This patient has a long history of prior uveitis / anterior iritis which caused synechiae where the iris became adherent … More
Category: complete cases
1453: Quiz: What is your next step?
This is a tough case where the nucleus is very dense and difficult to chop, but the bigger challenge is … More
1451: Quiz: Where is the lens fragment?
A retained lens fragment is common in cataract surgery because we are breaking up the cataract into many smaller pieces … More
1450: pseudo-exfoliation in a 90 year old
Pseudo-exfoliation syndrome means that cataract surgery will be more challenging. The pupil will not dilate as much, the zonular support … More
1449: monocular patient with 16 cut RK
This is a tough case in a patient with just one eye. He had a prior history of 16-cut radial … More
1446: taking pride in your routine surgery
Routine surgery is probably 90% of what you perform every week in your operating room (or operating theatre), but sometimes … More
1445: rubbery brunescent cataract
There is a pleasure in helping patients with a dense brunescent cataract: we enjoy the surgical challenge and the patient … 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
1443: the nucleus just will not rotate
This is a seemingly routine case, shown start to finish, where I find it challenging to rotate the nucleus despite … More
1442: this nucleus is denser than it looks
This is a complete cataract case, shown start to finish, of a patient seen in my private clinic. At the … More
1425: posterior polar or sub-capsular?
Time for you to make the call: you bring the surgical microscope to the eye and just before you start … More
1404: easy pearls for floppy iris cases
So I was at a meeting on the east coast and young surgeons were debating the use of a pupil … More
1393: how to optimize video quality
I frequently get asked how to make the video images better for recording and presenting surgical cases. There are two … More
1376: soft posterior polar cataract
This younger patient has a posterior polar cataract with new PSC (posterior subcapsular) spread of opacities, thereby significantly limiting the … More
1375: cataract with silicone oil droplets
This complete cataract case features a patient who underwent a prior pars plana vitrectomy for a retinal detachment and then … More
1374: how do you remove this spot?
This is a complete cataract case where I find a small central opacity on the posterior capsule. It is on … More
1373: Quiz: what are these opacities?
This is a complete cataract case with a quiz: watch the video (it is brief) and tell me what you … More
1372: my best pearl for Flomax/IFIS cases
This is a complete cataract case shown start to finish in a patient who has floppy iris syndrome due to … More
1354: phaco parameters for efficiency
Surgeons frequently ask me to list my phaco settings for performing efficient cataract surgery. Let me be the first to … More
1353: this means no pupil ring needed
There are some cases where you absolutely need a pupil expansion ring or iris hooks, such as this case. That … More