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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract, Glaucoma, Cornea & Refractive Surgery. All Content © 2018-2026 Uday Devgan Cataract Coach™

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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.

2781: sudden choroidal hemorrhage

Managing a sudden choroidal hemorrhage during this Boston K-Pro surgery requires immediate control of intraocular pressure and rapid stabilization before … More

suprachoroidal hemorrhage

2780: VIP patient with PXF and IFIS

In this case I need to perform cataract surgery in a VIP patient with a 4 mm pupil, blue iris, … More

complete cataract case, floppy iris, ifis, pseudo-exfoliation

2779: capsule split with posterior polar

When a posterior capsule split occurs during surgery for a posterior polar cataract, the priority is to preserve the anterior … More

posterior capsule rupture, posterior polar cataract

2778: Podcast 142: Francis Price MD

I wish I heard this podcast when I was a younger surgeon, still in my first few years of practice. … More

podcast

2777: case 174 shows good progress but…

Cataract surgery case 174 often sits squarely in the “danger zone” of surgical learning because the new surgeon has accumulated … More

beginner surgeon, resident cataract surgery

2776: pre-existing posterior capsule rupture

Cataract surgery in an eye with a posterior capsule rupture from a prior intravitreal injection requires careful preoperative planning and … More

intra-vitreal injection, posterior capsule rupture

2775: cortical pre-aspiration before phaco

Cortical pre-aspiration prior to phacoemulsification is a useful strategy for reducing lens mobility and improving surgical control before nucleus removal. … More

cataract technique, cortex

2774: stopper knot technique to secure IOLs

The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular … More

gore-tex, sutured IOL

2773: global zonular laxity and weakness

Our guest surgeon, Dr Sergio Kwitko from Brazil, is superbly talented at complex anterior segment surgery and he presented this … More

capsular tension ring, weak zonular support

2772: nanophthalmic eye with astigmatism

This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to … More

complete cataract case, nanophthalmos, toric IOL

2771: Podcast 141: Jerman Alqahtani MD

The first time I met Dr Jerman Alqahtani was about 20 years ago at a wetlab session at the ASCRS … More

podcast

2770: first ever posterior capsule rupture

This complication happens to 100% of cataract surgeons: the posterior capsule ruptures during phaco and now you must complete the … More

anterior vitrectomy, beginner surgeon, posterior capsule rupture, resident cataract surgery

2769: first time using capsular tension ring

Using a capsular tension ring for the first time requires a deliberate, unhurried approach and a clear understanding of zonular … More

capsular tension ring, CTR

2768: Hoffman Pocket Technique Sutured IOLs

The Hoffman pocket technique offers a valuable approach for securing scleral-sutured intraocular lenses in eyes with inadequate capsular support while … More

sutured IOL

2767: removal of glaucoma seton footplate

This is a complex case where a patient with anirida and multiple other ocular issues underwent placement of a kerato-prosthesis … More

ahmed valve, glaucoma, seton

2766: Hey Uday, why the baby rhexis?!?!

One of the most common sayings here on CataractCoach.com is, “Don’t make a baby rhexis!” because a small capsulorhexis will … More

capsulorhexis, complete cataract case

2765: phaco with intra-corneal ring segments

Managing cataract surgery in an eye with prior corneal intra-stromal ring segments, such as Intacs, requires careful preoperative evaluation and … More

multi-focal IOL, refractive planning, trifocal

2764: Podcast 140: Joaquin De Rojas

Our guest surgeon is Dr Joaquin De Rojas, an up and coming star in the ophthalmology world who reminds us … More

podcast

2763: you should be here after 1200 cases

After completing 1,200 cataract surgeries, a surgeon is typically considered experienced and should demonstrate a mature level of surgical judgment, … More

beginner surgeon, learning curve

2762: pinhole pupilloplasty in corneal trauma

Dr. Amar Agarwal’s pinhole pupilloplasty offers an elegant optical solution for patients with severe corneal scarring, where traditional refractive correction … More

corneal scar, pupilloplasty, traumatic cataract

2761: operating on an eye with nystagmus

If you are an expert cataract surgery with thousands upon thousands of cases of experience, you may be tempted to … More

anesthesia, nystagmus

2760: standing Ahmed glaucoma valve

This patient has multiple systemic medical issues and cannot lie supine for ophthalmic surgery. In this case the patient needs … More

ahmed valve, glaucoma

2759: brunescent cataract cross chop

The cross-chop pre-chop technique is particularly advantageous when managing a dense brunescent cataract, where conventional divide-and-conquer or single-plane chopping may … More

brunescent, dense cataract, phaco chop, pre-chop

2758: three great cataract surgery secrets

Three “Secret” Cataract Surgery Maneuvers These Subtle Techniques Enhance Control, Visibility, and Safety Cataract surgery has undergone remarkable refinement over … More

cataract surgery, secrets, surgical pearls

2757: Podcast 139: Abhay Vasavada MD

Dr Abhay Vasavada is a renowned surgeon, pioneer, and educator who has changed the way we approach complex cataract cases. … More

podcast

2756: unedited resident case takes 28 min

We try to feature a resident surgery case every week so that our younger colleagues can learn the basics. I … More

resident cataract surgery

2755: split bag without a vitrector available

This patient has a posterior polar cataract and our guest surgeon is operating in an environment that does not have … More

anterior vitrectomy, posterior capsule rupture, posterior polar cataract

2754: Monocular patient with a surprise

Our guest surgeon does a great job of managing surprise zonulopathy encountered during cataract surgery in this monocular patient. Discovering … More

CTR, weak zonular support

2753: gonio-synechio-lysis in clinic & OR

Performing goniosynechiolysis at the slit lamp can be effective for selected eyes with peripheral anterior synechiae (PAS) following angle closure. … More

glaucoma, gonio

2752: Quiz: Why is the IOL dropping?

Our anonymous surgeon thinks that the case is going beautifully but then with IOL insertion, the entire IOL starts dropping … More

cataract quiz, dislocated IOL, posterior capsule rupture

2751: cleaning the bag and then it splits open

A highly experienced surgeon is more likely to experience a rupture of the posterior capsule during cortex removal rather than … More

cortex, posterior capsule rupture

2750: Podcast 138: Cyres Mehta MD

Our podcast guest has definitely achieved a life well-lived. Dr Cyres Mehta from Mumbai, India is an ophthalmologist, a professional … More

podcast

2749: Quiz: Why did we get iris bleeding?

This case seems like a good, routine cataract surgery but then towards the end there is some bleeding. What has … More

cataract quiz, hyphema

2748: should we do iris sphincterotomies?

Small pupils can significantly complicate cataract surgery by limiting visualization and access to the lens. When pharmacologic dilation is inadequate, … More

pupilloplasty, small pupil cataract surgery

2747: metallic foreign body induced cataract

Traumatic cataracts resulting from a penetrating injury, such as this case of a metal wire perforating the cornea and lens … More

corneal foreign body, ruptured globe, traumatic cataract

2746: fixing acute glaucoma at the slit lamp

Our guest surgeon Professor Ramesh Ayyala is a renowned expert surgeon for complex anterior segment cases and in this video … More

glaucoma

2745: World’s First Robotic Cataract Surgery

In a landmark moment for ophthalmology, in October, Horizon Surgical Systems announced the successful completion of the world’s first in-human cataract surgeries … More

robot

2744: ensure a free capsulotomy with femto

Ensuring a complete anterior capsulotomy when using the femtosecond laser is critical for the safety and success of cataract surgery. … More

capsulorhexis, capsulotomy, femto laser, femtosecond laser

2743: Podcast 137: Ticiano Giobellina MD

One day you think that it would be great to get a few colleagues together to discuss challenging cases and … More

2742: Case 200 and already doing chop!

Cataract surgery is a skill that continually evolves, and among the most empowering techniques an ophthalmologist can master is phaco … More

2741: Blanco Puncion en Catarata Blanca

Wowza, Cataract Coach is speaking a little Spanish! The Blanco Punción technique, developed by Dr. Ariel Blanco, is used to … More

intumescent, lens puncture, white cataracts

2740: recovering from Argentinian flag sign

This has happened to all of us! The Argentinian flag sign occurs when the anterior capsule tears peripherally during capsulorhexis … More

argentinian flag, intumescent, white cataracts

2739: severe anterior staphyloma

There are unusual cases which require incredible surgical skill such as this complex case of a young patient with Axenfeld-Rieger … More

corneal transplant, glaucoma, unusual case

2738: Quiz: What is this catastrophic failure?

Look carefully at this picture and in particular that line at the tip of the yellow arrow. What is going … More

cataract quiz, descemet detachment

2737: triangle technique for iris cerclage

An iris cerclage (purse-string) suture is a valuable pupilloplasty technique used to manage chronic mydriasis when sphincter function is lost … More

pupilloplasty

2736: Podcast 136: Dr Alison Chiu

Our podcast guest is the amazing Dr Alison Chiu who practices at Pure Sight Eye Surgeons in Sydney, Australia. She … More

podcast

2735: resident tracks own surgical progress

This is a very interesting video where a resident tracks surgical progress from case 1 to case 100 with regards … More

beginner surgeon, resident cataract surgery

2734: zonular loss and vitreous prolapse

This is a very tough case of a traumatic cataract with zonular loss and vitreous prolapse into the anterior chamber. … More

traumatic cataract, weak zonular support

2733: late Descemet membrane detachment

Late Descemet membrane detachment (DMD) after cataract surgery in eyes with prior Descemet Membrane Endothelial Keratoplasty (DMEK) is an uncommon … More

descemet detachment, DMek

2732: cyclo cryo ablation to control IOP

Our guest surgeon and noted glaucoma expert, Professor Ramesh Ayyala, demonstrates the technique of cyclo cryo ablation to help control … More

glaucoma

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