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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.

2522: How should you remove this plaque?

This patient had a prior pars plana vitrectomy for posterior segment disease and now presents to you with a cataract … More

posterior capsulorhexis, posterior subcapsular

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

incision, IOL stuck, radial keratotomy

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

cataract incision, IOL stuck

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

podcast

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

resident cataract surgery, stop and chop cataract surgery

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

corneal scar, pterygium

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

glaucoma, MIGS

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

complete cataract case, CTR, pseudo-exfoliation, PXF

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

anterior vitrectomy, posterior capsule rupture

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

podcast

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

resident cataract surgery

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

intumescent, phaco chop, white cataract

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

brunescent, dense cataract, morgagnian cataract

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

cerclage, iris damage, pupilloplasty

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

capsulorhexis, surgical pearls

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

cornea transplant

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

podcast

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

phaco chop, resident cataract surgery

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

phakic IOL

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

cataract technique, cortex

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

cataract quiz, posterior capsule rupture

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

IOL loading, IOL stuck

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

capsule scarring, posterior subcapsular

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

podcast

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

resident cataract surgery

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

hydrodissection, soft cataract

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

capsulorhexis

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

complications, IOL loading, IOL stuck

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

glaucoma, trabeculectomy

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

podcast

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

combined cataract and vitrectomy, pars plana

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

capsular bag, cortex, weak zonular support

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

femto laser, femtosecond laser, weak zonular support

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

iol calculations

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

pars plana, vitrectomy

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

podcast

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

cataract quiz, pars plana, sulcus IOL, vitrectomy

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

angle closure, glaucoma, gonio, trabeculotomy

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

dense white cataract, horizontal chop

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

pupilloplasty, scleral fixated IOL

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

complete cataract case

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

glaucoma, MIGS

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

podcast

2476: transconjunctival MSICS

When performing a scleral incision, I like to do it in two layers: making a conjunctival peritomy first, then making … More

MSICS

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

MSICS, pars plana, vitrectomy

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

pupil ring, small pupil cataract surgery

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

cataract quiz, foreign body, ruptured globe, traumatic cataract

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