Even though our equipment is very reliable (and very expensive), no device is absolutely infallible. And in this case the…
1963: inadvertent zonular dehiscence
Iatrogenic complications are tough because we blame ourselves for the sequelae of damaging delicate tissues. In this photo you can…
1962: effect of pupil size for EDOF IOLs
Just like the aperture (f stop) matters for taking photos with a camera, the pupil size plays a large role…
1961: review of limbal relaxing incisions
As an ophthalmic surgeon, you promised yourself that you would learn to perform limbal relaxing incisions (LRIs) to help address…
1960: nonagenarians with pseudo-exfoliation
We have previously featured videos about cataract surgery in nonagenarians and we know that after the age of 90, the…
1959: Podcast 25: Cristos Ifantides MD
Cristos Ifantides MD is an accomplished young ophthalmologist who truly brings the “A game” to the future of our field.…
1958: haptic disinsertion with Yamane IOL
The Yamane technique of scleral IOL fixation has grown in popularity over the years and it is a good choice…
1957: challenging opacified IOL exchange
Rarely, IOLs will opacify with time with some designs more prone to this than others. In these cases we need…
1956: Morgagnian cataracts are challenging
A Morgagnian cataract is one where the cortex has completely liquefied and the remaining endo-nucleus is floating around in the…
1955: resident misses the Smoke Sign!
You must know what the Smoke Sign is and you must be able to react to it instantly. You can…
1954: Extended Depth of Focus IOLs
Choose the extended depth of focus IOL that will have best results with fewest compromises. The three main EDOF IOL…
1953: soft posterior polar young patient
Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the…
1952: PodCast 24: Rosa Braga-Mele MD
CataractCoach Podcast with Rosa Braga-Mele MD
1951: small aperture IOL with prior 16-cut RK
This is another radial keratotomy patient (RK) with 16 cuts in the cornea. These are not the cleanest cuts and…
1950: toric IOL with prior 16-cut RK
I have so many radial keratotomy patients who are seeking cataract surgery, usually at least a couple every week (and…
1949: Toric IOLs in Fuchs’ Corneal Dystrophy
can you use a toric IOL in cataract surgery if the patient has Fuchs’ corneal dystrophy?
1948: Cataract Quiz: equator, tear, or cortex?
Cataract Quiz: is this the capsular bag equator, a capsular tear, or just cortex?
1947: McDonald PRK technique & meds
Dr Marguerite McDonald’s special technique and medication regimen for PRK laser vision correction
1946: Review of Nanophthalmic Cataracts
Nanophthalmic eyes are very small with a short axial length of less than 20 mm. This makes the cataract surgery…
1945: PodCast 23: Steven Dell MD
CataractCoach podcast with Steven Dell MD
1944: What I have learned from Cataract Coach
When I started this project in 2018 and committed to making a new video every day, I did not fully…
1943: another capsulorhexis runs out
This is a case of MSICS, which is important to learn even if you feel that you can “phaco anything”…
1942: this capsulorhexis is going to run out
In most cases of intumescent white cataracts, we can substantially lower the risk of capsular run-out (the Argentinian flag sign)…
1941: excellent resident horizontal chop
This resident surgeon presents case 250 which features an excellent phaco chop technique. This resident has obviously spent much time…
1940: resident learns vertical combo chop
The first thing that catches your attention in this picture is the large pterygium. And I agree that a more…
1939: resident learning horizontal chop
This resident is learning horizontal phaco chop early in residency and this is case 50 from this young surgeon. The…
1938: PodCast 22: John Hovanesian MD
John Hovanesian MD is in private practice in Orange County, California and he has been involved with ophthalmic teaching, consulting,…
1937: posterior capsule hydro-polish
Sometimes patients with posterior sub-capsular (PSC) cataracts can have adherent lens opacities stuck on the center of the capsule. This…
1936: corneal intacs intra-stromal ring segments
Surgeons have tried many techniques to address refractive errors by altering the cornea and there will likely be many more…
1935: Cataract Quiz: What is your next move?
Study this title picture carefully and look at the tip of the yellow arrow. What is going on here? And…
1934: combined IOL + iris prosthesis
This is a novel device that combines an artificial iris with an IOL in order to address aphakia and aniridia…
1933: cannula punctures posterior capsule
This patient started with an intumescent white cataract and that itself is a challenge. However the real difficulties happened at…
1932: traumatic cataract with iris damage
Let’s thank this anonymous surgeon for doing a good job helping this patient who suffered from a traumatic cataract and…
1931: PodCast 21: Priya Mathews MD
Priya Mathews, MD, MPH is a successful surgeon and key opinion leader, and she has some great pearls for achieving…
1930: three very interesting short cases
Today we are featuring three very interesting short cases. The first is performing simultaneous incisions like some famous Brazilian surgeons,…
1929: Cataract Quiz: what is starting to happen?
Time for another Cataract Quiz: look at the title picture, at the yellow arrow and ask yourself: What is happening…
1928: irido-corneal adhesions
This patient presents to you with the situation shown in the title picture. There is an inferior corneal leucoma with…
1927: should residents learn femto laser?
Many studies have shown that there is little to no benefit to using the femtosecond laser for routine cataract surgery,…
1926: resident crater chop technique
The challenge in performing traditional phaco chop is that the probe tip has to hold the nucleus with vacuum while…
1925: pupil stretching is safe, easy, effective
Performing pupil stretching is safe, easy, and effective but there is a delicate balance. Too forceful of a stretch can…
1924: PodCast 20: Damien Gatinel MD PhD
Prof. Damien Gatinel, MD, PhD has a background in mathematics and the physics of optics as well as being a…
1923: cataract after corneal transplant
In an eye with a prior corneal transplant, cataract surgery is more challenging. The corneal endothelium is going to be…
1922: traumatic mydriasis & dislocated IOL
This patient had an intra-ocular foreign body which necessitated a pars plana vitrectomy along with lensectomy and IOL placement. Now…
1921: retro-iris claw lens for aphakia
This patient has a complex ocular history which resulted in an eye with no capsular support. To address the aphakia…
1920: small pupil pseudo-exfoliation
Our guest surgeon does a great job with this tough case of pseudo-exfoliation with a relatively small pupil. And this…
1919: converting from phaco to MSICS
All cataract surgeons will encounter cases of posterior capsule rupture during phaco. It is a known complication and can occur…
1918: surprised by silicone oil during phaco
This patient was referred to this anonymous surgeon for cataract surgery. The patient developed a white cataract shortly after having…
1917: PodCast 19: Douglas Koch MD
Professor Douglas Koch MD has been leading the way in cataract, refractive, and anterior segment surgery for more than 40…
1916: The 8-Chop Technique – Pre-Chop
Some surgeons love the pre-chopper because it allows for efficient splitting of a nucleus, usually into quadrants. This surgeon takes…
1915: junior resident case takes 30 min…
This junior resident case takes about 30 minutes from start to finish. In our review of this case, we have…