Time for another CataractQuiz™: Look carefully at the title picture and ask yourself why the epi-nucleus stuck despite good vacuum … More
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.
2691: This just happened. Now what?
Our anonymous surgeon notices a very clear red reflex in this quadrant during cataract surgery. What is happening in this … More
2690: gonio-synechiolysis for angle closure
Gonio-synechiolysis using the irrigation/aspiration probe is a useful adjunct during cataract surgery in eyes with acute angle closure glaucoma and … More
2689: flip & chop with more nuclear density
Last week we featured a video of me performing flip and chop on a cataract of modest nuclear density, so … More
2688: intra-lenticular foreign body
This patient sustained an open globe injury where a metallic foreign body pierced the cornea and the lens capsule and … More
2687: Podcast 129: Ben LaHood MD
Dr Ben LaHood is a cataract and refractive surgeon in Adelaide, Australia who is undoubtedly one of the funniest ophthalmologists … More
2686: Are you as good as this resident?
The ability for residents to learn cataract surgery has increased dramatically over the past many years due to the numerous … More
2685: beautiful job for 600 cases
During your residency training performing about 150 to 200 cataract surgeries is typical in the USA, with some programs offering … More
2684: Quiz: What about this MIGS bleeding?
In this case the patient has a successful cataract surgery but then during the MIGS procedure, a trabeculotomy is done … More
2683: Quiz: the nucleus dropped. now what?
100% of cataract surgeons will experience the complication of a ruptured posterior capsule and then having the nucleus drop into … More
2682: Why do you like flip & chop so much?
This is one of our Complete Cataract Case series where we show the entire case from start to finish and … More
2681: the capsule splits in posterior polar
In the two cases of posterior polar cataract shown here, the posterior capsule split occurs and the anterior hyaloid face … More
2680: Podcast 128: Victor Caparas MD
I recently had the pleasure of speaking at a great eye conference in Manila in the Philippines which was run … More
2679: forced to operate without supervision
This is an unfortunate situation where a resident surgeon in training is being forced to operate alone without supervision by … More
2678: aphakic with zonulopathy, now what?
This patient had cataract surgery about 2 months ago and when the original surgeon was removing the cataract, zonulopathy was … More
2677: great chopping technique to learn
It was 1998 (I know, a long time ago) and I was fortunate to get a VHS tape of Dr … More
2676: shallow AC with iris prolapse + MIGS
We have all been there to experience iris prolapse in the presence of a poorly dilating pupil, a floppy iris, … More
2675: eye with migrating seton tube
You are not having déjà vu about watching a similar video — yesterday the case was fixing a fibrosed seton … More
2674: fixing a fibrosed valved seton tube
As you know, CataractCoach is your resource for everything cataract surgery but also the rest of anterior segment surgery including … More
2673: Podcast 127: Ask Me Anything!
Today our podcast is just me, answering so many great questions that have been sent in by our viewers and … More
2672: resident case 120 is great
Our anonymous resident is performing case 120 and is doing a great job. For a beginning surgeon learning the divide … More
2671: cataract after penetrating ocular injury
In a patient presenting for cataract surgery one year after a penetrating injury with a metal wire through the limbus, … More
2670: the chopper broke during surgery!
You are a resident doing cataract surgery and when you try to withdraw your chopper from the paracentesis, the tip … More
2669: Quiz: What does this sign mean?
You are about to start doing phaco chop for this white cataract and you notice that the capsulorhexis is no … More
2668: high hyperope with high astigmatism
Cataract surgery in highly hyperopic eyes with short axial lengths and significant corneal astigmatism is technically demanding. The shallower anterior … More
2667: optic haze with Light Adjustable Lens
Our guest surgeon today is Dr Steve Safran who has great surgical talent for complex revision cases especially with IOL … More
2666: Podcast 126: Bob Osher MD revisited
I was recently asked which ophthalmologist had the biggest impact on my career (and life) and it is without a … More
2665: How to reposition a Toric IOL
Repositioning a toric intraocular lens (IOL) is indicated when postoperative rotation leads to suboptimal astigmatic correction, typically beyond 10 degrees … More
2664: easy approach to Hydrus glaucoma stent
I travel a lot to give lectures internationally at many ophthalmic meetings, averaging about 20 countries per year. When I … More
2663: Quiz: How to fix this dislocated IOL?
In this CataractQuiz™ we have a patient who had cataract surgery elsewhere and now presents with a dislocated IOL and … More
2662: iris bombé and acute glaucoma
In cases where iris bombé presents alongside acute angle-closure glaucoma and cataract, definitive surgical management must address all three components: … More
2661: surprise zonular compromise
This is a great case showcasing the talents of a fantastic surgeon who notices zonulopathy during phaco of a dense … More
2660: precision in stop-and-chop
Yesterday on our CataractCoach Podcast we featured Nitin Chopra, MD, MBA who worked as a Wall Street Financier for more … More
2659: Podcast 125: Nitin Chopra MD MBA
As ophthalmologists, we are smart and hard working and that’s how we earned one of the coveted spots to do … More
2658: resident case 260 with pupil ring
Our anonymous resident performs cataract case number 260 of training and uses a pupil expansion ring. The skills are good … More
2657: Quiz: Why did this happen? Help us!
We need your help. With the collective minds and experience of thousands of ophthalmologists, I trust that we can solve … More
2656: Rosatelli Spin and wedge fracture
The Rosatelli Spin is a surgical maneuver used during cataract surgery to facilitate nucleus rotation within the capsular bag to … More
2655: eroding seton, iris prolapse, high IOP
This is a very tough case where a patient previously had an Ahmed Glaucoma Valve seton placed and it is … More
2654: dense white cataract with a surprise
Approaching cataract surgery in a dense white cataract with a fibrotic anterior capsule presents significant challenges that require careful planning … More
2653: soft cataracts versus hard cataracts
Yesterday, our CataractCoach Podcast featured Dr Pradip Mohanta who has a YouTube channel where he teaches ophthalmic surgery. During our … More
2652: Podcast 124: Pradip Mohanta MD
Dr Pradip Mohanta is a very talented ophthalmic surgeon and teacher with a YouTube channel which is full of great … More
2651: “My worst post-op day 1 ever”
Imagine a case that is so taxing that the nucleus drops in a monocular patient, but then it gets even … More
2650: Explanting a segmented ClearView 3
The Lenstec Clearview 3 multifocal intraocular lens (IOL) is designed to provide vision at multiple distances, often reducing the need … More
2649: Quiz: When did the capsule split?
Another fun CataractQuiz™ with a challenge to figure out when the capsule split open. Looking at the title picture, you … More
2648: Rosatelli Double Capsulorhexis
We love Dr Neto Rosatelli and his incredible surgical skill. An intumescent white cataract poses significant challenges during cataract surgery … More
2647: posterior polar with split capsule
We know that posterior polar cataracts are very challenging because the capsule is weak, fragile, or even partially absent at … More
2646: Quiz: Where did the capsule go?
Our guest surgeon Professor Ramesh Ayyala from University of South Florida in Tampa, USA shows us a very challenging case … More
2645: Podcast 123: Stephen Lash MD
Dr Stephen Lash is a consultant ophthalmic surgeon in Southampton, England and the author of a book that will be … More
2644: Case 600 for a new graduate
The learning curve for cataract surgery is steep and prolonged, reflecting the complexity of the procedure and the fine motor … More
2643: very young patient with white cataract
Performing cataract surgery on young patients with intumescent white cataracts presents a unique and formidable challenge for ophthalmic surgeons. Unlike … More