On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More
1823: white cataract after intra-vitreal injection
When a patient develops a white cataract right after an intra-vitreal injection, you can be pretty sure that the capsular … More
1822: lens snare/loop splits the bag!
The idea of a lens snare or loop to mechanically split the nucleus is decades old and we previously discussed … More
1806: left-handed resident breaks the bag
Let me be the first to say that it is perfectly fine for a surgeon to be left handed. Surprisingly, … More
1803: broken IOL complications
IOLs are delicate and when we roll them and compress them in order to fit through smaller incisions, rarely the … More
1791: Curriculum Lesson 20: complications part 2
More complications to learn from. Remember that no matter how amazing your surgical skills are, you will certainly encounter complications … More
1786: rescuing Argentinian flag sign
What do you do when the anterior capsule tear suddenly extends out to the lens equator? This is the dreaded … More
1777: Curriculum Lesson 19: complications part 1
The next lesson in our CataractCoach Curriculum series is lesson 19: complications, part 1. Every surgeon encounters surgical complications and the key … More
1774: When did the posterior capsule rupture?
I have watched this video a few times and I am still not sure when the capsule ruptured. Look at … More
1766: when did the posterior capsule break?
Our guest surgeon, Dr Lukan Mishev, is a highly talented ophthalmologist who is an expert is anterior and posterior segment … More
1738: sudden choroidal hemorrhage
This is another great example of how even an experienced, expert surgeon can encounter a complication during cataract surgery. This … More
1737: IOL breaks the posterior capsule
We should never devalue cataract surgery or claim that it is such an easy procedure because even in expert hands, … More
1736:capsule break from OVD bubbles
I was watching cataract surgery videos on YouTube and I saw this video from Dr Shannon Wong from Austin, Texas … More
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