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

1773: capsule ruptured by intra-vitreal injection

With millions of intra-vitreal injections being performed every year, an iatrogenic rupture of the posterior capsule by the needle is … More

1766: when did the posterior capsule break?

Our guest surgeon, Dr Lukan Mishev, is a highly talented ophthalmologist who is an expert is anterior and posterior segment … More

1751: for capsule wrinkling, I do this…

This is a complete cataract case, shown start to finish, where the anterior lens capsule wrinkles upon attempted puncture for … More

1745: Ahmed capsular segment placement

This is a tough case where the surgeons learns intra-operatively that there is a quadrant of poor zonular support. An … More

1740: dead capsular bag syndrome

In rare cases, years after a cataract surgery, we can have complete loss of zonular support with dislocation of the … More

1739: peeling a posterior polar plaque

We all know that posterior polar cataracts are challenging because at the site of the polar opacity the capsule can … More

1736:capsule break from OVD bubbles

I was watching cataract surgery videos on YouTube and I saw this video from Dr Shannon Wong from Austin, Texas … More

1730: belt loop to fixate Ahmed segment

This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration … 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

1724: coloboma with zonular absence

Today and tomorrow we are featuring cases with congenital colobomas where there is an absence of part of the iris … More

1718: Marfan syndrome subluxed lens

Marfan syndrome patients develop a progressive zonulopathy with subluxation of the crystalline lens which leads to visual decline. While still … More

1712: fibrotic anterior capsule will not tear

This patient sustained ocular trauma which resulted in a white cataract as well as fibrosis of the anterior lens capsule. … More

1711: severe PXF and zonulopathy

This is a very challenging surgery and most surgeons would rate it a 9 or 10 out of 10 in … More

1708: why did this nucleus drop so fast?

This resident case started out pretty well with a good incision and then an intact capsulorhexis, but then things quickly … More

1702: capsule polishing or vacuuming?

Believe it or not, cleaning the undersurface of the anterior lens capsule was not always considered a requirement for a … 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

1688: post-trab cataract with weak zonule

The most important take home message in this video is when you see the capsulorhexis moving you should immediately think … 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

1659: when the anterior capsule wrinkles

Just looking at these two screenshots makes me take a deep breath. The anterior lens capsule is supposed to be … More

1654: this capsulorhexis will radialize

Looking at this picture, the capsulorhexis appears to be proceeding well. It is round and intact and the resident is … More

1646: posterior polar capsule issue

We have covered the topic of posterior polar cataracts many times before and we even have an entire section on … More

1640: anterior capsule plaque peeling

Our guest surgeon presents a case of a dense cataract where the cortical lens proteins broke down and caused a … More

1632: sphincterotomy & bag handle

The two techniques shown in this video have not been previously featured on CataractCoach and since they are from the … More

1625: aqueous fluid misdirection syndrome

This is my video from the Cataract Spotlight session by Dr David Chang from the American Academy of Ophthalmology 2022 … More

1612: retrieval of a lost CTR

When implanting a capsular tension ring, particularly in a challenging case, there is always that tiny fear that it may … 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

1578: how to rescue this capsule split

You are performing cataract surgery and everything appears routine as the case is progressing smoothly. The nucleus is removed and … More

1561: sudden chamber deepening

This patient has a dense cataract and I increased the phaco power in order to help break apart the nucleus. … More

1551: challenging traumatic cataract

When dealing with a traumatic cataract, the extent of tissue damage is not always fully understood until the surgery begins. … More

1550: scarred posterior capsule

In the case presented here, the patient has a long-standing, dense, white cataract that has caused some scarring to the … More

1542: tough resident cataract case

This is a very tough resident cataract case and there are some complications. The most important point is that the … More

1530: intra-scleral flange placement

In the past few years we have seen many advances in IOL fixation using techniques described by Yamane, Canabrava, Oetting, … More

1527: resorbed cataract with zonular loss

This patient sustained trauma to his eye years ago and that resulted in a cataract which, over time, became liquefied … More

1523: Zepto for intumescent cataracts

We have seen the videos before where the Argentinian Flag sign develops instantly as the anterior lens capsule splits uncontrollably. … More

1521: when the anterior capsule wrinkles…

Wrinkling of the anterior capsule during the performance of the capsulorhexis can be concerning because it indicates that zonular support … More

1517: Star Technique for dislocated IOLs

Even after performing ocular surgery for 25 years, I still learn so much by making these CataractCoach videos and today … More

1515: expert management of DWC

DWC stands for dense white cataract and in this case, that is exactly what we have. In addition, the anterior … More

1513: white cataract with fibrotic capsule

Our expert surgeon today shows us an approach to a white cataract with a fibrotic anterior lens capsule. This will … More

1485: how I know zonular support is weak

Weak zonular support makes cataract surgery far more challenging and increases the potential risks such as vitreous prolapse, retained lens … More

1474: ASCRS case 5: when & how CTRs

Capsular tension rings (CTRs) are important devices that can facilitate cataract surgery in cases where the zonular support is weak … More

1465: MSICS: bailout for rhexis runout

MSICS can be a great way to rescue a very difficult case. We recently presented a video of a master … More

1453: Quiz: What is your next step?

This is a tough case where the nucleus is very dense and difficult to chop, but the bigger challenge is … More

1444: the patient moved during the rhexis

As I am performing the capsulorhexis, the patient unexpectedly moved and there is a run-out of the capsule tear. The … More

1439: save this case of capsule rupture

Our guest ophthalmologist is Dr Cathy McCabe from Florida, USA and she is truly a master surgeon, having done tens … More

1437: another dropping nucleus!

We just featured a similar complication two days ago in video 1435, so why are we showing another dropping nucleus? … More

1436: recover from Argentinian Flag Sign

The complication of uncontrolled splitting of the anterior lens capsule in an intumescent white cataract is something that all cataract … More

1411: how much capsule polishing to do?

Capsule polishing to remove tiny residual bits of lens material is frequently done in cataract surgery. We have asked our … More