2472: dislocated IOL and bag with PXF

This patient had cataract surgery done many years ago and everything was great until recently. The patient now presents to … More

2471: Learn the ominous Snap Sign!

Professor Ronald Yeoh from Singapore taught us all about the Snap Sign many years ago. The “snap” is when the … More

2470: Podcast 98: Dee Stephenson MD

Our podcast guest is Dr Dee Stephenson who is a cataract surgeon in Venice, Florida, USA who has a passion … More

2469: cataract after intra-vitreal injection

With tens of millions of intra-vitreal injections being performed worldwide, a seemingly rare complication like capsule rupture happens to many … More

2468: the prior vitrectomy hit the capsule

This patient had 4 prior pars plana vitrectomies: the first was to treat a retinal detachment, then the patient re-detached … More

2467: Why am I getting corneal edema?

Time for our large, worldwide group of tens of thousands of ophthalmologists to help out a colleague. This anonymous surgeon … More

2466: CataractQuiz: Should you YAG this?

Look at this photo and you will see that the posterior capsule is very cloudy. The optic of the IOL … More

2465: approach to short axial lengths

I enjoy operating on very myopic eyes because there is so much room within the anterior segment of the eye. … More

2464: great pearls for DMEK surgery

Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology – IYKYK) we learned from Dr Jack Parker … More

2463: Podcast 97: Jack Parker MD PhD

Dr Jack Parker is a corneal specialist who has truly mastered the art of lamellar surgery and amazingly performs more … More

2462: retrieving this dislocated IOL

Looking at this title picture you can see that the IOL is very dislocated which much of it well into … More

2461: pterygium without sutures or glue

Pterygium surgery with a conjunctival autograft has been shown to be a reliable method which achieves good results with a … More

2460: MSICS with AC maintainer

When performing MSICS, does it help to have an AC maintainer providing constant infusion of balanced salt solution into the … More

2459: surgical revision of a cystic bleb

Sometimes a complication of a trabeculectomy surgery is having a thin cystic bleb which leaks. This needs surgical repair and … More

2458: teach me the tilt and chop technique

There are many techniques for breaking up the nucleus and aspirating it with the phaco probe and ultrasonic energy. And … More

2457: pure myopic cylinder lenticue laser

On our CataractCoach Podcast we featured Dr Ivan Gabric who is advancing the limits of corneal refractive surgery using a … More

2456: Podcast 96: Ivan Gabrić MD

Dr Ivan Gabrić is a refractive surgeon who is advancing the limits of corneal refractive surgery and I enjoyed visiting … More

2455: anonymous surgeon seeks advice

Let’s put our brains together and give this surgeon the advice that he seeks. This is a routine case from … More

2454: cataract surgery with seton tube

This patient has a functioning glaucoma seton device with the tube visible in the angle. There is also a peripheral … More

2452: What about the fibrotic capsule?

This patient presents with a long-standing white cataract and when you remove it there is a fibrotic plaque. It’s actually … More

2451: pseudo-exfoliation cataract 2nd eye

This patient has pseudo-exfoliation (PXF) syndrome and the first eye had cataract surgery many years ago. There is capsular phimosis … More

2450: trabeculotomy in congenital glaucoma

In our efforts to further expand our library of educational videos in all sub-categories like glaucoma, we present a case … More

2449: Podcast 95: Erik Mertens MD

Dr Erik Mertens is an ophthalmologist in Antwerp, Belgium at the Medipolis clinic where he performs refractive surgery, both lenticular … More

2448: resident case 200 evaluation

This is cataract case 200 for this young surgeon in training and it is a pretty good procedure. Certainly there … More

2447: small pupil case becomes tough

When dealing with patients who have small pupils or floppy iris tissue, we need to take extra caution. Even then … More

2446: Quiz: What kind of cataract is this?

Look carefully at the title photo and ask yourself, “Hmmm, what kind of cataract is this?” Think about it. Is … More

2445: iris claw lens and pupilloplasty

Our guest surgeon does a great job with a complex case of trauma. This patient has a severely dislocated crystalline … More

2444: scleral tunnel for sulcus seton tube

CataractCoach.com is more than just cataract surgery, it is also glaucoma, cornea, and refractive surgery and we are expanding our … More

2442: Podcast 94: Rupa Wong MD

Dr Rupa Wong specializes in pediatric ophthalmology and adult strabismus at her clinic in Honolulu, Hawaii, USA and she has … More

2441: Cataract Hazard Perception Test

At the UKISCRS meeting in London (November 2024), I saw a presentation from a young ophthalmologist, Dr Alasdair Simpson from … More

2440: the probe just punctured the capsule

Looking at this title picture with that hole punch sign, we know that there are some serious challenges ahead. At … More

2439: the 5 suture trabeculectomy

Our guest surgeon is a renowned glaucoma specialist, Prof Ramesh Ayyala and with his team of fellows and residents at … More

2438: small pupil, shallow AC, stop & chop

I get emails from viewers asking how to see cases where I am the surgeon operating. This is about as … More

2437: Quiz: Why did the DMEK graft detach?

This patient had a visually significant cataract as well as Fuchs’ endothelial dystrophy so our guest surgeon, Prof Bruno Trindade … More

2436: everything, everywhere, all at once

Yesterday on the Cataract Coach Podcast (the top podcast in all of ophthalmology!) we featured Prof Bruno Trindade from Belo … More

2435: Podcast 93: Bruno Trindade MD

Dr Bruno Trindade is a corneal, cataract, and refractive surgeon in Belo Horizonte, Brazil where is does private practice as … More

2434: young surgeon’s great phaco chop

Our guest surgeon is young and at the beginning of a long career and has the skill development to perform … More

2433: anterior capsule tear small pupil case

Another tough case where the patient has a small pupil, a dense cataract, and incessant head moving during surgery. This … More

2432: fix zonular loss with CTS + Goretex

This is a tough case of a traumatic cataract with about half of the zonular support being compromised (6+ clock … More

2431: Quiz: What’s different with cortex?

Happy New Year to all of the CataractCoach fans — thank you for a great 2024 and we are looking … More

2430: secrets to success for KDB MIGS

The Kahook Dual Blade (KDB) is an instrument that can be used to cut a strip of the trabecular meshwork … More

2429: MSICS for PXF with zonular loss

This patient has severe pseudo-exfoliation and you can tell from the pre-operative photo that there will be extensive zonulopathy. The … More

2428: Podcast 92: David Kang MD 강성용

Dr David Kang 강성용 is a refractive and cataract surgeon in Seoul, South Korea where is also a Professor at … More

2427: please stop doing ECCE with scissors

We all need to keep evolving our surgical techniques. You would never do a routine couching of a nucleus by … More

2426: severe iris prolapse causes damage

Iris prolapse during cataract surgery is a complication that has happened to 100% of cataract surgeons. If you think that … More

2425: You just suffered the Argentinian Flag

When looking at this picture you can see the likeness of the Argentinian flag: blue-white-blue because the capsule which was … More

2424: GATT for angle recession glaucoma

When I receive videos, I click through them quickly to see the case, but I wait until I’m recording my … More

2423: should you remove the pterygium?

For this patient, should you remove the pterygium months before doing cataract surgery, at the same time as cataract surgery, … More