Our guest surgeon here is a resident who is doing a great job of horizontal chop in this white cataract.…
2180: MSICS for an opaque cataract
Today we are featuring another great case of MSICS, what I refer to as Manual Shelved Incision Cataract Surgery, where…
2179: making a trench to aid phaco chop
When performing classic phaco chop, we use the vacuum holding power of the phaco probe to fixate the nucleus while…
2178: Morgagnian cataract & IOL scaffold
A Morgagnian cataract is where the lens cortex is so liquefied that the remaining cataract endonucleus floats around inside the…
2177: phaco and deep sclerectomy
Combining cataract surgery with glaucoma surgery can be a good fit and we have done that for many decades because…
2176: Podcast 56: Lisa Feulner MD PhD
Dr Lisa Feulner is a role model for leadership and life lessons in ophthalmology. I wish that I could have…
2175: a fellow’s first MSICS case
I have encouraged my fellow USA ophthalmologists to learn how to perform MSICS: manual shelved incision cataract surgery. It is…
2174: double rhexis white MSICS case
We have already covered the topic of the Double Capsulorhexis Technique to prevent the Argentinian Flag Sign in cataract surgery…
2173: Progress: case 500 routine case
This video shows case 500 from a young surgeon who was not given special treatment and who was actually judged…
2172: progress: case 180 routine case
I am ready to break some hearts and be totally honest: you must stop being a snowflake and accept the…
2171: Quiz: Why am I not done yet?
We have a good number of “armchair quaterbacks” here on CataractCoach.com and they sometimes message me to explain what would…
2170: Surgical Peripheral Iridectomy
Sometimes with cases of angle closure glaucoma, we need to perform a peripheral iridectomy or peripheral iridotomy. Now all of…
2169: Podcast 55: Ashraf Armia MD
Dr Ashraf Armia is a renowned ophthalmology educator from Egypt who has taught ocular surgery in so many countries across…
2168: Quiz: What is that stringy thing?
Cataract Quiz: Both of these patients have a stringy floater in the vitreous cavity and tends to move around a…
2167: Hashtag suture to stabilize the IOL
This young patient has Marfan Syndrome and previously underwent pars plana vitrectomy and lensectomy for a dislocated crystalline lens with…
2166: Argentinian flag: how to finish the case
We all are going to experience this complication if we operate on intumescent white cataracts enough: the anterior lens capsule…
2165: zonular loss and iris prolapse
Every surgeon encounters complications and often times these are out of the control of the surgeon. Imagine a patient who…
2164: intra-vitreal injection punctures lens
This complications happens more often that we may imagine: the patient receives an intra-vitreal injection for treatment of posterior segment…
2163: total ocular reconstruction
This is a very complex case in a monocular patient who presents to you with a dislocated IOL and capsular…
2162: Podcast 54: Bill Wiley MD
Dr Bill Wiley specializes in the full spectrum of refractive surgery, including all corneal and lenticular approaches. He also has…
2161: Quiz: What type of cataract is this?
This patient developed this condition over the past 6 months to 1 year and now presents to your clinic with…
2160: How to save this run-out rhexis?
With an intumescent white cataract the risk of capsular run-out (and Argentinian flag sign) is high and all seasoned cataract…
2159: posterior polar pre-chopper
If you are a CataractCoach fan, then I am confident that you know all about posterior polar cataracts because we…
2158: How to fix this traumatic cataract?
You cannot fully undo trauma, especially when it comes to the eye and delicate ocular structures. This patient sustained ocular…
2157: What is going on with that CTR?
Inserting a capsular tension ring (CTR) is not as simple as it sounds. This ring has a spring tension to…
2156: should you amputate the haptic?
For an IOL exchange, if you cannot free the haptic from the capsular bag due to adhesions, should you amputate…
2155: Podcast 53: Elizabeth Yeu MD
Dr Elizabeth Yeu is a cataract and refractive surgeon in Virginia where she also participates in many clinical trials for…
2154: re-inserting the haptic for ISHF
Intra-scleral haptic fixation (ISHF) has become a popular way of dealing with the absence of capsular support ever since it…
2153: mechanical pre-chop technique
Pre-chopping the nucleus means that we are splitting it into smaller pieces, often quadrants, prior to placing the phaco probe…
2152: suture goniotomy technique
This patient has a secondary uveitic glaucoma which needs to be addressed at the same time as cataract surgery. Our…
2151: microspherophakia cataract surgery
This is a tough case where the patient has an unusual eye with a very small anterior segment but a…
2150: phaco puncture for white cataracts
Not all white cataracts are the same and in this category, among the most challenging is the intumescent white cataract.…
2149: the squeeze-chop technique
If you enjoyed our podcast from yesterday, you heard Dr Deepinder Dhaliwal talk about her squeeze chop technique where she…
2148: Podcast 52: Deepinder Dhaliwal MD
Professor Deepinder Dhaliwal MD is a cornea, cataract, and refractive surgeon at the University of Pittsburgh where she has pioneered…
2147: fix narrow angles with cataract surgery
When we replace the 4.5mm thick cataract with a thin IOL, we open the angle of the eye and solve…
2146: the cross chop technique
Pre-chopping the nucleus means that we are splitting it into quadrants prior to placing the phaco probe in the eye.…
2145: Quiz: Why is the nucleus subluxated?
Another CataractQuiz today: Look carefully at the title picture and notice the large gap that is seen at the edge…
2144: Quiz: What is this material?
Time for a CataractQuiz: Look carefully at the title photo and you will see some strange material at the tip…
2143: easy Visian ICL phakic IOL removal
Phakic IOLs have been very helpful in treating younger patients with high degrees of myopia beyond the capabilities of corneal…
2142: IOL exchange with UGH syndrome
A single piece acrylic IOL does not work well in the sulcus because of its design: it is planar and…
2141: Podcast 51: Karl Stonecipher MD
Dr Karl Stonecipher is a prominent refractive and cataract surgeon in North Carolina who has been at the forefront of…
2140: temporal MSICS for white cataract
Our international CataractCoach fans may be surprised to learn that the vast majority of USA cataract surgeons do not know…
2139: is the posterior capsule ruptured?
Look carefully at the picture here and ask yourself: what happened and what is the next move? That defect looks…
2138: connecting IOL haptic to a suture
When performing the Yamane technique of intra-scleral haptic fixation there are two main challenges: (1) externalizing the haptics through the…
2137: Quiz: What is your target refraction?
Time for a CataractQuiz and this case requires more thinking and there is no one perfect answer. This patient is…
2136: secure the IOL, CTR, and bag complex
This patient has a history of prior cataract surgery with CTR placement and pseudo-exfoliation glaucoma. You can see an active…
2135: do not over-inflate with OVD
What we call viscoelastics are now referred to as OVDs: ophthalmic viscosurgical devices, in some part because we can then…
2134: Podcast 50: Firas Rahhal MD
Firas Rahhal MD is a vitreo-retinal surgeon in Los Angeles who has a deep expertise in clinical trials, particularly for…
2133: surprise true capsular exfoliation
This is a very rare case that I have never encountered in my career: a true capsular exfoliation where there…
2132: how to manage a floppy old bag
Once the capsulorhexis is started, it is clear that this patient has severe zonulopathy. The wrinkling of the anterior lens…