1852: chopped but can’t bring heminucleus up

In this case the nucleus is chopped efficiently, but there is a struggle to bring up the first heminucleus. Why? … More

1851: Is this posterior subscapsular or polar?

Looks carefully at the picture here and tell me, is that a posterior subscapsular cataract (PSC) or a posterior polar … More

1850: ASCRS 2023 Course Case 9

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1849: ASCRS 2023 Course Case 8

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1848: ASCRS 2023 Course Case 7

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1847: Curriculum Lesson 24: white cataracts

The next lesson in our 25 part curriculum series is focused on dealing with dense cataracts. You can see the … More

1846: ASCRS 2023 Course Case 6

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1845: ASCRS 2023 Course Case 5

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1843: ASCRS 2023 Course Case 3

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1842: ASCRS 2023 Course Case 2

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1841: ASCRS 2023 Course Case 1

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1840: PodCast 10: Fasika Woreta MD MPH

Dr Fasika Woreta is a professor at the Wilmer Eye Institute at Johns Hopkins University in Baltimore, Maryland, USA and … More

1839: posterior polar with capsule rupture

This is a really difficult surgery because it is a posterior polar cataract and there is a pre-existing posterior capsule … More

1838: the easy way to learn phaco chop

There is some resistance among surgeons to learn a new technique because of the learning curve. For surgeons who are … More

1837: phaco & irido-zonulo-hyaloidectomy

This nanophthalmic eye has an axial length of less than 20 mm and is suffering from malignant glaucoma and aqueous … More

1836: phaco and irido-dialysis repair

This patient sustained ocular trauma years ago which resulted in the disinsertion of the iris root at the temporal aspect … More

1835: efficient phaco chop dense nucleus

This patient has a dense cataract — the kind where the posterior plate of the nucleus is tough and fibrous … More

1834: phaco-section and then extraction

We have previously featured this technique (and this guest surgeon) which shows the phaco-section technique. In this case, using a … More

1833: Curriculum lesson 23: dense cataracts

The next lesson in our 25 part curriculum series is focused on dealing with dense cataracts. You can see the … More

1832: Q&A about Anterior Vitrectomy

I recent did a podcast with Zale Mednick MD from the blindspot-podcast.com where we discussed anterior vitrectomy in cataract surgery. … More

1831: cataract and 8 cut radial keratotomy RK

This is one of the four radial keratotomy patients on whom I operated in the same morning. My practice attracts … More

1830: trust yourself but question computers

I recently performed a cataract surgery case using a heads-up electronic display where the computer would overlay a precise circle … More

1829: top 5 pearls for presbyopic IOLs

Presbyopic IOLs, primarily trifocal designs, can make patients very happy. However there are some important considerations in order to achieve … More

1828: review of efficiency in the OR

We recently had an entire week of videos devoted to the topic of efficiency in the operating room. And our … More

1827: review of techniques for white cataracts

This video is a compilation showing highlights from previous videos in order to review the techniques for white cataracts. We … More

1826: PodCast 9: Vance Thompson MD

Vance Thompson MD is a visionary in refractive surgery and he has truly perfected the patient experience starting with his … More

1825: the problem with one haptic in the sulcus

This patient has femtosecond laser assisted cataract surgery with placement of a trifocal IOL two years ago. And while the … More

1824: two jerky pulls to save the capsulorhexis

We have previously covered the Little Technique to pull backwards to help save a run-out capsulorhexis. This Two Jerky Pulls … More

1823: white cataract after intra-vitreal injection

When a patient develops a white cataract right after an intra-vitreal injection, you can be pretty sure that the capsular … More

1822: lens snare/loop splits the bag!

The idea of a lens snare or loop to mechanically split the nucleus is decades old and we previously discussed … More

1821: Are you ready for prime time?

If you are a young surgeon nearing the end of your training in the USA or Canada, you will be … More

1820: monocular with pseudo-exfoliation

Ophthalmologists are very familiar with pseudo-exfoliation syndrome since it makes the cataract surgery more challenging due to poor dilation or … More

1819: curriculum lesson 22: small pupil & iris prolapse

The next lesson in our 25 part curriculum series is focused on dealing with small pupils and iris prolapse. You … More

1818: My Week: Sub-incisional cortex

With sub-incisional cortex, using a bimanual IA set-up makes it relatively easy to remove. However, with a co-axial IA probe, … More

1817: My Week: How do I get the nucleus up?

Many readers have asked for pearls in getting the nucleus up, part way out of the capsular bag, and in … More

1816: My Week: flush out nuclear chips

Every single cataract surgeon who has done at least a few thousand cases has encountered a case with a retained … More

1815: My Week: do not prolapse this nucleus

For many cases, I prefer to partially prolapse the nucleus out of the capsular bag so that it is easier … More

1814: My Week: what happened to the capsule?

Just looking at the title picture should give you a little stress — it does for me! In this case, … More

1813: My Week: pseudo-exfoliation case

All this week we will be showing videos of me operating. When I first started CataractCoach in 2018, almost all … More

1812: PodCast 8: Stephen Slade MD

Stephen Slade MD has taught LASIK to thousands of surgeons, including me back when I was a resident in 1999. … More

1811: triple procedure: PKP + CEIOL

The term triple procedure is a little misleading because it is two surgeries: corneal transplantation and cataract surgery. The triple … More

1810: severe zonular loss with Cionni ring

Cases like this are stressful and just looking at this picture should make your heart beat faster. There is a … More

1809: father vs son challenge – the son

Yesterday we featured a video (1808) from a highly experienced cataract surgeon (the father) who did a horizontal chop technique … More

1808: father vs son challenge – the father

Ophthalmology, particularly cataract surgery, is such an amazing field that it is relatively common to see generations of eye surgeons … More

1807: annular cataract with scarred capsule

It is very unusual to see this type of annular cataract where the remaining lens material is in the shape … More

1806: left-handed resident breaks the bag

Let me be the first to say that it is perfectly fine for a surgeon to be left handed. Surprisingly, … More

1805: curriculum lesson 21: anterior vitrectomy

The next lesson in our 25 part curriculum series is focused on performing an anterior vitrectomy. You can see the … More

1804: remembering our mentors

Our careers and our lives are finite. And everyone eventually gets a diagnosis. Remembering our mentors and honoring their legacy … More