A Soemmering’s ring is a postoperative finding characterized by a doughnut-shaped proliferation of residual lens epithelial cells and cortical fibers … More
Category: IOL related
2811: dislocated IOL requires explant x3!
We receive about 60 video submissions per week (here is the link) and we can only feature about 10% of … More
2801: Quiz: What happened with the IOL?
Yesterday’s CataractQuiz™ was a tough one and most viewers did not guess the correct answer. So today, here is another … More
2800: Quiz: You think this is good, but it’s not
Let’s start the new year with a quiz. Look carefully at the title photo and tell me what the issue … More
2795: flipping the IOL causes a capsule break
An upside-down intraocular lens is a rare but serious intraoperative complication that requires prompt recognition and decisive management. When an … More
2774: stopper knot technique to secure IOLs
The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular … More
2731: Piggyback IOL over LAL in RK eye
Patients with prior radial keratotomy have specific challenges when it comes to cataract surgery such as performing accurate IOL power … More
2698: Yamane SFIOL without using forceps
Performing the Yamane intrascleral haptic fixation (ISHF) technique without intraocular forceps is possible using externalization methods and careful instrument handling. … 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
2622: hand position for IOL scleral fixation
For surgeons who are trying to learn a new technique, it is helpful to see the hand position as well … More
2619: IOL exchange with an open capsule
We recently featured a video where I explained some patient situations where a multifocal IOL could be problematic. One of … More
2608: Challenges with IOL haptics
About 25 years ago, most IOL designs were three-piece and they folded in half using lens folding forceps and then … More
2605: combination PPV and IOL exchange
In this video, we have a tag team commentary with Prof. Pradeep Prasad, host of our sister channel RetinaRounds.com, and … More
2600: modified Canabrava IOL fixation
We receive about 50 video submissions per week for CataractCoach.com (and almost as many for RetinaRounds.com) and you are encouraged … More
2599: Quiz: What happened to this IOL?
This patient had a prior pars plana vitrectomy and then a three-piece IOL was implanted, but now, months later, the … More
2598: Avoid MFIOLs in these patients!
These are the patients where I tend to avoid using multi-focal and trifocal IOLs. While these diffractive design MFIOLs can … More
2555: How will you recenter this IOL?
On yesterday’s CataractCoach Podcast we featured Dr Beeran Meghpara from Wills Eye Hospital in Philadelphia and we talked about very … More
2541: the best way for wound assist IOLs
Over and over again, we have seen videos of surgeons using the wound assist technique to deliver the IOL as … More
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
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
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
2453: kicked by a horse and IOL moves
When I was professor and chief of ophthalmology at a large UCLA teaching hospital, I saw a patient come to … More
2443: Does it matter which IOL injector?
We use IOL injectors to allow us to deliver an IOL with a 6 mm diameter optic through an incision … More
2422: IOL exchange with open capsule
Performing an IOL exchange can be tricky, particularly if the patient has already had a YAG laser capsulotomy. In this … More
2417: Quiz: Why did this IOL cause issues?
Look carefully at this picture and ask yourself why this IOL is causing issues? The patient had a seemingly routine … More
2403: Quiz: What kind of IOL was here?
This patient developed severe capsular bag phimosis over the years and this has resulted in a dislocated IOL. Looking at … More
2397: four fast clips of great surgical pearls
In this video we present four fast clips, each just 1 minute long, showing great surgical pearls. The first is … More
2391: Quiz: Why did 2 IOLs get injected?
Another CataractQuiz™ for our loyal CataractCoach™ fans: Why did 2 IOLs get injected into this eye? And what is your … More
2376: calcified IOLs can be difficult to cut
There are some IOLs that can become opacified in certain circumstances. This is may be due to deposition of calcium … More
2373: Pinhole IOL explant & IOL exchange
This patient had cataract surgery with an Apthera IC-8 IOL (Bausch & Lomb) months ago in order to give an … More
2346: trifocal IOLs can make you very happy
We are all indebted to the optical engineers who design our IOLs for cataract surgery and this is particularly true … More
2340: Quiz: What kind of cataract is this?
Look carefully at the title picture and ask yourself, “What kind of cataract is this?” Hmmm.. what do you notice? … More
2326: Quiz: How do you explant this IOL?
This patient has a dislocated single-piece acrylic IOL that needs to be explanted so that a three-piece IOL can be … More
2313: a surgeon’s first IOL exchange case
Sooner or later we are all going to have to perform an IOL exchange for a patient. This video shows … 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
2261: pseudo-phacodonesis & UGH syn
Yesterday’s CataractCoach Podcast featured Dr Chris Teng from Yale University where we talked about surgical scope, entrepreneurship, and complex anterior … More
2259: toric Evo Visian ICL phakic implant
When I first started to use the Visian ICL phakic lens implant in 2006, it was a different time with … More
2258: Evo Visian ICL phakic lens implant
Our last podcast featured Prof. Arthur Cummings who had some very keen insight about phakic IOLs. One of the key … More
2237: haptic disinsertion of a 3-piece IOL
This patient had cataract surgery with the complication of a ruptured posterior capsule and retained lens material in the vitreous … More
2228: you notice this IOL optic crack…
In this case, the patient started with a dense, opaque cataract and a pre-operative vision of 20/200 or worse. The … More
2227: explant LAL and replace with trifocal
This patient received a light adjustable lens (LAL) and was not happy with the performance of the IOL even after … More
2216: Implantable Mini Telescope IMT
This patient has severe macular degeneration which has rendered the central visual acuity to 20/200 or worse. Our guest surgeon … More
2213: LAL haptic breaks the capsular bag
In this case, our guest surgeon performs a routine cataract surgery but then when he is implanting the LAL+ Light … More
2209: retro-iris Artisan IOL for aphakia
A relatively easy solution to address aphakia in patients without capsular support is the iris claw lens which is clipped … 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
2156: should you amputate the haptic?
For an IOL exchange, if you cannot free the haptic from the capsular bag due to adhesions, should you amputate … More
2143: easy Visian ICL phakic IOL removal
Phakic IOLs have been very helpful in treating younger patients with high degrees of myopia beyond the capabilities of corneal … More
2142: IOL exchange with UGH syndrome
A single piece acrylic IOL does not work well in the sulcus because of its design: it is planar and … More