2452: What about the fibrotic capsule?

This patient presents with a long-standing white cataract and when you remove it there is a fibrotic plaque. It’s actually … More

2440: the probe just punctured the capsule

Looking at this title picture with that hole punch sign, we know that there are some serious challenges ahead. At … More

2433: anterior capsule tear small pupil case

Another tough case where the patient has a small pupil, a dense cataract, and incessant head moving during surgery. This … More

2432: fix zonular loss with CTS + Goretex

This is a tough case of a traumatic cataract with about half of the zonular support being compromised (6+ clock … More

2429: MSICS for PXF with zonular loss

This patient has severe pseudo-exfoliation and you can tell from the pre-operative photo that there will be extensive zonulopathy. The … More

2425: You just suffered the Argentinian Flag

When looking at this picture you can see the likeness of the Argentinian flag: blue-white-blue because the capsule which was … More

2415: traumatic cataract & fibrotic capsule

With trauma, you never know exactly what you are going to get. Look carefully at this photo and you can … More

2411: white cataract drops into vitreous

I travel frequently to give lectures all over the world and that meant more than 20 countries in 2024 alone. … More

2405: pars plana posterior capsulotomy

This patient has a dense posterior capsule opacity and also has a small pupil which does not dilate with maximal … More

2404: the probe just punctured the capsule

For experienced surgeons, complications involving the capsule happen more often during epi-nucleus and cortex removal than during nucleus removal. In … More

2390: Quiz: Where did the nucleus go?

This is a very interesting case where the surgeon tries to puncture the anterior lens capsule but it is very … More

2345: IOL scaffold for Morgagnian cataract

The idea behind the IOL scaffold technique is to use the large 6 mm optic of the IOL as a … More

2341: posterior capsule BSS power wash

We have all had cataract cases where some posterior capsule lens material remains adherent. We can try to aspirate it … More

2328: saving the capsular bag in ectopia lentis

This patient has ectopia lentis with severe subluxation of the crystalline lens. Our guest surgeon does a great job of … More

2327: Quiz: How do you proceed safely?

Time for another CataractQuiz™: This patient had an intra-vireal injection which inadvertently punctured the lens capsule near the equator. Now … More

2320: Phaco & GATT but the capsule breaks

This patient needs cataract surgery and also a glaucoma procedure (GATT) to help control the intra-ocular pressure. During the cataract … More

2310: fluid misdirection from zonulopathy

Compared to methods of manual cataract extraction, phacoemulsification offers so many benefits such as a smaller incision, a higher margin … More

2278: Iris scaffold and IOL scaffold

This is a very tough case where there is displacement of the cataractous lens due to severe zonulopathy. The three … More

2271: what to do when the nucleus drops

It is a complication that happens to 100% of cataract surgeons: a ruptured posterior capsule allows the lens nucleus (or … More

2255: zonular loss noted during phaco

You are performing phaco chop for this patient with a white cataract and as you start to remove a nuclear … More

2254: traumatic pediatric cataract

This young patient sustained penetrating ocular trauma which resulted in perforation of the cornea as well as the lens capsule. … More

2252: Omega Artificial Capsular Bag

You already realize the CataractCoach Podcast is your key to so much great insight and information about the future of … More

2235: Cataract Quiz: What are these lines?

This is a routine case and there is a nice incision, a great capsulorhexis, and the cataract was removed efficiently. … More

2231: catarata blanca-fibrosa

This patient has a dense white cataract but in addition there is fibrosis of the anterior capsule. You can see … More

2229: posterior capsulorhexis for a plaque

This patient has a dense white cataract and when it is removed there is a focal plaque on the posterior … More

2224: using 10 capsular/iris hooks!

This patient has severe pseudo-exfoliation with almost zero capsular support. When the surgeon attempts to start the capsulorhexis, the entire … More

2217: now you notice capsular wrinkles…

Sometimes with white cataracts, it can be difficult to notice subtle signs during the pre-operative exam and consultation. In this … More

2213: LAL haptic breaks the capsular bag

In this case, our guest surgeon performs a routine cataract surgery but then when he is implanting the LAL+ Light … More

2186: Best of Cataract Coach: Case 1

Case 1. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More

2181: white cataract horizontal chop

Our guest surgeon here is a resident who is doing a great job of horizontal chop in this white cataract. … More

2166: Argentinian flag: how to finish the case

We all are going to experience this complication if we operate on intumescent white cataracts enough: the anterior lens capsule … More

2164: intra-vitreal injection punctures lens

This complications happens more often that we may imagine: the patient receives an intra-vitreal injection for treatment of posterior segment … More

2160: How to save this run-out rhexis?

With an intumescent white cataract the risk of capsular run-out (and Argentinian flag sign) is high and all seasoned cataract … More

2158: How to fix this traumatic cataract?

You cannot fully undo trauma, especially when it comes to the eye and delicate ocular structures. This patient sustained ocular … More

2157: What is going on with that CTR?

Inserting a capsular tension ring (CTR) is not as simple as it sounds. This ring has a spring tension to … More

2139: is the posterior capsule ruptured?

Look carefully at the picture here and ask yourself: what happened and what is the next move? That defect looks … More

2135: do not over-inflate with OVD

What we call viscoelastics are now referred to as OVDs: ophthalmic viscosurgical devices, in some part because we can then … More

2133: surprise true capsular exfoliation

This is a very rare case that I have never encountered in my career: a true capsular exfoliation where there … More

2128: soft white cataract with PC rupture

This patient has a soft white cataract from prior trauma and now it is time for cataract surgery. Look carefully … More

2125: lens punctured during vitrectomy

This patient recently had a pars plana vitrectomy and there was an iatrogenic complication when the vitrector inadvertently punctured the … More

2122: Quiz: Why did the nucleus drop?

Watch this video carefully and we are going to crowd-source the likely reason why this nucleus drops into the vitreous … More

2115: Quiz: What happened with the CTR?

Look carefully at the title photo and let me know what you think is going on with the CTR? What … More

2112: severe anterior capsule phimosis

This patient has severe capsular phimosis which happens where there is weak zonular support and aggressive contraction and fibrosis of … More

2111: white cataract after ruptured globe

This patient sustained a penetrating corneal injury which was repaired surgically with two sutures. Fortunately, this corneal laceration is paracentral … More