2923: careful with dimple down incisions

Creating a clear corneal incision requires a precise approach to ensure the wound is self sealing and stable throughout the … More

2922: post-occlusion surge breaks the bag

When you are down to that final nuclear fragment, the risk of a posterior capsule rupture is at its peak … More

2901: Quiz: When did the capsular bag break?

95% of surgeons will miss this very subtle sign – will you be able to spot it? In this CataractQuiz™ … More

2894: How do you save the capsule now?

Recovering from the Argentinian Flag Sign The Argentinian Flag Sign is a classic surgical challenge where high intra-lenticular pressure causes … More

2885: rescue this floppy iris prolapse case

Imagine you are a professor / attending / consultant who is supervising a resident who is performing a seemingly routine … More

2875: please stop using scissors for ECCE

Back when I was a resident (all old surgeons say those words…) my professors taught me to perform ECCE with … More

2867: Don’t polish the capsule in posterior polar

Today we are looking at a classic posterior polar cataract and the risk we take when we attempt to polish … More

2866: trocar placement punctures the lens

We always aim for a perfect case, but as every seasoned surgeon knows, it’s not about the complication, rather it’s … More

2865: how to drain Hyphemas at the slit lamp

We have all seen it: post-op patient comes to your clinic with a layered hyphema that just isn’t clearing, and … More

2858: polishing the capsule and then it splits

Polishing the capsule and then it splits! Now what? It’s the moment every surgeon dreads: you’re polishing the posterior capsule … More

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