complete cataract case: optimize steps

Most of us will have the opportunity to perform thousands of cataract surgeries (often tens of thousands) during the course … More

clean your optics & focus the microscope

This is actually a very important lesson. Your microscope optics will determine your view for the surgery and that could … More

complete case: chop nucleus in the bag

One of my favorite types of videos to watch is the Complete Cataract Case. I enjoy seeing a surgery from … More

Playlist: Capsulorhexis

The capsulorhexis is an important step of cataract surgery. It allows us to maintain the strength of the capsular bag … More

anterior segment total reconstruction

This is a very complex case of a patient who had cataract surgery elsewhere and sustained complications during the procedure. … More

double flange IOL scleral fixation

The Yamane technique of IOL fixation to the scleral works better with certain three-piece IOLs because of the differences in … More

management of a dropped nucleus

This is a rare complication that can happen to any patient so the surgeon must know how to effectively manage … More

Capsule Break with I/A and rescue

Our guest surgeon today is Dr Ahmed Al Habash who shows us the best technique of dealing with a posterior … More

Punctured Posterior Capsule Rescue

There are two types of ophthalmologists who do not ever have surgical complications: those who do not operate and those … More

Ruptured Posterior Capsule Recovery

This patient had uneventful cataract surgery in the first eye with placement of a toric trifocal IOL in the capsular … More

Playlist: Traumatic Cataract

The eye is a delicate organ and trauma can cause many challenges during cataract surgery. The more common issues include … More

Guest surgeon: Milky White Cataract

Our guest surgeon today is Dr Pooja Bhomaj from Miraj, India and she presents a case of a milky white … More

This subtle sign indicates weak zonules!

This is a very subtle sign — looking at this title pic, we see a demarcation line just inside the … More

Double Phaco Incisions to fix Astigmatism

double phaco incisions for treatment of astigmatism

Benchmark: Skills after 1000 surgeries

Our guest surgeon today is Érico Jun Oda MD from Brazil and he is showing us a routine cataract case. … More

This sign means I need a pupil ring

this sign means that I need a pupil ring for cataract surgery

You don’t always need rings or iris hooks

For a case like this, there is no need for a pupil expansion ring or iris hooks. These devices can … More

Playlist: Iris Prolapse

Iris prolapse is a relatively common issue in cataract surgery and its management is critical to the success of the … More

Complicated Radial Keratotomy Case

This is a tough case where the patient had prior 16-cut radial keratotomy for treatment of a high degree of … More

Femtosecond Laser White Cataract

Our guest surgeon today is Xiongfei Liu MD from Sacramento, California. He was previously a resident with us at our … More

Complete Case: Pseudo-Exfoliation

Time for a complete cataract case, shown from start to finish. This patient has significant pseudo-exfoliation syndrome with all of … More

Phaco tip bevel down for chop

Many viewers of CataractCoach.com ask me why I prefer to have the phaco tip bevel down for cataract surgery. The … More

Secret to Chopping a Soft Cataract

If the cataract has a minimal amount of nuclear sclerosis, it is more challenging to chop it. The nucleus is … More

Why be afraid of cataract surgery?

why are patients afraid of cataract surgery?

Playlist: Phaco Incisions

The phaco incision is a critical part of the cataract surgery. A great incision is the mark of an accomplished … More

Patient moving during cataract surgery

Many patients ask us what will happen if they move during cataract surgery. What if they need to sneeze or … More

PanOptix IOL in a Highly Myopic Patient

most extreme PanOptix IOL power for extreme myopia

Fixing IOL-induced UGH Syndrome

UGH syndrome is the triad of uveitis, glaucoma, and hyphema which all can be induced as a complication from sulcus … More

Combined Phaco + DMEK Surgery

Descemet Membrane Endothelial Keratoplasty (DMEK) has become the preferred surgical technique for the treatment of Fuchs’ corneal dystrophy. In the … More

Cataract Quiz: Why did this happen?

Looking at this picture, the pupil dilation went from 5 mm in diameter to 10 mm in diameter in just … More

Rock the Nucleus in White Cataracts

The topic of white cataracts is so popular here on CataractCoach that we have an entire category devoted to it … More

Playlist: Complete Cataract Cases

There is so much to be learned by watching a complete surgery, from start to finish. These complete cataract cases … More

Fixing a Dislocated IOL

This patient had cataract surgery done elsewhere and now seeks your help for a sub-optimal outcome in the one eye. … More

Complete Case: Propagate the Chop

Another video in our Complete Cataract Case series where we show you an entire surgery from start to finish. This … More

MSICS in Pseudo-Exfoliation

It is important to learn how to perform MSICS: manual small incision cataract surgery. This is a more evolved and … More

Cataract Quiz: Why did the trypan do this?

Cataract Quiz: Why did the trypan blue dye do this? Why is the staining so odd looking? Why is the … More

Playlist: Small Pupil Cataract Surgery

Small pupil cases are relatively common, so all cataract surgeons must learn to master the techniques for these cases. This … More

Bad Incisions lead to trouble

This anonymous resident starts the case with a poorly placed and poorly constructed incision. It ends up bleeding, allowing blood … More

White Cataract Double Capsulorhexis

It is always a pleasure to learn from a master surgeon like Dr Pradip Mohanta from West Bengal, India. He … More

Cataract Quiz: Where is the hidden piece?

Time for another cataract quiz — look carefully at the photo above. Where is the nuclear fragment hiding? And how … More

Cataract Quiz: When did the break happen?

This patient has a relatively dense cataract and requires a toric IOL for 2 diopters of regular corneal astigmatism. When … More

Cataract Surgery for a Cataract Surgeon

cataract surgeon for a cataract surgeon

Crucial lessons learned in residency

A complication during surgery can be a mistake or it can be a lesson. The difference between them is that … More

Playlist: Stop-and-Chop Technique

If you are currently performing the Divide-and-Conquer technique of nuclear division, then moving to the Stop-and-Chop technique is relatively easy. … More

Capsular tension rings in PXF

capsular tension rings (CTR) in pseudo-exfoliation (PXF) cataract surgery

Future of IOL calculations: AI

In just 5 minutes this video will show you the future of IOL calculations. Imagine if you met someone who … More