Our guest surgeon uses the flange technique with 6-0 polypropylene suture to secure the IOL to the sclera in this…
2036: Podcast 36: Lloyd Williams MD PhD
Lloyd Williams MD PhD is an ophthalmologist at Duke University with the Global Ophthalmology Program where he brings vision miracles…
2035: kebab technique for dropped nucleus
Every cataract surgeon will encounter the complication of a dropped nucleus. This is to be expected even with perfect surgical…
2034: posterior polar with posterior rhexis
Posterior polar cataract cases are always challenging because we know that the site of the polar opacity is weak with…
2033: should you first remove the pterygium?
In this case, the patient has a pterygium as well as a cataract. Should you first perform the cataract surgery…
2032: ectopia lentis with suture fixation
This is a tough case of ectopia lentis where there is absent zonular support for most of the lens equator.…
2031: Quiz: why reverse pupil block here?
This patient has a case of reverse pupillary block, also called LIDRS (lens iris diaphragm retropulsion syndrome) where the iris…
2030: centered capsulorhexis uneven dilation
Even if the pupil dilation is asymmetric, the capsulorhexis should be centered. This can be tricky if your normal routine…
2029: Podcast 35: Jai Parekh MD MBA
Jai Parekh MD MBA is an ophthalmologist and a business leader who runs a busy private practice and is heavily…
2028: safety suture for CTRs
This video shows a technique of using a safety suture, often a 10-0 prolene or similar, to be able to…
2027: pterygium excision with autograft
There are areas where pterygia are more common and some ophthalmic surgeons have a wealth of experience to share with…
2026: using phaco vacuum to lift nucleus
I have often advocated the use of the flip and chop technique whereby part of the lens equator is brought…
2025: seated upright phaco surgery
This patient has severe orthopedic spine issues along with other systemic medical conditions which prevent him from being in the…
2024: a resident’s first capsule rupture
All cataract surgeons will experience a posterior capsule rupture many times during the course of a career. This complication is…
2023: attending vs fellow cataract surgery
This videos shows a split screen where the attending and fellow are both performing routine cataract surgery. And the techniques…
2022: PodCast 34: Larry Berstein MD
Larry Berstein MD is an ophthalmologist from Long Island, New York with a strong expertise in cataract surgery. He has…
2021: IOL gets entangled with pupil ring
Using a pupil expansion ring, like the Malyugin ring, can be helpful in some cases of a small pupil, but…
2020: removing calcified lens cortex
This is a very difficult cataract case: the anterior capsule is fibrotic and wrinkled and there is calcified cortex that…
2019: dislocated IOL, CTR, capsular bag
This patient had cataract surgery years ago and then progressive zonulopathy, such as from pseudo-exfoliation, caused the entire capsular bag…
2018: dislocated IOL replaced with ACIOL
Looking at this title pic, you can see a large degree of capsular phimosis. This progressive constriction of the capsulorhexis…
2017: Why is the eye pressure high POD1?
On post-op day 1 after cataract surgery, we routinely check the intra-ocular pressure. And while it is usually within the…
2016: ZeptoLink precision pulse capsulotomy
This patient is very myopic with a long axial length and a large anterior segment. The corneal diameter is about…
2015: PodCast 33: Guy Kezirian MD MBA
Guy Kezirian, MD, MBA is a dynamic ophthalmologist and leader in refractive surgery. He has founded so many enterprises such…
2014: scleral fixation using internal loops
There are so many different techniques to fixate an IOL in an eye that is lacking capsular support. While the…
2013: cataract after pars plana vitrectomy
This patient had a pars plana vitrectomy for retinal pathology and then developed this central posterior capsule opacity shortly thereafter.…
2012: Gore-tex suture fixation of tilted IOL
This patient was pseudophakic and then sustained ocular trauma which resulted in zonular loss and a tilting of the IOL…
2011: Quiz: What is the zonular status?
Time for a Cataract Quiz: Look carefully at this title photo and ask yourself, “Why is this clear crescent visible…
2010: EDOF IOLs with Radial Keratotomy
Patients with prior radial keratotomy (RK) often have diurnal fluctuations in vision due to changes in the corneal hydration and…
2009: ZeptoLink integrates automated capsulotomy
This is a tough case with a fibrotic anterior lens capsule in a patient who already had capsular complications (and…
2008: PodCast 32: Kevin Waltz OD MD
Dr Kevin Waltz is an ophthalmologist (and optometrist) who has been involved with so many innovative clinical trials of the…
2007: phaco with a dense corneal opacity
Our guest surgeon does a great job performing cataract surgery in this patient with a dense corneal opacity. In the…
2006: Marfan Syndrome lens dislocation
We have previously featured videos of cataract surgery in patients with Marfan Syndrome, where there is progressive zonulopathy that results…
2005: pseudo-exfoliation triple surgery
This is a VERY difficult surgery and truly requires expert hands to achieve an excellent outcome. Our guest surgeon does…
2004: understanding Aspheric IOLs
Today almost all of the IOLs that we use have an aspheric design with either negative spherical aberration or zero…
2003: fix synechiae with a pale blue iris
In my private practice many patients have light colored irides with scant pigmentation. The iris stroma tends to be very…
2002: corneal phaco incisions with RK
Decades ago millions of people had radial keratotomy (RK) as a corneal refractive surgery to address myopia. This tended to…
2001: Podcast 31: Jane Edmond MD
The University of Texas just started a new medical school in Austin called the Dell School of Medicine. And through…
2000: what I have learned after 2000 posts
I did it. Today is the 2000th post/video for CataractCoach.com which means a new post/video every day for 2000 days…
1999: using the 11 blade for phaco incision
The cost of cataract surgery is high and with so many disposable items per case, the environmental cost is also…
1998: case 250 how do you compare?
In the learning curve of cataract surgery, for most ophthalmologists case 500 is half-way up the learning curve. While you…
1997: YAG laser capsulotomy white cataracts
CataractCoach.com is your reference for everything cataract surgery and anterior segment surgeries and in that regard, we want a complete…
1996: negative spherical aberration IOLs
I have a great educational video about spherical aberration and IOLs that is coming out in the next few weeks.…
1995: tilting the nucleus makes chop easy
Some surgeons desire to learn variations of phaco chop but they are uncomfortable with placing the chopper around the lens…
1994: Podcast 30: Bill Trattler MD
Dr Bill Trattler is a cornea, refractive, and cataract surgeon in Miami who has a gift for teaching using case…
1993: bird’s eye view of surgical efficiency
There is so much to learn from watching other surgeons (and their team members) during surgery. Early last year I…
1992: trypan blue behind the capsule
Trypan blue dye can go behind the capsule and stain the vitreous, pool in front of the anterior hyaloid face…
1991: zonular weakness during capsulorhexis
Look at the photo here and you just know that the zonular support is globally weak. There are radial wrinkles…
1990: Quiz: How do you safely finish this case?
Cataract Quiz! As you are doing cortex removal with the IA probe you suddenly notice that the posterior capsule is…
1989: anterior zonular attachment
This is a very rare case which I have seen in less than 1 out of 1000 cataract surgeries. This…
1988: radial keratotomy with lasso sutures
16 cut radial keratotomy with 2 lasso sutures