICS, posterior capsule rupture

2874: Morgagnian cataract with zonulopathy

A Morgagnian cataract (named after Giovanni Morgagni the Italian father of anatomic pathology from the 1700s!) represents a very late…

CTR, morgagnian cataract, weak zonular support, white cataract

2873: Quiz: Why is the IOL decentered?

98% of ophthalmologists will get this wrong and will miss the very subtle point in the video that shows the…

cataract quiz, decentered IOL

2872: KPro retro-prosthetic membrane

A retro-prosthetic membrane is a common complication following Boston Keratoprosthesis (KPro) implantation, where a fibrous tissue layer forms behind the…

kerato-prosthesis, microscope

2871: cataract surgery with Kamra corneal inlay

Performing cataract surgery in an eye with a Kamra corneal inlay requires managing a physical obstruction in the surgeon’s line…

corneal foreign body

2870: pupilloplasty & capsular bag fixation

This video features our talented guest surgeon performing two tough cases, both with a pupilloplasty and each doing a different…

pupilloplasty, sutured IOL, weak zonular support

2869: Podcast 155: David Granet MD

Our guest is Professor David Granet who reveals the mind-blowing speed of AI development in medicine, noting 50 new developments…

podcast

2868: Case 400 with a shallow AC

Our anonymous resident surgeon does a great job with case 400 with the horizontal chop technique but there is one…

beginner surgeon, resident cataract surgery

2867: Don’t polish the capsule in posterior polar

Today we are looking at a classic posterior polar cataract and the risk we take when we attempt to polish…

capsule polishing, posterior polar cataract

2866: trocar placement punctures the lens

We always aim for a perfect case, but as every seasoned surgeon knows, it’s not about the complication, rather it’s…

complications, lens puncture, macula

2865: how to drain Hyphemas at the slit lamp

We have all seen it: post-op patient comes to your clinic with a layered hyphema that just isn’t clearing, and…

hyphema, surgical pearls

2864: learn with HelpMeSee’s Surgical Simulator

Revolutionizing Global Cataract Surgery: The HelpMeSee Training Model In this sponsored video on CataractCoach.com, we take a deep dive into…

beginner surgeon, learning curve, MSICS

2863: using a needle to insert iris hooks

We are always looking for ways to make our surgeries more efficient and safer, and today I want to show…

iris hooks, small pupil cataract surgery

2862: Podcast 154: Edgar Espana MD

Our podcast guest bridges the clinical and surgical aspects of ophthalmology with cutting edge basic science research about the cornea.…

podcast

2861: resident progress across 500 cases

The Evolution of Surgical Mastery: From Case 5 to 475 Watching the progression of a resident from their 5th case…

beginner surgeon, resident cataract surgery

2860: posterior polar with capsule defect

Posterior Polar with capsule defect seen on AS-OCT A posterior polar cataract is a known surgical landmine, but in this…

oct scan, posterior polar cataract

2859: injecting trypan blue under the iris

Injecting Trypan blue under the iris: Staining in Small Pupils In cases with posterior synechiae and a non-dilating pupil, the…

small pupil cataract surgery, synechiae, uveitis

2858: polishing the capsule and then it splits

Polishing the capsule and then it splits! Now what? It’s the moment every surgeon dreads: you’re polishing the posterior capsule…

capsule polishing, posterior capsule rupture

2857: another thick fibrotic lens capsule

Cutting Through the Resistance: Micro-Scissors Rhexis When the anterior capsule is so heavily fibrotic or calcified that it behaves more…

fibrotic capsule

2856: capsulorhexis with fibrotic lens capsule

The Fibrotic Challenge: Vitrectorhexis When you encounter a calcified or heavily fibrotic anterior capsule, your standard Utrata forceps will likely…

fibrotic capsule

2855: Podcast 153: Satya V. Reddy MD

Our podcast guest today is Dr Satya V. Reddy who is an anterior segment surgeon in Louisiana, USA and we…

podcast

2854: resident masters divide-and-conquer

For a resident surgeon, mastering the divide-and-conquer technique is a rite of passage, representing the transition from tentative maneuvers to…

beginner surgeon, divide-and-conquer, resident cataract surgery

2853: opacified IOL requires exchange

Hydrophilic acrylic IOLs are valued for their biocompatibility but are uniquely susceptible to calcification with the deposition of calcium and…

iol exchange, opacified IOL

2852: subluxated cataract requires ICCE

There was a time many years ago (40+ years ago) where the standard procedure for cataract surgery was to perform…

weak zonular support, white cataract

2851: AC whiteout from phacolytic glaucoma

Patients sometimes ask if cataract surgery is absolutely required right now and the answer for the vast majority of patients,…

glaucoma, intumescent, white cataract

2850: Quiz: Why is this case not done yet?

Time for your favorite CataractQuiz™ episode: look carefully (very carefully) at this title picture and tell me what is the…

cataract quiz, retained lens fragment

2849: lens coloboma with deformed capsule

Surgery for a congenital lens coloboma is challenging because the deformed capsular bag can lack focal, essential structural support. In…

coloboma, congenital cataract, weak zonular support

2848: Podcast 152: Eduardo Alfonso MD

Our guest is Dr. Eduardo Alfonso who has been Chairman and Director of the legendary Bascom Palmer Eye Institute for…

podcast

2847: when you learn chop, you’ll ditch D&C

Once cataract surgeons master phaco chop, they rarely return to the divide and conquer method because of the dramatic gains…

horizontal chop, phaco chop

2846: Quiz: What is the major issue here?

Look very carefully at this photo and figure out what is the major issue that you see. Look again because…

cataract quiz

2845: white cataract after intra-vit injection

An intra-vitreal injection that accidentally punctures the posterior lens capsule often triggers an acute traumatic white cataract. This occurs because…

intra-vitreal injection, traumatic cataract, white cataract

2844: cornea & lens capsule laceration

This video features a ruptured globe with the trauma consisting of a sharp metal object which caused a laceration to…

corneal laceration, ruptured globe, traumatic cataract

2843: Quiz: Why is the epinucleus tough?

We are back with your favorite ophthalmology test, the CataractQuiz™ and this is a tough one with a great surgical…

cataract quiz, pseudo-exfoliation

2842: tough cataract case with prior NVG

For this very tough cataract case, our guest surgeon is Dr Lucy Shen from the Mass Eye / Harvard in…

neo-vascular glaucoma, seton

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