A retro-prosthetic membrane is a common complication following Boston Keratoprosthesis (KPro) implantation, where a fibrous tissue layer forms behind the … More
Category: corneal issues / dystrophies
2871: cataract surgery with Kamra corneal inlay
Performing cataract surgery in an eye with a Kamra corneal inlay requires managing a physical obstruction in the surgeon’s line … More
2844: cornea & lens capsule laceration
This video features a ruptured globe with the trauma consisting of a sharp metal object which caused a laceration to … More
2825: illumination for opaque corneas
When a central corneal opacity obscures the surgical field, traditional coaxial microscope illumination often creates debilitating light scatter and glare, … More
2814: slit-lamp ruptured globe repair
Is it reasonable to repair a ruptured globe at the slit-lamp microscope in this case? The patient has a blind … More
2810: DALK with the big bubble technique
Deep Anterior Lamellar Keratoplasty (DALK) using the “Big Bubble” technique is a surgical milestone for treating corneal diseases like keratoconus … More
2765: phaco with intra-corneal ring segments
Managing cataract surgery in an eye with prior corneal intra-stromal ring segments, such as Intacs, requires careful preoperative evaluation and … More
2762: pinhole pupilloplasty in corneal trauma
Dr. Amar Agarwal’s pinhole pupilloplasty offers an elegant optical solution for patients with severe corneal scarring, where traditional refractive correction … More
2739: severe anterior staphyloma
There are unusual cases which require incredible surgical skill such as this complex case of a young patient with Axenfeld-Rieger … More
2738: Quiz: What is this catastrophic failure?
Look carefully at this picture and in particular that line at the tip of the yellow arrow. What is going … 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
2697: press and roll technique for DMEK
Our guest surgeon presents a technique of using an air bubble, which is rolled around the anterior chamber while the … More
2688: intra-lenticular foreign body
This patient sustained an open globe injury where a metallic foreign body pierced the cornea and the lens capsule and … More
2623: preparing your own DMEK graft
If you can order a DMEK graft from your cornea bank that is already the desired size, already stained with … More
2611: DSAEK with a glaucoma tube
So you have a tough case coming up where you need to perform a DSAEK lamellar corneal transplantation but the … More
2606: Quiz: Why is there a PCIOL in the AC?
Time for a CataractQuiz™: this patient had cataract surgery done elsewhere some time ago and is now being referred to … More
2597: reverse pinhole pupilloplasty
Yesterday, our amazing CataractCoach Podcast (the top podcast in all of ophthalmology!) featured Dr Priya Narang who just won a … More
2579: total anterior segment reconstruction
Our guest surgeon does a great job with a very difficult case. This patient has an opacified IOL that is … More
2564: pterygium excision with auto-graft
Part of being a great cataract surgeon is having the skills to do all types of anterior segment surgery including … More
2563: Cataract in Axenfeld-Rieger Syndrome
A century ago, Dr Axenfeld described a series of patients with congenital abnormalities of the anterior segment of the eye … More
2558: corneal laceration & lens puncture
As surgeons, we love the challenge of a traumatic case because of the added complexity and the problem solving nature … More
2542: preparing your own DMEK graft
I am so fortunate that in Los Angeles, I can order a DMEK graft exactly the way that I want … More
2516: tough cataract with corneal scar
This patient had a prior pterygium surgery which did not go so well. It resulted in a corneal perforation and … More
2506: cataract surgery in corneal transplant
When we perform cataract surgery in an eye with a previous corneal transplant, we must do things a little differently … More
2480: pinhole pupilloplasty for corneal scar
This young patient sustained a ruptured globe injury with a large central corneal laceration and puncture of the crystalline lens. … More
2464: great pearls for DMEK surgery
Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology – IYKYK) we learned from Dr Jack Parker … More
2437: Quiz: Why did the DMEK graft detach?
This patient had a visually significant cataract as well as Fuchs’ endothelial dystrophy so our guest surgeon, Prof Bruno Trindade … More
2436: everything, everywhere, all at once
Yesterday on the Cataract Coach Podcast (the top podcast in all of ophthalmology!) we featured Prof Bruno Trindade from Belo … More
2423: should you remove the pterygium?
For this patient, should you remove the pterygium months before doing cataract surgery, at the same time as cataract surgery, … More
2420: tough resident case of sclerokeratitis
When you study the analytics of CataractCoach videos, you may be surprised to find out that resident surgical cases are … More
2408: ocular surface transplantation
Yesterday we featured Dr Edward Holland on our CataractCoach Podcast — the top podcast in all of ophthalmology. He is … More
2398: white cornea and white cataract
This patient sustained penetrating ocular trauma in the past which resulted in a corneal leukoma and a white cataract with … More
2396: large DMEK corneal graft for PBK
This patient has had many prior surgeries including cataract surgery, pars plana vitrectomy, Yamane fixated IOL, artificial iris implantation, and … More
2392: reconstruction after alkali burn
This patient sustained an ocular surface alkali burn which resulted in severe loss of vision, symblepharon formation, and corneal damage. … More
2387: surgical repair after knife to the eye
This is a case of severe trauma where a patient was stabbed in the globe/orbit with a serrated kitchen knife. … More
2368: efficient DMEK technique
As surgeons, we must be committed to lifelong learning. Think about the surgeon who did a two-year corneal fellowship 20 … More
2366: weak cornea with prior RK & Fuchs’
This patient had prior radial keratotomy (RK) done in the early 1990s to address a modest degree of myopia. This … More
2325: cataract surgery in corneal ectasia
This patient has a complex ocular history which includes a high degree of axial myopia which was treated with LASIK … More
2306: K-Pro kerato-prosthesis
The K-Pro (kerato-prosthesis) is a device intended for very complex cases of anterior segment reconstruction where a traditional corneal transplant … More
2296: artificial corneal endothelial implant
In our podcast from yesterday, Dr David Lockington explained how he has used an artificial corneal endothelial implant in complex … More
2270: angle closure with corneal edema
This patient has experienced angle closure glaucoma which has caused corneal edema and an increased intra-ocular pressure (IOP). In the … More
2247: enhanced corneal ectasia treatment
Yesterday’s CataractCoach Podcast featured Prof. Renato Ambrosio, Jr, MD, PhD who is a true world expert in corneal ectasia, keratoconus, … More
2195: phaco & pupilloplasty in a PKP eye
This patient is undergoing combined cataract surgery and pupilloplasty in this eye which had a prior penetrating keratoplasty (corneal transplant). … More
2163: total ocular reconstruction
This is a very complex case in a monocular patient who presents to you with a dislocated IOL and capsular … More
2114: cataract & severe Fuchs’ dystrophy
Fuchs’ endothelial dystrophy is a disorder in which the corneal endothelium becomes progressively weak, leading to corneal decompensation and decreased … More
2049: corneal granular dystrophy cataracts
This patient has corneal granular dystrophy as well as visually significant cataracts and your expertise is sought to improve the … More
2007: phaco with a dense corneal opacity
Our guest surgeon does a great job performing cataract surgery in this patient with a dense corneal opacity. In the … More
1970: Combined phaco and DMEK
With the development of advanced tissue processing of donor corneas, performing DMEK surgery has been greatly simplified. We are now … More
1949: Toric IOLs in Fuchs’ Corneal Dystrophy
can you use a toric IOL in cataract surgery if the patient has Fuchs’ corneal dystrophy?
1947: McDonald PRK technique & meds
Dr Marguerite McDonald’s special technique and medication regimen for PRK laser vision correction
