MSICS can be a great way to rescue a very difficult case. We recently presented a video of a master … More
Category: capsulorhexis
1457: small capsulorhexis leads to trouble
This is another case where the capsulorhexis is about 4 mm in diameter and this causes a complication where the … More
1456: operating through a small rhexis
Keep in mind the dimensions of the typical cataractous lens: about 9-10 mm in diameter and then about 4-5 mm … 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
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
1420: cystotome capsulorhexis
Beginning residents are amazed when they see that a complete capsulorhexis can be completed with just a cystotome. Using just … More
1418: advantages of Zepto capsulotomy
There are many ways of performing the steps of cataract surgery. We can do the capsulorhexis / capsulotomy with a … More
1416: capsulorhexis enlargement
There are times when we want to make a small initial capsulorhexis and then enlarge it later to a more … More
1415: white cataract needle decompression
For intumescent white cataracts, it can be helpful to decompress the capsular bag using a needle and aspiration/suction from a … More
1414: white cataract, small capsulorhexis
A small capsulorhexis can pose a big challenge during cataract surgery. Keep in mind that a typical human cataractous crystalline … More
1400: handling the run-out capsulorhexis
The capsulorhexis has a tendency to run-out if the anterior lens capsule is insufficiently flattened, if there is any posterior … More
1389: posterior capsulorhexis optic capture
Our guest surgeon performs cataract surgery for this 5 year old child with galactosemia and he uses pearls learned from … More
1387: Zepto Precision Pulse Capsulotomy
The Zepto device uses a brief pulse of electricity to instantly create a precision capsulotomy in the anterior lens capsule. … More
1362: keratome to start the capsulorhexis
Our guest surgeon has an interesting technique where he uses the keratome to start the capsulorhexis. This saves a step … More
1345: capsulorhexis split – now what?
This patient has a white cataract and this resident is able to perform a successful capsulorhexis after staining with trypan … More
1340: plan your rhexis to avoid opacities
Yesterday’s video (#1339) showed how to move cortical opacities from the path of the capsulorhexis by pushing the liquefied lens … More
1339: you can move cortical spokes
Cortical lens opacities tend to block the red reflex which can make capsulorhexis creation more difficult. Since these cortical spokes … More
1322: femtosecond laser or forceps?
Look carefully at this title photo and tell me which eye had a capsulorhexis with forceps and which eye had … More
1310: why the capsulorhexis matters
The capsulorhexis is a critical step of cataract surgery for two main reasons: it creates a stable and strong opening … More
1303: white cataract double capsulorhexis
This video shows the use of 23g or 25g forceps to create the capsulorhexis via the paracentesis incision. This allows … More