You will certainly encounter patients with Fuchs’ dystrophy where the corneal endothelial cell layer becomes compromised. With loss of endothelial … More
Category: complete cases
1171: pigment dispersion syndrome
Pigment dispersion syndrome is a condition where iris pigment is dispersed throughout the anterior segment of the eye via the … More
1169: surgery for a cataract surgeon
It is always a pleasure to do cataract surgery for a fellow cataract surgeon. This is the highest compliment that … 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
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
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
1138: my 100 year old cataract patient
This patient is 100 years old and she now has decided that she would like cataract surgery. Certainly we are … 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
1123: dense brunescent cataract chop
This video showcases the entire surgery which we are running at 2x speed so that it is just 5 minutes. … 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
1110: more chops for a dense nucleus
If the cataract nucleus is more dense, such as 3-4+ NS, performing more chops is beneficial to break up the … More
1108: Moderate Nuclear Density Chop
I am often asked why I just do the one chop in some of my cataract cases. Would it be … More
1100: Very soft PSC cataract technique
This patient is young, under age 40, and has been suffering from posterior subcapsular cataracts for more than 1 year. … More
1098: Quad Camera Angles in surgery
This video was sent to us from Dr Felipe Ribeiro and Dr Andre Berger from Brazil and it features the … More
1094: The Key to Phaco Flip & Chop
Flip and chop is a great phaco technique for a lens nucleus of moderate density. In a very safe and … More
1093: Audience Poll: Pupil Ring or Not?
This is the maximum pharmacologic dilation of about 4mm and the patient is noted to be taking tamsulosin (Flomax) for … More
1087: how to perfect your case
In this complete cataract case, we are going to slow it down a bit and show you the subtleties that … More
1081: if you need iris hooks, use them
Our guest surgeon shows us a case that really benefits from using iris hooks. This video goes into the details … More
1054: complete case: why we chop
You know that I’m a big fan of the phaco chop technique for nucleus disassembly during cataract surgery because it … More
1050: complete case: Toric EDOF IOL
This patient is a young man, in his 40s, with a history of cataract development over the last few years. … More
1047: Complete Cataract Case & Quiz
You start to perform the capsulorhexis and then you notice these wrinkles of the anterior lens capsule. How should you … More
1039: complete case: surgeon control
This is a complete cataract case, shown from start to finish, with me as the surgeon. While many of the … More
1028: Keys to Cataract Surgery Efficiency
If you have performed fewer than 10,000 cataract surgeries, you are still in the part of the learning curve where … More
1019: from one chop to the next
This complete cataract case shows how we move from the first chop to the next in order to efficiently break … More
1018: the many uses of the chopper
The phaco chopper instrument does more than just chop the nucleus. We use it to pull nuclear pieces out of … More
1017: complete case with dense endo-nucleus
This complete cataract cases features a younger patient who developed bilateral cataracts with a dense endo-nucleus. We also implant a … More
1016: flip and chop in high myopia
This is a patient with a large degree of myopia and a relatively dense cataract. And it is a good … More
1015: phaco flip + chop in pseudo-exfoliation
This complete cataract case features an elderly patient with a dense cataract and pseudo-exfoliation. We use the flip and chop … More
1014: Cataract after prior vitrectomy
This week we are doing complete cataract cases where we will show an entire surgery from start to finish and … More
highly myopic cataract surgery
These are some of the most rewarding cataract surgeries to perform since we can correct the cataract as well as … More
considerations for monocular patients
Monocular patients present a special situation that can differ from a routine case in a patient with two eyes. We … More
Routine Cataract Case for Myopic Patient
Complete Cataract Case: the entire surgery is shown from start to finish, but don’t fret, it is still just a … More
complete cataract case: optimize steps
Most of us will have the opportunity to perform thousands of cataract surgeries (often tens of thousands) during the course … More
complete case: chop nucleus in the bag
One of my favorite types of videos to watch is the Complete Cataract Case. I enjoy seeing a surgery from … More
Benchmark: Skills after 1000 surgeries
Our guest surgeon today is Érico Jun Oda MD from Brazil and he is showing us a routine cataract case. … More
You don’t always need rings or iris hooks
For a case like this, there is no need for a pupil expansion ring or iris hooks. These devices can … More
Complete Case: Pseudo-Exfoliation
Time for a complete cataract case, shown from start to finish. This patient has significant pseudo-exfoliation syndrome with all of … More
Patient moving during cataract surgery
Many patients ask us what will happen if they move during cataract surgery. What if they need to sneeze or … More
PanOptix IOL in a Highly Myopic Patient
most extreme PanOptix IOL power for extreme myopia
Playlist: Complete Cataract Cases
There is so much to be learned by watching a complete surgery, from start to finish. These complete cataract cases … More
Complete Case: Propagate the Chop
Another video in our Complete Cataract Case series where we show you an entire surgery from start to finish. This … More
Cataract Surgery for a Cataract Surgeon
cataract surgeon for a cataract surgeon
Finishing this case will be difficult
The reason why ophthalmologists need to perform at least 1,000 cataract surgeries until they are sufficiently up the learning curve, … More
Cataract Quiz: What should you do?
What are these dark spots seen in the red reflex as you are about to start cataract surgery? What do … More
complete case: phaco chop in myope
Complete Cataract Cases are videos where we show the entire surgery, from the first incision (usually the paracentesis in my … More
Complete Cataract Case: Routine Surgery
While it is fun to watch a video of a cataract surgery that involves complicated maneuvers and difficult challenges, this … More
Complete Cataract Case: No pupil ring!
Another video in our series of complete cataract cases, where the entire surgery from start to finish is presented. There … More
complete cataract case: great red reflex
We all love a great red reflex during cataract surgery because it makes is much easier to see details such … More
Complete Case: Retained Viscoelastic
Retained viscoelastic after cataract surgery is the most common reason why there is an elevation of the intra-ocular pressure (IOP) … More
great learning resident cataract case
If you are in an ophthalmology residency program in the northern hemisphere, particularly in the USA, then you know that … More
complete cataract case: phaco flip
The key to the phaco flip technique is using the fluid wave from hydro-dissection to gently prolapse part of the … More
Complete Case: Pressurized Cataract
This is an interesting case of a young patient, in his mid 40s, who sustained ocular trauma and developed a … More
Critiquing my old cataract surgery video
I was digging through some old computer files and I came across an old video that I made in 2006. … More
Complete Cataract Case: a very special case
This is a complete cataract case, shown from the making of the first incision to the sealing of the incision. … More
Complete Case: Cortical Cataract
With a cortical cataract, patients are very symptomatic, particularly if the cortical opacities are within the visual axis. These tend … More
Complete Case: a very special patient
As a surgeon, it is always an honor when a colleague trusts you to operate on his eyes or on … More
Complete Case: loose zonular support
Another great video in our series of Complete Cataract Cases: a dense cataract in the setting of loose zonular support. … More
Complete Case: vertical phaco chop
Another complete cataract case, this time showing the vertical chop technique to split the cataract into two halves. This is … More
Complete Case: Efficient Phaco Chop
Another great video in our series of Complete Cataract Cases. You’ll be able to learn from the very first incision … More
Complete Case: Floppy Iris & Loose Zonules
There is a benefit to watching a video of a complete cataract case, from start to finish. This is particularly … More
Complete Case: PXF supra-capsular chop
The previous case (reference 611) from yesterday, showed the first eye of this patient where the technique was phaco chop … More
Complete Case: PXF chop in the bag
Today (video 611) and tomorrow (video 616) are the two eyes of the same patient who has pseudo-exfoliation syndrome and … More
Show me a beautiful cataract surgery
Here on CataractCoach.com we have hundreds of teaching videos, and many of them are of very complex or complicated cases … More
Benchmark: Senior Resident Chop
This is a good benchmark for what a senior resident should be able to achieve by the end of residency … More
Seems like a good chop but…
Another video for our series of Complete Cataract Cases, we present a surgery of me operating. During this surgery, I … More
Complete Case: Soft Cortical Cataract
Another addition to our series on Complete Cataract Cases is this technique for soft cortical cataracts. These cataracts are typically … More
Complete Case: Cataract in a Small Eye
Looking at this picture, we can see that the corneal diameter is very small compared to the size of the … More
Manual SICS with nucleus bisection
SICS is small incision cataract surgery, and it refers to a method of manual expression of the nucleus through a … More
Complete Case: Chop in the Bag
Again we have a complete case, from start to finish, showing a routine cataract surgery with a phaco chop technique. … More
Complete Case: Flomax & Toric IOL
Many of our CataractCoach.com readers have been asking for complete cases, shown from start to finish. There is a lot … More
Complete Case: Brunescent & White Cataract
This patient truly needs our help. She developed a cataract in the right eye a few years ago and was … More
Review: Side View of Hand Position
While we do hold the phaco probe with a pencil grip, we do not use the same angle as writing with … More
Complete Case: Dense PSC & Shallow AC
This is a complete case, shown from start to finish. For many of our CataractCoach viewers, particularly the surgeons with … More
Mastering Divide-and-Conquer Phaco
Back by popular demand! Most beginning surgeons start by learning divide-and-conquer as the primary method of nucleus division for cataract … More
Cataract Surgery in a 100-year-old patient
We should all be so lucky to live to 100 years old. It’s quite a rarity and it is something … More
Phaco Chop in the bag with smaller pupils
In many of the prior videos related to smaller pupils, I have emphasized the technique of bringing the nucleus partially … More
Phaco Flip & Chop is great for Beverly Hills Cataracts
Often, the density of the nucleus and the severity of the cataract relates to the patient’s access to healthcare. In … More
SupraCapsular Technique for Softer Nuclei
For a relatively soft nucleus, such as in a younger patient with primarily posterior subcapsular cataract changes, the supracapsular technique … More
Tilt and Tumble Phaco Technique
The Tilt and Tumble phaco technique is a very efficient and safe method of nucleus removal. First described many years … More
Flip and Chop Phaco is Ideal for Routine Cases
The flip and chop phaco technique has been presented here before on many occasions because it is such an efficient … More
Horizontal Phaco Chop for Efficient Cataract Surgery
The original phaco chop technique described by Dr. Nagahara in 1995 was the horizontal chop. This involves holding the lens … More
Flip and Chop for Highly Efficient Cataract Surgery
Phaco flip is an efficient procedure since the initial hydro-dissection brings the nucleus out of the capsular bag. If we … More
Four Quadrant Chop & Conquer Technique
Many ophthalmologists in training start out by learning the four quadrant divide-and-conquer technique, which has a long history of being … More
Routine Phaco Chop Cataract Surgery
Continuing with our series about routine cataract cases, today we present a routine phaco chop surgery. The cataract is chopped … More
Flip and Chop early in the Learning Curve
Phaco Chop is my preferred technique of nucleus removal during cataract surgery because it is safe, efficient, and uses much … More
Divide-and-Conquer Technique
To facilitate removal of the cataract nucleus with the phaco probe, it is helpful to divide it into quadrants or … More
Stop-and-Chop Technique for Cataract Surgery
The Stop-and-Chop technique for nucleus removal during cataract surgery blends aspects of the Divide-and-Conquer method with some Phaco Chop. Some … More