1236: IOL exchange & Yamane technique

The Yamane technique for IOL fixation to the sclera is an innovative way to secure a three-piece IOL in the … More

1235: convert to manual ECCE surgery

This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced … More

1234: posterior polar cataract surgery

Posterior polar cataracts have a developmental defect at the center of the posterior capsule. This means that at the site … More

1233: microspherophakia surgery

Microspherophakia is a rare condition where the human crystalline lens takes on an unusual form: it is more spherical than … More

1232: traumatic loss of zonular support

This patient sustained severe ocular trauma that resulted in loss of more than 180 degrees of zonular support. He has … More

1231: the many uses of viscoelastic

Viscoelastics (also called OVDs: ophthalmic visco-surgical devices) are critically important to successful cataract surgery. We can use them in many … More

1230: surgeon & patient communication

Cataract surgery is a beautiful and fascinating procedure for us as ophthalmologists. But for patients it can be a nerve-wracking … More

1229: IOL exchange & Soemmering Ring

This patient had cataract surgery years prior with significant intra-operative complications. The posterior capsule was ruptured and a sulcus IOL … More

1228: Quiz: what are these white opacities?

This is a quiz, so look closely at the above picture. This patient sustained a corneal laceration during a gardening … More

1227: secrets for radial keratotomy patients

While radial keratotomy (RK) is rarely used as a refractive surgery today, a few decades ago it was very popular. … More

1226: primary posterior capsulorhexis

There are some cases where it is preferable to make a primary posterior capsulorhexis at the time of cataract surgery … More

1225: a bad incision leads to iris damage

The incision is a very important part of the cataract surgery. It determines the access to the anterior segment and … More

1224: listen to your phaco machine

Our phaco machines have built in speakers and they make sounds that provide the surgeon with important real-time feedback while … More

1223: how to set up your phaco machine

The surgeon is the captain of the operating room and must know everything about the case and instrumentation. While we … More

1222: traumatic cataract capsule fibrosis

Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and … More

1221: traumatic cataract lens penetration

This patient sustained a penetrating ocular injury about one year ago. He was working on a construction project and a … More

1220: white cataract phaco puncture

This is a resident case of an intumescent white cataract. We have covered this topic many times and the theme … More

1219: posterior polar capsule rupture

This patient has bilateral posterior polar cataracts which progressively became more opaque and caused increasing visual problems. The first eye … More

1217: finally a great phaco incision

When residents are learning cataract surgery, one of the struggles is getting the phaco incision right. The incision is critical … More