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…
2811: dislocated IOL requires explant x3!
We receive about 60 video submissions per week (here is the link) and we can only feature about 10% of…
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™…
2801: Quiz: What happened with the IOL?
Yesterday’s CataractQuiz™ was a tough one and most viewers did not guess the correct answer. So today, here is another…
2800: Quiz: You think this is good, but it’s not
Let’s start the new year with a quiz. Look carefully at the title photo and tell me what the issue…
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…
2795: flipping the IOL causes a capsule break
An upside-down intraocular lens is a rare but serious intraoperative complication that requires prompt recognition and decisive management. When an…
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,…
2790: fibrotic anterior lens capsule
Managing a dense, brunescent cataract complicated by anterior capsule fibrosis requires careful modification of standard phacoemulsification techniques. The dense nucleus…
2789: Alondra knot vs Cupid needle for IOL
Today our two guest surgeons are presenting different ways of securing a loose IOL to the sclera using sutures. The…
2788: surgical treatment of blebitis
Blebitis is an infection involving a prior filtering bleb and it is a serious, sight-threatening complication demanding immediate, aggressive management…
2787: IOL suspension Gore-tex suture loop
Our guest surgeon does a great job with this very tough case. The patient sustained severe ocular trauma and now…
2786: from the smallest to the biggest
Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology!) we featured Dr Rafael Vazquez Rojas from Mexico…
2785: Podcast 143: Rafael Vazquez Rojas MD
Teaching the next generation of ophthalmic surgeons is monumental task and it requires a teacher who has great surgical skill,…
2784: case 350 vertical chop for a resident
For a resident surgeon with about 350 cataract cases, adopting vertical chop is a natural progression toward greater efficiency and…
2783: imaging shows severe zonulopathy
Severe zonulopathy with marked phacodonesis requires early mechanical stabilization of the capsular bag to permit safe cataract surgery. After creating…
2782: cannula ejection causes damage
A 27-gauge cannula can be inadvertently ejected from a pressurized syringe during cataract surgery when excessive force is applied to…
2781: sudden choroidal hemorrhage
Managing a sudden choroidal hemorrhage during this Boston K-Pro surgery requires immediate control of intraocular pressure and rapid stabilization before…
2780: VIP patient with PXF and IFIS
In this case I need to perform cataract surgery in a VIP patient with a 4 mm pupil, blue iris,…
2779: capsule split with posterior polar
When a posterior capsule split occurs during surgery for a posterior polar cataract, the priority is to preserve the anterior…
2778: Podcast 142: Francis Price MD
I wish I heard this podcast when I was a younger surgeon, still in my first few years of practice.…