This surgical case highlights the management of a patient with cataract and significant granular corneal dystrophy. Surgeons often worry that … More
Category: complete cases
2899: keep the capsulorhexis & IOL centered
In patients taking selective alpha-1a adrenergic antagonists for benign prostatic hyperplasia (BPH), the iris becomes increasingly unstable, a condition known … More
2891: why temporary hyperopia happens in RK
Temporary post-op hyperopia after cataract surgery in Radial Keratotomy eyes Performing cataract surgery on a patient with a history of … More
2829: supra-capsular phaco for high myopia
This is a complete cataract case shown start to finish with me operating. You can see all of these cases … More
2794: how to make a scleral tunnel incision
Clear corneal incisions have become the default entry point for routine phacoemulsification due to their simplicity, rapid healing and low … More
2780: VIP patient with PXF and IFIS
In this case I need to perform cataract surgery in a VIP patient with a 4 mm pupil, blue iris, … More
2772: nanophthalmic eye with astigmatism
This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to … More
2766: Hey Uday, why the baby rhexis?!?!
One of the most common sayings here on CataractCoach.com is, “Don’t make a baby rhexis!” because a small capsulorhexis will … More
2724: safely manage a shallow capsular bag
Managing a shallow capsular bag during cataract surgery requires delicate technique and strategic planning to avoid complications such as zonular … More
2710: Flip & Chop with a white cataract
Every time I post a flip and chop video, I get many emails asking if this technique is also applicable … More
2696: Why I offer all lens implant options
It is essential to offer patients the full range of intraocular lens implant options to provide truly individualized and optimal … More
2689: flip & chop with more nuclear density
Last week we featured a video of me performing flip and chop on a cataract of modest nuclear density, so … More
2682: Why do you like flip & chop so much?
This is one of our Complete Cataract Case series where we show the entire case from start to finish and … More
2668: high hyperope with high astigmatism
Cataract surgery in highly hyperopic eyes with short axial lengths and significant corneal astigmatism is technically demanding. The shallower anterior … More
2654: dense white cataract with a surprise
Approaching cataract surgery in a dense white cataract with a fibrotic anterior capsule presents significant challenges that require careful planning … More
2647: posterior polar with split capsule
We know that posterior polar cataracts are very challenging because the capsule is weak, fragile, or even partially absent at … More
2640: the secret to get the nucleus out of the bag
In cataract surgery, managing a small pupil presents several intraoperative challenges, particularly in safely prolapsing the nucleus out of the … More
2626: white cataract with pseudo-exfoliation
Today is another video from our Complete Cataract Case series where we show an entire surgery, from start to finish, … More
2619: IOL exchange with an open capsule
We recently featured a video where I explained some patient situations where a multifocal IOL could be problematic. One of … More
2612: Cataract Surgery on Cataract Surgeons
So far I have done cataract surgery for 84 fellow ophthalmologists (this title slide says 83 since I made it … More
2598: Avoid MFIOLs in these patients!
These are the patients where I tend to avoid using multi-focal and trifocal IOLs. While these diffractive design MFIOLs can … More
2563: Cataract in Axenfeld-Rieger Syndrome
A century ago, Dr Axenfeld described a series of patients with congenital abnormalities of the anterior segment of the eye … More
2549: head movement with cervical dystonia
While the degree of cataract in this video is not so challenging, the actual surgery is very difficult due to … More
2514: Is a CTR needed for Pseudo-Ex?
In certain populations, pseudo-exfoliation syndrome is relatively common, occurring in about 6 to 8% of my patients every year. In … More
2479: When the speculum won’t open more
This patient has narrow palpebral fissures and when the speculum is placed for cataract surgery, we cannot even expose limbus … More
2465: approach to short axial lengths
I enjoy operating on very myopic eyes because there is so much room within the anterior segment of the eye. … More
2458: teach me the tilt and chop technique
There are many techniques for breaking up the nucleus and aspirating it with the phaco probe and ultrasonic energy. And … More
2455: anonymous surgeon seeks advice
Let’s put our brains together and give this surgeon the advice that he seeks. This is a routine case from … More
2451: pseudo-exfoliation cataract 2nd eye
This patient has pseudo-exfoliation (PXF) syndrome and the first eye had cataract surgery many years ago. There is capsular phimosis … More
2438: small pupil, shallow AC, stop & chop
I get emails from viewers asking how to see cases where I am the surgeon operating. This is about as … More
2409: secrets to IOL calcs in high myopia
This video is a complete cataract case (this is a sub-category on the CataractCoach.com wesbite of unedited videos of exclusively … More
2389: the secrets to IOL calcs in prior RK
In my practice, every day that I am operating I usually have a few patients with prior radial keratotomy (RK) … More
2380: tilt and chop phaco technique
As we become more experienced surgeons, we evolve our surgical technique to provide safer, more efficient, and more precise outcomes … More
2366: weak cornea with prior RK & Fuchs’
This patient had prior radial keratotomy (RK) done in the early 1990s to address a modest degree of myopia. This … More
2359: chopping in the bag for a soft nucleus
For a soft nucleus, I tend to flip it out of the capsular bag using hydro-dissection as shown in this … More
2346: trifocal IOLs can make you very happy
We are all indebted to the optical engineers who design our IOLs for cataract surgery and this is particularly true … More
2333: the monocular patient mindset
Monocular patients are justifiably nervous with discussions about operating on their only good eye. These patients are worried that in … More
2325: cataract surgery in corneal ectasia
This patient has a complex ocular history which includes a high degree of axial myopia which was treated with LASIK … More
2318: soft PSC cataracts made easy
PSC cataracts are posterior sub-capsular and they are commonly seen in conditions such as corticosteroid use (ocular, nasal, inhaled, or … More
2305: Quiz: Is it intumescent or not?
By looking at the title picture, how can you tell if this white cataract is intumescent or not? Think about … More
2297: hyperopia on the brain!
People like what they like, what they are used to, what just feels right. That applies for many things in … More
2220: early cataracts in myopic patients
I’m sure you have noticed that myopic patients tend to develop cataracts earlier in life compared to their emmetropic and … More
2198: piggyback IOL with a surgical PI
This patient had cataract surgery performed elsewhere which resulted in an unwanted refractive outcome with an IOL power that was … More
2185: cataract surgery for a famous actress
I would bet that no other ophthalmologist has performed cataract surgery for more Academy Award® nominees and winners than me … More
2150: phaco puncture for white cataracts
Not all white cataracts are the same and in this category, among the most challenging is the intumescent white cataract. … More
2137: Quiz: What is your target refraction?
Time for a CataractQuiz and this case requires more thinking and there is no one perfect answer. This patient is … More
2129: how I handle a fluffy white cataract
In yesterday’s video (number 2128) we saw that using the phaco probe to apply ultrasonic energy to a soft, fluffy … More
2114: cataract & severe Fuchs’ dystrophy
Fuchs’ endothelial dystrophy is a disorder in which the corneal endothelium becomes progressively weak, leading to corneal decompensation and decreased … More
2086: too mushy, so do tilt and tumble
This is a complete cataract case featuring a nucleus that is too mushy to chop, so I revert to the … More
2059: opaque posterior polar with shallow AC
Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More