You have scheduled a patient for cataract surgery and the case seems relatively routine. The biometry was good and the … More
Category: corneal issues / dystrophies
Peeling off a Pupillary Membrane
In this complex case, there is a nearly complete pupillary membrane in an eye with a cataract and a prior … More
Can we use a Toric IOL in Keratoconus?
Toric IOLs have the ability to neutralize corneal astigmatism at the time of cataract surgery to improve vision for our … More
Do not vacuum near the corneal endothelium
During cataract surgery, you notice a small lens fragment or an air bubble float up to the corneal endothelium, where … More
Quiz: Cataract & Penetrating Corneal Injury
This patient had a penetrating corneal injury many years ago. When we look at the eye we can see evidence … More
Cataract Surgery after Corneal Transplant
Cataract surgery in an eye with a prior corneal transplant is more difficult and there are challenges which can alter … More
Cataract Surgery & Lattice Corneal Dystrophy
Today we have a guest surgeon, Dr Carlos Yuji Nunomura from Brazil, who is demonstrating cataract surgery in an eye … More
Working near the corneal endothelium
We have to be very careful to protect the corneal endothelial cells, particularly in the center of the patient’s visual … More
Quiz: Why is the vision 20/200?
This patient has a pre-op visual acuity of just 20/200 but the cataract does not look that bad. Also, we … More
Cataract Surgery in Keratoconus
When a patient has keratoconus, what is different about the cataract surgery? Can you still make your phaco incision in … More
Secrets to Avoid Corneal Edema after Cataract Surgery
Corneal edema can occur after cataract surgery due to a number of factors such as a higher degree of ultrasonic … More
Combined Phaco + DMEK Surgery for Fuchs’ Dystrophy
This patient has a cataract as well as Fuch’s corneal dystrophy. Her pre-operative corneal pachymetry is almost 700 microns centrally … More
Phaco Chop without using the phaco probe
This is a cataract surgery performed by a resident in training and the patient is known to have Fuchs’ corneal … More
Solving a tough case of Hexagonal Keratotomy
Featuring guest surgeon: Arun Gulani MD from Jacksonville, Florida, USA This complex case involved a patient who underwent hexagonal keratotomy … More
Descemet Membrane Endothelial Keratoplasty
The skills learned from cataract surgery, such as working within the anterior chamber and pivoting within the incisions, can be … More
Quiz: Cataract Surgery in Fuchs’ Corneal Dystrophy
Look carefully at the picture and tell me what you would do differently for this cataract surgery. This patient has … More
Small Pupil, Dense Cataract, Corneal Scar, Glaucoma
The key to approaching a difficult surgery is to use a stepwise approach. In the case presented here, we have … More
Never make your phaco incision like this!
In this anonymous video we have a phaco incision that is very poorly made. The placement is too far from … More
Descemet Detachment at the Phaco Incision
When we construct our corneal phaco incisions, we must be careful to give them the proper architecture and form. We … More
Hydration & Sealing of Corneal Phaco Incisions
A properly constructed phaco incision will allow good access to the anterior chamber for cataract surgery and then will seal … More
Cataract Surgery after 20-cut Radial Keratotomy
We have covered the topic of cataract surgery in eyes with prior radial keratotomy (RK) but this case is unusual … More
Salzmann Nodules and Cataract Surgery
Salzmann nodules occur at the limbus or peripheral cornea and can disrupt the ocular surface, even causing an irregular ocular … More
Air Bubbles to Monitor Viscoelastic Retention
Does viscoelastic stay inside the eye when we inject it there to protect the corneal endothelium? Or does it get … More
Cataract Surgery in Fuchs’ Corneal Dystrophy
Fuchs’ endothelial dystrophy is a disorder in which the corneal endothelium becomes progressively weak, leading to corneal decompensation and decreased … More
Cataract Surgery in Keratoconus
Patients with keratoconus, like all patients, eventually develop cataracts. However, cataract surgery in these keratocomic eyes is not the same … More