This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced … More
Category: beginning surgeons / novice surgeons
1225: a bad incision leads to iris damage
The incision is a very important part of the cataract surgery. It determines the access to the anterior segment and … More
1224: listen to your phaco machine
Our phaco machines have built in speakers and they make sounds that provide the surgeon with important real-time feedback while … More
1223: how to set up your phaco machine
The surgeon is the captain of the operating room and must know everything about the case and instrumentation. While we … More
1217: finally a great phaco incision
When residents are learning cataract surgery, one of the struggles is getting the phaco incision right. The incision is critical … More
1215: soft PSC cataract in a 30 year old
When we perform cataract surgery for any patient, we must be cognizant that the patient will see the world through … More
1212: resident posterior polar cataract
Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More
1203: Resident’s 200th cataract surgery
In this video we are critiquing an anonymous resident surgeon’s 200th cataract case. I will be doing the voiceover the … More
1202: pearls for your first LASIK surgery
It is important to learn LASIK and other forms of refractive surgery during residency training. When I was a resident … 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
1197: rescue this case of iris prolapse
This is a tough resident case and it all started to go downhill with a poorly constructed phaco incision. This … More
1196: newbie guide for toric IOL success
Using a toric IOL is an important skill for an ophthalmology resident to learn. This video gives pearls for learning … More
1195: when you should not operate
Any surgeon can operate, but it takes a surgeon with good judgment to know when not to operate. During my training, one … More
1192: talented UK registrar phaco case
An anonymous registrar from the UK sent in this video of one of her recent cataract surgery cases and I … More
1191: resident performs stop-and-chop
This video is about the 200th cataract surgery case being performed by this senior resident. The stop-and-chop technique is being … More
1190: guide for learning stop-and-chop
Not every ophthalmologist becomes proficient with phaco chop during residency training and that is acceptable since it can be learned … More
1189: learning after residency training
Recently a resident asked me what would happen if he did not get to learn to implant a new design … More
1181: time to up your residency game!
This is being posted on July 31, 2021 and that is one month into the academic year for ophthalmology residency … More
1177: what is this red reflex crescent?
This patient is undergoing cataract surgery and as soon as you insert the phaco probe into the eye, you notice … More