This complications happens more often that we may imagine: the patient receives an intra-vitreal injection for treatment of posterior segment … More
Category: anterior vitrectomy
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
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