1343: operate on the steep axis if possible

Some beginning surgeons like to shift the phaco incision in order to maximize their “hand comfort” even if that means … More

1337: how to needle encapsulated setons

A glaucoma seton, such as the Ahmed Valve from New World Medical (by the way, it is not named or … More

1302: suturing a phaco wound burn

We have covered the topic of phaco wound burn many times and we even had a very astute resident prevent … More

1296: senior resident case 50 critique

I admire the resident surgeon who submitted this video. S/he cares so much about surgical development of skills that the … More

1286: biggest challenges after fellowship

I recently had an enlightening dinner with two former residents: Tripper Sauer MD (UCLA JSEI class of 2017) and David … More

1280: phaco trabeculotomy canaloplasty

This video shows one of our residents doing her very first surgery with the OMNI surgical device for angle based … More

1278: case 350 for a young surgeon

In this video we are evaluating the performance of an anonymous young surgeon who is performing case 350. At this … More

1267: Why is there so much fluidic surge?

This resident case shows the problem of fluidic surge: when the inflow of fluid into the eye is mismatched (for … More

1265: Six mistakes young surgeons make

Learning cataract surgery during ophthalmology residency is critically important for many reasons. It is the most widely performed ophthalmic surgery, … More

1261: Why is the AC so shallow in IA?

Remember that we are operating in a very tiny space of less than 1 milliliter of volume and that we … More

1253: preventing a phaco wound burn

An anonymous resident emailed me with a thank you because a pearl that was learned here on CataractCoach prevented a … More

1245: tips to improve phaco technique

Dear CataractCoach viewers and fans, I need your help for this video. This is an anonymous resident surgeon who has … More

1243: resident surgeon stop-and-chop

This resident has done about 60 cataract surgeries as the primary surgeon and in this video she performs a routine … 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

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