1848: ASCRS 2023 Course Case 7

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

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

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

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