This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced … More
Category: Cataract Surgery Techniques
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
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
1193: learning vertical chop phaco
Our guest surgeon today shows us a very nice vertical chop technique. This works well if the nucleus has a … More
1191: resident performs stop-and-chop
This video is about the 200th cataract surgery case being performed by this senior resident. The stop-and-chop technique is being … More
1190: guide for learning stop-and-chop
Not every ophthalmologist becomes proficient with phaco chop during residency training and that is acceptable since it can be learned … More
1187: don’t place the probe in the center
To achieve the best combo chop, you want to have a sufficient distance between the phaco probe and the chopper … 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
1179: how to properly insert an AC IOL
One day you will certainly need to know how to insert an AC IOL. Note that these types of IOLs … 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
1166: learn the phaco flip technique
In our Complete Cataract Case series, we present the technique of phaco flip. This is a great technique for a … More
1165: routine pseudo-exfoliation case
From our Complete Cataract Case series, this is a video of a patient with pseudo-exfoliation syndrome which can make the … More
1164: routine phaco chop complete case
From our Complete Cataract Case series, this is a video of a routine phaco chop case. It is not cherry … More
1159: Pre-Chopper Technique
The pre-chopper is an instrument that can be used to split a cataract prior to inserting the phaco probe. It … More
1154: posterior assisted levitation PAL
In this case the posterior capsule ruptures during hydro-dissection. With a wide open posterior capsule, the nucleus starts to descend … More
1137: too soft to chop, so tumble it
If you know a variety of different phaco techniques, it is easy to switch gears and shift to something that … More
1136: Refractive Lens Exchange Surgery
For high degrees of hyperopia in presbyopic patients, the best surgical solution is refractive lens exchange. For a younger patient, … More
1124: Pearls for learning MSICS
It may surprise you to know that many young ophthalmologists in the USA do not have experience performing MSICS. In … More
1115: no need to hook the lens equator
The original technique of phaco chop involved placing the chopper under the capsulorhexis edge and then around the lens equator. … More
1114: success with young cataract patients
When we are operating on a younger cataract patients, the stakes are higher and the surgery must last the patient … More