Don’t be fooled into thinking that there is not much to be learned from watching a routine cataract case. As … More
Category: complete cases
1309: 90% of your cases are routine
I enjoy performing routine cataract surgery as much as challenging or unusual cases. There is a beauty and elegance in … More
1288: the subtleties of efficient surgery
Becoming efficient in the operating room is not easy and it takes years to truly hone your craft. Remember that … More
1284: Pupil Stretching Works!
Pupil stretching works. And it works well without additional instrumentation or devices. In this example the pupil went from 3.9 … More
1283: The “I&A only” Soft Cataract
This young patient developed a cataract after trauma. Fortunately, the zonular support is great and the long term stability of … More
1282: flip and chop for softer lens
If there is less nuclear density, then flip and chop is also a great technique. It brings the nucleus up … More
1281: flip and chop when it’s dense
This complete cataract case shows the entire surgery from first incision until the end. This allows for great learning for … More
1271: please steal this phaco technique
We all learn from each other — that’s one of the best things about ophthalmology. My surgical techniques are an … More
1257: OSN NY Challenges with Akinesia
This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More
1252: how I handle soft cataracts
Soft cataracts require one important step for success: get the nucleus away from the posterior capsule. I like to accomplish … More
1249: time for the second eye of #1248
Yesterday’s video (1248) showed a very challenging case of compromised zonular support in a patient who may have had prior … More
1239: dense brunescent cataract
This patient has a very dense, brunscent, fibrous cataract in the left eye. Fortunately, the right eye has a moderate … 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
1227: secrets for radial keratotomy patients
While radial keratotomy (RK) is rarely used as a refractive surgery today, a few decades ago it was very popular. … More
1213: chop this dense cataract in the bag
This patient has a 4+ nuclear sclerotic cataract which we would classify as dense. Fortunately, it is not quite at … More
1207: soft PSC cataract technique
This a complete cataract case, shown start to finish, for a young patient (age is early 30s) who has an … More
1206: the soft and gummy cataract
When a cataract is very soft, such as in a younger patient with a posterior sub-capsular cataract, we can prolapse … More
1204: IOL exchange with stuck haptic
This patient has very high demands for his vision and to address the issue of presbyopia in his mid 50s … More
1202: pearls for your first LASIK surgery
It is important to learn LASIK and other forms of refractive surgery during residency training. When I was a resident … More
1196: newbie guide for toric IOL success
Using a toric IOL is an important skill for an ophthalmology resident to learn. This video gives pearls for learning … More
1176: cataract surgery in Fuchs’ dystrophy
You will certainly encounter patients with Fuchs’ dystrophy where the corneal endothelial cell layer becomes compromised. With loss of endothelial … More
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