2944: traumatic cataract with tough surprise

This complex traumatic cataract case begins with the challenge of posterior synechiae, which must be lysed to visualize the underlying…

2943: Quiz: Which way to pull the rhexis?

To perform the Little rescue technique for a run-out capsulorhexis, the surgeon must first flatten the anterior chamber by removing…

2942: Quiz: What just happened here?

In this challenging scenario, the surgeon inserts infusion to attempt a hydro-implantation of the IOL but then a distinct line…

2941: succeeding with challenging K-Pro cases

The Boston K-Pro provides a revolutionary solution for patients suffering from repeated corneal graft failures or severe ocular surface disease.…

2940: Zonulopathy with subluxed cataract

This video features a challenging case of global zonulopathy where the lens stability is severely compromised. When zonular weakness is…

2939: Podcast 165: Jonathan Woolfson MD

Imagine starting from the bottom and then building a large eye institute with 13 locations in multiple states. That is…

2938: resident conquers this white cataract

For a resident surgeon, being confronted with a dense white cataract, the stakes are high. The lack of a red…

2937: peeling a posterior capsule plaque

Peeling a posterior capsule plaque is a high-stakes maneuver that requires a delicate touch and steady nerves. These plaques are…

2936: uveitic cataract with collapsed AC

Performing cataract surgery in a uveitic eye with a collapsed anterior chamber is one of the most demanding scenarios in…

2935: Quiz: What is wrong with this IOL?

Look carefully at this title picture and ask yourself: What is wrong with this IOL? Clearly, it is dislocated and…

2934: ectopia lentis et pupillae

Ectopia Lentis et Pupillae is a rare, autosomal recessive condition primarily linked to mutations in the ADAMTSL4 gene located on…

2933: anterior segment reconstruction

This is a very difficult case of a patient with complete opacification of the cornea, a prior failed corneal transplant,…

2932: Podcast 164: Dan Reinstein MD

Our podcast guest is Dr Dan Reinstein, a London-based refractive surgeon, physicist, and professional jazz saxophonist who pioneered high-frequency digital…

2931: young registrar meets Argentinan flag

In this classic teaching moment, a registrar fails to decompress the capsular bag of an intumescent white cataract. Upon the…

2930: Yamane SFIOL in Marfan Syndrome

In a patient with Marfan syndrome who is completely aphakic and lacks any capsular support, the Yamane intrascleral haptic fixation…

2929: problem with femto laser white cataract

In the management of an intumescent white cataract, some surgeons like to use the femtosecond laser to create a the…

2928: flip nucleus to break fibrous plate

Managing a dense brunescent cataract requires a strategic shift in orientation when traditional chopping fails to penetrate the leathery posterior…

2927: four great pearls for PXF cases

Four surgical pearls to assist in cataract surgery in pseudo-exfoliation eyes Managing cataract surgery in patients with pseudo exfoliation syndrome,…

2926: PDEK graft preparation technique

From our podcast yesterday, we explore the surgical pearls for preparing a Pre-Descemet’s Endothelial Keratoplasty (PDEK) graft using the refined…

2925: Podcast 163: Dinh Thi Hoang Anh MD and Yury Kalinnikov MD

Ophthalmologists are realizing that for lamellar corneal transplantation, PDEK (Pre-Descemet’s Endothelial Keratoplasty) is better than DMEK, which is better than…

2924: surprise posterior capsule plaque

In this challenging case involving a dense brunescent nucleus, we are met with an unexpected hurdle after the lens material…

2923: careful with dimple down incisions

Creating a clear corneal incision requires a precise approach to ensure the wound is self sealing and stable throughout the…

2922: post-occlusion surge breaks the bag

When you are down to that final nuclear fragment, the risk of a posterior capsule rupture is at its peak…

2921: aspirate and the cataract disappears

Performing surgery on a 21 year old with a mature white cataract requires a different mindset than your typical elderly…

2920: small pupil case with a surprise

99% of ophthalmologists (including me!) will not be able to figure out the surprise from this picture. If you want…

2919: Quiz: What is going on with this eye?

When you encounter a Morgagnian cataract, the cortex has completely liquefied, allowing the dense nucleus to sink to the bottom…

2918: Podcast 162: Joaquin Fernandez MD

Our podcast guest, Dr Joaquín Fernández, led the global team that came up with an evidence-based classification of simultaneous vision…

2917: resident dense nucleus phaco chop

In this surgical case, a resident surgeon takes on the challenge of a dense nuclear sclerotic cataract using a phaco…

2916: Off-center Pinhole Pupilloplasty

In this surgical case, Dr Amar Agarwal shares his brilliant, off-center, offset pinhole pupilloplasty technique for managing eyes with complex…

2915: simplifying pterygium surgery

Pterygium surgery has evolved significantly, moving away from high-recurrence bare sclera techniques toward the gold standard of conjunctival autograft. In…

2913: surgery with granular corneal dystrophy

This surgical case highlights the management of a patient with cataract and significant granular corneal dystrophy. Surgeons often worry that…

2912: Quiz: Why is there pupil capture?

This surgical case serves as a critical CataractQuiz™ regarding a common yet preventable postoperative complication: pupil capture. The title picture…

2911: Podcast 161: Pedram Hamrah MD

Our guest ophthalmologist is a world-renowned expert in translational research that is revolutionizing cornea care. Professor Pedram Hamrah specializes in…

2910: this resident’s first MSICS case

The first manual small incision cataract surgery (MSICS) case is a true rite of passage for any resident. Unlike phacoemulsification,…

2909: phaco IOL after a corneal alkali burn

Performing phacoemulsification in an eye with corneal scarring from a prior alkali burn presents a significant visualization challenge. The opacified…

2908: total anterior segment reconstruction

Anterior segment reconstruction in an eye with an opaque cornea and dense cataract is one of the most complex procedures…

2907: failed trab & clearpath seton tube

You just finished your surgical training a couple of year ago and now a patient with a failed trabeculectomy is…

2906: what about these retained lens particles?

The surgery seems perfect, the IOL is centered, and the cortex is clear but as you hydrate the incisions, you…

2905: dissecting a lens fibrotic membrane

When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the…

2904: Podcast 160: Jodi Luchs MD

What if you are mid-career and you decide that you want to move to another state? Well, you can do…

2903: MSICS in pseudo-exfoliation

Manual Shelved-Incision Cataract Surgery (MSICS) is an excellent technique for eyes with pseudoexfoliation (PXF), particularly in global health settings where…

2902: innovative “X-ray” filter gives details

Our guest surgeon in this video is Dr Durval Carvalho Jr from Brasilia, Brazil and he has a brilliant way…

2901: Quiz: When did the capsular bag break?

95% of surgeons will miss this very subtle sign – will you be able to spot it? In this CataractQuiz™…

2900: missing CTR in nanophthalmic eye

Operating on a nanophthalmic eye with a 14 mm axial length is one of the most challenging scenarios in ophthalmic…

2899: keep the capsulorhexis & IOL centered

In patients taking selective alpha-1a adrenergic antagonists for benign prostatic hyperplasia (BPH), the iris becomes increasingly unstable, a condition known…

2898: Mastering CAIRS for keratoconus

The Corneal Allogenic Intrastromal Ring Segments (CAIRS) technique represents a significant leap forward in the surgical management of keratoconus. Unlike…