Ophthalmologists are realizing that for lamellar corneal transplantation, PDEK (Pre-Descemet’s Endothelial Keratoplasty) is better than DMEK, which is better than … More
Author: Uday Devgan MD
Professor Uday Devgan MD is a Los Angeles Cataract Surgeon who authors CataractCoach.com to teach the best techniques of Cataract Surgery to Eye Surgeons from around the world.
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 … More
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 … More
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 … More
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 … More
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 … More
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 … More
New issue of Osher’s Video Journal
New issue of Dr Bob Osher’s Video Journal of Cataract, Refractive, & Glaucoma Surgery is available now featuring four great … More
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 … More
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 … More
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 … More
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 … More
2914: Quiz: Why are the haptics stuck?
In this CataractQuiz™ we are presented with a common dilemma encountered during intraocular lens (IOL) insertion. As the surgeon attempts … More
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 … More
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 … More
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 … More
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, … More
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 … More
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 … More
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 … More
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 … More
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 … More
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 … More
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 … More
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 … More
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™ … More
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 … More
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 … More
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 … More
2897: Podcast 159: David Gunn MD
Our podcast guest is Dr David Gunn who is a corneal, cataract, and refractive surgeon in Brisbane, Australia and I … More
2896: resident tries pupil stretching
Mastering Manual Pupil Stretching For a resident surgeon, manual pupil stretching is a reliable, cost-effective technique to manage miosis and … More
2895: sculpting grooves in a dense nucleus
The Escaf Punta Hibrida phaco tip is specifically designed to handle the challenges of ultra-dense, rock-hard nuclei. Its unique hybrid … More
2894: How do you save the capsule now?
Recovering from the Argentinian Flag Sign The Argentinian Flag Sign is a classic surgical challenge where high intra-lenticular pressure causes … More
2893: MSICS with Severe Zonulopathy
MSICS: Managing Total Bag Loss and ACIOL Placement When performing Manual Small-Incision Cataract Surgery (MSICS) on a dense white cataract, … More
2892: The dense “Coca-Cola” Cataract
The Challenge of the Dense, Brunescent “Coca-Cola” Cataract When a cataract is described as a “Coca-Cola” type, it often refers … More
2891: why temporary hyperopia happens in RK
Temporary post-op hyperopia after cataract surgery in Radial Keratotomy eyes Performing cataract surgery on a patient with a history of … More
2890: Podcast 158: Rebecca Metzinger MD
Our guest surgeon, Dr Rebecca Metzinger joins to share her extensive experience teaching residents (both Tulane and LSU) at major … More
2889: Case 1000 for this young surgeon
Reaching the milestone of 1,000 cataract surgeries represents a transformative shift from technical proficiency to surgical fluency. By this stage, … More
2888: Quiz: Why is there a blue reflex?
This is a very easy CataractQuiz™ (click to see the whole series): Once the cataract is removed you see this … More
2887: The “5F” intra-scleral haptic fixation
Our guest surgeon is performing Dr Soosan Jacob’s 5F Technique which is a refined approach to sutureless intrascleral haptic fixation … More
2886: extensive zonulopathy from trauma
This is a very challenging case where the patient sustained severe trauma. In this title picture you can see at … More
2885: rescue this floppy iris prolapse case
Imagine you are a professor / attending / consultant who is supervising a resident who is performing a seemingly routine … More
2884: complex glaucoma tube revision
Our guest surgeon on the CataractCoach Podcast yesterday (the top podcast in all of ophthalmology – IFYKY!) was Cleveland Clinic … More
2883: Podcast 157: Mary Qiu MD
Our guest is Dr Mary Qiu, a brilliant glaucoma specialist at the Cleveland Clinic Cole Eye Institute. We explore Dr. … More
2882: resident stop and chop technique
For a resident surgeon, the stop-and-chop technique serves as the essential bridge between basic sculpting and advanced nuclear disassembly. It … More
2881: Parkinson’s disease & cataract surgery
Managing a cataract patient with Parkinson’s disease and active tremors requires a strategic approach to physical and ocular stability. Rather … More
2880: small anterior segment angle closure
Operating in an eye with a history of angle closure and a shallow anterior chamber presents a significant crowded environment. … More
2879: intra-capsular MSICS & scleral fixated IOL
In cases of severe phacodonesis, where zonular support is nearly non-existent, a standard extracapsular approach often risks complete lens dislocation. … More
2878: Eiffel tower phaco technique (no hydro)
The “Eiffel tower technique” is a synonym for the well-known Y-groove method of sculpting a nucleus i when avoiding hydrodissection, … More
2877: “Zombie” Double Tap to set IOP
On yesterday’s Cataract Coach Podcast (the top podcast in all of ophthalmology!) we learned some great surgical pearls from our … More