2041: severe complications with MiLoop

This is a tough situation of intra-operative complications which begin when the lens snare device (miLOOP or MiLoop) in inserted … More

2040: Ahmed segment secured with Gore-tex

This patient presents with a traumatic cataract with extensive zonular loss which means that simply placing an IOL within the … More

2039: total anterior segment reconstruction

This young patient presents with a very difficult situation: a dislocated IOL, fibrotic capsule tissue, iris damage, and uncontrolled glaucoma. … More

2038: relay technique SFIOL without flanges

Since the development of the Yamane technique, the idea of flange creation to secure an IOL to the sclera has … More

2037: modified double flange for SFIOLs

Our guest surgeon uses the flange technique with 6-0 polypropylene suture to secure the IOL to the sclera in this … More

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 … More

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 … More

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 … More

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 … More

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. … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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. … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More

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 … More