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Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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Category: anterior vitrectomy

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

anterior vitrectomy, capsule rupture, coloboma

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

anterior vitrectomy, posterior capsule rupture, sulcus IOL

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

anterior vitrectomy, argentinian flag, dropped nucleus, posterior capsule rupture

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

iris damage, sutured IOL, weak zonular support

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

iris damage, sutured CTR, traumatic cataract, weak zonular support

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

capsule rupture, complications

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

anterior vitrectomy, posterior polar cataract

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

anterior vitrectomy, posterior capsule rupture, sulcus IOL

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

anterior vitrectomy

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

MSICS, posterior capsule rupture

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

anterior vitrectomy, resident cataract surgery

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

IOL fixation, yamane

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

anterior vitrectomy, complications, manual ECCE

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

iol exchange, soemmering

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

lens puncture, traumatic cataract

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

anterior vitrectomy, capsule rupture, posterior polar, sulcus IOL

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

anterior vitrectomy, posterior capsule rupture, sulcus IOL

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

dropped nucleus, white cataract

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

capsule rupture, resident cataract surgery, sulcus IOL

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

anterior vitrectomy, run-out capsulorhexis, sulcus IOL

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

anterior vitrectomy, posterior capsule rupture

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

anterior vitrectomy, posterior levitation

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

weak zonular support, white cataract

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

convert to ECCE

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

anterior vitrectomy, posterior capsule rupture

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

anterior vitrectomy

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

dropped nucleus

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 vitrectomy

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

anterior segment reconstruction

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

posterior capsule rupture

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

cataract surgery, radial keratotomy

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

UGH syndrome

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

dislocated IOL

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

cataract surgery

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

capsule rupture

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

cataract surgery

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

capsule rupture, cataract surgery

Pars plana anterior vitrectomy

The only ophthalmologists who have zero surgical complications are those who don’t operate and those who are not fully truthful. … More

#cataract surgery, dropped nucleus, vitrectomy

From routine case to disaster in 1 second

When I first saw this video, which was submitted by an anonymous surgeon, I was in disbelief. I simply could … More

#cataract, #cataract surgery

Cataract Quiz: What do you do now?

This is a complication that is sure to happen to every beginning cataract surgeon: a broken posterior capsule as a … More

#cataract, #cataract surgery

Cataract Quiz: What’s your next move?

You are performing routine cataract surgery and then you suddenly notice that the posterior capsule is open and a nuclear … More

#cataract

How to recover from a capsule rupture

It happens to all surgeons, and it is much more common in beginning surgeons: rupture of the posterior capsule during … More

#cataract

Do not withdraw infusion with a capsule break

If there is a break in the posterior capsule, withdrawing the infusion will allow the anterior chamber pressure go to … More

#cataract

Danger: Clear Crescent Red Reflex

When you are mobilizing a dense nucleus and you briefly see a bright, clear, crescent-shaped red reflex, you can be … More

Posterior Capsule Rupture! Now what?

In this anonymously submitted case from a resident surgeon in training, there are many great lessons to be learned. We … More

Slow motion analysis of posterior capsule rupture

Watching surgical video of cases is very helpful to understand the how and when of the complications of cataract surgery. … More

Where did the hemi-nucleus go?

This video was submitted by Dr Ravi Prasad Challa from India and it showcases a very rare complication: a break … More

Pars Plana Anterior Vitrectomy can be very helpful

When the capsule breaks during cataract surgery and the vitreous prolapses into the anterior segment, it is important to clear … More

Review: Be Careful if you see the Hole Punch Sign

In your first 1000 cataract surgeries, the most common cause of a posterior capsule rupture is iatrogenic damage from the … More

Review: Anterior Vitrectomy & Sulcus IOL Placement

With vitreous prolapsed into the anterior chamber, we must perform a vitrectomy before placing the IOL in the eye. In … More

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