3039: convert to a can-opener capsulotomy

3039: convert to a can-opener capsulotomy When encountering a run-out capsulorhexis that threatens to extend posteriorly into the zonules, converting … More

3033: YAG laser floater treatment breaks the bag!

3033: YAG laser floater treatment breaks the bag! Performing YAG laser vitreolysis for floaters requires precise spatial focus and an … More

3027: try to flip the IOL but the capsule breaks

3027: try to flip the IOL but the capsule breaks Injecting an inverted intraocular lens into the capsular bag creates … More

3017: Argentinian flag in Expert Hands

3017: Argentinian flag in Expert Hands Even expert surgeons encounter high-risk intraoperative complications—the true mark of surgical excellence lies in … More

3010: How will you fix this case of traumatic zonulopathy?

3010: How will you fix this case of traumatic zonulopathy? Severe ocular trauma with more than 180 degrees of zonular … More

2996: phacolytic glaucoma after ruptured globe

2996: phacolytic glaucoma after ruptured globe In this highly challenging case, our guest surgeon, Professor Ramesh Ayyala from USF Tampa, … More

2990: the bag rotates back and forth!

2990: the bag rotates back and forth! This video presents a complete cataract case from start to finish in a … More

2989: every step is risky with posterior polar

2989: every step is risky with posterior polar This instructive video demonstrates a highly challenging case where an anonymous resident … More

2984: Quiz: Big hole in the posterior capsule – Why?

2984: Quiz: Big hole in the posterior capsule – Why? It is time for group knowledge because I am genuinely … More

2976: CataractQuiz: When did the capsule break?

2976: CataractQuiz: When did the capsule break? Welcome to another interactive surgical quiz where we need your help crowd sourcing … More

2965: traumatic zonulopathy noted pre-op

2965: traumatic zonulopathy noted pre-op This case emphasizes the critical importance of a thorough preoperative evaluation. At the slit-lamp microscope, … More

2961: Aphakic for three months

2961: Aphakic for three months This case demonstrates a challenging scenario where a patient has been left aphakic for three … More

2950: Quiz: Why sudden miosis and AC shallowing?

2950: Quiz: Why sudden miosis and AC shallowing? It’s time for another CataractQuiz™, and this one features a critical teaching … More

2944: traumatic cataract with tough surprise

This complex traumatic cataract case begins with the challenge of posterior synechiae, which must be lysed to visualize the underlying … More

2940: Zonulopathy with subluxed cataract

This video features a challenging case of global zonulopathy where the lens stability is severely compromised. When zonular weakness is … More

2937: peeling a posterior capsule plaque

Peeling a posterior capsule plaque is a high-stakes maneuver that requires a delicate touch and steady nerves. These plaques are … More

2931: young registrar meets Argentinan flag

In this classic teaching moment, a registrar fails to decompress the capsular bag of an intumescent white cataract. Upon the … More

2929: problem with femto laser white cataract

In the management of an intumescent white cataract, some surgeons like to use the femtosecond laser to create a the … More

2924: surprise posterior capsule plaque

In this challenging case involving a dense brunescent nucleus, we are met with an unexpected hurdle after the lens material … More

2922: post-occlusion surge breaks the bag

When you are down to that final nuclear fragment, the risk of a posterior capsule rupture is at its peak … More

2901: Quiz: When did the capsular bag break?

95% of surgeons will miss this very subtle sign – will you be able to spot it? In this CataractQuiz™ … More

2900: missing CTR in nanophthalmic eye

Operating on a nanophthalmic eye with a 14 mm axial length is one of the most challenging scenarios in ophthalmic … More

2894: How do you save the capsule now?

Recovering from the Argentinian Flag Sign The Argentinian Flag Sign is a classic surgical challenge where high intra-lenticular pressure causes … More

2886: extensive zonulopathy from trauma

This is a very challenging case where the patient sustained severe trauma. In this title picture you can see at … More

2879: intra-capsular MSICS & scleral fixated IOL

In cases of severe phacodonesis, where zonular support is nearly non-existent, a standard extracapsular approach often risks complete lens dislocation. … More

2878: Eiffel tower phaco technique (no hydro)

The “Eiffel tower technique” is a synonym for the well-known Y-groove method of sculpting a nucleus i when avoiding hydrodissection, … More

2867: Don’t polish the capsule in posterior polar

Today we are looking at a classic posterior polar cataract and the risk we take when we attempt to polish … More

2866: trocar placement punctures the lens

We always aim for a perfect case, but as every seasoned surgeon knows, it’s not about the complication, rather it’s … More

2860: posterior polar with capsule defect

Posterior Polar with capsule defect seen on AS-OCT A posterior polar cataract is a known surgical landmine, but in this … More

2858: polishing the capsule and then it splits

Polishing the capsule and then it splits! Now what? It’s the moment every surgeon dreads: you’re polishing the posterior capsule … More

2852: subluxated cataract requires ICCE

There was a time many years ago (40+ years ago) where the standard procedure for cataract surgery was to perform … More

2849: lens coloboma with deformed capsule

Surgery for a congenital lens coloboma is challenging because the deformed capsular bag can lack focal, essential structural support. In … More

2845: white cataract after intra-vit injection

An intra-vitreal injection that accidentally punctures the posterior lens capsule often triggers an acute traumatic white cataract. This occurs because … More

2843: Quiz: Why is the epinucleus tough?

We are back with your favorite ophthalmology test, the CataractQuiz™ and this is a tough one with a great surgical … More

2838: difficult fibrotic capsule

In cases of dense white cataracts with fibrotic, leathery capsules, the standard continuous curvilinear capsulorhexis often fails because the tissue … More

2835: Extensive Lens Coloboma

Performing cataract surgery in the presence of a lens coloboma with 180° of zonular absence requires a careful approach to … More

2831: opening a collapsed bag for the IOL

Opening a collapsed, fibrosed capsular bag months after cataract extraction requires meticulous viscodissection and controlled fibrosis release. A dispersive viscoelastic … More

2830: Quiz: What is this line near the iris?

Time for another CataractQuiz, our series where we test your knowledge and skills by showing you a title pic and … More

2828: peeling a membrane from the capsule

Our guest surgeon has sent a few videos which we have featured over the past year and the key is … More

2822: How to suture Cionni rings to sclera

To fixate a Cionni Modified Capsular Tension Ring, we must anchor the eyelet to the sclera, typically 1.5 to 2.0 … More

2821: severe trauma eye reconstruction

Management of high-grade traumatic iridodialysis requires meticulous surgical intervention to mitigate the functional morbidity such as debilitating photophobia. Our goal … More

2807: phaco probe breaks the capsule

When a posterior capsule rupture (PCR) occurs, the surgeon’s immediate priority is stability. First, do not abruptly remove the phaco … More

2793: solar eclipse sign indicates zonulopathy

One of the most subtle yet important intraoperative clues to zonular weakness is the presence of a crescent-shaped, abnormally bright … More

2783: imaging shows severe zonulopathy

Severe zonulopathy with marked phacodonesis requires early mechanical stabilization of the capsular bag to permit safe cataract surgery. After creating … More