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

1774: When did the posterior capsule rupture?

I have watched this video a few times and I am still not sure when the capsule ruptured. Look at … More

1738: sudden choroidal hemorrhage

This is another great example of how even an experienced, expert surgeon can encounter a complication during cataract surgery. This … More

1725: coloboma with capsule rupture

Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar … More

1691: IOL haptic tears posterior capsule

Another tough case today: as this resident implants a three-piece IOL, the leading haptic is twisted and the sharp tip … More

1690: capsule rip extends to posterior capsule

This is a heartbreak of a case. The anterior lens capsule splits wide open with the classic Argentinian Flag Sign … More

1686: dense cataract iris & zonular loss

This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true … More

1670: traumatic cataract with iris damage

This patient sustained ocular trauma which resulted in a traumatic cataract, zonular loss, iris avulsion, and vitreous prolapse. Now you … More

1605: learn the ominous snap sign!

If you only watch one CataractCoach video this month, this is the one I encourage you to study very carefully. … More

1584: posterior polar ruptured capsule

When I have lectured at large ophthalmic meetings, I would sometimes pause and ask the audience members to raise their … More

1409: vitreous prolapse into the AC

An anonymous surgeon submitted this video and I knew that I had to share it with our fans. Every surgeon … More

1381: please do not fish in the vitreous

When a posterior capsule rupture is encountered during cataract surgery, an anterior vitrectomy often needs to be performed to remove … More

1379: converting from phaco to MSICS

If the posterior capsule ruptures while you have most of the nucleus still inside the eye, the best decision may … More

1347: resident anterior vitrectomy

This video was anonymously sent in by a resident in training who has done about 30 prior cataract surgeries. We … More

1264: Yamane IOL fixation step-by-step

Our guest surgeon, Dr Utku Limon from Turkey, does a great job of performing the Yamane IOL fixation technique where … More

1235: convert to manual ECCE surgery

This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced … More

1229: IOL exchange & Soemmering Ring

This patient had cataract surgery years prior with significant intra-operative complications. The posterior capsule was ruptured and a sulcus IOL … More

1221: traumatic cataract lens penetration

This patient sustained a penetrating ocular injury about one year ago. He was working on a construction project and a … More

1219: posterior polar capsule rupture

This patient has bilateral posterior polar cataracts which progressively became more opaque and caused increasing visual problems. The first eye … More

1214: the chopper just broke the capsule

A ruptured posterior capsule is a complication that can happen in any cataract surgery. There are two types of ophthalmologists … More

1211: white cataract drops into vitreous

Our guest surgeon presents a case of a surprise complication when the white cataract falls into the vitreous cavity. He … More

1201: resident ruptured capsule case

This anonymous submitted video is from a resident who has edited down the video to the pertinent parts of the … More

1198: run-out rhexis leads to vitreous

The capsulorhexis is a very important part of the cataract surgery because it ensures compartmentalization of the eye during phacoemulsification … More

1162: resident posterior capsule rupture

This resident experiences a posterior capsule rupture during phaco and there is still a lot of nuclear lens material in … More

1154: posterior assisted levitation PAL

In this case the posterior capsule ruptures during hydro-dissection. With a wide open posterior capsule, the nucleus starts to descend … More

1144: white cataract intra-capsular surgery

Decades ago the standard cataract surgery was an intra-capsular cataract extraction. This involved making a large incision, injecting alpha chymotrypsin … More

1096: converting from phaco to ECCE

There are rare times when it becomes important to convert from phaco to manual extra-capsular cataract extraction. This is one … More

1080: phaco tip punctures the capsule

This anonymously submitted video shows a complication that can happen to any of us. This patient had a white cataract … More

1041: Playlist: Anterior Vitrectomy

Face the truth: every cataract surgeon encounters an intra-operative complication where an anterior vitrectomy is needed to complete the case. … More

1021: the nucleus drops during phaco

This anonymously submitted video shows a complication from a resident cataract surgery. The capsulorhexis radializes in the sub-incisional area and … More

1005: Resident’s first Anterior Vitrectomy

Every cataract surgeon will experience a ruptured posterior capsule and vitreous prolapse as a complication. The key is to recognize … More

anterior segment total reconstruction

This is a very complex case of a patient who had cataract surgery elsewhere and sustained complications during the procedure. … More

Punctured Posterior Capsule Rescue

There are two types of ophthalmologists who do not ever have surgical complications: those who do not operate and those … More

Complicated Radial Keratotomy Case

This is a tough case where the patient had prior 16-cut radial keratotomy for treatment of a high degree of … More

Fixing IOL-induced UGH Syndrome

UGH syndrome is the triad of uveitis, glaucoma, and hyphema which all can be induced as a complication from sulcus … More

Fixing a Dislocated IOL

This patient had cataract surgery done elsewhere and now seeks your help for a sub-optimal outcome in the one eye. … More

posterior chamber deepens with capsule break

When the posterior chamber deepens during cataract surgery, it is usually a sign that the posterior capsule has been ruptured. … More

recovering from posterior capsule rupture

Every surgeon, no matter how experienced, will experience complications. The rate of complications such as posterior capsule rupture declines substantially … More

Equanimity under Duress

When Sir William Osler left the University of Pennsylvania’s Medical School (the first one in the USA, started in 1765) … More

Resident recovers from capsule break

In the course of learning cataract surgery, resident ophthalmologists will encounter complications such as this posterior capsule rupture. The key … More