When a posterior capsule rupture (PCR) occurs, the surgeon’s immediate priority is stability. First, do not abruptly remove the phaco … More
Category: anterior vitrectomy
2773: global zonular laxity and weakness
Our guest surgeon, Dr Sergio Kwitko from Brazil, is superbly talented at complex anterior segment surgery and he presented this … More
2770: first ever posterior capsule rupture
This complication happens to 100% of cataract surgeons: the posterior capsule ruptures during phaco and now you must complete the … More
2755: split bag without a vitrector available
This patient has a posterior polar cataract and our guest surgeon is operating in an environment that does not have … More
2716: IOL scaffold technique in PC rupture
The IOL scaffold technique is an effective intraoperative strategy in managing posterior capsule rupture during cataract surgery. When the posterior … More
2706: get rid of that loose, old bag!
In cataract surgery with severe global zonulopathy and marked phacodonesis, complete removal of the capsular bag may be necessary to … More
2691: This just happened. Now what?
Our anonymous surgeon notices a very clear red reflex in this quadrant during cataract surgery. What is happening in this … More
2663: Quiz: How to fix this dislocated IOL?
In this CataractQuiz™ we have a patient who had cataract surgery elsewhere and now presents with a dislocated IOL and … More
2625: anterior vitrectomy settings fluidics
Today we have another video from our sister channel RetinaRounds.com which is also on YouTube here. Please spend the time … More
2618: anterior vitrectomy basics RetinaRounds
Today’s video is a shared video that was featured on our sister channel RetinaRounds.com which covers the basics of performing … More
2606: Quiz: Why is there a PCIOL in the AC?
Time for a CataractQuiz™: this patient had cataract surgery done elsewhere some time ago and is now being referred to … More
2548: pars plana vitreous tap for shallow AC
This is a very difficult and challenging case where our guest surgeon does an amazing job and offers so many … More
2523: lensectomy in a 14 month old baby
This patient is just 14 months old and presents with a total white cataract in one eye. Hopefully this was … 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
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
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
2472: dislocated IOL and bag with PXF
This patient had cataract surgery done many years ago and everything was great until recently. The patient now presents to … More
2469: cataract after intra-vitreal injection
With tens of millions of intra-vitreal injections being performed worldwide, a seemingly rare complication like capsule rupture happens to many … More
2440: the probe just punctured the capsule
Looking at this title picture with that hole punch sign, we know that there are some serious challenges ahead. At … More
2429: MSICS for PXF with zonular loss
This patient has severe pseudo-exfoliation and you can tell from the pre-operative photo that there will be extensive zonulopathy. The … 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
2405: pars plana posterior capsulotomy
This patient has a dense posterior capsule opacity and also has a small pupil which does not dilate with maximal … More
2404: the probe just punctured the capsule
For experienced surgeons, complications involving the capsule happen more often during epi-nucleus and cortex removal than during nucleus removal. In … More
2395: nanophthalmos malignant glaucoma
In this very challenging case, the patient has a nanophthalmic eye with a very short axial length, shallow anterior chamber, … More
2332: anterior vitrectomy for floaters
Yesterday we featured a video about using a YAG laser to break up vitreous floaters and today we are presenting … More
2327: Quiz: How do you proceed safely?
Time for another CataractQuiz™: This patient had an intra-vireal injection which inadvertently punctured the lens capsule near the equator. Now … More
2254: traumatic pediatric cataract
This young patient sustained penetrating ocular trauma which resulted in perforation of the cornea as well as the lens capsule. … More
2235: Cataract Quiz: What are these lines?
This is a routine case and there is a nice incision, a great capsulorhexis, and the cataract was removed efficiently. … 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
2200: How do you fix this dislocated IOL?
This patient was referred to you for a “slightly dislocated IOL” and this is what you see. There is a … More
2164: intra-vitreal injection punctures lens
This complications happens more often that we may imagine: the patient receives an intra-vitreal injection for treatment of posterior segment … More
2158: How to fix this traumatic cataract?
You cannot fully undo trauma, especially when it comes to the eye and delicate ocular structures. This patient sustained ocular … 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
2128: soft white cataract with PC rupture
This patient has a soft white cataract from prior trauma and now it is time for cataract surgery. Look carefully … More
2095: irido-zonulo-hyaloido-vitrectomy
This patient has malignant glaucoma and to treat that the procedure is IZHV: irido-zonulo-hyaloido-vitrectomy. Here is what our guest surgeon … More
2069: how to manage posterior capsule rupture
If you perform cataract surgery, you will need to be able to manage posterior capsule rupture. Even the most experienced … More
2056: IOLs in posterior capsule rupture
Our guest surgeon is Dr Suvira Jain and she runs a great YouTube channel called PhacoPoint where she teaches cataract … More
2041: severe complications with MiLoop
This is a tough situation of intra-operative complications which begin when the lens snare device (miLOOP or MiLoop) in inserted … More
2024: a resident’s first capsule rupture
All cataract surgeons will experience a posterior capsule rupture many times during the course of a career. This complication is … More
1933: cannula punctures posterior capsule
This patient started with an intumescent white cataract and that itself is a challenge. However the real difficulties happened at … More
1908: nanophthalmos & decompression
This patient has true nanophthalmos with an axial length of less than 20mm and a calculated IOL power of 67 … More
1898: IOL exchange with open capsule
There are times when an IOL exchange is the best answer for a challenging clinical situation and in this case, … More
1894: video contest 1st: traumatic cataract
Our first place winner for the video contest presents a very tough traumatic cataract case. This is a case that … More
1876: white cataract with posterior polar
This patient had cataract surgery of the first eye done elsewhere and the surgeon noted a posterior polar opacity. This … More
1871: the posterior capsule just ruptured…
It happens to ALL cataract surgeons: the posterior capsule ruptures and there is vitreous prolapse while cataract material is still … More
1832: Q&A about Anterior Vitrectomy
I recent did a podcast with Zale Mednick MD from the blindspot-podcast.com where we discussed anterior vitrectomy in cataract surgery. … More
1823: white cataract after intra-vitreal injection
When a patient develops a white cataract right after an intra-vitreal injection, you can be pretty sure that the capsular … More
1822: lens snare/loop splits the bag!
The idea of a lens snare or loop to mechanically split the nucleus is decades old and we previously discussed … More
1806: left-handed resident breaks the bag
Let me be the first to say that it is perfectly fine for a surgeon to be left handed. Surprisingly, … More
1805: curriculum lesson 21: anterior vitrectomy
The next lesson in our 25 part curriculum series is focused on performing an anterior vitrectomy. You can see the … More