1137: too soft to chop, so tumble it

If you know a variety of different phaco techniques, it is easy to switch gears and shift to something that … More

1136: Refractive Lens Exchange Surgery

For high degrees of hyperopia in presbyopic patients, the best surgical solution is refractive lens exchange. For a younger patient, … More

1134: Equal Opportunity or Equal Outcome?

Imagine two different doctors: Dr A and Dr B, both of whom are doing their residency training in ophthalmology. Dr … More

1133: Capsule grabbed with phaco probe

Ideally, you want the tip of the phaco probe to stay in the central zone of the anterior segment and … More

1132: Playlist: white cataract capsulorhexis

Performing a successful capsulorhexis is one of the biggest challenges in eyes with white cataracts, particularly intumescent white cataracts. This … More

1131: Cataract Surgery in Ocular Albinism

Ocular albinism is rare, however just about every cataract surgeon will encounter at least one or two patients with this … More

1130: Pupil Expansion with B-Hex Ring

If you really want to be honest with yourself, you will agree that the B-Hex pupil expansion ring is amazing. … More

1129: exposed and eroding IOL sutures

The best placement of an iOL is in the capsular bag. That is the end of the story. There are … More

1128: Why can’t I get the nuclear piece up?

You are ready for action. You embed the phaco probe and achieve high vacuum. You carefully place the chopper into … More

1127: keeping track of surgical timing

You are the master of your own domain. The master of your own career. The master of your own life. … More

1126: the IOL is stuck in the incision

When we move to smaller phaco incisions such as 2.2 mm or 2.4 mm wide, we accept that we will … More

1125: Playlist: hydro-dissection

Hydro-dissection and hydro-delineation are critically important steps of cataract surgery since they allow us to carefully preserve the capsular bag … More

1124: Pearls for learning MSICS

It may surprise you to know that many young ophthalmologists in the USA do not have experience performing MSICS. In … More

1123: dense brunescent cataract chop

This video showcases the entire surgery which we are running at 2x speed so that it is just 5 minutes. … More

1122: Remote Capsulorhexis Training

Prof. John Ferris has started a novel program of remotely teaching young surgeons to improve their surgical skills. This can … More

1121: how it started… how it’s going…

There is so much to be learned from this case. The patient has advanced diabetic retinopathy and a significant cataract. … More

1120: make sure the IOL is centered

We want the IOL optic and the capsulorhexis to both be centered. This is especially important for multifocal IOLs and … More

1119: resident attempts a white cataract

This is case number 50 for a resident who is being supervised by a senior attending faculty member. It is … More

1117: complete list of all medications used

What medications do we typically use for routine cataract surgery? This video provides a complete list including pre-op and post-op … More

1116: how to clean this scarred capsule

In this case of a dense posterior sub-capsular (PSC) cataract, there is some scarring of the posterior capsule. It is … More

1115: no need to hook the lens equator

The original technique of phaco chop involved placing the chopper under the capsulorhexis edge and then around the lens equator. … More

1114: success with young cataract patients

When we are operating on a younger cataract patients, the stakes are higher and the surgery must last the patient … More

1113: surgery center OR block time

Welcome to another Monday morning from my operating room (OR) at our Beverly Hills surgery center. We are discussing surgery … More

1112: surgical pearls for ocular asymmetry

While most patients have eyes that are very similar, there are a few patients where the eyes are remarkably different, … More

1111: Playlist: Surgical Learning

All great surgeons are students for life: continually learning and evolving surgical techniques to keep up with the latest techniques … More

1110: more chops for a dense nucleus

If the cataract nucleus is more dense, such as 3-4+ NS, performing more chops is beneficial to break up the … More

1109: the mushy nucleus is tough to chop

Sometimes when we try to chop the nucleus, we realize that the cataract material is too mushy and the chopped … More

1108: Moderate Nuclear Density Chop

I am often asked why I just do the one chop in some of my cataract cases. Would it be … More

1106: thick cortex / epi-nucleus remains

In cases with insufficient hydro-dissection, we can be left with a thick cortex and epi-nuclear shell after performing hydro-delineation. How … More

1105: Using the Power Pre-Chopper

The Ultra-chopper was designed by Dr Luis Escaf in order to penetrate a very dense nucleus to chop a cataract. … More

1104: Playlist: Post-Op Day 1

Modern day cataract surgery has a very high success and safety record, with the vast majority of patients having a … More

1103: Pre-Chopper Technique

Pre-chopping means that we are splitting the nucleus into half or quadrants prior to inserting the phaco probe into the … More

1102: capsule rupture with the IA probe

A posterior capsule rupture can happen at any time during cataract surgery and in this case it is right at … More

1101: Infant Lensectomy Technique

While congenital cataracts are rare, they must be identified very early in an infant’s life and then often surgically treated. … More

1100: Very soft PSC cataract technique

This patient is young, under age 40, and has been suffering from posterior subcapsular cataracts for more than 1 year. … More

1099: some amazing surgical pearls

With CataractCoach, I am sharing everything that I have learned or figured out during the past 25 years in ophthalmology. … More

1098: Quad Camera Angles in surgery

This video was sent to us from Dr Felipe Ribeiro and Dr Andre Berger from Brazil and it features the … More

1097: Playlist: Suturing

While most routine phaco cataract surgeries do not require sutures for closure of the incision, the ability to suture is … More

1096: converting from phaco to ECCE

There are rare times when it becomes important to convert from phaco to manual extra-capsular cataract extraction. This is one … More

1095: Where to place the chopper

Let’s admit that phaco chop can be a tough technique to learn. It requires both hands to perform a different … More

1094: The Key to Phaco Flip & Chop

Flip and chop is a great phaco technique for a lens nucleus of moderate density. In a very safe and … More

1093: Audience Poll: Pupil Ring or Not?

This is the maximum pharmacologic dilation of about 4mm and the patient is noted to be taking tamsulosin (Flomax) for … More

1092: Traumatic Cataract Zonular Loss

Our guest surgeon Dr Vipul Arora from India presents a case of a traumatic cataract with sectoral zonular loss. This … More

1091: Dense Cataract and Nystagmus

Our guest surgeon is Dr Érico Jun Oda from Brazil and he demonstrates an expert level cataract surgery in a … More

1090: Playlist: Patient Experience

The patient experience is a critical part of your surgical practice. The patient wants a pleasant experience with good communication … More

1089: Try the CataractCoach Challenge

Take the CataractCoach challenge: perform a cataract surgery while keeping the light reflex (Purkinje image) in the central zone of … More

1088: Recent residency graduate critique

This video was submitted by an ophthalmologist who recently graduated from residency training. He has about 350 phaco cases of … More