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Cataract Coach

Cataract Coach

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2022 Uday Devgan

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Category: capsulorhexis

1465: MSICS: bailout for rhexis runout

MSICS can be a great way to rescue a very difficult case. We recently presented a video of a master … More

capsulorhexis, MSICS

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

capsulorhexis, cataract surgery

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

capsulorhexis, cataract surgery

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

capsulorhexis

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

argentinian flag, white cataract

1420: cystotome capsulorhexis

Beginning residents are amazed when they see that a complete capsulorhexis can be completed with just a cystotome. Using just … More

capsulorhexis, cystotome

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

capsulorhexis, zepto

1416: capsulorhexis enlargement

There are times when we want to make a small initial capsulorhexis and then enlarge it later to a more … More

double rhexis, enlarge capsulorhexis

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

needle decompression, white cataracts

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

capsulorhexis, white cataract

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

capsulorhexis

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

posterior capsulorhexis

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

capsulorhexis

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

capsulorhexis

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

capsular tear, capsulorhexis, white cataract

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

capsulorhexis, cortical cataract

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

capsulorhexis, cortical cataract

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

capsulorhexis, femto laser

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

capsulorhexis

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

double rhexis, white cataract

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