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