3104: the capsulorhexis ran all the way out

3104: the capsulorhexis ran all the way out When the capsulorhexis runs out toward the equator, immediate salvage maneuvers can … More

3089: white cataract capsulorhexis x 10

3089: white cataract capsulorhexis x 10 One of these 10 cases ends up in a run-out capsulorhexis – see if … More

3088: a dense nucleus requires a larger rhexis

3088: a dense nucleus requires a larger rhexis A dense nuclear cataract case demands an adequately sized anterior capsulorhexis, measuring … More

3076: Can we insert a CTR at this point?

3076: Can we insert a CTR at this point? Inserting a capsular tension ring (CTR) into a capsular bag with … More

3074: the capsulorhexis ran out – let’s recover now

3074: the capsulorhexis ran out – let’s recover now The Argentinian flag sign is a notorious intraoperative challenge, and because … More

3070: Managing Phacolytic Glaucoma

3070: Managing Phacolytic Glaucoma Managing phacolytic glaucoma requires careful control of intraocular pressure and high intralenticular tension within a hypermature, … More

3063: review of the capsulorhexis rescue

3063: review of the capsulorhexis rescue Mastering the Little capsulorhexis rescue maneuver is an absolute necessity for every cataract surgeon … More

3057: MSICS requires a larger capsulorhexis

3057: MSICS requires a larger capsulorhexis A standard 4.5 to 5.0 mm capsulorhexis is good for overlap of the IOL … More

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

3038: You usually don’t need trypan blue dye

3038: You usually don’t need trypan blue dye While trypan blue is a staple tool in modern phacoemulsification, reaching for … 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

2986: how to save a run-out capsulorhexis

2986: how to save a run-out capsulorhexis It’s July and the beginning of the academic year for residents who are … More

2968: Challenging Capsulorhexis white double rhexis

2968: Challenging Capsulorhexis white double rhexis A double rhexis technique is a vital safety maneuver when managing a tense white … More

2943: Quiz: Which way to pull the rhexis?

To perform the Little rescue technique for a run-out capsulorhexis, the surgeon must first flatten the anterior chamber by removing … 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

2905: dissecting a lens fibrotic membrane

When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More

2899: keep the capsulorhexis & IOL centered

In patients taking selective alpha-1a adrenergic antagonists for benign prostatic hyperplasia (BPH), the iris becomes increasingly unstable, a condition known … 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

2857: another thick fibrotic lens capsule

Cutting Through the Resistance: Micro-Scissors Rhexis When the anterior capsule is so heavily fibrotic or calcified that it behaves more … More

2856: capsulorhexis with fibrotic lens capsule

The Fibrotic Challenge: Vitrectorhexis When you encounter a calcified or heavily fibrotic anterior capsule, your standard Utrata forceps will likely … More

2839: congenital cataract in 2 month old baby

Performing cataract surgery in a 2-month-old infant requires a specialized approach due to the high elasticity of the pediatric capsule … 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

2766: Hey Uday, why the baby rhexis?!?!

One of the most common sayings here on CataractCoach.com is, “Don’t make a baby rhexis!” because a small capsulorhexis will … 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

2741: Blanco Puncion en Catarata Blanca

Wowza, Cataract Coach is speaking a little Spanish! The Blanco Punción technique, developed by Dr. Ariel Blanco, is used to … More

2726: Quiz: what is happening to the rhexis?

Time for another CataractQuiz™ — look carefully at this photo and ask yourself what is happening to the capsulorhexis? Why … More

2721: resident case with prior lens puncture

The key to this case is making your capsulorhexis the normal size in 3 quadrants but then enlarging it to … 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

2705: here is how to fix the capsulorhexis

What should you do if you make a capsulorhexis and it ends up too small and not centered? You enlarge … More

2695: re-thinking intumescent white cataracts

On yesterday’s CataractCoach Podcast (the top podcast in all of ophthalmology!) we discussed applying engineering principles to challenging cataract surgery … More

2636: mini-rhexis with phaco handpiece

This video showcases an advanced technique (not for beginners) to perform a capsulorhexis in eyes with white cataracts. The technique … More

2633: Little Capsulorhexis Rescue Technique

This technique is absolutely critical and it is something that every cataract surgeon must master. It allows us to rescue … More

2632: AC infusion & needle decompression

We have featured many videos about how to safely perform a capsulorhexis for an intumescent white cataract. In this technique … 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

2576: two incision push pull rhexis

On yesterday’s CataractCoach podcast we featured renowned pediatric ophthalmologist Professor Ken Nischal MD who has pioneered surgical techniques for cataract … More

2566: spiral out capsulorhexis technique

We love white cataracts because it is a true miracle of modern medicine where we can take truly blind people … More

2538: is a laser needed for capsulorhexis?

Our guest surgeon is using the Capsulaser device to create an opening in the anterior capsule for cataract surgery. We … More

2530: the capsulorhexis runs out

Our guest surgeon does a great job with this tough case where we encounter a common issue: a radialized capsulorhexis. … 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

2513: When you encounter vitreous…

When you encounter vitreous during cataract surgery there are some very important guidelines that you should keep in mind to … More

2507: two pearls for a great capsulorhexis

I used to think that the fewer grabs of the capsulorhexis, the better and I took pride in performing a … More

2495: the capsulorhexis is running out!

You have once chance to save this: which way do you pull it now? Look at the arrows on the … More

2469: cataract after intra-vitreal injection

With tens of millions of intra-vitreal injections being performed worldwide, a seemingly rare complication like capsule rupture happens to many … More