3102: swollen white cataract after intra-vitreal injection Intravitreal injections of anti-VEGF agents and other agents are the most frequently performed … More
Category: Cataract Surgery Techniques
3091: Case 2001 completed – great job – what’s next?
3091: Case 2001 completed – great job – what’s next? Our guest surgeon does a great job (with phaco chop) … More
3090: submarine chop for a denser cataract
3090: submarine chop for a denser cataract Executing the “submarine chop” on a dense nuclear cataract begins with sculpting a … More
3087: right eye, right hand & left eye, left hand
3087: right eye, right hand & left eye, left hand Sitting superiorly at the head of the bed while maintaining … More
3085: resident does automated lens aspiration
3085: resident does automated lens aspiration Great job by this resident surgeon but there is BIG CRITICAL MISTAKE made during … More
3077: divide and conquer is still good to know
3077: divide and conquer is still good to know While mechanical techniques like phaco chop and flip-and-chop offer great efficiency … More
3063: review of the capsulorhexis rescue
3063: review of the capsulorhexis rescue Mastering the Little capsulorhexis rescue maneuver is an absolute necessity for every cataract surgeon … More
3042: progress after 5500 cataract cases
3042: progress after 5500 cataract cases Refining surgical technique is a lifelong journey, and evaluating this 5,500th case highlights the … More
2997: is low IOP phaco really that important?
2997: is low IOP phaco really that important? Is low IOP phaco really that important? While chasing ultra-low pressure setting … More
2992: Excellent Stop-and-Chop Technique
2992: Excellent Stop-and-Chop Technique If you are a resident in training and have already completed about forty cases using the … More
2987: MSICS: split the nucleus prior to removal
2987: MSICS: split the nucleus prior to removal In manual small incision cataract surgery, splitting the lens nucleus in half … More
2978: Flush and Crush Phaco Technique
2978: Flush and Crush Phaco Technique Our guest surgeon demonstrates the “flush and crush” technique, which serves as a highly … More
2959: this is proof that you must learn phaco chop
2959: this is proof that you must learn phaco chop What does it take to finally transition from divide-and-conquer to … More
2951: oblique chop technique
2951: Oblique chop technique Mastering phaco chop is all about understanding the mechanical forces used to split a dense nucleus. … More
2909: phaco IOL after a corneal alkali burn
Performing phacoemulsification in an eye with corneal scarring from a prior alkali burn presents a significant visualization challenge. The opacified … More
2902: innovative “X-ray” filter gives details
Our guest surgeon in this video is Dr Durval Carvalho Jr from Brasilia, Brazil and he has a brilliant way … More
2887: The “5F” intra-scleral haptic fixation
Our guest surgeon is performing Dr Soosan Jacob’s 5F Technique which is a refined approach to sutureless intrascleral haptic fixation … More
2878: Eiffel tower phaco technique (no hydro)
The “Eiffel tower technique” is a synonym for the well-known Y-groove method of sculpting a nucleus i when avoiding hydrodissection, … More
2877: “Zombie” Double Tap to set IOP
On yesterday’s Cataract Coach Podcast (the top podcast in all of ophthalmology!) we learned some great surgical pearls from our … More
2863: using a needle to insert iris hooks
We are always looking for ways to make our surgeries more efficient and safer, and today I want to show … More
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