This patient had a prior pars plana vitrectomy for posterior segment disease and now presents to you with a cataract … More
Author: Uday Devgan MD
2521: trying to deliver the IOL but…
Yesterday’s video featured a case where the incision was too small and the IOL became stuck. Today’s video is me … More
2520: Another IOL gets stuck in incision
We recently featured a case (https://cataractcoach.com/2025/03/05/2494-the-iol-is-stuck-in-the-incision/) where the IOL became stuck in an incision that was too small. In that … More
2519: Podcast 105: Parag Majmudar MD
We have been hearing about in-office (or in-clinic) surgery suites where we can perform intra-ocular surgery such as cataract surgery … More
2518: resident stop-and-chop case
There are about 500 senior residents in the USA who are graduating in a few months (by June 30, 2025) … More
2517: the basics of using iris hooks
When you have a patient with a small pupil, keep in mind that the iris tissue is very delicate and … More
2516: tough cataract with corneal scar
This patient had a prior pterygium surgery which did not go so well. It resulted in a corneal perforation and … More
2515: combined iStent and iDose TR
In this video we again feature one of the great glaucoma specialists, Professor Ramesh Ayyala from USF in Tampa, USA. … More
2514: Is a CTR needed for Pseudo-Ex?
In certain populations, pseudo-exfoliation syndrome is relatively common, occurring in about 6 to 8% of my patients every year. In … More
2513: When you encounter vitreous…
When you encounter vitreous during cataract surgery there are some very important guidelines that you should keep in mind to … More
2512: Podcast 104: Kuldev Singh MD MPH
Sometimes we are so involved in our own practices that we forget about the very important public health aspects of … More
2511: great job resident horizontal chop
Every year it seems like the resident surgeons are getting better and better. The access to so many great learning … More
2510: intumescent cataract chop
Our guest surgeon does a great job with this tough case of an intumescent white cataract. Fortunately, there is just … More
2509: Morgagnian cataract technique
A Morgagnian cataract is a type of hypermature cataract where the lens cortex has fully liquefied, causing the dense nucleus … More
2508: cerclage technique pupilloplasty
Performing a pupilloplasty can be challenging since we are working with very delicate iris tissue, in the confines of the … More
2507: two pearls for a great capsulorhexis
I used to think that the fewer grabs of the capsulorhexis, the better and I took pride in performing a … More
2506: cataract surgery in corneal transplant
When we perform cataract surgery in an eye with a previous corneal transplant, we must do things a little differently … More
2505: Podcast 103: Greg Parkhurst MD
Nothing beats hard work and determination. And that certainly sums up the stellar career trajectory of Dr Greg Parkhurst. He … More
2504: resident surgeon tries vertical chop
I am proud of any resident surgeon who is driven to learn new techniques during training and then to upload … More
2503: explanting a Baikoff phakic IOL
There was a time when anterior chamber phakic IOLs were popular for the refractive treatment of high myopia. The challenge … More
2502: removing cortex before the nucleus
Sometimes you need to think differently in order to innovate. In essentially every cataract surgery that I have performed, I … More
2501: Quiz: Where did the holes come from?
Time for another CataractQuiz™ to test your skills, knowledge, and power of observation. In this video, our anonymous guest surgeon … More
2500: how to free the sticky haptic
Today is 2500 days in a row without ever missing a single day! That is what we have accomplished with … More
2499: this opacity is stuck to the capsule
I was performing a cataract surgery case recently and the patient had a central opacity stuck to the posterior capsule. … More
2498: Podcast 102: Nikolina Budimlija MD
Our guest today is Dr Nikolina Budimlija who runs a dedicated Ocular Surface Disease Clinic and has a deep expertise … More
2497: resident case 100 evaluation
If you are a learning cataract surgery, this video shows you about where your skills should be by case 100. … More
2496: Rosatelli spin for a soft cataract
Our guest surgeon does a great job with this case using the nucleus spinning technique made famous by Dr Neto … More
2495: the capsulorhexis is running out!
You have once chance to save this: which way do you pull it now? Look at the arrows on the … More
2494: The IOL is stuck in the incision
This is an unusual complication but still one that we have covered before. Four years ago with video 1126, we … More
2493: very dense cataract with zonular loss
This patient presents with a decade long history of very poor vision out of one eye. While there is no … More
2492: fixing this overhanging cystic bleb
Our guest surgeon on yesterday’s CataractCoach Podcast was Dr Lucy Shen, a glaucoma expert from Mass Eye / Harvard in … More
2491: Podcast 101: Lucy Shen MD
Dr Lucy Shen is an associate professor of ophthalmology at Mass Eye & Ear, Harvard Medical School where she specializes … More
2490: resident case 25 evaluation
Today is the day, March 1, 2025 when we launch our sister channel RetinaRounds.com so please go check it out … More
2489: cataract with vitreous hemorrhage
This patient has vitreous hemorrhage and a cataract and will undergo combined phaco, IOL implantation, and pars plana vitrectomy. The … More
2488: trying to remove cortex but then this
Looking at the title picture, we all feel a little pain. This happens to all surgeons at some point: we … More
2487: femto cataract with zonular absence
In most cataract surgery cases, the femtosecond laser does not offer any advantage over a proper capsulorhexis performed by an … More
2486: first patented AI for IOL calcs
Today the idea of using AI to help with complex problems seems obvious, but this was not the case 10 … More
2485: vitreous prolapse after YAG laser
Every surgery has some element of risk, no matter how small or easy the procedure happens to be. We will … More
2484: Podcast 100: Pradeep Prasad MD
For our 100th podcast episode, we have a very special guest, Prof. Pradeep Prasad, MD, MBA who is the host … More
2483: Quiz: Why the recurrent bleeding?
This patient had cataract surgery 6 years ago and has suffered from recurrent vitreous hemorrhage and uveitis ever since. Looking … More
2482: Phaco+GATT in angle closure glaucoma
We know that for patients with narrow angles and cataracts, the best way to address their issues is to perform … More
2481: dense cataract horizontal chop
Our guest surgeon does a great job with this dense whitish cataract using the horizontal chop technique. These cases can … More
2480: pinhole pupilloplasty for corneal scar
This young patient sustained a ruptured globe injury with a large central corneal laceration and puncture of the crystalline lens. … More
2479: When the speculum won’t open more
This patient has narrow palpebral fissures and when the speculum is placed for cataract surgery, we cannot even expose limbus … More
2478: using trypan blue to stain the TM
When performing gonioscopy on this patient in the clinic, our guest surgeon noted that it was challenging to see the … More
2477: Podcast 99: Rich Davidson MD
Dr Rich Davidson is an anterior segment surgeon and Professor at the University of Colorado, USA. He has spent his … More
2476: transconjunctival MSICS
When performing a scleral incision, I like to do it in two layers: making a conjunctival peritomy first, then making … More
2475: MSICS with Pars Plana Vitrectomy
Our guest surgeon does a great combination case of removing a dense cataract with MSICS (manual shelved-incision cataract surgery) and … More
2474: this is going to be a tough case!
This patient has a small eye with a small pupil, shallow anterior chamber, and pseudo-exfoliation. That will make the case … More
2473: Quiz: Why the sudden cataract?
Another CataractQuiz™ for you: This younger patient (age 30-40) developed a cataract suddenly over the course of a few days. … More
