I was watching cataract surgery videos on YouTube and I saw this video from Dr Shannon Wong from Austin, Texas … More
Category: complications
1729: Quiz: what complication is imminent?
Look carefully at the picture and see if you can figure out what complication is imminent. Can you tell what … More
1725: coloboma with capsule rupture
Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar … More
1713: pars plana tap for aqueous misdirection
The key to resolving iris prolapse is to release the pressure gradient and we have covered this topic many times … More
1710: this radialized capsulorhexis is stuck
This resident is just hitting his/her stride and has done more than 100 cataract surgeries at this point. This started … More
1708: why did this nucleus drop so fast?
This resident case started out pretty well with a good incision and then an intact capsulorhexis, but then things quickly … More
1705: recovering from iatrogenic iris damage
This is a very tough case and the iris prolapse and damage is considerable. This is the type of case … More
1691: IOL haptic tears posterior capsule
Another tough case today: as this resident implants a three-piece IOL, the leading haptic is twisted and the sharp tip … More
1690: capsule rip extends to posterior capsule
This is a heartbreak of a case. The anterior lens capsule splits wide open with the classic Argentinian Flag Sign … More
1686: dense cataract iris & zonular loss
This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true … More
1649: phaco wound burns
This video is critically important, especially for younger surgeons, because a phaco wound burn is a complication that happens more … More
1612: retrieval of a lost CTR
When implanting a capsular tension ring, particularly in a challenging case, there is always that tiny fear that it may … More
1605: learn the ominous snap sign!
If you only watch one CataractCoach video this month, this is the one I encourage you to study very carefully. … More
1604: return to the OR for retained lens
A retained lens fragment is a relatively common occurrence after modern day cataract surgery. We are able to use small … More
1599: leaky paracentesis causes issues
You may think that a paracentesis incision is trivial and has little effect on the case, but that is not … More
1578: how to rescue this capsule split
You are performing cataract surgery and everything appears routine as the case is progressing smoothly. The nucleus is removed and … More
1561: sudden chamber deepening
This patient has a dense cataract and I increased the phaco power in order to help break apart the nucleus. … More
1507: the main incision rips – now what?
What would you do if the main phaco incision ripped during your procedure? This will certainly cause a fluidic imbalance … More
1490: large Descemet detachment
We all know how delicate the Descemet layer of the cornea is and also how easily it is damaged. Even … More
1489: corneal epithelial bubble
This patient developed a corneal epithelial bubble during cataract surgery. Why did this happen and what should you do now? … More
1482: upside down IOL – who is at fault?
Watch this anonymous video very carefully and let me know who is to blame for this upside down IOL, the … More
1478: ASCRS case 9: upside down IOL
You may be surprised to learn that an upside down IOL happens to every single cataract surgeon. The key is … More
1470: ASCRS case 1: what happens next?
At the 2022 ASCRS meeting in Washington, DC, we hosted a CataractCoach instructional course and it was a huge success. … More
1461: Cystoid Macular Edema CME
If you do a fluorescein angiogram for a patient immediately after a routine cataract surgery, you will likely find some … More
1457: small capsulorhexis leads to trouble
This is another case where the capsulorhexis is about 4 mm in diameter and this causes a complication where the … More
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
1439: save this case of capsule rupture
Our guest ophthalmologist is Dr Cathy McCabe from Florida, USA and she is truly a master surgeon, having done tens … More
1437: another dropping nucleus!
We just featured a similar complication two days ago in video 1435, so why are we showing another dropping nucleus? … More
1435: Why did the nucleus drop?
In this surgery, the posterior capsule will rupture and the nucleus will drop into the vitreous cavity. When do you … More
1409: vitreous prolapse into the AC
An anonymous surgeon submitted this video and I knew that I had to share it with our fans. Every surgeon … More
1408: the posterior capsule is ruptured
Look carefully at the title picture and you will see that the posterior capsule is ruptured and it appears to … More
1394: post op day one complications
Even with a seemingly uneventful cataract surgery, there can be complications on post-op day one. This video highlights two important … More
1385: Quiz: you notice this after draping
Quiz time! You have this patient scheduled for routine cataract surgery. Nothing out of the ordinary was noted at the … More
1380: every little surgical step is critical
Ophthalmic surgery can be very unforgiving. There is often very little or no room for error because the delicate ocular … More
1379: converting from phaco to MSICS
If the posterior capsule ruptures while you have most of the nucleus still inside the eye, the best decision may … More
1347: resident anterior vitrectomy
This video was anonymously sent in by a resident in training who has done about 30 prior cataract surgeries. We … More
1346: large Descemet detachment
Cataract surgery is a very technically challenging surgery that takes years to learn and a lifetime to master. And every … More
1302: suturing a phaco wound burn
We have covered the topic of phaco wound burn many times and we even had a very astute resident prevent … More
1262: cataract after intra-vitreal injection
In previous videos, we have warned against the issue of an intra-vitreal injection inadvertently hitting the lens capsule and causing … More
1258: OSN NY managing capsular issues
This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More
1253: preventing a phaco wound burn
An anonymous resident emailed me with a thank you because a pearl that was learned here on CataractCoach prevented a … More
1248: surgeon surprised by zonular loss
A careful slit-lamp microscope examination of the eye during the pre-operative consultation can pick up most cases of compromised zonular … More
1235: convert to manual ECCE surgery
This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced … More
1225: a bad incision leads to iris damage
The incision is a very important part of the cataract surgery. It determines the access to the anterior segment and … More
1219: posterior polar capsule rupture
This patient has bilateral posterior polar cataracts which progressively became more opaque and caused increasing visual problems. The first eye … More
1214: the chopper just broke the capsule
A ruptured posterior capsule is a complication that can happen in any cataract surgery. There are two types of ophthalmologists … More
1211: white cataract drops into vitreous
Our guest surgeon presents a case of a surprise complication when the white cataract falls into the vitreous cavity. He … More
1201: resident ruptured capsule case
This anonymous submitted video is from a resident who has edited down the video to the pertinent parts of the … More
1199: predicting a phaco wound burn
A phaco wound burn is a terrible complication that happens from the heat that is created by the friction of … More
1198: run-out rhexis leads to vitreous
The capsulorhexis is a very important part of the cataract surgery because it ensures compartmentalization of the eye during phacoemulsification … More