2815: Why did the nucleus drop?

Let me first start out by telling you that I do not know exactly what happened here and we are … More

2808: Why so much chemosis / bleeding?

Chemosis during cataract surgery is the ballooning of the conjunctiva caused by balanced salt solution (BSS) leaking under the tissue. … More

2807: phaco probe breaks the capsule

When a posterior capsule rupture (PCR) occurs, the surgeon’s immediate priority is stability. First, do not abruptly remove the phaco … More

2782: cannula ejection causes damage

A 27-gauge cannula can be inadvertently ejected from a pressurized syringe during cataract surgery when excessive force is applied to … More

2781: sudden choroidal hemorrhage

Managing a sudden choroidal hemorrhage during this Boston K-Pro surgery requires immediate control of intraocular pressure and rapid stabilization before … More

2779: capsule split with posterior polar

When a posterior capsule split occurs during surgery for a posterior polar cataract, the priority is to preserve the anterior … More

2776: pre-existing posterior capsule rupture

Cataract surgery in an eye with a posterior capsule rupture from a prior intravitreal injection requires careful preoperative planning and … More

2770: first ever posterior capsule rupture

This complication happens to 100% of cataract surgeons: the posterior capsule ruptures during phaco and now you must complete the … More

2751: cleaning the bag and then it splits open

A highly experienced surgeon is more likely to experience a rupture of the posterior capsule during cortex removal rather than … More

2740: recovering from Argentinian flag sign

This has happened to all of us! The Argentinian flag sign occurs when the anterior capsule tears peripherally during capsulorhexis … More

2733: late Descemet membrane detachment

Late Descemet membrane detachment (DMD) after cataract surgery in eyes with prior Descemet Membrane Endothelial Keratoplasty (DMEK) is an uncommon … More

2730: left behind cortex will swell up!

It’s tempting when you’re a beginning surgeon to just leave some residual cortex in the capsular bag but then the … More

2712: Quiz: What are these capsule wrinkles?

This is truly a challenging quiz and very few surgeons can look at this picture and correctly determine what will … More

2691: This just happened. Now what?

Our anonymous surgeon notices a very clear red reflex in this quadrant during cataract surgery. What is happening in this … More

2684: Quiz: What about this MIGS bleeding?

In this case the patient has a successful cataract surgery but then during the MIGS procedure, a trabeculotomy is done … More

2683: Quiz: the nucleus dropped. now what?

100% of cataract surgeons will experience the complication of a ruptured posterior capsule and then having the nucleus drop into … More

2634: Quiz: When did the capsule break?

Our last case was so popular that we are presenting the same challenge: can you determine, when did this capsule … More

2627: how to drain a choroidal effusion

While it is a relatively rare complication, there are times where the patient will develop a choroidal effusion. This is … More

2621: Quiz: When did the capsule break?

We all love the fun CataractQuiz™ cases and in this video we are also asking for a crowd-sourced answer to … More

2607: How to evacuate a hyphema

We have all seen cases of hyphema, bleeding in the anterior chamber of the eye, due to trauma. In many … More

2580: and just like that the capsule splits

We are preferentially looking for surgical complication videos (and we can feature them anonymously if desired) and today our guest … More

2577: the risks of a femtosecond laser

I am always happy to add new technologies to our surgery center and operating room because I like having more … More

2559: two cases of fixing zonular defects

Our guest surgeon has submitted two cases of fixing zonular defects during cataract surgery. In one case the zonulopathy appears … More

2552: The capsule just split. Now what?

This has happened to ALL of us cataract surgeons. And if it has not yet happened to you, that just … More

2550: Schlemm’s canal stent gets damaged

You’ve just finished performing a beautiful cataract surgery and now the IOL is securely within the capsular bag and the … More

2537: inadvertent iridodialysis, hyphema

We love complication videos because they offer some of the best learning. If you want your video featured on CataractCoach™ … More

2494: The IOL is stuck in the incision

This is an unusual complication but still one that we have covered before. Four years ago with video 1126, we … More

2488: trying to remove cortex but then this

Looking at the title picture, we all feel a little pain. This happens to all surgeons at some point: we … More

2471: Learn the ominous Snap Sign!

Professor Ronald Yeoh from Singapore taught us all about the Snap Sign many years ago. The “snap” is when the … More

2469: cataract after intra-vitreal injection

With tens of millions of intra-vitreal injections being performed worldwide, a seemingly rare complication like capsule rupture happens to many … More

2441: Cataract Hazard Perception Test

At the UKISCRS meeting in London (November 2024), I saw a presentation from a young ophthalmologist, Dr Alasdair Simpson from … More

2440: the probe just punctured the capsule

Looking at this title picture with that hole punch sign, we know that there are some serious challenges ahead. At … More

2426: severe iris prolapse causes damage

Iris prolapse during cataract surgery is a complication that has happened to 100% of cataract surgeons. If you think that … More

2411: white cataract drops into vitreous

I travel frequently to give lectures all over the world and that meant more than 20 countries in 2024 alone. … More

2404: the probe just punctured the capsule

For experienced surgeons, complications involving the capsule happen more often during epi-nucleus and cortex removal than during nucleus removal. In … More

2271: what to do when the nucleus drops

It is a complication that happens to 100% of cataract surgeons: a ruptured posterior capsule allows the lens nucleus (or … More

2213: LAL haptic breaks the capsular bag

In this case, our guest surgeon performs a routine cataract surgery but then when he is implanting the LAL+ Light … More

2186: Best of Cataract Coach: Case 1

Case 1. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More

2164: intra-vitreal injection punctures lens

This complications happens more often that we may imagine: the patient receives an intra-vitreal injection for treatment of posterior segment … More

2160: How to save this run-out rhexis?

With an intumescent white cataract the risk of capsular run-out (and Argentinian flag sign) is high and all seasoned cataract … More

2139: is the posterior capsule ruptured?

Look carefully at the picture here and ask yourself: what happened and what is the next move? That defect looks … More

2135: do not over-inflate with OVD

What we call viscoelastics are now referred to as OVDs: ophthalmic viscosurgical devices, in some part because we can then … More

2128: soft white cataract with PC rupture

This patient has a soft white cataract from prior trauma and now it is time for cataract surgery. Look carefully … More

2125: lens punctured during vitrectomy

This patient recently had a pars plana vitrectomy and there was an iatrogenic complication when the vitrector inadvertently punctured the … More

2122: Quiz: Why did the nucleus drop?

Watch this video carefully and we are going to crowd-source the likely reason why this nucleus drops into the vitreous … More

2115: Quiz: What happened with the CTR?

Look carefully at the title photo and let me know what you think is going on with the CTR? What … More