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

1469: open sky cataract surgery

There are times where you will want to perform a combination surgery of full-thickness corneal transplant and cataract surgery at … More

1449: monocular patient with 16 cut RK

This is a tough case in a patient with just one eye. He had a prior history of 16-cut radial … More

1413: ruptured globe cases x 2

This resident surgeon had a busy night on call with two ruptured globe cases presenting to the emergency department. The … More

1383: Descemet Detachment Mystery

I need your input to determine when this surgeon is getting / causing a Descemet detachment during cataract surgery. This … 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

1338: small incision lenticule extraction

Corneal refractive surgery for myopia is done by removing some of the corneal stroma in order to flatten the central … More

1317: Is a toric IOL ok in Fuchs’ Dys?

We can do cataract surgery for patients with Fuchs’ corneal dystrophy, but we must weigh the relative risks of corneal … More

1308: corneal tattoo for cosmetic benefit

Corneal tattooing is sometimes used to help block light that enters a peripheral iridotomy and causes dysphotopsias. That is usually … 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

1269: chandelier lighting for a tough case

This is an extremely challenging cataract case because the view is so limited due to the corneal status. There is … 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

1228: Quiz: what are these white opacities?

This is a quiz, so look closely at the above picture. This patient sustained a corneal laceration during a gardening … More

1176: cataract surgery in Fuchs’ dystrophy

You will certainly encounter patients with Fuchs’ dystrophy where the corneal endothelial cell layer becomes compromised. With loss of endothelial … More

1168: rescue this descemet’s detachment

Descemet’s membrane is very delicate and it can become detached during surgery. The usual entry site is from one of … More

1163: phaco behind the corneal scar

When a corneal scar limits the visualization, how can you still complete the cataract surgery in a safe manner? And … More

1071: Challenging Phaco + DMEK

Prof. Dr. Martin Dirisamer from Munich, Germany is a recognized expert in DMEK surgery and he presents a challenging case … More

1023: Foreign body capsule rupture

This patient sustained a serious ocular injury: a foreign body pierced the cornea, punctured the anterior lens capsule, and now … More

Anterior Chamber Phakic IOL removal

Phakic IOLs are useful to address extreme degrees of myopia, but there are potential complications. Previously, we have featured cases … More