Using a capsular tension ring for the first time requires a deliberate, unhurried approach and a clear understanding of zonular … More
Category: capsule issues
2755: split bag without a vitrector available
This patient has a posterior polar cataract and our guest surgeon is operating in an environment that does not have … More
2754: Monocular patient with a surprise
Our guest surgeon does a great job of managing surprise zonulopathy encountered during cataract surgery in this monocular patient. Discovering … More
2752: Quiz: Why is the IOL dropping?
Our anonymous surgeon thinks that the case is going beautifully but then with IOL insertion, the entire IOL starts dropping … More
2751: cleaning the bag and then it splits open
A highly experienced surgeon is more likely to experience a rupture of the posterior capsule during cortex removal rather than … More
2747: metallic foreign body induced cataract
Traumatic cataracts resulting from a penetrating injury, such as this case of a metal wire perforating the cornea and lens … More
2744: ensure a free capsulotomy with femto
Ensuring a complete anterior capsulotomy when using the femtosecond laser is critical for the safety and success of cataract surgery. … More
2740: recovering from Argentinian flag sign
This has happened to all of us! The Argentinian flag sign occurs when the anterior capsule tears peripherally during capsulorhexis … More
2723: light pipe illumination to clean the bag
In cataract surgery, optimal visualization of the posterior capsule is crucial for safe and effective polishing. The light pipe, traditionally … More
2719: traumatic cataract with zonular loss
This is a very tough case because of the prior trauma which has resulted in severe zonular loss and a … More
2716: IOL scaffold technique in PC rupture
The IOL scaffold technique is an effective intraoperative strategy in managing posterior capsule rupture during cataract surgery. When the posterior … More
2712: Quiz: What are these capsule wrinkles?
This is truly a challenging quiz and very few surgeons can look at this picture and correctly determine what will … More
2709: YAG laser in milky white cataracts
In cases of intumescent white cataracts, particularly those with high intra-lenticular pressure, using a Nd:YAG laser to perform an anterior … More
2706: get rid of that loose, old bag!
In cataract surgery with severe global zonulopathy and marked phacodonesis, complete removal of the capsular bag may be necessary to … More
2704: cataract after ruptured globe repair
Performing cataract surgery in an eye with a recent corneal laceration and a lacerated anterior lens capsule requires careful surgical … More
2691: This just happened. Now what?
Our anonymous surgeon notices a very clear red reflex in this quadrant during cataract surgery. What is happening in this … More
2683: Quiz: the nucleus dropped. now what?
100% of cataract surgeons will experience the complication of a ruptured posterior capsule and then having the nucleus drop into … More
2681: the capsule splits in posterior polar
In the two cases of posterior polar cataract shown here, the posterior capsule split occurs and the anterior hyaloid face … More
2678: aphakic with zonulopathy, now what?
This patient had cataract surgery about 2 months ago and when the original surgeon was removing the cataract, zonulopathy was … More
2671: cataract after penetrating ocular injury
In a patient presenting for cataract surgery one year after a penetrating injury with a metal wire through the limbus, … More
2669: Quiz: What does this sign mean?
You are about to start doing phaco chop for this white cataract and you notice that the capsulorhexis is no … More
2663: Quiz: How to fix this dislocated IOL?
In this CataractQuiz™ we have a patient who had cataract surgery elsewhere and now presents with a dislocated IOL and … More
2654: dense white cataract with a surprise
Approaching cataract surgery in a dense white cataract with a fibrotic anterior capsule presents significant challenges that require careful planning … More
2649: Quiz: When did the capsule split?
Another fun CataractQuiz™ with a challenge to figure out when the capsule split open. Looking at the title picture, you … More
2646: Quiz: Where did the capsule go?
Our guest surgeon Professor Ramesh Ayyala from University of South Florida in Tampa, USA shows us a very challenging case … More
2641: pediatric lensectomy in an infant
Performing a lensectomy in this 5-month-old infant with congenital cataracts requires meticulous planning and execution, as both the surgical technique … More
2634: Quiz: When did the capsule break?
Our last case was so popular that we are presenting the same challenge: can you determine, when did this capsule … More
2621: Quiz: When did the capsule break?
We all love the fun CataractQuiz™ cases and in this video we are also asking for a crowd-sourced answer to … More
2620: two very challenging cataract cases
Our guest surgeon is Professor Ramesh Ayyala and in this video he presents two tough cataract cases which were performed … More
2619: IOL exchange with an open capsule
We recently featured a video where I explained some patient situations where a multifocal IOL could be problematic. One of … More
2580: and just like that the capsule splits
We are preferentially looking for surgical complication videos (and we can feature them anonymously if desired) and today our guest … More
2577: the risks of a femtosecond laser
I am always happy to add new technologies to our surgery center and operating room because I like having more … More
2572: hereditary lens subluxation
When we see hereditary lens subluxation in a younger patient, we should think of systemic conditions which can be associated … More
2571: zonular loss noted in cortex removal
In this resident case, you can clearly see zonular loss during cortex removal but you could have also seen it … More
2562: cataract with global zonular laxity
What is the best way to perform cataract surgery when the patient has global zonular laxity? When all of the … More
2559: two cases of fixing zonular defects
Our guest surgeon has submitted two cases of fixing zonular defects during cataract surgery. In one case the zonulopathy appears … More
2552: The capsule just split. Now what?
This has happened to ALL of us cataract surgeons. And if it has not yet happened to you, that just … More
2534: fixing severe zonular loss
Our guest surgeon does a fantastic job with this very difficult cataract case. You can see in the title picture … More
2531: using the capsular tissue as a shield
CataractCoach™ is the world’s largest library of anterior segment surgical techniques where we cover cataract, glaucoma, cornea, and refractive surgery. … More
2529: Quiz: What does this sign predict?
CataractCoach™ fans just love the CataractQuiz™ series and today we have one that you MUST know. Look at the picture … More
2528: traumatic zonulopathy & mydriasis
Traumatic eye injuries can be very challenging because often we do not know the full extent of the damage until … More
2522: How should you remove this plaque?
This patient had a prior pars plana vitrectomy for posterior segment disease and now presents to you with a cataract … More
2501: Quiz: Where did the holes come from?
Time for another CataractQuiz™ to test your skills, knowledge, and power of observation. In this video, our anonymous guest surgeon … More
2499: this opacity is stuck to the capsule
I was performing a cataract surgery case recently and the patient had a central opacity stuck to the posterior capsule. … More
2494: The IOL is stuck in the incision
This is an unusual complication but still one that we have covered before. Four years ago with video 1126, we … More
2488: trying to remove cortex but then this
Looking at the title picture, we all feel a little pain. This happens to all surgeons at some point: we … More
2485: vitreous prolapse after YAG laser
Every surgery has some element of risk, no matter how small or easy the procedure happens to be. We will … More
2471: Learn the ominous Snap Sign!
Professor Ronald Yeoh from Singapore taught us all about the Snap Sign many years ago. The “snap” is when the … More
2468: the prior vitrectomy hit the capsule
This patient had 4 prior pars plana vitrectomies: the first was to treat a retinal detachment, then the patient re-detached … More
2466: CataractQuiz: Should you YAG this?
Look at this photo and you will see that the posterior capsule is very cloudy. The optic of the IOL … More