Our expert surgeon today shows us an approach to a white cataract with a fibrotic anterior lens capsule. This will … More
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
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
1294: capsulorhexis in a 5 year old child
The lens capsule changes in elasticity over our lives: it is far more elastic in youth than it is in … More
1268: posterior capsulorhexis behind IOL
We have shown previous cases of posterior capsulorhexis here and here and in both this was performed prior to IOL … More
1258: OSN NY managing capsular issues
This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More
1255: does rhexis morphology matter?
Does the shape of the capsulorhexis matter? We are accustomed to making a 5 to 5.5 diameter capsulorhexis that is … More
1240: resident double rhexis technique
For a white cataract, particularly a pressurized and intumescent white cataract, the double capsulorhexis technique is very helpful to avoid … More
1237: leave your signature on every case
Taking pride in your work is critical for success. You need to put the effort to do a beautiful job … More
1226: primary posterior capsulorhexis
There are some cases where it is preferable to make a primary posterior capsulorhexis at the time of cataract surgery … More
1222: traumatic cataract capsule fibrosis
Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and … More
1220: white cataract phaco puncture
This is a resident case of an intumescent white cataract. We have covered this topic many times and the theme … More
1205: how to perfect your capsulorhexis
The capsulorhexis is crucial in cataract surgery because it gives capsular integrity during nucleus and cortex removal and also provides … More
1198: run-out rhexis leads to vitreous
The capsulorhexis is a very important part of the cataract surgery because it ensures compartmentalization of the eye during phacoemulsification … More
1186: Capsulorhexis danger zones
When I participate in a meeting, I always learn much more than I teach. I recently gave a graduation lecture … More
1173: phaco aspiration of lens milk
Intumescent white cataracts can pose a problem with capsulorhexis creation. This is because the cortex has liquefied and pressurized the … More
1172: anterior capsular tear in phaco
The lens capsular bag is fragile and very thin, with an anterior measurement of about 14 microns and a posterior … More
1158: adjusting the red reflex
The two primary illumination sources on your microscope are coaxial and paraxial. We have previously explained the differences in the … More
1149: posterior capsulorhexis technique
There are times when it is helpful to perform a posterior capsulorhexis. This is a tricky maneuver because it opens … More
1143: why such a tiny capsulorhexis?
This is the double capsulorhexis technique which is a great choice for intumescent white cataracts. In these types of cases, … More
1142: the ophthalmologist’s wife
This is a complete cataract case, shown start to finish, of a white cataract surgery performed for a patient who … More
1132: Playlist: white cataract capsulorhexis
Performing a successful capsulorhexis is one of the biggest challenges in eyes with white cataracts, particularly intumescent white cataracts. This … More
1122: Remote Capsulorhexis Training
Prof. John Ferris has started a novel program of remotely teaching young surgeons to improve their surgical skills. This can … More
1120: make sure the IOL is centered
We want the IOL optic and the capsulorhexis to both be centered. This is especially important for multifocal IOLs and … More
1057: Resident Double Capsulorhexis
The idea behind the double capsulorhexis is to avoid the capsule run-out (Argentinian Flag Sign) for intumescent white cataracts that … More
1052: Spiral Out Capsulorhexis
Our video features a young and talented surgeon, Dr Priyanka Pantola from Kanpur, UP, India and she is showing us … More
1046: fixing anterior capsule fibrosis
Our usual way of dealing with fibrosis of the anterior lens capsule is to use a sharp instrument such as … More
1040: White Cataract Double Rhexis
Our guest surgeon is Dr. Manbir Singh from India and he is showing us a dense white cataract case with … More
1009: Cutting a Fibrotic Lens Capsule
In some white cataracts, the lens capsule can become fibrotic as the lens cortex becomes absorbed and the capsule contracts. … More
1004: Preventing Capsular Rip in white cataracts
This 30 year old patient has a tough situation: bilateral white cataracts with high pressure within the capsular bag. There … More
white cataract needle decompression
This patient is a good candidate for needle decompression because the intumescent cataract has a distinct fluid layer and we … More
Recovering from an anterior capsule rip
We have extensively covered the topic of white cataracts here on CataractCoach and we have an entire subcategory devoted to … More