Microspherophakia is a rare condition where the human crystalline lens takes on an unusual form: it is more spherical than … More
Category: capsule issues
1232: traumatic loss of zonular support
This patient sustained severe ocular trauma that resulted in loss of more than 180 degrees of zonular support. He has … More
1226: primary posterior capsulorhexis
There are some cases where it is preferable to make a primary posterior capsulorhexis at the time of cataract surgery … More
1222: traumatic cataract capsule fibrosis
Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and … 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
1220: white cataract phaco puncture
This is a resident case of an intumescent white cataract. We have covered this topic many times and the theme … 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
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
1173: phaco aspiration of lens milk
Intumescent white cataracts can pose a problem with capsulorhexis creation. This is because the cortex has liquefied and pressurized the … More
1172: anterior capsular tear in phaco
The lens capsular bag is fragile and very thin, with an anterior measurement of about 14 microns and a posterior … 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
1160: capsule damage from intra-vitreal injections
The most common ophthalmic procedure that is performed is an intra-vitreal injection with more than 10 million per year in … More
1157: Malyugin ring rips the lens capsule
This video shows a complication that I have never seen before: insertion of the Malyugin pupil expansion ring inadvertently rips … 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
1149: posterior capsulorhexis technique
There are times when it is helpful to perform a posterior capsulorhexis. This is a tricky maneuver because it opens … More
1145: white cataract anterior capsule tear
This patient has a dense white cataract and it is also intumescent in nature. There is sufficient pressure within the … 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