When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More
Category: capsulorhexis
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
2800: Quiz: You think this is good, but it’s not
Let’s start the new year with a quiz. Look carefully at the title photo and tell me what the issue … 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
2416: secrets to a great capsulorhexis
This video is also part of our new Secrets series where we teach the secrets to success in so many different situations. … More
2401: capsulorhexis extension? MSICS now?
This is a remarkable case for two reasons: (1) there is the complication of capsulorhexis tear out in this white … More
2384: aspiration probe for the capsulorhexis
In this video, our guest surgeon uses the 23g aspiration probe to hold the anterior lens capsule and then create … More
2382: Quiz: Why didn’t the rhexis work?
Time for another CataractQuiz: Watch this case carefully and let me know why the capsulorhexis did not work in this … More
2377: intumescent white cataract options
In this review video we discuss the various options for dealing with intumescent white cataracts an in particular with the … More
2371: resident spiral out capsulorhexis
Performing a spiral out capsulorhexis is a good way to approach a white cataract where the risk of capsular run-out … More
2348: Why didn’t the double rhexis work?
We have often covered the topic of intumescent white cataracts and creating a stable capsulorhexis without run-out or the dreaded … More
2334: double capsulorhexis technique
Seeing a patient with a white cataract undergoing cataract surgery brings me back to early memories of medical school. I … More
2311: white cataract capsulorhexis options
One of our favorite topics on CataractCoach is the white cataract and we know that the challenge in these cases … More
2277: Quiz: Why is the rhexis edge moving?
Time for another CataractQuiz (if you like these CataractQuiz videos, we have an entire sub-category of them available here). This … More
2262: Zepto-Link for a precise capsulotomy
The Zepto-Link device integrates seamlessly with your phaco machine to deliver the ability to create a very precise, consistent, and … More
2240: Blanco-puncture for white cataracts
Yesterday’s outstanding CataractCoach Podcast featured Dr Juan Batlle who explained the Blanco-Puncture technique that he learned from Argentinian surgeon Dr … 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
2219: it’s ok to cut the capsule with scissors
This is a challenging case of a white cataract where the capsulorhexis has a tendency to run out. Our guest … 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
2182: white cataract double rhexis
The double rhexis technique means that we first perform a smaller capsulorhexis in order to safely decompress the capsular bag … 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
2174: double rhexis white MSICS case
We have already covered the topic of the Double Capsulorhexis Technique to prevent the Argentinian Flag Sign in cataract surgery … 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
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