2972: after GATT why the vitreous prolapse?

2972: after GATT why the vitreous prolapse? We have a true surgical mystery in this case, and we need the … More

2922: post-occlusion surge breaks the bag

When you are down to that final nuclear fragment, the risk of a posterior capsule rupture is at its peak … More

2893: MSICS with Severe Zonulopathy

MSICS: Managing Total Bag Loss and ACIOL Placement When performing Manual Small-Incision Cataract Surgery (MSICS) on a dense white cataract, … More

2839: congenital cataract in 2 month old baby

Performing cataract surgery in a 2-month-old infant requires a specialized approach due to the high elasticity of the pediatric capsule … More

2807: phaco probe breaks the capsule

When a posterior capsule rupture (PCR) occurs, the surgeon’s immediate priority is stability. First, do not abruptly remove the phaco … More

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

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

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