Our guest surgeon uses the bimanual irrigation/aspiration instruments to perform the capsulorhexis in an intumescent white cataract. The anterior capsule … More
Category: capsulorhexis
2098: is anterior polar cataract different?
We have many videos about posterior polar cataracts because those are very prone to complications unless specialized techniques are used … More
2097: I like this baby capsulorhexis, why?
Now you must be thinking, “Wait a minute, Cataract Coach, you always tell us not to make a baby rhexis, … More
2088: Quiz: Why is this capsule thick and elastic?
This is a different type of CataractQuiz because I am asking you for your help in solving this mystery. Our … More
2076: run-out rhexis leads to challenges
One of our favorite topics on CataractCoach is the intumescent white cataract. One of the primary difficulties in these cases … More
2046: posterior capsulorhexis runs out
In this case presented here, the patient is quadriplegic and will have great difficulty sitting for a future YAG laser … More
2034: posterior polar with posterior rhexis
Posterior polar cataract cases are always challenging because we know that the site of the polar opacity is weak with … More
2030: centered capsulorhexis uneven dilation
Even if the pupil dilation is asymmetric, the capsulorhexis should be centered. This can be tricky if your normal routine … More
2016: ZeptoLink precision pulse capsulotomy
This patient is very myopic with a long axial length and a large anterior segment. The corneal diameter is about … More
2009: ZeptoLink integrates automated capsulotomy
This is a tough case with a fibrotic anterior lens capsule in a patient who already had capsular complications (and … More
1991: zonular weakness during capsulorhexis
Look at the photo here and you just know that the zonular support is globally weak. There are radial wrinkles … More
1975: tricky capsulorhexis and phaco chop
White cataracts are tricky, particularly when it is an intumescent white cataract where there is breakdown of lens material causing … More
1964: femto laser fails to open capsule
Even though our equipment is very reliable (and very expensive), no device is absolutely infallible. And in this case the … More
1943: another capsulorhexis runs out
This is a case of MSICS, which is important to learn even if you feel that you can “phaco anything” … More
1942: this capsulorhexis is going to run out
In most cases of intumescent white cataracts, we can substantially lower the risk of capsular run-out (the Argentinian flag sign) … More
1914: What if lens decompression yields nothing?
Many videos have been featured here on CataractCoach to explain how to avoid the dreaded Argentinian Flag sign with white … More
1902: intumescent white cataract decompression
We receive 5 to 10 video submissions every day from our CataractCoach fans and I am thankful for that (here … More
1887: the challenge of the baby rhexis
You have heard me say it before, “don’t make a baby rhexis!” because for a novice surgeon, a small capsulorhexis … More
1830: trust yourself but question computers
I recently performed a cataract surgery case using a heads-up electronic display where the computer would overlay a precise circle … More
1824: two jerky pulls to save the capsulorhexis
We have previously covered the Little Technique to pull backwards to help save a run-out capsulorhexis. This Two Jerky Pulls … More
1786: rescuing Argentinian flag sign
What do you do when the anterior capsule tear suddenly extends out to the lens equator? This is the dreaded … More
1785: centrally attached zonular fibers
This is an usual case where there are zonular fibers which are centrally attached onto the anterior lens capsule, so … More
1782: resident week: cystotome rhexis
The simple bent needle, also called a cystotome (or cystitome for the alternate spelling) can be used to create the … More
1765: keep the capsulorhexis centered
In this complete cataract case the pupil has dilated in an asymmetric manner. There is no history of trauma and … More
1764: larger capsulorhexis for larger pupil
This patient has a large anterior segment where the white-to-white diameter is almost 13 mm. He also has a large … More
1755: intumescent cataract double rhexis
Our guest surgeon does a beautiful job with this intumescent white cataract. Because the cortex has liquefied, the capsular bag … More
1715: capsulorhexis right up against iris
For a case like this where the pupil is mid-dilated to about 5 mm in diameter, be sure to make … More
1712: fibrotic anterior capsule will not tear
This patient sustained ocular trauma which resulted in a white cataract as well as fibrosis of the anterior lens capsule. … More
1710: this radialized capsulorhexis is stuck
This resident is just hitting his/her stride and has done more than 100 cataract surgeries at this point. This started … More
1709: save this run out capsulorhexis
This guest surgeon does a great job of managing this run out capsulorhexis. It extends all the way to the … More
1687: ensuring capsular overlap of optic
In cataract surgery we are taking out a 4 to 5 mm thick human crystalline lens and replacing it with … More
1655: massaging the intumescent lens
The liquefied lens cortex in an intumescent white cataract creates increased pressure within the capsular bag and this can lead … More
1654: this capsulorhexis will radialize
Looking at this picture, the capsulorhexis appears to be proceeding well. It is round and intact and the resident is … More
1653: two cataract surgeons walk into…
It is truly an honor to perform cataract surgery on the eyes of fellow ophthalmologists and I have been blessed … More
1648: cystotome needle decompression
This resident surgeon does a great job on this white cataract case where he performs needle decompression of the intumescent … More
1639: intumescent & pressurized cataract
Increasing lens thickness indicates danger in cataract surgery because liquefied lens cortex can pressurize the capsular bag, increasing the risk … More
1636: capsulorhexis challenges
This video features some challenges that I faced during capsulorhexis creation in seemingly routine cataract cases. Yes, even experts with … More
1609: Curriculum Lesson 7: Capsulorhexis
The capsulorhexis. One of my favorite parts of cataract surgery and one of the hardest steps to learn. When you … More
1579: phaco through small capsulorhexis
The double capsulorhexis technique is very useful for intumescent white cataracts because it allows us to safely decompress the capsular … More
1562: capsulorhexis considerations
As a beginning surgeon, the capsulorhexis is one of the hardest steps of cataract surgery to learn. The anterior capsule … More
1535: resident capsulorhexis rescue
Learning the capsulorhexis is one of the toughest steps of cataract surgery. In this case, a resident surgeon encounters a … More
1523: Zepto for intumescent cataracts
We have seen the videos before where the Argentinian Flag sign develops instantly as the anterior lens capsule splits uncontrollably. … More
1521: when the anterior capsule wrinkles…
Wrinkling of the anterior capsule during the performance of the capsulorhexis can be concerning because it indicates that zonular support … More
1515: expert management of DWC
DWC stands for dense white cataract and in this case, that is exactly what we have. In addition, the anterior … More
1513: white cataract with fibrotic capsule
Our expert surgeon today shows us an approach to a white cataract with a fibrotic anterior lens capsule. This will … More
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
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