1733: Can you do MSICS without a peritomy?

Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical … More

1732: this white cataract is quite dense

We have previously explained that not all white cataracts are the same and that there is an entire spectrum of … More

1731: small eye, shallow AC, high hyperopia

As surgeons, we love it when we can make an incredible improvement in the lives of our patients. An added … More

1730: belt loop to fixate Ahmed segment

This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration … More

1729: Quiz: what complication is imminent?

Look carefully at the picture and see if you can figure out what complication is imminent. Can you tell what … More

1728: PodCast #2: Richard Lindstrom MD

Dr Lindstrom has been on the forefront of innovation in ophthalmology for many decades. He brings a wealth of knowledge … More

1727: iStent prior to cataract surgery

The standard teaching is to perform cataract surgery first and then once the IOL is in the capsular bag and … More

1726: resident stop and chop case 200

Stop and chop is an important technique to learn during residency and even if you move on to a chop … More

1725: coloboma with capsule rupture

Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar … More

1724: coloboma with zonular absence

Today and tomorrow we are featuring cases with congenital colobomas where there is an absence of part of the iris … More

1723: Quiz: Why did corneal edema develop?

Quiz time with another CataractQuiz™ from CataractCoach™. Look carefully at the photo above and you will note that the patient … More

1722: scleral tunnel for radial keratotomy

I have done cataract surgery for well over 1000 patients with prior radial keratotomy and on a recent surgical line-up, … More

1721: Curriculum Lesson 15: Cortex

The next lesson in our CataractCoach Curriculum series is lesson 15 where we focus on lens cortex removal. This seemingly … More

1720: Should you give up operating?

CataractCoach is very popular among young ophthalmologists who are in the earlier stages of learning ophthalmic surgery and I often … More

1719: Crater Chop Technique

This resident cataract surgery case shows the crater chop technique where a central section of the nucleus is bowled out … More

1718: Marfan syndrome subluxed lens

Marfan syndrome patients develop a progressive zonulopathy with subluxation of the crystalline lens which leads to visual decline. While still … More

1717: bilateral phacomorphic glaucoma

This is a very unusual case of bilateral phacomorphic glaucoma where the swollen cataract caused the narrow angles to occlude. … More

1716: astigmatism in radial keratotomy

For patients with prior radial keratotomy (RK), cataract surgery has to be done differently. These eyes also often have significant … More

1715: capsulorhexis right up against iris

For a case like this where the pupil is mid-dilated to about 5 mm in diameter, be sure to make … More

1714: PodCast #1: Robert H. Osher MD

Over the past 5 years and 1700+ videos, we have learned so much from each other by reviewing surgical videos … More

1713: pars plana tap for aqueous misdirection

The key to resolving iris prolapse is to release the pressure gradient and we have covered this topic many times … More

1712: fibrotic anterior capsule will not tear

This patient sustained ocular trauma which resulted in a white cataract as well as fibrosis of the anterior lens capsule. … More

1711: severe PXF and zonulopathy

This is a very challenging surgery and most surgeons would rate it a 9 or 10 out of 10 in … More

1710: this radialized capsulorhexis is stuck

This resident is just hitting his/her stride and has done more than 100 cataract surgeries at this point. This started … More

1709: save this run out capsulorhexis

This guest surgeon does a great job of managing this run out capsulorhexis. It extends all the way to the … More

1708: why did this nucleus drop so fast?

This resident case started out pretty well with a good incision and then an intact capsulorhexis, but then things quickly … More

1707: curriculum lesson 14: epi-nucleus

Continuing with lesson 14 in our Curriculum series, focusing on the epi-nucleus. If you would like to review the other … More

1706: Approach to the Gummy Nucleus

This patient has a large cortical opacity in the central visual axis which is distorting the vision tremendously. So while … More

1705: recovering from iatrogenic iris damage

This is a very tough case and the iris prolapse and damage is considerable. This is the type of case … More

1704: metallic intra-ocular foreign body

This patient sustained ocular trauma where a small, metallic foreign body penetrated the cornea and ended up inside the crystalline … More

1703: horizontal chop without vacuum

The traditional method of phaco chop uses vacuum holding power at the phaco tip to hold the nucleus while the … More

1702: capsule polishing or vacuuming?

Believe it or not, cleaning the undersurface of the anterior lens capsule was not always considered a requirement for a … More

1701: don’t just break synechiae, fix pupil

This patient had a prior history of anterior uveitis which resulted in the formation of synechiae from the iris to … More

1700: start the new year with purpose

This is video number 1700 which means that we have posted a new video every day for 1700 days in … More

1699: Top 5 videos of 2022

Today is New Year’s Eve and we are going to review the top 5 videos of 2022. You can see … More

1698: phaco trabeculectomy with leukoma

This is a very tough case because the patient has a long-standing corneal scar, a cataract, and glaucoma that is … More

1697: what is this loose Gore-Tex suture?

Our guest surgeon, Dr Sara Bozorg, has sent us a very interesting case. This patient had some unknown procedure performed … More

1696: dislocated IOL exchange technique

Our guest surgeon, Dr Brandon Ayres from Wills Eye Hospital, gets referred a high volume of complex anterior segment reconstruction … More

1695: why I am doing stop and chop?

If phaco chop is so amazing, then why am I doing stop and chop in this case? Answer is in … More

1694: nonagenarian pseudo-exfoliation

Cataract surgery is different in nonagenarians as it seems that once the patient reaches age 90, the aging process will … More

1693: curriculum lesson 13: phaco chop details

Merry Christmas to the young ophthalmologists who are going to make time to learn from this latest lesson in our … More

1692: tailor your technique to your population

I am a strong advocate of learning all different techniques of phaco and nucleo-fractis because I want to have all … More

1691: IOL haptic tears posterior capsule

Another tough case today: as this resident implants a three-piece IOL, the leading haptic is twisted and the sharp tip … More

1690: capsule rip extends to posterior capsule

This is a heartbreak of a case. The anterior lens capsule splits wide open with the classic Argentinian Flag Sign … More

1689: phaco & pars plana vitrectomy

This patient has a rhegmatogenous retinal detachment as well as a visually significant cataract. Our guest surgeon is experienced with … More

1688: post-trab cataract with weak zonule

The most important take home message in this video is when you see the capsulorhexis moving you should immediately think … More

1687: ensuring capsular overlap of optic

In cataract surgery we are taking out a 4 to 5 mm thick human crystalline lens and replacing it with … More

1686: dense cataract iris & zonular loss

This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true … More

1685: Primer on how to perform LASIK

Best pearls for learning to perform LASIK