We are always looking for ways to make our surgeries more efficient and safer, and today I want to show … More
Category: Cataract Surgery Techniques
2854: resident masters divide-and-conquer
For a resident surgeon, mastering the divide-and-conquer technique is a rite of passage, representing the transition from tentative maneuvers to … More
2833: this is what 5000 cases looks like
Subtle intraoperative details often reveal a surgeon with vast cataract experience and that is evident in this case which is … More
2829: supra-capsular phaco for high myopia
This is a complete cataract case shown start to finish with me operating. You can see all of these cases … 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
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
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
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
2718: Eye surgery simulator improves skills
Have you ever wanted to learn and practice surgical techniques prior to performing surgery on patients? The best solution is … More
2710: Flip & Chop with a white cataract
Every time I post a flip and chop video, I get many emails asking if this technique is also applicable … More
2699: it is fine if the first chop fails…
Persistence is key when performing phaco chop, especially if the initial chop does not fully propagate through the nucleus. A … 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
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
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
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
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
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
2640: the secret to get the nucleus out of the bag
In cataract surgery, managing a small pupil presents several intraoperative challenges, particularly in safely prolapsing the nucleus out of the … More
2636: mini-rhexis with phaco handpiece
This video showcases an advanced technique (not for beginners) to perform a capsulorhexis in eyes with white cataracts. The technique … More
2633: Little Capsulorhexis Rescue Technique
This technique is absolutely critical and it is something that every cataract surgeon must master. It allows us to rescue … More
2576: two incision push pull rhexis
On yesterday’s CataractCoach podcast we featured renowned pediatric ophthalmologist Professor Ken Nischal MD who has pioneered surgical techniques for cataract … More
2569: PreTerminal Chop Technique
On yesterday’s CataractCoach Podcast we featured Prof. Sourabh Patwardhan MD who runs a training program to teach techniques like phaco … More
2551: Should you aspirate synechiae?
This patient had a prior trabeculectomy and with post-operative inflammation developed synechiae of the iris onto the anterior lens capsule. … 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
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
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
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
2460: MSICS with AC maintainer
When performing MSICS, does it help to have an AC maintainer providing constant infusion of balanced salt solution into the … More
2458: teach me the tilt and chop technique
There are many techniques for breaking up the nucleus and aspirating it with the phaco probe and ultrasonic energy. And … More
2427: please stop doing ECCE with scissors
We all need to keep evolving our surgical techniques. You would never do a routine couching of a nucleus by … More
2349: beautiful horizontal chop case
Our guest surgeon does a great job with this cataract case, performing a beautiful horizontal chop technique. The chopper has … More
2345: IOL scaffold for Morgagnian cataract
The idea behind the IOL scaffold technique is to use the large 6 mm optic of the IOL as a … More
2343: learn both horizontal & vertical chop
I am very impressed with the younger generation of ophthalmologists because they learn so quickly and have great dexterity. It … More
2324: understanding hand position in phaco
Our guest surgeon is Prof. Lloyd Williams from Duke University who had this split screen video so that we can … More
2312: What does “bowl it out” mean?
When phaco was first started, it was primarily done with a single hand and just the phaco probe in the … More
2304: bimanual phaco surgery
Many surgeons are believers in bimanual irrigation and aspiration for cortex removal. And retina surgeons almost always use a separate … More
2275: IOL exchange with an open capsule
In our recent podcast with Dr Shannon Wong, he explained that he was doing more IOL exchanges in eyes with … More
2230: phaco carousel spins round & round
By adjusting the phaco tip position and with appropriate fluidic settings, we can make the nucleus spin round and round … More
2215: cortex removal without IA probe
Our guest surgeon is highly experienced and he does something that I’ve seen other Brazilian surgeons do: avoid using the … More
2201: moving beyond divide & conquer
Like most modern day cataract surgeons, the first phaco nucleo-fractis technique that I learned was divide and conquer. It is … More
2178: Morgagnian cataract & IOL scaffold
A Morgagnian cataract is where the lens cortex is so liquefied that the remaining cataract endonucleus floats around inside the … More
2150: phaco puncture for white cataracts
Not all white cataracts are the same and in this category, among the most challenging is the intumescent white cataract. … More
2149: the squeeze-chop technique
If you enjoyed our podcast from yesterday, you heard Dr Deepinder Dhaliwal talk about her squeeze chop technique where she … More
2146: the cross chop technique
Pre-chopping the nucleus means that we are splitting it into quadrants prior to placing the phaco probe in the eye. … More
2140: temporal MSICS for white cataract
Our international CataractCoach fans may be surprised to learn that the vast majority of USA cataract surgeons do not know … More
2116: cortical cleaving hydro-dissection
Cortical cleaving hydro-dissection was described 30 years ago by Howard Fine MD, a pioneer in the shift to modern day … More
2104: understanding vertical chop
The most common request from CataractCoach fans is guidance for learning phaco chop. Yes, your divide and conquer and your … More
2103: understanding horizontal chop
The most common request from CataractCoach fans is guidance for learning phaco chop. Yes, your divide and conquer and your … More
2098: is anterior polar cataract different?
We have many videos about posterior polar cataracts because those are very prone to complications unless specialized techniques are used … More